Appeal for greater claims stats transparency on SMEs continues

clock

Groupama, the Association of Medical Intermediaries (AMII) and the British Insurance Brokers' Associ...

Groupama, the Association of Medical Intermediaries (AMII) and the British Insurance Brokers' Association (Biba) are continuing to call for the release of claims statistics on small-to-medium-sized enterprise (SME) private medical insurance (PMI) policies.

The call is part of an ongoing campaign to force PMI providers to release the data in order for premiums to be calculated on claims experience rather than on the age of the lives covered.

Alistair Sclare, head of healthcare at Groupama, said: "We have taken a very specific position, in that we hold the view that claims experience under any PMI policy should be released to the holder or their broker. Obviously, this has to be done in a way that meets the requirements of the Data Protection Act."

He added: "In the event that an insurer believes it would be a bad move for their business, it is almost a direct conclusion that it would be good for their customer."

Mike Izzard, chairman of AMII, was a little more cautious, outlining the joint nature of the drive. He said: "The situation is that both Biba and AMII support transparency of claims data on SME schemes but we know that there are differences of opinion in that some want it and some don't. That's why we have a discussion panel."

Izzard added that the next meeting to discuss the situation has been set for 22 April.

WPA said it did not have an official response to the drive towards claims transparency at this time.

More on Group PMI

The National Cancer Plan: What does it mean for support services?

The National Cancer Plan: What does it mean for support services?

“There’s now an understanding that collaboration is key”

Mark Stephenson
clock 17 February 2026 • 4 min read
Employers to expand company-funded PMI schemes

Employers to expand company-funded PMI schemes

26% considering introducing health cash plan

Jaskeet Briah
clock 28 January 2026 • 2 min read
Half of adults report chronic illness: NHS

Half of adults report chronic illness: NHS

Health Survey for England 2024

Cameron Roberts
clock 27 January 2026 • 2 min read

Highlights

COVER Survey: Advisers damning of protection insurer service levels

COVER Survey: Advisers damning of protection insurer service levels

"It takes longer than ever to get underwriting terms"

John Brazier
clock 12 October 2023 • 5 min read
Online reviews trump price for young people selecting life and health cover

Online reviews trump price for young people selecting life and health cover

According to latest ReMark report

John Brazier
clock 11 October 2023 • 2 min read
ABI members with staff neurodiversity policy nearly doubles

ABI members with staff neurodiversity policy nearly doubles

Women within executive teams have grown to 32%

Jaskeet Briah
clock 10 October 2023 • 3 min read