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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.

How to compare ↓What insurers publish →
People covered by workplace health insurance in 20244.8mABI figure: a second consecutive record in more than 30 years. Check it at the source.

Source: ABI (ABI ↗)

01 · What it covers

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 ↗).

02 · Which page do you need?

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.

Our guides; each carries its own sources.

03 · Comparison

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.

01

Core cover

What the core plan includes

Aviva’s core cover includes acute conditions and cancer cover; check what each quote treats as core.

02

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.

03

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.

04

Hospitals

The hospital list

Aviva offers reduced hospital lists, and an extended list as an upgrade.

05

Underwriting

How health is assessed

Full medical underwriting, moratorium, or medical history disregarded for larger groups at AXA Health (15 or more).

06

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.

04 · Providers

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 ↗).

Aviva

Bupa

AXA Health

Business size
Solutions: 1 to 249 employees; Optimum: 100 or more (Aviva ↗)
2 to 249 employees (small business plan) (Bupa ↗); 250 or more (corporate) (Bupa ↗)
Each category needs at least 3 lead members (AXA Health ↗)
Family cover
Ask the insurer
Partners or children, for an additional cost per person (Bupa ↗)
Family can be added at any point (AXA Health ↗)
Cover levels
Core cover includes acute conditions and cancer cover (Aviva ↗)
Ask the insurer
Up to 6 categories on one plan (AXA Health ↗)
Cost options
Excess from £50 to £500; six week option; reduced hospital lists (Aviva ↗)
Ask the insurer
Ask the insurer
Underwriting
Ask the insurer
You choose an underwriting method (Bupa ↗)
Medical history disregarded for groups of 15 or more (AXA Health ↗)
Swipe to compare

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.

05 · Larger companies

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 ↗).

06 · Business owners

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 ↗).

07 · Tax

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.

A company PMI policy

You pay the insurer directly

Employee arranges, you pay the provider

You reimburse the employee

Report
On form P11D (GOV.UK ↗)
On form P11D (GOV.UK ↗)
Through payroll, as earnings (GOV.UK ↗)
National Insurance
Class 1A on the value (GOV.UK ↗)
Class 1, added to earnings (GOV.UK ↗)
Class 1 (GOV.UK ↗)
Income tax
Charged on the employee, via the P11D (HMRC ↗)
Via the P11D, not PAYE (GOV.UK ↗)
Swipe to compare

Summarised from GOV.UK's employer guidance; salary sacrifice has its own rules (GOV.UK ↗). Check it at the source.

08 · Health or life

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.

Business life insurance →Relevant life insurance →
Health coverBothLife cover

Tick what you want covered

The needle moves with each answer.

09 · The market

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 ↗).

Workplace PMI claims processed, 2024£2.6bn

ABI (ABI ↗)

People covered by workplace policies, 20244.8m

ABI (ABI ↗)

People covered by health insurance, 20246.5m

ABI (ABI ↗)

10 · Related

Protecting the people and the business

Health insurance looks after staff.

Relevant life cover pays an employee's family through a trust (Royal London ↗), and key person cover pays the business if it loses someone it depends on (Legal & General ↗).

Employee health insurance →Small business health insurance →Employee benefits insurance →Key person insurance for directors →Shareholder protection →Business protection insurance →
11 · Sources

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.

Questions

Business health insurance, answered

Private medical insurance a company provides for its employees.

MoneyHelper says the more basic policies usually cover most in-patient treatments, such as tests and surgery, and day-case surgery, and some extend to out-patient treatment such as specialists and consultants.

HMRC treats employer-paid medical insurance as a taxable benefit for the employee. MoneyHelper ↗

Corporate PMI is private medical insurance bought by a company for its staff: the same thing as business or corporate health insurance.

HMRC’s manual describes the employer paying the premiums under a group insurance policy covering employees, and sometimes their families. HMRC EIM21760 ↗

Compare the same things on each quote: what the core cover includes, the out-patient limit, the excess, any option that only pays when the NHS cannot treat within a set time, the hospital list, the underwriting method, family cover and how staff are grouped.

Aviva lists an excess from £50 to £500, the six week option, limiting out-patient cover and reduced hospital lists as ways to reduce the cost. Aviva ↗

Yes. A director of a limited company can be covered like any employee, and HMRC says a director is chargeable on the premium.

Vitality says sole traders can set up a business policy just for themselves, but the premium may not be tax deductible.

AXA Health says that if you have a business bank account you can get business health insurance with it. Vitality ↗

Yes. HMRC says an employee is chargeable on medical insurance premiums the employer pays for them or their family.

GOV.UK says the employer reports it on form P11D and pays Class 1A National Insurance on the value, which is the cost of providing it.

The Class 1A rate for 2026 to 2027 is 15%.

Royal London says relevant life premiums, by contrast, are not a P11D benefit. GOV.UK ↗

We do not rank insurers.

The FCA’s guidance separates information, which is statements of facts or figures, from advice, which is in effect a recommendation; an FCA-authorised adviser can recommend.

What each publishes about its own plans: Aviva’s Solutions is for businesses with 1 to 249 employees and Optimum for 100 or more; Bupa’s small business plan is for 2 to 249 employees and its corporate option for 250 or more; AXA Health lets a plan have up to 6 categories of cover. Aviva ↗

Health insurance pays for treatment while an employee is unwell.

Business life insurance pays a lump sum if the person insured passes away: death in service pays their family, and key person cover pays the business.

They do different jobs. Legal & General ↗

Beta · information only

Covered the staff? Now the business.

If losing one person would cost the business profit, the key person calculator works through the methods UK insurers publish.

01Earnings, profit and loan methods

02Insurers’ published multiples, with sources

03No email, no quote, no sales call

Information, not advice

We are not an insurer, broker or regulated adviser, and we do not give quotes or recommend a policy. For regulated advice, use an adviser authorised by the FCA.

Open the calculator →

Takes you to the key person insurance calculator.

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.