Time to sink or swim

Last year saw record amounts paid in private medical insurance (PMI) claims - £2.28bn from a total of 6.5 million people insured under both corporate and private arrangements. Total premiums reached £2.98bn compared with £2.2bn in 2000, while total claims costs in 2000 had been less than £1.8bn.

The simple maths speaks for itself. The weight of current claims certainly explains the industry's deep concern to control costs but the issues are far more complex.

For insurers and brokers with a

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