Setting up a policy.

The employer will need to decide the eligibility conditions including who can join and when, as well as, the level of benefits they want to provide.

Number of membersNormally, a minimum number of 50 members is needed to first set up the policy.
Who can be coveredMembersChildrenNon-employees
Any employees that satisfy the eligibility conditions set out by the employerThe members children between the ages of six months to 18 years are covered automatically at no extra cost.For an additional cost, the members spouse or registered civil partner.
Maximum benefitMembersChildrenNon-employees
The lower of £500,000 or five times scheme earnings.The lower of £20,000 or 25% of the member’s benefit level£150,000 or an amount equivalent to the level covering the member, if less.
Conditions covered12 conditions covered as standard.

26 further conditions can be added at an extra cost.

What happens next

Once you’ve accepted our quote and all the information we asked for in the quote has been provided, starting cover is very straightforward.

Step 1

You should:

  • Where cover is already in place elsewhere, please make sure there are no outstanding requirements from our quote, before cancelling with the current insurer.
  • Confirm the assumptions we’ve made in our quote.
  • Let us know the date you’d like cover to start from (cover cannot be backdated).

Step 2

We’ll send you:

  • A confirmation letter, including your policy number and our medical underwriting requirements.
  • A copy of the quote and invoice.

Step 3

You’ll need to send us:

  • A completed proposal form within 14 days.
  • For any members who have previously been medically underwritten, send us a copy of the insurer’s ‘letter of acceptance’ or a declaration – switch terms form.
  • The first premium payment within 14 days from the date we agree to provide cover.

Step 4

We’ll provide you with:

  • A policy document.
  • A member’s guide, which gives you information about the policy that employers can use on their intranet site to help them promote the benefits of this cover to their employees.

We don’t normally need to know about salary increases during the scheme year, unless the increase takes the benefit over the free limit. Our rate guarantee is normally for two years, and any changes in benefit increases will be swept up at the next renewal date along with new entrants and leavers, depending on the accounting basis chosen. You may need to tell us about some joiners and leavers including late or early entrants.

Rate guarantee

We normally guarantee premium rates for two years (or a period agreed at the quote stage). We won’t be able to guarantee premium rates if:

  • The benefit or membership varies by more than 25% during the policy year.
  • The eligibility conditions are changed.
  • The benefit formula or scheme earnings definition is changed in anyway.
  • A new employer joins the scheme or an existing company leaves it. Let us know if this happens so that we can review our terms.

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Winner for Group Critical Illness Cover at the Cover Excellence Award 2007, 2008, 2010 and 2011.

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