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Business Details
17 Years
experience
Trusted Life and Critical Illness Insurance Solutions
Established in 2009, Essential Supplementary Medical Insurance (ESMI) has built a reputation for providing accessible life, critical illness, and income protection insurance solutions tailored to meet the needs of UK residents. Our policies, administered by HIVE Insurance Services since November 2025, offer flexible coverage options including life benefits ranging from 25,000 to 100,000, critical illness cover, and tax-free sick pay replacement up to 1,500 monthly. With over three decades of claims expertise through our partnership with Compass Underwriting, we prioritise swift resolution and transparent communication for policyholders.

Our team maintains authorisation through the Financial Conduct Authority, ensuring adherence to rigorous regulatory standards while delivering client-centric insurance products. The transition to HIVE Insurance Services guarantees continued policy administration with seamless operational continuity for existing customers.
Services
Life Cover Critical Illness Cover Sick Pay Insurance Policy Administration Claims Handling
Details
  • Year established: 2009
Highlights and features
  • We have operated under FCA authorisation since 2009
  • Our policies offer guaranteed pricing for 5-year terms
  • We provide dedicated claims support through Compass Underwriting
  • Our coverage includes tax-free sick pay replacement up to 1,500 monthly
  • We guarantee policy continuity through HIVE Insurance Services
Associations and certifications
  • Financial Conduct Authority
Services
Life Cover
Our Life Cover provides financial protection for dependants with benefits ranging from 25,000 to 100,000. Policies renew every five years with guaranteed pricing, allowing policyholders to add partners or children for additional coverage. The maximum age for coverage extends to 68 years, with flexible terms ensuring continued protection through policy renewals.
Critical Illness Cover
Critical Illness Cover offers 50% of the life benefit for eight specified conditions including cancer, heart attacks, and strokes. Benefits reduce proportionally with age after 56, with coverage extending until age 62. Policies include moratorium clauses for pre-existing conditions, with exclusions lifted after 24 months symptom-free periods.
Sick Pay Insurance
Sick Pay Insurance replaces up to 1,500 monthly income for work absences exceeding 30 days. Coverage lasts six months with 90-day illness qualifying periods, excluding pre-existing conditions unless symptom-free for 24 months. Benefits remain tax-free with claims processed through Compass Underwriting's dedicated team.
Policy Administration
Policy Administration services include term renewals, coverage adjustments, and customer support through HIVE Insurance Services. Annual renewals extend until age 69, with transparent pricing structures and 24/7 access to policy documents and FAQs for existing customers.
Claims Handling
Claims Handling ensures efficient resolution through Compass Underwriting's specialist team. Claims decisions aim for completion within 10 working days, with dedicated support for life, critical illness, and sick pay claims. Exclusions apply for pre-existing conditions, self-inflicted injuries, and non-medically necessary treatments.
Questions
What happens to my ESMI policy after November 2025?
All policy administration has transitioned to HIVE Insurance Services, ensuring seamless continuity for existing customers without changes to coverage terms.
Does ESMI cover pre-existing medical conditions?
Coverage applies after 24 months symptom-free periods, with critical illness exclusions extending to 10-year medical history checks.
How quickly are claims processed?
Claims decisions aim for completion within 10 working days after receiving all required documentation through Compass Underwriting.
Can I increase my coverage amount?
Policy benefits remain fixed between five-year renewals, with adjustments requiring new applications subject to current underwriting criteria.
Are policies available outside the UK?
Coverage applies exclusively to UK residents permanently domiciled in England, Scotland, or Wales.
What income protection options exist?
Sick Pay Insurance offers tax-free monthly benefits up to £1,500 with 30-day waiting periods and six-month maximum payout durations.