Health insurance levy rules recast
The Bill proposes to repeal changes made by Finance Act 2025 that were due to apply from 1 April 2027. Those amendments are re-enacted in Finance (No. 2) Bill 2026 with adjustments intended to ensure that the provisions operate as planned.
The approach is therefore not to abandon the 2025 reforms, but to replace them before they take effect. There is no change to the date these amendments come into operation, i.e. these amendments come into operation on 1 April 2027.
The health insurance levy is charged through stamp duty on certain health insurance contracts entered into or renewed during each quarterly accounting period (being the consecutive three-month periods commencing on 1 January, 1 April, 1 July and 1 October annually).
The insurer is responsible for paying the levy. Under the current applicable rules, the calculation refers to the age of each insured person on the first day of the accounting period in which the contract is entered into or renewed.
The Bill proposes to change that reference point. The levy would instead be calculated by reference to the insured person’s age on the actual date the contract is entered into or renewed (rather than their age on the first day of the corresponding accounting period). This aligns the age test more directly with the individual contract event.
For insurers, the change may require systems and controls to use the contract / renewal date, rather than the first day of the quarterly accounting period, when determining the applicable amount.
A further amendment has benefits for insurers by addressing policies that end within 12 months of the date on which the contract was entered into or renewed.
Where an insured person’s cover ceases within this period, the insurer may claim a partial repayment of the stamp duty paid for that person in respect of that policy. The repayment is to be calculated by reference to the number of days remaining in the 12 month period.