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Corporate Private Medical Insurance Underwriting

(also known as Company Private Medical Schemes)


Insurance companies treat Corporate Private Medical Insurance schemes in a different way to individual arrangements, whereby if an existing company scheme has been underwritten previously the new provider may transfer the existing terms from the old provider to themselves if the company can provide certificates to demonstrate their existing insurance acceptance.  This is sometimes referred to as 'Continued Medical Exclusions' and generally does not apply to Individual Arrangements.

In fact some company schemes can be set up with certain providers on a 'Medical History Disregarded' basis whereby any pre-existing condition is covered in full.  A premium loading is made to reflect the increased risk to the provider.

In general a company scheme can only be set for a minimum of 3 or more employees, with the employee contribution being met in full by the employer.  If the company wishes it can also pay for spouses/partners and/or family members, although if preferred it can pay for the employee only and allow the employee to pay for their family to be included.  There are exceptions to the minimum number of 3 employees, with certain providers just 2 employees is the minimum.