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Please only provide this if different from your companies trading address, if no answer provided we will assume that your trading address and companies house address are the same

Flexible benefits are typically provided by an employer by way of an allowance which allows employees to choose the benefits of their choice (either covering the full cost of the benefit or a partial contribution towards it). These benefits are often managed in conjunction with a flexible benefits platform.

Group Incorporated: Select yes if this is a Limited Company

Insurance Premium Tax (IPT) is a tax on general insurance premiums. If the business address associated with your policy is in the Channel Islands or Isle of Man, and/or at least some of the employees are working there you may be exempt from IPT. Before any exemption is applied, we need confirmation that some or all the employees covered by this policy are working in the Channel Islands or Isle of Man.

How many members (not counting dependants) are covered under the current policy

Consultant and facility charges for day-patient and in-patient care. Referral to Bupa's T&C's is advised for full policy details.

Excess is the amount the member pays toward making a claim.

Participating - access to over 600 facilities countrywide

Partnership - access to over 300 facilities countrywide

Guided Care - Guided care uses Bupa's open referral consultant network whilst providing access to Participating facilities.

Full refund for consultants’ fees for eligible out-patient, day-patient & in-patient surgical operations. Only available with full outpatient refund. Not available under Guided care.

The benefit provides a cash limit towards topical, accidental dental injury and prescriptions.

£200 for each birth or adoption - applies to main member only

Monetary amount if treatment has been covered under the NHS. Included as standard but cannot be included if the 6 week option is applied.

If the NHS can provide day-patient to in-patient within 6 weeks of the date the consultant recommends it, then treatment will take place in the NHS. If not, treatment or tests will be covered by Bupa

Allows you to fix the rates for 2 years (This is not protected from any increases in Insurance Premium Tax when your policy is next renewed)

It's important to note there may be an additional charge for non annual premiums