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Business health insurance and corporate PMI, compared
Business health insurance, also called corporate PMI or corporate medical insurance, is private healthcare a company pays for its employees and often its owners.
This guide shows how to compare business health insurance, what the insurers publish about their own plans, and how HMRC taxes it.
Every claim here is our summary of a named external source, linked beside it. Sources change: check the wording at the link before you rely on it.
Source: ABI (ABI ↗)
What is business health insurance, or corporate PMI?
Business health insurance is medical insurance the employer pays for.
Corporate PMI, corporate health insurance and corporate medical insurance are other names for it.
HMRC's manual describes the employer paying the premiums under a group policy covering employees, and sometimes their families (HMRC ↗).
- Usually covered
In-patient and day-case
Most in-patient treatment, such as tests and surgery, and day-case surgery (MoneyHelper ↗).
- Sometimes covered
Out-patient
Some policies extend to specialists and consultants (MoneyHelper ↗).
- Not usually covered
Chronic illness
Most policies don't cover chronic illnesses which are incurable (MoneyHelper ↗).
- Group policies differ
Pre-existing conditions
Not usually covered unless you have a group or company policy (MoneyHelper ↗).
Three health insurance guides, three questions
This page is for companies comparing corporate PMI, and for business owners covering themselves.
If your question is one of these, the sibling guide answers it more fully.
- This page: companies and owners
Business health insurance
Corporate PMI, how to compare business health insurance, larger schemes and cover for business owners.
Read the guide → - For SMEs, from one employee
Small business health insurance
The smallest team sizes insurers publish, getting quotes, using a broker and the best plan for a small business.
Read the guide → - For staff and HR
Employee health insurance
Employee health plans, health cash plans and the PMI alternatives you can offer as an employee benefit.
Read the guide →
Our guides; each carries its own sources.
How to compare business health insurance
A business health insurance comparison only works if every quote is built the same way.
The price moves with choices you make.
Aviva lists five ways to reduce the cost of its business plan: the six week option, an excess from £50 to £500, removing specific services, limiting out-patient cover and a reduced hospital list (Aviva ↗).
MoneyHelper adds: check for an excess option and a no-claims discount (MoneyHelper ↗).
Compare the underwriting too.
Aviva explains that with full medical underwriting you declare your medical history before the policy starts, while with moratorium underwriting it looks at your history when you claim (Aviva ↗).
AXA Health offers medical history disregarded underwriting if you cover 15 employees or more (AXA Health ↗).
Asking which is the best?
The FCA separates information, which is statements of facts or figures, from advice, which is in effect a recommendation (FCA ↗).
We give information only; an FCA-authorised adviser or broker can recommend a plan.
Core cover
What the core plan includes
Aviva’s core cover includes acute conditions and cancer cover; check what each quote treats as core.
Out-patient
The out-patient limit
Some policies extend to specialists and consultants; limiting out-patient cover is one way Aviva lists to cut cost.
Excess and NHS wait
Excess and six week option
Aviva offers an excess from £50 to £500 and a six week option; MoneyHelper describes cover that only starts when the NHS cannot treat within a set time.
Hospitals
The hospital list
Aviva offers reduced hospital lists, and an extended list as an upgrade.
Underwriting
How health is assessed
Full medical underwriting, moratorium, or medical history disregarded for larger groups at AXA Health (15 or more).
People
Family and categories
Bupa adds partners or children for an additional cost per person; AXA Health allows up to 6 categories of cover.
Checklist summarised from Aviva (Aviva ↗), MoneyHelper (MoneyHelper ↗), Aviva's underwriting guide (Aviva ↗), AXA Health (AXA Health ↗) and Bupa (Bupa ↗). It is a list of what to compare, not a recommendation.
Business health insurance providers UK: what each publishes
We do not rank insurers: choosing one is a regulated question for an FCA-authorised adviser.
What we can show is what three insurers publish about their own business plans, so you know what to ask.
Once you have a shortlist, the FCA tells consumers to check a firm on its Firm Checker before buying insurance (FCA ↗).
Each cell is what that insurer says about its own plan on the page linked; ‘Ask the insurer’ means the page we checked did not say. Alphabetical, not a ranking.
Corporate health insurance for larger companies
Insurers publish separate corporate health insurance routes for bigger workforces, each with its own starting size.
Group size can change the underwriting too: MoneyHelper says pre-existing conditions aren't usually covered unless you have a group or company policy (MoneyHelper ↗).
- Aviva
Optimum: 100 or more
A bespoke plan for larger businesses (Aviva ↗).
- Bupa
Corporate: 250 or more
A package built with wellbeing and preventative options (Bupa ↗).
- AXA Health
15 or more
Medical history disregarded underwriting becomes available (AXA Health ↗).
Health insurance for business owners
A company director can be covered on the company plan like any employee, and HMRC says a director is chargeable on the premium the employer pays for them (HMRC ↗).
If you work for yourself, AXA Health says that with a business bank account you can get business health insurance (AXA Health ↗).
Covering yourself and a first employee?
Small business health insurance shows the smallest team sizes insurers publish.
- Limited company
Director on the company plan
Premiums deductible for the company, says Vitality; a benefit in kind for the director (Vitality ↗).
- Sole trader
A policy just for you
Possible, but the premium may not be tax deductible (Vitality ↗).
- Family
Partners and children
Bupa adds them for an additional cost per person (Bupa ↗); the employee is chargeable on family premiums the employer pays (HMRC ↗).
Tax benefits of business health insurance
For the company, Vitality says premiums for business health insurance are tax deductible for a limited company, and that the cover is then classed as a taxable benefit in kind (Vitality ↗).
HMRC says each employee is chargeable on the premium paid for them and their family, less anything they make good (HMRC ↗).
How you report it depends on how you pay.
The value is the cost to you of providing it (GOV.UK ↗), and the Class 1A rate for 2026 to 2027 is 15% (GOV.UK ↗).
Some health benefits are exempt: one health screening and one medical check-up a year (HMRC ↗), and up to £500 a year per employee of recommended treatment to help them return to work (HMRC ↗).
We state the rules; we do not work out anyone's tax.
For your own figures, use GOV.UK's employer guidance or ask your accountant.
Summarised from GOV.UK's employer guidance; salary sacrifice has its own rules (GOV.UK ↗). Check it at the source.
Business health insurance vs business life insurance
Health insurance pays for treatment while someone is unwell.
Life cover brings financial security instead: death in service pays a tax-free cash sum if an employee passes away while on the payroll (Legal & General ↗), and key person cover pays the business (Legal & General ↗).
Tick what you want cover for.
The needle shows which kind of cover matches; it is not a recommendation, and nothing is stored.
Tick what you want covered
The needle moves with each answer.
Business health insurance: UK market statistics
The ABI says health insurers processed a record £4 billion of individual and workplace private medical insurance claims in 2024, and £2.6 billion for workplace schemes alone, a 16% increase on 2023 (ABI ↗).
It says 6.5 million people were covered by health insurance in 2024, 4.8 million of them through workplace policies (ABI ↗).
Check it for yourself
Every claim on this page is our summary of one of the documents listed here.
We last checked them against the live sources on 28 September 2026.
The documents are the authority, not this page.
Insurers and HMRC update them, so validate any figure or condition at its link before you rely on it.
- MoneyHelper: is private health insurance worth it? ↗What private medical insurance usually covers and excludes
- HMRC Employment Income Manual, EIM21760 ↗Medical expenses, treatment and medical insurance: general
- HMRC Employment Income Manual, EIM21762 ↗Employer-paid medical insurance: who is chargeable, on what
- GOV.UK: medical treatment and insurance, what to report ↗P11D and Class 1A National Insurance
- GOV.UK: medical treatment and insurance, the value ↗The value to report is the cost to the employer
- GOV.UK: rates and thresholds for employers 2026 to 2027 ↗The Class 1A National Insurance rate
- HMRC Employment Income Manual, EIM21765 ↗Health screening and medical check-ups
- HMRC Employment Income Manual, EIM21774 ↗Recommended treatment to help an employee return to work
- Vitality: business health insurance and tax ↗Premiums for a limited company; benefit in kind
- Aviva business health insurance ↗Its two plans and the business sizes they are for
- Aviva Solutions business PMI ↗For businesses with 1 to 249 employees
- Aviva: moratorium and full medical underwriting ↗How the two underwriting types treat pre-existing conditions
- Bupa small business health insurance ↗For 2 to 249 employees; family cover
- Bupa corporate health insurance ↗Its option for a workforce of 250 people or more
- AXA Health business health insurance FAQs ↗Categories of cover, family members, underwriting
- ABI: record £4bn of health insurance claims ↗Private medical insurance claims and people covered in 2024
- FCA Perimeter Guidance, PERG 5.8 ↗Information about insurance versus advice
- FCA: check a firm ↗Use the Firm Checker before buying insurance
- Legal & General: death in service ↗A tax-free cash sum if an employee passes away on the payroll
- Royal London relevant life FAQs ↗Relevant life premiums and P11D
Business health insurance, answered
Not financial advice. This page is general information. Before buying insurance, the FCA tells consumers to check the firm on its Firm Checker (FCA ↗). For free guidance, see MoneyHelper.