Is private health insurance tax-deductible for the self-employed?

No for sole traders and partners — HMRC treats personal PMI as failing the 'wholly and exclusively' business test, so premiums come from taxed income. Yes for limited companies — premiums are corporation-tax deductible — but the covered director or employee is then taxed on the premium as a P11D benefit in kind, and the company pays Class 1A NIC at 15% (2026/27). (Accessed July 2026.)

2 min read By Ben Darke · Updated 2026-07-17

Short answer: No for sole traders and partners — HMRC treats personal PMI as failing the 'wholly and exclusively' business test, so premiums come from taxed income. Yes for limited companies — premiums are corporation-tax deductible — but the covered director or employee is then taxed on the premium as a P11D benefit in kind, and the company pays Class 1A NIC at 15% (2026/27). (Accessed July 2026.)

For who: self-employed workers and company directors pricing cover net of tax.
Reviewed by: Ben Darke, PMI Experts · Last updated: 2026-07-17

Key facts

Sole trader / partnerNo deduction — personal expenditure (HMRC Business Income Manual principle; AXA Health guidance agrees, accessed July 2026)
Limited companyPremium deductible against corporation tax as a staff cost
Employee/director sideIncome tax on the premium value via P11D at marginal rate
Employer NICClass 1A at 15% of the premium (2026/27, gov.uk)
BIK-exempt itemsOne annual health screening; screen-work eye tests; up to £500 recommended return-to-work treatment after 28+ days' absence (gov.uk, accessed July 2026)
IPT12% Insurance Premium Tax applies inside every premium regardless of who pays

Sources

gov.uk expenses-and-benefits: medical treatment (accessed July 2026); gov.uk CWG5 Class 1A rates 2026/27; AXA Health employer tax guidance (accessed July 2026).

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