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Insurance explained

Group insurance for UK employers: how it works

Group insurance is cover an employer buys under one policy for a defined group of employees, typically life, income protection, critical illness and medical benefits. It matters because how each scheme is set up decides who receives the money, how it is taxed and who is actually covered.

In short

Group insurance covers employees under a single employer policy. The main types are group life (death in service), group income protection, group critical illness, group private medical insurance, and dental or cash plans. Members are usually accepted without medical questions up to a free cover limit. Tax treatment differs: group life is set up as an excepted policy under ITTOIA 2005 or within a registered pension scheme, group PMI is a benefit in kind reported on P11D, and income protection benefits are taxed as earnings. Unlike employers' liability insurance, which is compulsory, group risk cover is voluntary.

What group insurance is and how it works

Group insurance (often called group risk when it means life, income protection and critical illness) is a single policy, or a trust arrangement around one, that covers a defined class of employees. The employer is usually the policyholder or the trustees are, and the cover is priced on the group as a whole, not on each person's health.

The main types are:

Eligibility is set by the employer and written into the policy: for example, all permanent UK employees under a set age, or a defined grade. Insurers commonly accept everyone in the class without medical questions up to a free cover limit. Anyone whose benefit is above that limit may need to give medical evidence before the excess is covered. HMRC's guidance on excepted group life policies expressly allows a limit on death benefits where it applies equally to every death, and gives a free cover limit as the example (IPTM7030).

Tax treatment: what HMRC says

Tax treatment depends on the type of cover and how it is set up. The points below come from HMRC's manuals and GOV.UK; individual circumstances vary, so check with your accountant.

Some health items are exempt. HMRC's HS207 helpsheet lists one health screening and one medical check-up a year, recommended return-to-work treatment up to £500 in a tax year, and welfare counselling available to all employees.

Types of group insurance at a glance

Typical position only, always subject to how the scheme is set up and the policy terms.

TypeWhat pays outPaid toTypical tax treatment
Excepted group lifeLump sum on death in serviceTrustees, for family or dependantsSet up under ITTOIA 2005 s480-482, outside a registered pension scheme
Registered group lifeLump sum on death in serviceScheme trustees or administrator, for beneficiariesLump sum tested against the lump sum and death benefit allowance
Group income protectionMonthly benefit after the deferred periodUsually the employer, then the employee via payrollBenefit taxed as earnings through payroll
Group critical illnessLump sum on diagnosisEmployeeDepends on how the scheme is set up; confirm with your accountant
Group PMICost of eligible treatmentHospital or employeeBenefit in kind on the premium; P11D and Class 1A
Group dental / cash planRefunds up to annual limitsEmployeeGOV.UK says employer-paid dental insurance is reported on P11D; confirm cash plans with your accountant

What it means in practice

These scenarios are illustrative only.

Group risk vs employers' liability insurance

Group risk and employers' liability are often confused because both relate to employees, but they do different jobs.

What to check

Sources

Frequently asked

What is group insurance for employers?

Group insurance is cover an employer buys for a defined group of employees under one policy. It commonly includes group life (death in service), group income protection, group critical illness, group private medical insurance and dental or cash plans. It is priced on the group as a whole, and members are often accepted without medical questions up to a free cover limit.

Is group life insurance a taxable benefit?

Group life is usually set up either as an excepted group life policy under ITTOIA 2005 sections 480 to 482, held in trust, or through a registered pension scheme. Lump sums from registered schemes are tested against the lump sum and death benefit allowance of £1,073,100. Confirm the treatment of your scheme with your accountant.

Is group private medical insurance a benefit in kind?

Yes. HMRC treats employer-paid group medical insurance as a taxable benefit. Each employee is charged on the premium paid for them and their family, less anything they make good. Employers normally report it on form P11D and pay Class 1A National Insurance on its value.

Is group income protection compulsory?

No. Unlike employers' liability insurance, which most employers must hold by law, group income protection and other group risk covers are voluntary employee benefits. If you promise them in a contract of employment, though, you may be contractually bound to provide the benefit, so match your policy to your contracts.

What is a free cover limit?

A free cover limit is the level of benefit up to which an insurer accepts each eligible member of a group scheme without medical evidence. Above it, the member usually has to complete health questions before the extra cover starts. If they do not, the benefit may be capped at the free cover limit.

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Apex Insurance Brokers Limited is authorised and regulated by the Financial Conduct Authority. Registered in England and Wales, company number 07014570. This page is general information, not advice on your individual circumstances, and it does not guarantee that cover will be available or on what terms.