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9/1/2014 Proprietary and Confidential 1
ABOUT THE CLIENT 
The company provides a range of 
medical support services to corporate 
clients and their employees, many of 
whom operate in austere terrains and 
climates. 
It provides mainly critical services such 
as emergency response, medical 
evacuation, mobile clinics to remote 
locations, leasing of 4WD ambulances 
and medical equipment, supply of 
medical consumables and drugs, 
medical staffing and topside support. 
The management team is staffed by 
experienced professionals and doctors. 
All our managers hold postgraduate 
degrees in various disciplines and have 
been recruited from amongst the best 
in the industry 
The firm is the biggest Insurance Player 
in Kenya 
9/1/2014 Proprietary and Confidential 2
KENYAN ECOSYSTEM 
Most of the 
population in African 
countries do not 
have insurance 
Prime reason is that 
they barely manage 
to satisfy their daily 
requirements and 
hence cannot afford 
to pay premium for 
insurance 
Most still cannot 
afford proper 
healthcare 
BPL population are 
the worst sufferers Also, in general, 
Africa is an expensive 
place to live in 
9/1/2014 Proprietary and Confidential 3
INSURANCE SECTORS IN KENYA 
TOP 
LEVEL 
NATIONAL LEVEL 
MICRO-HEALTH 
9/1/2014 Proprietary and Confidential 4
MICRO-HEALTH 
Health Plans for 
the population 
who cannot 
afford such 
insurance 
Includes 
ordinary 
farmers, Matatu 
conductors & 
drivers, labor, 
etc. 
Tremendously 
growing sector 
for the insurance 
companies 
9/1/2014 Proprietary and Confidential 5
JAWABU 
9/1/2014 Proprietary and Confidential 6 
Vision 
•To be a company of choice in the provision of financial services for Jua Kali sector in Kenya. 
Mission 
•To mobilize funds, provide credit and other financial services to our Jua Kali members on 
competitive terms. 
Core Values 
• Innovation, Integrity, Value, Fairness, Excellence. 
Objectives 
•To promote the business growth and reduce the vulnerability of poor informal sector workers in 
Kenya through improved access to financial services. The health product is specifically designed 
for the ordinary Kenyans, working hard to build this economy.
NATIONAL HOSPITAL INSURANCE FUND 
Hospital Insurance Fund is a State 
Parastatal that was established in 1966 
as a department under the Ministry of 
Health. The original Act of Parliament 
that set up this Fund in 1966 has over 
the years been reviewed to 
accommodate the changing healthcare 
needs of the Kenyan population, 
employment and restructuring in the 
health sector. 
The transformation of Insurance Fund 
from a department of the Ministry of 
Health to a state of corporation was 
aimed at improving effectiveness and 
efficiency. The Fund's core mandate is 
to provide medical insurance cover to 
all its members and their declared 
dependants (spouse and children). The 
The Insurance Fund membership is 
open to all Kenyans who have attained 
the age of 18 years and years and have 
a monthly income of more than Ksh 
1000. 
The Insurance Fund has 31 fully 
autonomous branches across the 
country. Each of these branches offers 
all The Insurance Fund services 
including payment of benefits to 
hospitals or members or employers. 
Smaller satellite offices and service 
points in district hospitals also serve 
these branches. 
9/1/2014 Proprietary and Confidential 7
Other stake holders 
A specialist Insurance Company set up to underwrite current challenges and the ones to come 
. 
Provides insurance solutions to the SME sector in Kenya and the wider East African region. 
Challenges convention in our specialist areas to offer market leading products and 
services to its customers. 
Covers all classes of insurance from hotels, properties, entertainment, sports and artists 
risks as well as marine, aviation and industrial risks. 
All risks are underwritten from a new refurbished office situated at Park place in which we 
have state of the art technology. 
9/1/2014 Proprietary and Confidential 8
Pharma Company 
The Group is 
dedicated to 
affordable 
access to quality 
health care in 
Africa, by 
stimulating 
investments 
through 
partnerships 
with the private 
sector and 
government 
institutions 
This group of 
non-profit 
organizations 
has a shared 
goal, working 
towards 
achieving 
inclusive health 
care for Africa 
In doing so, it 
contributes to 
healthier 
populations and 
social and 
economic 
development. 
It is technical 
assistance 
provider to this 
brand and does 
probability 
analysis of the 
revenue and 
other 
calculations 
9/1/2014 Proprietary and Confidential 9
How Jawaba Contributes? 
Provides insurance at a low cost – just 11520 
Kenyan Shillings 
Helps the people acquire loan and financing for 
the premium amount 
Negotiates with providers and keeps them in 
check that they refrain from charging 
unreasonably 
Generally insurance plans do not cover for out-patients, 
but the brand does 
Performs quality checks on hospitals 
9/1/2014 Proprietary and Confidential 10
DISTRIBUTION OF 11520 
11520 
Total 
5600 
Health Wallet 
5920 
Remaining 
1920 
Insurance Fund 
2600 
2200 
Risk Pooling 
400 
Out-Patients 
1400 
Marketing & 
Admin 
9/1/2014 Proprietary and Confidential 11
DETAILS 
•It is contributed to the ‘health wallet’ which is a medical savings account. 
•It covers not just the regular hospital expenses but also pharmacist, optician, doctor consulting fees, etc. 
•Unused 5600 amount is refunded back 
•It is contributed towards the Insurance Fund 
•Insurance Fundis optional for informal sector 
•It aims at providing the benefits of the The Insurance Fund to the informal sector as well. 1920 
•Out of this, 2200 is used for in-patient wherein XPLICO will cover surgery upto 15000. 
•Also, it will cover upto 50000 in case of death and funeral costs 
2600 •Remaining 400 will cover upto 3500 for out-patients. 
1400 •60% goes towards marketing activities 
•40% goes towards administration expenses like managing the project, stakeholders, etc. 
9/1/2014 Proprietary and Confidential 12
THE PROCESS 
P l a n d e t a i l s 
The 
Insurance 
Fund 
FILL 
FORMS 
ACTIVATION 
BANK 
FINANCING 
Sales Agent 
The principle member 
9/1/2014 Proprietary and Confidential 13
THE PROCESS CONTD… 
*Minimum Payment & remaining subject to bank financing 
The Family principle member 
Paybill no: 
<number> 
Ref no: 
< Form no > 
Pay with M PESA 
Various payment option, FULL premium 
KSHS 11,520 
OR 
KSHS 2,000 * 
Data is entered into the AML 
system & the forms/ ID doc/ 
photos are scanned 
Regional Office Brand Admin Office 
9/1/2014 Proprietary and Confidential 14
THE PROCESS CONTD… 
Jawabu Admin Office 
Insurer 
Insurance 
Fund 
9/1/2014 Proprietary and Confidential 15
THE PROCESS CONTD… 
Jawabu Admin Office 
Insurance 
Fund 
ID card 
The 
company 
ID card 
MANUAL, FAQ, 
Welcome Letter 
Regional office 
Welcome Pack 
Sales Agent 
Member 
9/1/2014 Proprietary and Confidential 16
HOW WE HELPED? 
Provided the technical 
support to the brand 
to implement this 
project 
Storing of data of all 
applicants 
Automating 
processes 
Increased security 
Faster transactions 
and improved 
efficiency 
9/1/2014 Proprietary and Confidential 17
9/1/2014 Proprietary and Confidential 18

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Large insurance firm

  • 1. 9/1/2014 Proprietary and Confidential 1
  • 2. ABOUT THE CLIENT The company provides a range of medical support services to corporate clients and their employees, many of whom operate in austere terrains and climates. It provides mainly critical services such as emergency response, medical evacuation, mobile clinics to remote locations, leasing of 4WD ambulances and medical equipment, supply of medical consumables and drugs, medical staffing and topside support. The management team is staffed by experienced professionals and doctors. All our managers hold postgraduate degrees in various disciplines and have been recruited from amongst the best in the industry The firm is the biggest Insurance Player in Kenya 9/1/2014 Proprietary and Confidential 2
  • 3. KENYAN ECOSYSTEM Most of the population in African countries do not have insurance Prime reason is that they barely manage to satisfy their daily requirements and hence cannot afford to pay premium for insurance Most still cannot afford proper healthcare BPL population are the worst sufferers Also, in general, Africa is an expensive place to live in 9/1/2014 Proprietary and Confidential 3
  • 4. INSURANCE SECTORS IN KENYA TOP LEVEL NATIONAL LEVEL MICRO-HEALTH 9/1/2014 Proprietary and Confidential 4
  • 5. MICRO-HEALTH Health Plans for the population who cannot afford such insurance Includes ordinary farmers, Matatu conductors & drivers, labor, etc. Tremendously growing sector for the insurance companies 9/1/2014 Proprietary and Confidential 5
  • 6. JAWABU 9/1/2014 Proprietary and Confidential 6 Vision •To be a company of choice in the provision of financial services for Jua Kali sector in Kenya. Mission •To mobilize funds, provide credit and other financial services to our Jua Kali members on competitive terms. Core Values • Innovation, Integrity, Value, Fairness, Excellence. Objectives •To promote the business growth and reduce the vulnerability of poor informal sector workers in Kenya through improved access to financial services. The health product is specifically designed for the ordinary Kenyans, working hard to build this economy.
  • 7. NATIONAL HOSPITAL INSURANCE FUND Hospital Insurance Fund is a State Parastatal that was established in 1966 as a department under the Ministry of Health. The original Act of Parliament that set up this Fund in 1966 has over the years been reviewed to accommodate the changing healthcare needs of the Kenyan population, employment and restructuring in the health sector. The transformation of Insurance Fund from a department of the Ministry of Health to a state of corporation was aimed at improving effectiveness and efficiency. The Fund's core mandate is to provide medical insurance cover to all its members and their declared dependants (spouse and children). The The Insurance Fund membership is open to all Kenyans who have attained the age of 18 years and years and have a monthly income of more than Ksh 1000. The Insurance Fund has 31 fully autonomous branches across the country. Each of these branches offers all The Insurance Fund services including payment of benefits to hospitals or members or employers. Smaller satellite offices and service points in district hospitals also serve these branches. 9/1/2014 Proprietary and Confidential 7
  • 8. Other stake holders A specialist Insurance Company set up to underwrite current challenges and the ones to come . Provides insurance solutions to the SME sector in Kenya and the wider East African region. Challenges convention in our specialist areas to offer market leading products and services to its customers. Covers all classes of insurance from hotels, properties, entertainment, sports and artists risks as well as marine, aviation and industrial risks. All risks are underwritten from a new refurbished office situated at Park place in which we have state of the art technology. 9/1/2014 Proprietary and Confidential 8
  • 9. Pharma Company The Group is dedicated to affordable access to quality health care in Africa, by stimulating investments through partnerships with the private sector and government institutions This group of non-profit organizations has a shared goal, working towards achieving inclusive health care for Africa In doing so, it contributes to healthier populations and social and economic development. It is technical assistance provider to this brand and does probability analysis of the revenue and other calculations 9/1/2014 Proprietary and Confidential 9
  • 10. How Jawaba Contributes? Provides insurance at a low cost – just 11520 Kenyan Shillings Helps the people acquire loan and financing for the premium amount Negotiates with providers and keeps them in check that they refrain from charging unreasonably Generally insurance plans do not cover for out-patients, but the brand does Performs quality checks on hospitals 9/1/2014 Proprietary and Confidential 10
  • 11. DISTRIBUTION OF 11520 11520 Total 5600 Health Wallet 5920 Remaining 1920 Insurance Fund 2600 2200 Risk Pooling 400 Out-Patients 1400 Marketing & Admin 9/1/2014 Proprietary and Confidential 11
  • 12. DETAILS •It is contributed to the ‘health wallet’ which is a medical savings account. •It covers not just the regular hospital expenses but also pharmacist, optician, doctor consulting fees, etc. •Unused 5600 amount is refunded back •It is contributed towards the Insurance Fund •Insurance Fundis optional for informal sector •It aims at providing the benefits of the The Insurance Fund to the informal sector as well. 1920 •Out of this, 2200 is used for in-patient wherein XPLICO will cover surgery upto 15000. •Also, it will cover upto 50000 in case of death and funeral costs 2600 •Remaining 400 will cover upto 3500 for out-patients. 1400 •60% goes towards marketing activities •40% goes towards administration expenses like managing the project, stakeholders, etc. 9/1/2014 Proprietary and Confidential 12
  • 13. THE PROCESS P l a n d e t a i l s The Insurance Fund FILL FORMS ACTIVATION BANK FINANCING Sales Agent The principle member 9/1/2014 Proprietary and Confidential 13
  • 14. THE PROCESS CONTD… *Minimum Payment & remaining subject to bank financing The Family principle member Paybill no: <number> Ref no: < Form no > Pay with M PESA Various payment option, FULL premium KSHS 11,520 OR KSHS 2,000 * Data is entered into the AML system & the forms/ ID doc/ photos are scanned Regional Office Brand Admin Office 9/1/2014 Proprietary and Confidential 14
  • 15. THE PROCESS CONTD… Jawabu Admin Office Insurer Insurance Fund 9/1/2014 Proprietary and Confidential 15
  • 16. THE PROCESS CONTD… Jawabu Admin Office Insurance Fund ID card The company ID card MANUAL, FAQ, Welcome Letter Regional office Welcome Pack Sales Agent Member 9/1/2014 Proprietary and Confidential 16
  • 17. HOW WE HELPED? Provided the technical support to the brand to implement this project Storing of data of all applicants Automating processes Increased security Faster transactions and improved efficiency 9/1/2014 Proprietary and Confidential 17
  • 18. 9/1/2014 Proprietary and Confidential 18