Group of 3 workers

Groups of 50-149 employees

For business groups of 50-149 employees, we offer easy-to-manage, tailored plans with cost controls built in – so your clients can help keep their workforce performing at their best at a price they’re comfortable with.

Please ensure you're using the most up-to-date version of the documents. If you're not sure which is right for your client, speak to your AXA representative.

If your client’s looking to apply for a Tailored Business Plan, you’ll need to contact us directly. Give us a call on +44 (0)1892 556796* to discuss your options.  

*Lines are open Monday to Friday, 8am-5pm (UK time).

Medical information forms 
Medical information form - for plans insured by AXA PPP healthcare Limited
Medical information form (Greek) - for plans insured by AXA PPP healthcare Limited
Medical information form (Italian) - for plans insured by AXA PPP healthcare Limited
Medical information form (French) - for plans insured by AXA PPP healthcare Limited 
Medical information form (Spanish) - for plans insured by AXA PPP healthcare Limited
Medical information form (Portuguese) - for plans insured by AXA PPP healthcare Limited
Medical information form (Chinese) - for plans insured by AXA PPP healthcare Limited
Medical information form - for plans insured by AXA Insurance dac
Medical information form (Greek) - for plans insured by AXA Insurance dac
Medical information form (Italian) - for plans insured by AXA Insurance dac
Medical information form (French) - for plans insured by AXA Insurance dac
Medical information form (Spanish) - for plans insured by AXA Insurance dac


Self certification forms 
Self-certification form - for plans insured by AXA PPP healthcare Limited
Self-certification form (Greek) - for plans insured by AXA PPP healthcare Limited
Self-certification form (Italian) - for plans insured by AXA PPP healthcare Limited 
Self-certification form (French) - for plans insured by AXA PPP healthcare Limited 
Self-certification form (Spanish) - for plans insured by AXA PPP healthcare Limited
Self-certification form (Portuguese) - for plans insured by AXA PPP healthcare Limited
Self-certification form (Chinese) - for plans insured by AXA PPP healthcare Limited
Self-certification form - for plans insured by AXA Insurance dac 
Self-certification form (Greek) - for plans insured by AXA Insurance dac
Self-certification form (Italian) - for plans insured by AXA Insurance dac
Self-certification form (French) - for plans insured by AXA Insurance dac
Self-certification form (Spanish) - for plans insured by AXA Insurance dac

Consent forms
Consent form - for plans insured by AXA PPP healthcare Limited 
Consent form (Greek) - for plans insured by AXA PPP healthcare Limited
Consent form (Italian) - for plans insured by AXA PPP healthcare Limited 
Consent form (French) - for plans insured by AXA PPP healthcare Limited 
Consent form (Spanish) - for plans insured by AXA PPP healthcare Limited
Consent form (Portuguese) - for plans insured by AXA PPP healthcare Limited
Consent form (Chinese) - for plans insured by AXA PPP healthcare Limited
Consent form - for plans insured by AXA Insurance dac
Consent form (Greek) - for plans insured by AXA Insurance dac
Consent form (Italian) - for plans insured by AXA Insurance dac
Consent form (French) - for plans insured by AXA Insurance dac
Consent form (Spanish) - for plans insured by AXA Insurance dac 

Broker and intermediary consent form - for plans insured by AXA PPP healthcare Limited
Broker and intermediary consent form - for plans insured by AXA Insurance dac
Broker and intermediary consent form (Greek) - for plans insured by AXA Insurance dac (coming soon)
Broker and intermediary consent form (Italian) - for plans insured by AXA Insurance dac (coming soon)

Third party consent form - for plans insured by AXA PPP healthcare Limited 
Third party consent form (Greek) - for plans insured by AXA PPP healthcare Limited
Third party consent form (Italian) - for plans insured by AXA PPP healthcare Limited 
Third party consent form (French) - for plans insured by AXA PPP healthcare Limited 
Third party consent form - for plans insured by AXA Insurance dac
Third party consent form (Greek) - for plans insured by AXA Insurance dac 
Third party consent form (Italian) - for plans insured by AXA Insurance dac 

Therapy treatment plan forms
Therapy treatment plan form - for plans insured by AXA PPP healthcare Limited 
Therapy treatment plan form (Greek) - for plans insured by AXA PPP healthcare Limited
Therapy treatment plan form (Italian) - for plans insured by AXA PPP healthcare Limited
Therapy treatment plan form (French) - for plans insured by AXA PPP healthcare Limited
Therapy treatment plan form (Spanish) - for plans insured by AXA PPP healthcare Limited
Therapy treatment plan form (Portuguese) - for plans insured by AXA PPP healthcare Limited
Therapy treatment plan form (Chinese) - for plans insured by AXA PPP healthcare Limited
Therapy treatment plan - for plans insured by AXA Insurance dac
Therapy treatment plan form (Greek) - for plans insured by AXA Insurance dac
Therapy treatment plan form (Italian) - for plans insured by AXA Insurance dac
Therapy treatment plan form (French) - for plans insured by AXA Insurance dac

Can't find what you're looking for?

To discuss options for your client, get in touch with our team.

Give us a call on +44 (0) 1892 556796* if you're based in the UK or rest of the rest of the world. If you're based within the European Economic Area (EEA), you can now call us on +44 (0)1892 556025* or email us on brokerdirect.health@axa.com.

*Lines are open Monday to Friday, 8am - 5pm (UK time). Calls may be recorded and/or monitored for quality assurance, training as a record of the  conversation.


Making things easier

Finding the right treatment facility when you’re ill can be tricky, and if you’re somewhere unfamiliar, it can cause even more uncertainty. You can show your clients how we've made things easier with our online medical provider locator.