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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.