Sick Pay Insurance FAQ’s
Get in touch if you can’t find the answer to your question.
Am I eligible for the policy?
Can the self employed benefit from the sick pay plan?
What does the sick pay plan cover?
The accident or illness must occur during the period of cover and the symptoms must last for more than 30 calendar days in a row before we will pay a benefit.
How long does the policy offer cover for?
How long does the policy last?
What does ‘qualifying period’ mean, and how long is it?
We offer a fixed qualifying period to all of our customers.
There is a 90-day qualifying period, from the policy start date, applicable to any claim on an illness benefit, and a 14-day qualifying period applicable to any accident benefit.
There is also a 30 day waiting period applied to the policy. You cannot claim for the first 30 days of being off sick from work.
What factors of my lifestyle will drive my premiums up?
If your income is less than the monthly benefit, can you apply?
Yes, but the benefit paid out is up to benefit level (£500, £1,000 or £1,5000) or 75% of your gross monthly salary – whichever is the lesser.
Your benefit cannot exceed 75% of gross income but less any other similar insurances or wages or work related income. If an accident or illness is covered by any other insurance policy or your salary is paid by your employer, we will not pay more than our proportional share of a claim as you cannot receive more than 100% of your gross monthly salary across all policies held. We do not take into account any Statutory Sick Pay benefits received.
Why can't I just rely on state benefits?
Can I cancel my policy if I no longer need it?
What happens if I miss a payment?
Why does ESMI not require you to answer medical questions or take a medical exam?
Are pre-existing conditions covered under the plan?
Definition of a pre-existing condition:
Any conditions, injury, illness disease or related condition and/or associated symptoms whether diagnosed or not, which you suffered in the 36 months immediately before the start date of the insurance which an insured person knew about or should reasonably have known about or had seen a doctor or consultant about.
The exclusion is then automatically removed if the insured person has been symptom free and has not required treatment or medical advice for at least 24 months in a row immediately after the policy start date.