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This leaflet gives general
guidance on how to handle
details of private medical
insurance when you complete
a P11D Expenses and
benefits form.
Guide to private medical
insurance and the P11D
For small and medium businesses
For advice on specific cases,
you should always speak to
HM Revenue & Customs
(HMRC), your accountant
or tax adviser.
›
What is a P11D?
A P11D is a form issued by HMRC. Its full title is the P11D
Expenses and benefits form.
At the end of each tax year, employers have to complete a
P11D for every employee or director who:
nearns over a certain amount (£8,500 in 2014/15), and
nhas been provided with expenses or benefits in addition
to their salary.
nthis does not include routine business expenses and
benefits like travel and company car fuel.
Do you need to include private
medical insurance on a P11D?
Yes. When you pay for an employee’s or director’s private
medical insurance as part of their benefits package, HMRC
regard it as a ‘benefit in kind’.
Each year, the P11D collects details of the cost of these
benefits in kind. So you must include details of private medical
insurance on the P11D.
If the employee or director pays for their own private medical
insurance from their salary, it doesn’t need to be included on
the P11D.
How do you know the
cost you pay for each
employee?
Your invoices and any credit notes
detail the cost of private medical
insurance for each employee on
your plan.
If, for example the cost for single
cover is £600, partner cover is
twice the amount for single cover.
Family cover is calculated as 2.5
times single cover and single parent family cover is calculated
as 1.55 times single cover. For those making contributions
for family members, the amount contributed each year is
deducted from the P11D value.
Single
Partner
Family
Single Parent Family
£600
£1,200
£1,500
£930.00
You should always check the single/partner/family and single
parent family breakdown with your provider.
How do I calculate the value of the benefit
in kind for private medical insurance (PMI)?
The value of the benefit in kind is the employee’s or director’s
private medical insurance premium.
Examples
• Benefit in kind (premium) • Tax band
• Employees P11D tax liability £600
£600
20%40%
£120
£240
You need to declare the full benefit in kind amount in your P11D
submission, i.e £600.
What happens if your employees
contribute to the cost of their private
medical insurance plan?
If the employee contributes to the cost of their private medical
insurance, deduct the amount of their contribution from the
total premium. And then work out the benefit in kind value in
the same way.
Examples
• Benefit in kind • Employee contribution
• Net cost
• Tax band
• Employees P11D tax liability
PB53736a/01.15
AXA PPP healthcare, Phillips House, Crescent Road, Tunbridge Wells, Kent TN1 2PL.
AXA PPP healthcare Limited. Registered Office: 5 Old Broad Street, London EC2N 1AD, United Kingdom.
Registered in England No. 3148119. Authorised by the Prudential Regulation Authority and regulated by
the Financial Conduct Authority and the Prudential Regulation Authority. © AXA PPP healthcare 2015.
We may record and/or monitor calls for quality assurance, training and as a record of our conversation.
£600
You need to work out the pro rata value of the benefit in kind
– the cost for the time that they were an employee. Give this
amount on the P11D.
Examples
• Annual benefit in kind value £120
• Monthly benefit in kind value£10
(£120/12)
• Number of months employed6
• Pro rata benefit in kind£60
(6 x 12)
What can AXA PPP healthcare provide to
help with your P11D calculations?
We can provide:
n Copies of invoices and credit notes.
n Current and historic lists of premiums paid for each member.
nJoiners and Leavers report, which gives the dates when
members were added or removed.
nFormula used to work out the costs for members and family
members.
How will the values reported in the P11D
effect my employees?
The PIID benefit in kind may result in your employees being sent
a revised tax code to reflect any under or overpayment of tax.
£600
–£100–£100
£500£500
20%40%
£100
How do you work out the benefit in kind
value if an employee joins or leaves part
way through the plan year?
£200
How to contact us:
Simply call us on 0800 678 1022
8.30am –5.30pm Monday to Friday.