Group Insurance Form Template for England and Wales

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Key Requirements PROMPT example:

Group Insurance Form

"Need a Group Insurance Form for our tech company with 500 employees, covering both health and life insurance, with international coverage for staff working in EU countries, to be effective from March 1, 2025."

Document background
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.
Suggested Sections

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

Optional Sections

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

Suggested Schedules

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

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Clauses
Relevant Industries
Relevant Teams
Relevant Roles
Industries

Insurance Act 2015: Key primary legislation governing insurance contracts in England and Wales, covering duty of fair presentation, warranties and terms, and remedies for fraudulent claims

Financial Services and Markets Act 2000: Establishes the regulatory framework for financial services including insurance, covering authorization requirements and consumer protection provisions

Consumer Insurance (Disclosure and Representations) Act 2012: Governs consumer insurance aspects, particularly the duty of reasonable care to avoid misrepresentation for group members considered consumers

FCA Handbook: Regulatory guidelines including Insurance Conduct of Business Sourcebook (ICOBS), Treating Customers Fairly (TCF) principles, and claims handling requirements

PRA Requirements: Prudential Regulation Authority requirements covering capital adequacy and risk management for insurance providers

Data Protection Act 2018 and UK GDPR: Legislation governing the processing of personal data, privacy notices, and data security requirements in insurance contracts

Equality Act 2010: Legislative framework ensuring non-discrimination and accessibility requirements in insurance provisions

Contract Law: Common law principles governing formation of contract, terms and conditions, and consideration in insurance agreements

Insurance Distribution Directive: EU-derived legislation implemented in UK law covering information requirements and product oversight and governance in insurance distribution

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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