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Home / Simons-Taxes /Personal and employment tax /Part E4 Employment income /Division E4.12 Ensuring engagement packages are effective and compliant for tax and NIC purposes /Specific employment payments or benefits enjoying tax or NIC efficiencies / E4.1211 Health and family benefits—potential employee tax and NIC exemptions
Commentary

E4.1211 Health and family benefits—potential employee tax and NIC exemptions

Personal and employment tax

General

In most employment situations, a necessary part of the remuneration arrangements will be to consider the health and welfare of the employee and their family. These benefits serve the employer's interests, in that they deal with employee health so that the costs of absence to the employer are minimised.

Medical and related benefits

Most private medical benefits will be taxable benefits on basic principles, as the expense relates to the person rather than the employment. So, in a simple example of an employer providing private medical insurance or paying for ad hoc employee private medical treatment, this will be a reportable P11D benefit, see E4.11124. However there are a number of exceptions to this basic rule, including the following:

  1. Ìý

    •ÌýÌýÌýÌý medical insurance and medical costs for employees working abroad are exempt from UK tax and NIC1. However if there are local tax or social security obligations in the 'host' country, it would also be necessary to understand the treatment of medical insurance or employer-paid costs etc

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Web page updated on 17 Mar 2025 17:13