Group of 3 workers

Groups of 75-149 employees

For business groups of 75-149 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).

For your clients with policies starting ‘BX’ (insured by AXA PPP healthcare Limited):

Medical information forms 
Medical information form
Medical information form (Greek)
Medical information form (Italian)
Medical information form (French)
Medical information form (Spanish)
Medical information form (Portuguese)
Medical information form (Chinese)

Self certification forms 
Self-certification form
Self-certification form (Greek)
Self-certification form (Italian)
Self-certification form (French)
Self-certification form (Spanish)
Self-certification form (Portuguese)
Self-certification form (Chinese)

Consent forms
Consent form 
Consent form (Greek)
Consent form (Italian) 
Consent form (French) 
Consent form (Spanish)
Consent form (Portuguese)
Consent form (Chinese)
Broker and intermediary consent form
Third party consent form 
Third party consent form (Greek)
Third party consent form (Italian)
Third party consent form (French)

Therapy treatment plan forms
Therapy treatment plan form
Therapy treatment plan form (Greek)
Therapy treatment plan form (Italian)
Therapy treatment plan form (French)
Therapy treatment plan form (Spanish)
Therapy treatment plan form (Portuguese)
Therapy treatment plan form (Chinese)

For your clients with policies starting ‘BW’ (insured by XL Catlin Insurance Company UK Limited):

Medical information forms 
Medical information form

Consent forms
Consent form
Third party consent form

 

For your clients with policies starting ‘BD’ (insured by AXA Insurance dac):

Medical information forms 
Medical information form
Medical information form (Greek)
Medical information form (Italian)
Medical information form (French)
Medical information form (Spanish)

Self certification forms 
Self-certification form 
Self-certification form (Greek)
Self-certification form (Italian)
Self-certification form (French)
Self-certification form (Spanish)

Consent forms
Consent form
Consent form (Greek)
Consent form (Italian)
Consent form (French)
Consent form (Spanish) 
Broker and intermediary consent form
Third party consent form
Third party consent form (Greek) 
Third party consent form (Italian) 

Therapy treatment plan forms
Therapy treatment plan form
Therapy treatment plan form (Greek)
Therapy treatment plan form (Italian)
Therapy treatment plan form (French)

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 intermediarysales@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.