In a group PMI scheme, who typically negotiates the terms and conditions of the insurance policy?

In a group Private Medical Insurance (PMI) scheme, the employer typically negotiates the terms and conditions of the insurance policy. This is because group PMI is often provided as an employee benefit, and it is the employer who seeks to secure a policy that best meets the needs of their workforce while balancing costs. Employers have a vested interest in ensuring that the insurance coverage is comprehensive and competitive, enabling them to attract and retain talent.

While individual employees, insurance agents, and union representatives may have roles in the overall process, they do not usually take the lead in negotiations for the group policy itself. Instead, individual employees may express preferences for certain features, insurance agents provide expertise and guidance, and union representatives might advocate for terms that benefit union members, but the final negotiation lies with the employer as they purchase the policy on behalf of the group.