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bKV or bAV — what's the difference?

bKV and bAV are often confused because both are employer-sponsored social benefits. However, they serve entirely different purposes and apply to different stages of life.

The Fundamental Difference

Company health insurance (bKV) delivers immediate benefits: It provides employees with health care services on par with those available to private patients—dental prosthetics, eyeglasses, alternative medicine practitioners, and preventive care. The benefits are immediately noticeable and are used on an ongoing basis.

A workplace pension plan pays off in the future: It builds up retirement savings over decades. The benefits don't kick in until retirement, often 20 to 40 years after the plan is established.

Comparison of Core Properties

The Case for the bKV

  • Immediate, tangible benefits — Employees receive reimbursements several times a year
  • High visibility and recognition in everyday work life
  • Tax-free up to the 50-euro monthly limit for non-cash compensation
  • The Family Option extends the benefits to partners and children
  • Strong impact on recruitment and retention among younger workforces
  • Minimal administrative burden

The Case for Occupational Retirement Plans

  • Long-Term Wealth Building for Retirement
  • Tax- and social security contribution-free contributions during the savings phase (salary deferral up to 4 percent of the contribution assessment ceiling)
  • Employer contribution of at least 15 percent is mandatory for deferred compensation plans
  • Particularly relevant for older and high-earning employees
  • An instrument that receives significant government support

A Comparison of Tax Logic

The bKV utilizes the non-cash benefit exemption limit (Section 8(2), Sentence 11 of the German Income Tax Act (EStG)) or flat-rate taxation (Section 37b of the EStG)—the benefit remains net-neutral and immediately available. The occupational pension plan operates through deferred compensation under Section 3 No. 63 of the German Income Tax Act (EStG)—tax-free during the accumulation phase, but taxed at a later date upon payout at retirement age.

Which Solution for Which Goal

When it comes to employee retention, recruiting, and providing immediate recognition, the supplementary health insurance (bKV) is the more effective tool—especially for younger workforces, who find the prospect of a pension in 30 years’ time rather abstract. When it comes to long-term financial security and wealth accumulation, the occupational pension plan (bAV) is indispensable.

In practice, the two are not mutually exclusive—many companies offer both: the occupational pension plan as a mandatory component of retirement planning, and the occupational health insurance plan as a visible health benefit that reinforces employer branding in everyday life. Companies that can only implement one and are looking for a short-term impact on employee satisfaction and recruitment usually start with the occupational health insurance plan.

More Questions from the bKV FAQ

What is a company health insurance plan (bKV)?
Employer-sponsored health insurance (bKV) is a supplementary insurance plan funded by the employer for employees covered by statutory health insurance. It covers services that statutory health insurance (GKV) does not reimburse, or only reimburses to a limited extent—such as dental prosthetics, eyeglasses, alternative practitioners, or advanced preventive care. Up to 50 euros per month, it is exempt from taxes and social security contributions.
Is the supplementary health insurance tax-free?
Up to the monthly non-cash benefit exemption limit of 50 euros per employee, the supplementary health insurance (bKV) is exempt from income tax and social security contributions (Section 8(2), Sentence 11 of the Income Tax Act (EStG)). For higher premiums, the employer may pay a flat-rate income tax of 30 percent (Section 37b of the Income Tax Act (EStG)). However, the monetary benefit remains subject to social security contributions. Full net neutrality for employees is achieved only if the employer also covers the social security contributions.
Is supplemental health insurance worth it for small businesses?
Yes. Supplementary health insurance (bKV) is available for companies with as few as three employees and is an effective recruiting tool, especially for small businesses. Its tax efficiency (up to about twice as effective as a salary increase), minimal administrative burden, and proven ability to retain employees also make it attractive for SMEs.
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