Financial and wellbeing support to help manage employee sickness absence
Aims to provide your clients’ employees with a regular income if they cannot work because of long-term sickness or injury. Includes rehabilitation support to help employees back to work where appropriate.
|Minimum policy size||
From 10 employees.
|Maximum policy size||
|Types of benefit and limits||
The benefit the employee is covered for must not exceed £350,000 a year.
Employer and employee pension contributions can also be covered, up to a total of £75,000 a year.
The total of an employee’s benefit plus their pension contributions, cannot be more than 80% of their scheme earnings.
Employer NI contributions can also be covered.
Plus, we offer an integrated option where the amount we pay is offset against state benefits.
|Benefit levels and payment terms||
Choose different benefit levels for defined groups of employees.
Benefits can be paid up until the benefit termination age or of a maximum of 2, 3 or 5 years.
Typically, up to £120,000 benefit per annum can be covered without the need for medical underwriting. The limit depends on the size of the policy and the benefit choices.
Employees will be medically underwritten if their cover is above the free limit. Temporary cover of up to 90 days is available during medical underwriting, subject to conditions.
|Benefit escalation options||
A fixed rate of up to 5% per year
RPI subject to a maximum of 2.5% or 5%
CPI subject to a maximum of 2.5% or 5%
|Definitions of incapacity||
Own occupation – an illness or injury prevents the employee performing duties essential to their role.
Suited occupation – an illness or injury prevents the employee doing all jobs that are suitable to their experience, training or education.
We also offer own occupation switching to suited occupation. Bespoke requirements can also be considered.
All employees, or those that fit the employer’s predefined eligibility definitions.
Employees between 16 and 70 can be covered.
Benefit payments can begin after 13, 26, 28, 39, 52 or 104 weeks of incapacity.
Can be made monthly or annually.
Designed to keep employees healthy and happy at work, our EAP is offered to employers at no extra cost. Available to all employees of clients who are covered with us, even if the policy doesn’t cover them, this comprehensive support is available 24 hours a day, 365 days a year.
With our Group Income Protection employees can also receive up to eight structured counselling sessions, per employee, per issue if they should ever need it.
Employee assistance programme
Our Employee Assistance Programme (EAP) is a free, day-to-day wellbeing and counselling service that provides in the moment support to employees and their immediate family, 24/7 and 365 days of the year.
Employees can speak in confidence to experienced counsellors and advisers for friendly, non-judgemental support and information, 24 hours a day, 365 days a year. It’s accessible worldwide by phone, WhatsApp and SMS.
|Day-to-day information services||
Help with a range of topics, such as finances, career coaching, consumer advice, relationship mediation and much more.
|Legal information service||
Legal issues can be worrying, so it makes sense to get free initial information from a trained legal professional. The EAP can put employees in touch with solicitors who can help with a wide range of issues.
Whether employees are looking for a sympathetic ear or practical guidance, they can speak to a qualified nurse about a range of medical or health-related issues.
|Employee app and platform||
Employees get much more than just an ordinary EAP. Our platform and app provides total wellbeing support through a whole host of health and wellbeing tools and resources to help employees be well, stay fit, remain healthy and in work.
Employees have access to a digital gym, fitness and nutrition plans with hundreds of recipes, weekly podcasts, our monthly wellbeing webinar series, mental health e-learning, high street shopping discounts and much more.
1. Second Medical Opinion
The Second Medical Opinion service provides the employee we’re covering, and their immediate family, access to a global network of medical specialists. The specialist will offer second opinions on diagnoses and treatments for almost any condition, allowing them to understand the potential impact of their condition and evaluate the most appropriate clinical pathway for their needs. Second Medical Opinion helps to:
- Avoid unnecessary treatments
- Improve treatment outcomes
- Provide peace of mind
- Empower individuals to make informed choices on their healthcare
Typical specialities covered are Oncology, Neurosurgery, Orthopaedics, Cardiology, Gynaecology, and Paediatrics.
A MEDIGO Second Medical Opinion offers a complete written evaluation of a patient’s medical history and diagnosis based on their available medical reports; diagnostic imaging, test results, etc.
A specialist doctor (or a team of specialist doctors) from a leading medical institution with expertise in the diagnosis and treatment of the specific disease will either confirm the diagnosis and/or treatment plan or recommend a different diagnosis and/or alternative treatment plan(s) based on the latest advances in modern medicine and global standards of treatment for their condition.
To access the Second Medical Opinion service, the employee we’re covering can call 020 3871 8760 or by registering online by visiting our portal page.
Provided by Legal & General Health and Care
Only when elder care for a loved one needs to be considered does the realisation set in that the long-term care system is confusing and very complex. To support employees during this often emotionally charged and stressful period, we’ve introduced Care concierge. This telephone service and the online care service platform, provides employees with access to a care expert for guidance about a loved one’s later life care needs.
Notify us about a claim
Claims can be made by completing our online Absence Notification form
When we receive the Absence Notification form we will contact the employee and ask them to complete a Member Statement. The employee will be able to complete this online if we are provided with their personal email address on the Absence Notification form.
Claims management and support
Where appropriate we will refer the claim to our in-house clinical team to assess what support we can provide to facilitate a return to work before the end of the deferred period. We will provide updates throughout the process.
In some cases, an employee may not be able to return to work before the end of the deferred period. In these circumstances, provided medical information supports the absence and the claim meets the definition of incapacity on the policy, we'll start to pay benefits monthly in arrears to the employer.
We'll continue to review the employee’s condition regularly to make sure the claim continues to meet the definition of incapacity on the policy, to understand if any support can be provided to facilitate a return to work and to enable us to continue to provide regular updates to the employer.
0345 072 0758
Lines are open from 9am to 5pm Monday to Friday
We may record and monitor calls.