Product · Group PMI

SME Group Private Medical Insurance from The Broking Group.

SME group private medical insurance gives employees faster access to eligible private diagnosis and treatment, with one named adviser running the scheme for your business.

Get a Group Quote
Quote turnaround
  • Personal & family: same day or next
  • SME up to 9 lives: 48 hours
  • Larger SME schemes: 72 to 96 hours (up to 5 working days where an insurer needs manual underwriting)
Average from receipt of structured information to presentation.

Written by Richard Goodwin, Managing Director at The Broking Group.

Business team meeting in a modern UK office, discussing employee health cover

What is group private medical insurance?

SME group private medical insurance from The Broking Group is a single policy an employer takes out to cover employees for eligible private diagnosis and treatment. One policy, one renewal date, one invoice and one adviser, instead of a folder full of individual plans. Most UK insurers will write a group scheme from two employees upwards, and a small number will consider cover for a single employee. Cover can usually be extended to partners and children. The reason employers buy it is rarely the perk. It is that an employee waiting months for a scan is an employee who is not at work, and group cover shortens that wait.

How a quote works

Who group PMI is for

SMEs building a benefits package

Employers formalising what they offer alongside salary and pension, often for the first time.

Employers losing days to waiting lists

Businesses feeling the operational cost of long NHS waits, where the delay shows up as lost working days rather than as a healthcare problem.

Companies competing for staff

Sectors where candidates compare benefits line by line before they accept an offer, and where a good scheme keeps people as well as attracting them.

UK arms of overseas businesses

Companies headquartered abroad with a UK headcount, who need a broker who knows the UK market, the UK insurers and UK reporting requirements.

What group PMI covers

Inpatient and day-patient treatment

Consultations, surgery and hospital stays as a private patient, including procedures that need a bed but not an overnight stay.

Outpatient diagnostics and consultations

Specialist appointments, scans and tests without admission. This is where schemes differ most, and where a cheap quote usually turns out to have been cheap for a reason.

Cancer cover

From diagnosis through treatment. Depth varies materially between insurers, so it is worth reading rather than assuming.

Mental health support

Inpatient cover as standard on most schemes, with outpatient therapy and counselling on mid-range plans and above.

Digital GP and everyday support

Remote GP appointments, physiotherapy pathways and employee assistance programmes, often bundled at no extra premium.

What it does not cover

Chronic conditions that need ongoing management, accident and emergency treatment, and pre-existing conditions unless the scheme is written on medical history disregarded terms.

How group PMI is underwritten

The underwriting basis decides which claims actually get paid. It matters more than the headline premium.

Medical History Disregarded (MHD)

The insurer covers pre-existing conditions rather than excluding them. The most generous basis available, normally offered once a scheme reaches a certain size.

Moratorium

Usually excludes conditions with symptoms, treatment or advice in a set period before cover starts, often five years. An exclusion may be lifted after a set period of continuous cover, often two years, if the member meets that insurer's conditions, which can include no symptoms, treatment, medication or advice. Terms vary by insurer. No forms to fill in at the start.

Continued Personal Medical Exclusions (CPME)

Used when moving an existing scheme to a new insurer. It aims to carry existing exclusions across without adding new ones, if the new insurer agrees to accept the cover on that basis. It does not guarantee that every benefit, limit or condition is matched, so we compare both schemes before you move.

Why the basis beats the price

A scheme that undercuts the market and then underwrites every employee individually is not cheaper, it is narrower. We tell you which of the three you are being quoted on, every time.

What drives the cost of a group scheme

Six things do most of the work on a group premium.

Headcount

Larger schemes attract better rates per life and simpler underwriting. The step changes usually come at around ten and around fifty lives.

Age profile

The average age of the group does more to the premium than any single individual in it.

Claims experience

On an existing scheme, what has been claimed drives what the renewal looks like. On a new scheme, the insurer prices on sector and demographics instead.

Depth of outpatient cover

Full outpatient, a capped limit, or none at all. This is the single biggest lever an employer can pull on cost.

Excess

An excess per person per policy year reduces the premium and filters out the smallest claims. Often the most efficient saving available.

Hospital list

A narrower list of hospitals brings the premium down. In most of the country it makes very little practical difference, which makes it worth looking at properly.

How to compare group PMI quotes properly

Comparing group schemes on the per-employee premium alone is the quickest way to buy the wrong one. The real comparison is the underwriting basis, the outpatient limit, the cancer and mental health cover, the hospital list, and how much administration the scheme is about to hand your HR team.

A scheme that looks cheaper on the spreadsheet but individually underwrites half your workforce is not cheaper in practice. It just moves the cost from the premium to the claims your people cannot make.

We hold direct agencies across the main UK health insurers, so the shortlist we put in front of you is a genuine market view. You get a named recommendation and the reasoning behind it, in plain English, not a spreadsheet and good luck.

How the scheme runs once it is live

Placing the scheme is the easy part. What an employer actually feels is the twelve months afterwards.

Joiners and leavers

Send us the change and we handle it with the insurer. No portal to learn, no forms for your HR team to chase.

The renewal cycle

We start on your renewal well before the date, so there is time to test the market properly rather than accept whatever lands in the last week.

Who your people ring

Employees can come to us directly with a claim or a question. That keeps the medical detail away from HR, which is usually a relief on both sides.

One named adviser

The same person who placed the scheme handles the renewal and knows the history. You are not re-explaining your business to a call centre every year.

When a renewal comes back badly

We go back to the incumbent with the claims data, and we market-test at the same time. Sometimes the answer is to move. Often it is to negotiate, and we will tell you honestly which one it is.

Key terms, in plain English

The jargon on this page, defined in our glossary.

Insurer partners

Direct relationships across this market.

Aviva
AXA
Bupa
Freedom
Vitality
WPA

Frequently asked questions

How many employees do you need for a group PMI scheme?

Most UK insurers ask for at least two employees to write a group private medical insurance scheme. A small number will consider a single-employee scheme, though this is the exception rather than the rule. There is no requirement to include every employee, but insurers will normally want a defined category of staff rather than a hand-picked few.

Is group private medical insurance a taxable benefit?

Employer-paid cover is usually a taxable benefit. Reporting and any employer National Insurance obligations depend on the arrangement and applicable rules. Salary sacrifice has separate rules. Your accountant should confirm the treatment for your scheme.

Can employees add their family to a group scheme?

Usually yes. Most group private medical insurance schemes can be extended to partners and children, either paid for by the employer as part of the benefit or paid for by the employee at the scheme rate. The scheme rate is often better than the employee could get buying an individual policy on their own, which makes it a popular option even when the employer is not funding it.

What is medical history disregarded cover?

Medical history disregarded, usually shortened to MHD, means the insurer covers pre-existing conditions rather than excluding them. It is the most generous underwriting basis available on a group scheme and it is normally offered once a scheme reaches a certain size. It costs more than moratorium underwriting, but it is the difference between a member of staff being covered for a condition they already have and being told to claim on the NHS.

Can group PMI be set up alongside Death in Service and Group Income Protection?

Yes, and we would usually recommend it. Running group private medical insurance alongside Death in Service and Group Income Protection through one broker aligns the renewal dates, cuts the administration on both sides, and means one named adviser understands the whole benefits picture. Insurers will often price a bundled arrangement more keenly than the same products bought separately.

How long does it take to get a group PMI quote?

Turnaround depends on the size of the scheme. A small group can often be quoted the same day. Larger schemes typically take between two and five working days, because above a certain headcount several insurers will not allow us to quote through their online portal at all, and the case has to go to an underwriter manually instead. You can start the process by calling 01270 694939, emailing info@thebrokinggroup.co.uk, or requesting a quote through this website.

My employee has a pre-existing condition. Will a group scheme cover it?

Whether a group private medical insurance scheme covers an employee's pre-existing condition depends on the underwriting basis the scheme is written on. On medical history disregarded terms, pre-existing conditions are covered rather than excluded. On moratorium terms, conditions from a set look-back period before joining are excluded until the employee has gone a set period on the scheme without symptoms, treatment or advice. Look-back periods vary by insurer, so The Broking Group confirms the basis and the wording before a scheme is placed.

What should a good group scheme include for mental health?

A good group private medical insurance scheme for mental health combines inpatient psychiatric cover, outpatient therapy such as counselling or CBT, and an employee assistance programme for early, confidential support. Inpatient cover is standard on most schemes. Outpatient therapy usually appears on mid-range plans and above, often with a session or cash limit. The Broking Group compares those limits side by side, because they vary materially between insurers.

Our group PMI premium has jumped at renewal. What can we do?

When a group private medical insurance renewal comes back much higher, the first step is to understand why, usually claims on the scheme, an older age profile or the insurer's general price increases. The Broking Group then goes back to the incumbent insurer with the claims data and tests the market at the same time. Options include changing the excess, the outpatient limit or the hospital list, or moving insurer. Any move is subject to the new insurer's acceptance and terms, so we check how existing conditions would be treated before you switch.

Does our UK group scheme cover employees posted overseas?

UK group private medical insurance is generally designed for treatment in the UK, so it is unlikely to be enough for employees who are posted overseas. Some policies include limited emergency cover abroad, but terms vary by insurer. Staff working abroad for a sustained period usually need international private medical insurance. See our International Healthcare page for how that works.

Last updated: 9 October 2026

Ready to start the conversation?

Talk to a named adviser. No phone trees. No pressure. Just plain-English advice on the cover that fits your life or your business.

Get a Quote
Quote turnaround
  • Personal & family: same day or next
  • SME up to 9 lives: 48 hours
  • Larger SME schemes: 72 to 96 hours (up to 5 working days where an insurer needs manual underwriting)
Average from receipt of structured information to presentation.

Quick enquiry