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Insurers Find Management Costs Hard To Tame

management-cost

Non-life insurance companies are struggling to bring their management expenses -wages, dividends and commissions – under the prescribed limit.

Management ratio, or the portion of gross direct premium collection that is utilized for meeting management outlay, was over 24% of the gross premium collected a year ago for non-life insurers, and projected to slide to about 22% this year –still well above the 19.5% prescribed by section 40C of the Insurance Act.

State-owned, Oriental Insurance, New India Assurance, National Insurance and United India Insurance are seeing a drop, albeit just 3-5%, in their management ratios this fiscal.

Experts say that adopting strategies like revision in prices and commission helped the state-owned insurers. Also, in line with the finance ministry’s directives, they steered clear of loss-making portfolios, and cut their exposure to select group health policies. They revised prices in segments like third party and group health policies.

Insurance Regulatory and Development Authority (IRDA), on its part, raised motor third party premiums by 30% in March. It also allowed a few general insurers to modify the prices in segments like retail, group health and property policies.

But, private sector non-life insurers have not been as successful. Private players need to wait till their business picks up. As the business grows, their expenses will come down.

National Insurance Likely To Be Listed By March 2015

National Insurance

Public sector general insurer, National Insurance Company, might be listed by March 2015, following the finalization of norms for Initial Public Offering (IPO) by the Insurance Regulatory and Development Authority (IRDA).

The company has started evaluating the intricacies of these norms. Informally the centre has already forwarded the message to the company to be listed by March 2015.

Since the company is one of the biggest players in the market, the public-issue is likely to be of a substantial size.

National Insurance is one of the first public sector general insurers to have begun operations in India. As its operations have run for more than ten years, it is eligible to go public. The company was incorporated more than 100 years ago.

The company is aiming to garner premium of around Rs 9,500 crores this fiscal as against Rs 7,785 crores in 2011-12. Company’s focus areas will be motor and health insurance.

IRDA Asked National Insurance To Adhere To Claim Servicing Regulations

National Insurance

Insurance Regulatory and Development Authority (IRDA) has given a warning to public sector general insurer, National Insurance Company pertaining to violation of its regulations.

Based on complaints received from individuals, IRDA has asked the National Insurance to adhere to the IRDA PPI regulations related to claim servicing, policy servicing and grievance redressal.

IRDA has cautioned the company with regard to delay/non-compliance of ombudsman’s award.

Though no charges have been pressed against the insurer, IRDA has asked it to comply with the regulations.

PSU General Insurers Latch on to Investment Income

PSU General Insurer

Coming day’s looks promising for the general insurance industry, as on the one hand with rising stock markets there equity investments are soaring, and on the other hand they are reducing discounts on premiums and offloading high risk portfolios. This scenario looks to be a best possible bet for them to make up for their underwriting losses.

All four PSU general insurers – New India Assurance, National Insurance, Oriental Insurance and United India Insurance are optimistic about a better equity investment this fiscal.

The investment income of New India Assurance grew over Rs 300 crores in April-December 2012 to Rs 2,055 crores from Rs 1,709.14 crores in the previous fiscal. More than half of this investment return has come from its equity portfolio. The company say that since it is an active participant in the capital market, it analyse the stock movement well and get invested in it.

Oriental insurance also registered a profit of around Rs 450 crores for the quarter ended December 2012. The total investment income of Oriental insurance and book value stands now at over Rs 1,700 crores and Rs 1,100 crores, respectively.

The case is no different at United India insurance, where the total investment income came in close to Rs 1,500 crores in April-December.

As of 5 February 2013, the stake value of National insurance and Oriental insurance stood at Rs 4,298 crores and Rs 4,429 crores, respectively.

Investment portfolios can sometimes yield returns that can cushion the impact of a poor underwriting performance. An underwriting performance refers to profits after claims payment and expenses. Of late, PSU general insurers have been under strain on this front, faced with bleeding portfolios on third party policies, group health and fire.

In a bid to curtail losses from group health insurance portfolio, the finance ministry last year had suggested that insurers should do away with loss-making businesses, cut down on discounts and take steps to make it a less competitive scenario for themselves. These steps has lead to a overall drop of around 4-5% in combined loss ratio (losses incurred plus adjusted expenses) for all the four PSU general insurance companies.

Underwriting loss of PSU general insurers declined by 22.94% to Rs 5,817 crores in FY’12 from Rs 7,549 crores in FY’11.

IRDA Working On Centralized Mechanism to Improve Health Insurance Service

IRDA-PersistencyIn a bid to improve servicing and prevent misuse of mediclaim benefits by hospitals, Insurance Regulatory and Development Authority (IRDA) is working on a centralized mechanism to capture health insurance data.

With this system, IRDA will capture data pertaining to health insurance systems and entire medical process and billing claims. This system will not only improve health insurance servicing but also prevent over-billing by hospitals.

In the long run, it will also be useful in developing a code in line with the global practice, besides reducing the cost of health insurance and increasing its reach.

The health insurance sector is facing problems because of high cost to claim ratio. As of June 2012, the cost ratio for the public sector companies was 140% of the premium received under the health portfolio.

Insurance companies have a network of hospitals, known as PPN, which offers health insurance services under cashless facility. The network hospitals are decided through an agreement between Third Party Administrators (TPAs) and hospitals. The list of network hospitals is amended from time to time.

Four PSU general insurers –New India Assurance, Oriental Insurance, National Insurance and United India Insurance- had in July last year stopped the cashless facility in select private hospitals, alleging over-billing.

The companies had alleged that some of the hospitals were charging the patients having health insurance policies at rates which were quite higher than the reasonable cost of treatment.

After this, IRDA in august came out with a circular stating that the policyholders undergoing treatment will continue to get cashless benefit even if the hospital where they are admitted is delisted by the insurers from cashless cover. IRDA has also asked companies to regularly update policyholders on any change in the list of hospitals offering cashless cover.

PSU Insurers to Set Up Common TPA within Six Months

PSU General InsurerWithin the next six months, government-owned insurance companies will have an in-house Third Party Administrator (TPA) system.

In the common TPA, four general insurers -New India Assurance, United India Insurance, National Insurance and Oriental Insurance will have equal stake, while Life Insurance Corporation of India (LIC) and General Insurance Corporation of India (GIC) might have lesser stake. This is because common TPA has been designed to meet the needs of the PSU General Insurers.

The common TPA has been proposed to minimize fraud claims in the health insurance segment. It is also expected that common TPA will help to speed up the claim settlement process and reduce the claim’s ratio of insurance companies. At present, insurance companies pay a commission of 6% of premiums to TPAs to settle claims.

Health Insurance Premium Set to Rise By 15%

premium-risePublic Sector Non-Life Insurance Companies are all set to hike medical insurance premiums in the wake of higher cost. This move comes especially after government asked PSU Non-Life insurers to run profitable business.

The average increase in annual premiums for individuals is expected to be around 15%, while for group insurance it is expected to be steeper.

The four PSU Non-Life Insurance Companies – New India Assurance, United India Insurance, National Insurance and Oriental Insurance – together have 60% market share.

As per insurers, there has been no revision in premiums since 5-6 years hence; there is a need to increase premiums. Premiums were fixed five years ago based on the costs prevailing at that time. And since than medical cost have increased significantly hence, they have to charge premiums according to current prevailing costs as they are losing money.

On an average, Public Sector Non-Life Insurers are paying over Rs 100 as claims and other charges for every Rs 100 they collect as premiums. In case of senior citizens the outgo is as high as Rs 150, while for younger population it is Rs 125. Government wants companies to ensure that outgo is Rs 95 at the most.

Typically, younger population subsidizes the seniors, whose claims are higher, and that trend is expected to continue. As a result, the increase in premiums may be higher for individuals who are below 55-60 years.

PSU Non-Life Insurers are also examining a possibility of having differential premiums. Cost of surgery is different in a metro city than in a tier II or tier III city, hence it should reflect in premium and caps.

IRDA Collected Rs 2.56 Crores as Penalty in June-September Period

IRDA-PersistencyInsurance Regulatory and Development Authority (IRDA) has collected Rs 2.56 crores as penalty during June-September period of 2012. Irda has imposed penalties ranging from Rs 5 lakh to Rs 1.47 crores on insurance companies.

In one instance IRDA imposed penalty of Rs 15 lakh on IndusInd Bank, which is the corporate agent of Chola Mandalam MS General Insurance.

In June 2012, IRDA imposed fine of Rs 1.47 crores on HDFC Standard Life insurance for violating certain norms of insurance act.

In July 2012, IRDA collected total of Rs 50 lakh as penalty from insurers. This included companies like ING Vysya Life Insurance, Bajaj Allianz Life Insurance and IndusInd Bank.

In August 2012 also IRDA imposed large penalties on insurers including penalty of Rs 49 lakh on TATA AIG Life insurance for violating regulations on multiple counts, including excess payment of commission to insurance agents.

Penalty of Rs 5 lakh each was imposed on New India Assurance and National Insurance as well.

In September 2012 too, IRDA has maintained momentum in its policy, as it imposed a fine of Rs 22 lakh on Kotak Old Mutual Life Insurance for violating regulations pertaining to the file and use procedure and violation of group guidelines.

Insurers say that, though penalty amounts were little stringent but regular fine were necessary to maintain the sanctity of the insurance sector. This policy of the regulator is good for both for the sector and end- consumers, as they can no longer be deceived.

Senior Citizens to Get More Health Cover Options

Old age health policySenior citizens can hope for better health insurance plans as private non-life insurance companies are planning to come up with health insurance plans targeted towards senior citizens. These plans will be for people above 60-65 years and planning to take a new health insurance plan.

Already there are six insurance companies including three public sector insurers offering such products. Six companies that are offering such products are New India Assurance, National Insurance, United India Insurance, Star Health and Allied Insurance, Apollo Munich Health Insurance and Bajaj Allianz General Insurance.

Generally, the maximum entry age for an individual to take health insurance plan is capped at 60 or 65 years. While in senior citizen plan an individual can take a health insurance plan even if he is over 65 years.

Generally, insurance companies sees senior citizen segment as high risk category, where chances of claims are high and quantum of claim amount is also high.

Lot of innovation can be done in senior citizen segment but lack of actuarial data is a major deterrent due to which proper pricing is a challenge.

At present, there is a general exclusion of one-two years for coverage of cataract, benign prostatic hypertrophy, hernia, congenital internal disease, piles, sinus and stones.

However, dental treatment done for cosmetic reasons, injury or disease caused by war, vaccination for cosmetic reason, cost of glasses and contact lenses, hearing aids, congenital external disease or defects or anomalies, sterility, venereal disease, intentional self-injury are permanently excluded.

Apart from high premium and medical conditions, another factor that de-motivates policyholders are the limits imposed on claim amounts. Senior citizen plans generally have co-payment clause, where, in case of claim, a policyholder have to bear 20-50% of the claim amount on there own.

Instead of co-payment clause, insurers should come out with different variants of products where policyholder can choose between co-payment option or whole coverage.

Health Cover Hurdle for Elderly

elderly health careThe elderly people will find it difficult to buy health insurance as public sector general insurance companies are bringing down agent’s commission by more than one-third for policies sold to individuals above the age of 55 years. Companies with high claims, too, will find it difficult to get agents to service them as group health insurance policies where claims exceed premium will not be eligible for commission.

The new commission structure is effective from this month, is aimed at paring down the losses of Public Sector General Insurers – National Insurance, New India Assurance, Oriental Insurance and United India Insurance.

As per new guidelines, insurers will pay full 15% commission on policies sold to those below 35 years of age. For individuals between the age of 35 and 55 years the commission payable to agent is 10%. And for individuals above the age of 55 years commission is capped at 5%.

The revised commission structure is aimed at discouraging adverse selection as claims are highest in the 55-plus category and this is the age group that is most proactive in buying health cover.

As per insurers, they make money on policies sold to younger people, the older segment; despite paying more than double the premium than those in 20s has always been a loss making business.

As per General Insurance agent association, due to slashing of the commissions, agents will not be able to provide service to the policyholders and this will result in lapsation of policies. Agents are demanding to defer this decision.

Some past experiences has shown that the directive on commissions adversely impacts the distribution of financial products.  Take for instance Securities and Exchange Board of India (SEBI) placed curves on entry loads and Insurance Regulatory and Development Authority (IRDA) capped charges on Unit-Linked Insurance Plan (ULIPs). And consequently, both the mutual fund and life insurance business witnessed a slowdown.