Insurance explained
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.
Part of: Commercial insurance
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.
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 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.
Typical position only, always subject to how the scheme is set up and the policy terms.
| Type | What pays out | Paid to | Typical tax treatment |
|---|---|---|---|
| Excepted group life | Lump sum on death in service | Trustees, for family or dependants | Set up under ITTOIA 2005 s480-482, outside a registered pension scheme |
| Registered group life | Lump sum on death in service | Scheme trustees or administrator, for beneficiaries | Lump sum tested against the lump sum and death benefit allowance |
| Group income protection | Monthly benefit after the deferred period | Usually the employer, then the employee via payroll | Benefit taxed as earnings through payroll |
| Group critical illness | Lump sum on diagnosis | Employee | Depends on how the scheme is set up; confirm with your accountant |
| Group PMI | Cost of eligible treatment | Hospital or employee | Benefit in kind on the premium; P11D and Class 1A |
| Group dental / cash plan | Refunds up to annual limits | Employee | GOV.UK says employer-paid dental insurance is reported on P11D; confirm cash plans with your accountant |
These scenarios are illustrative only.
Group risk and employers' liability are often confused because both relate to employees, but they do different jobs.
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.
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.
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.
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.
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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