Private medical insurance for individuals looks set to move online and direct, following Bupa’s decision to end the payment of commission to brokers from August. Bupa is also slashing the amount it will pay medics for procedures, in some cases by as much as half. The moves follow a decline of 35-40% in the number of individuals with PMI over the past 15 years according to Michael Payne, general secretary of the Association of Medical Insurance Intermediaries.