The Group Insurance Form serves as the foundational document for establishing group insurance arrangements in England and Wales. It is typically used when organizations seek to provide insurance coverage for multiple individuals (such as employees, members, or affiliates) under a single policy. The form encompasses essential elements including coverage details, eligibility criteria, premium calculations, and claims procedures, while ensuring compliance with UK insurance regulations and the Insurance Act 2015. This document type is crucial for establishing clear terms and conditions between insurers and group policyholders.
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1. Parties: Details of the insurer and the group policyholder
2. Background: Context of the insurance arrangement and group structure
3. Definitions: Key terms used throughout the policy
4. Coverage Details: Scope of insurance coverage and insured events
5. Premium Payment Terms: Premium calculation, payment schedule and methods
6. Claims Procedure: Process for making and handling claims
1. Profit Share Arrangements: Terms for profit sharing, applicable for larger groups with profit-sharing agreements
2. International Coverage: Terms for international coverage when group includes international members
3. Broker Arrangements: Terms relating to broker involvement when insurance is arranged through a broker
1. Schedule 1 - Premium Calculations: Detailed premium calculation methodology
2. Schedule 2 - Eligibility Criteria: Criteria for group members to be eligible for coverage
3. Schedule 3 - Benefits Table: Detailed breakdown of benefits and coverage limits
4. Appendix A - Claims Forms: Standard forms for submitting claims
5. Appendix B - Policy Administration: Administrative procedures and requirements
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