Setting up a policy.

You will need to decide the eligibility conditions including who can join and when, plus the level of benefit required.

Minimum number of members We normally need a minimum of 50 members to first set up the policy.
Who can be coveredAny employees that satisfy the eligibility conditions set out by the employer as agreed by us.
Maximum individual benefit£10 million.

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. You’ll just need to make sure that the scheme has been registered with HM Revenue & Customs (HMRC).

 
Step 1

 You should:

  • 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 the 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 an intermediary 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 along with new entrants and leavers, depending on the accounting basis chosen, at the next renewal date. You may need to tell us about some joiners and leavers including late or early entrants plus company changes.

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 participating employer leaves it. Let us know immediately if this happens so we can review our rates.

You need to know

We’ll continue to provide cover and pay any valid claims as long as premiums are paid and the terms are met. Policy terms will be unique to each business and there are some circumstances where we won’t provide cover. We’ll give you the terms and any exclusions with our quote and you should read this together with our technical guide.

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