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Healthcare Trusts vs Medical Insurance
Private medical schemes
Once covered by an insured scheme all eligible claims are met within the agreed premium.
This means that insured scheme benefits and premiums
are set to achieve sufficient margins to cover all expected claims, taxes*,
levies**.
Healthcare Trusts
As a healthcare trust is not an insured scheme, it is
not subject to the taxes, levies and profit requirement of the insurance
company. There is just a charge from the specialist healthcare administration
company for their services to the trust.
Benefit level for beneficiaries are determined by the
trustees.
All claims are met from the contributions of the owning
company of the trust to the trust fund.
The trustees, usually guided by a specialist healthcare
administration company agree on the level of contribution to the trust
fund by the owner of the trust to meet expected claims. The level of
contribution may vary dependent on the level of claims.
Summary
For a well run trust scheme the overall cost of providing employees or members with Healthcare benefits may be much lower than an insured Scheme with similar benefit levels. *The premium set by an insurer is subject to Insurance
Premium Tax currently set at 5%. This tax is subject to review annually
by the government of the day, with the rest of Europe having varying
levels of I.P.Tax generally at up to 17.5%, there is a high risk of seeing
upward movement of this tax over the next few years. **Insurers have to pay levies to cover the cost of the
provision of the Insurance Ombudsman Service, also insurers have to pay
fees to the Financial Services Authority, to cover the cost of the regulatory
body.
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