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WEBINAR ON

          Improving Client Value from
         Microinsurance: Insights from
        India, Kenya and the Philippines



              Presenter:                           Presenter:                            Presenter:
    Michal Matul                                   Eamon Kelly                        Clémence Tatin-Jaleran
    Senior Research Officer                        Consultant                         Consultant
    Microinsurance Innovation Facility




                                   Guest Presenter:                    Moderator:
                                   Shailabh Kumar                Jasmin Suministrado
                                   Executive Director            Knowledge Officer
1                                  Uplift Mutuals                Microinsurance Innovation Facility
Interfacing with the
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      Hides/unhides
         the control                        Polls will also be
              panel                      opened during the
                                         webinar – participate
                                         by clicking on your
                                         answers




    Tell us what you
    think. Type your
    questions/
    comments here
    even while the                        Please send chat
    presentation is                       TO STAFF
    on-going.




2
Webinar Attendee
         Profile
    More than 350 attendees




3
What is “Client Value”?




           Impact               Product and
     To what extent and        process design
     how microinsurance       How do products
       improves risk-        meet client needs in
      management and             relation to
    reduces vulnerability?     alternatives?




        Product use               Demand
        What is client            What factors
     satisfaction, loyalty   influence the choices
       and feedback to           of low-income
     improve products?            households?




4
Outline of today’s
                         webinar
    1. Measuring client value with PACE framework and tool

    2. Identifying value creation opportunities

    3. Analyzing offerings in relation to alternatives

    4. Concluding thoughts

    5. Q&A



    ...and two discussion forums from today till June 8 at the
       Facility’s Knowledge Centre
5
1
    Assessing client value
         with PACE




6
Building on risk-management
                      preferences



                 appropriate




    responsive     simple      accessible




                 affordable

7
Client value
                            assessment tool
                                            PRODUCT
                                   • Coverage & sum assured
                                   • Exclusions & waiting periods
                                   • Eligibility criteria
                                   • Value-added services




            EXPERIENCE                                                 ACCESS
    • Policy administration & tangibility                  • Choice and enrolment
    • Claims procedures                                    • Information & understanding
    • Claims processing time                               • Premium payment method
    • Customer care                                        • Proximity




                                               COST
                                   • Premium to client income
                                   • Premium to benefit/cost
                                   • Other fees & costs
                                   • Cost structure and controls
8
Unpacking one
                           dimension - Product

                                   Covers appropriate risks from a client perspective
1.1 Coverage, quality of           Integrates appropriate riders to main cover
service, exclusions and 0.35       Provides adequate service quality (for health)
waiting periods                    Offers simple cover without many exclusions
                                   Provides limited waiting period

1.2 Sum insured in                 Pays out adequate amount in relation to cost of risk
                            0.35
relation to cost of risk           Does not put many sub-limits on specific covers


1.3 Eligibility criteria    0.15   Is inclusive, does not exclude groups of people

                                   Offers non-insurance benefits
1.4 Value-added                    Offers preventive health services (for health)
                            0.15
services                           Offers value-added agriculture services
                                   Triggers positive behaviour changes




9
Data collection

     • Key Sources
        –   Product: policy documents, marketing information, training info
        –   Access: interviews mgt & field staff, operational process manual
        –   Cost: product specs, budgets, tech analysis, KPI’s
        –   Experience: Direct client interviews, operational manual, KPI’s


     • Approach
        – Audit type, triangulation
        – More client data the better




10
PACE vs other tools




                                               Impact
                                      Market   Study
                                      Study
                            Client
                            Satisfaction
                   MILK     Study
                   Client
                   Math
            PACE

     KPIs




11
2
     Identifying value creation
           opportunities




12
PACE pilot testing

           Kenya            India             Philippines
         composite          health                life

     • CIC             • ICICI Lombard –   • FICCO
     • Pioneer           MG Swath Bima     • CARD MBA
     • Britak            Yojna             • CLIMBS
     • Jamii Bora      • Yeshasvini        • TSKI -
     • NHIF            • Bharti/AXA -        Microensure
                         PWDS
                       • VimoSEWA
                       • Uplift
                       • RSBY




13
Uplift in India:
                           case study
     Expanding member benefits
     •   Hospitalization product changes
     •   Network of over 300 care providers providing care at negotiated rates
     •   Access to health initiatives
     •   To be sustainable with volumes and technology


     Claims administration
     •   Education & empowerment versus timely payments


     Product and performance improved over time
     •   Claim Rejection ratio has decreased over time to 2%
     •   Claims ratio increased to 70%
     •   Renewal ratio has increased over time to 70%
     •   Out of Pocket expenses have reduced over time
     •   Reduction in claim cost about 3 million rupees in 2010




14
Microensure in the
           Philippines: case study

                           TSKI Product


                                           Cover Amount
             Dagyaw
                                              Raised




     Documents                                      Community
      Required                                       Pricing




           Exclusions =>                     Includes
             Increasing                    borrower and
              benefits                        spouse

                           Definition of
                            dependents
                            extended
15
Opportunities and
                         trade-offs

     • Many opportunities, small improvements that make a
       difference

     • Balancing trade offs in a continuous improvement
       process
        – Cost vs Product, Access and Experience

     • ‘Balanced’ client value vs business strategy

     • Contextualizing client value



16
3
         Analyzing offerings
     in relation to alternatives
           Product       Product
              A             B




17
Benchmarking to
                               informal mechanisms
              informal
Welfare groups
                                                  product
P: mostly life, ad-hoc for health, low cover,
   social function
A: widespread and very accessible
C: 300 Kshs per month/family, high
   transaction costs
E: delays in ‘payouts’, good experience

                                     experience             access




18                                                 cost
Benchmarking to social
                                  security
        NHIF (launched 2007)                                      informal
Informal sector                                         product   mechanisms
                                                                  NHIF
P: in-patient health; limited exclusions

A: no information, limited awareness

C: 1920 KES pa per family

E: low HCP quality; limited customer care

                                           experience                access




                                                         cost

19
Comparing JBT to
                                    benchmarks
        JBT (launched 2001)
 600,000 lives (MFI)                                          informal
                                                    product   mechanisms
 P: in-patient health full cover, no                          NHIF
    exclusions
                                                              JBT
 A: mandatory; simple; close PoS &
    premium financing
 C: 200 Kshs per month/family, cost
    controls
 E: cashless, good quality HCP, good
    customer care

                                       experience                   access




                                                     cost
20
Client value in Kenya?

                          product




     experience                       access




21                         cost
Enhancing value in the
                 Philippines
                     product




     experience                 access




                      cost
22
4
     Conclusions




23
Conclusions

     • PACE – a complementary, simple and timely approach
        – to integrate client value in a product development
          process
        – to provide preliminary inputs for policy discussions
        – to complement other client value studies

     • Many value creation opportunities, small improvements
       that can make a difference

     • Product or market maturity matters!




24
5
     Questions and Answers




25
Discussion Forums
         May 25 – June 8




26

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Webinar slides on Improving client value from microinsurance

  • 1. WEBINAR ON Improving Client Value from Microinsurance: Insights from India, Kenya and the Philippines Presenter: Presenter: Presenter: Michal Matul Eamon Kelly Clémence Tatin-Jaleran Senior Research Officer Consultant Consultant Microinsurance Innovation Facility Guest Presenter: Moderator: Shailabh Kumar Jasmin Suministrado Executive Director Knowledge Officer 1 Uplift Mutuals Microinsurance Innovation Facility
  • 2. Interfacing with the webinar system Hides/unhides the control Polls will also be panel opened during the webinar – participate by clicking on your answers Tell us what you think. Type your questions/ comments here even while the Please send chat presentation is TO STAFF on-going. 2
  • 3. Webinar Attendee Profile More than 350 attendees 3
  • 4. What is “Client Value”? Impact Product and To what extent and process design how microinsurance How do products improves risk- meet client needs in management and relation to reduces vulnerability? alternatives? Product use Demand What is client What factors satisfaction, loyalty influence the choices and feedback to of low-income improve products? households? 4
  • 5. Outline of today’s webinar 1. Measuring client value with PACE framework and tool 2. Identifying value creation opportunities 3. Analyzing offerings in relation to alternatives 4. Concluding thoughts 5. Q&A ...and two discussion forums from today till June 8 at the Facility’s Knowledge Centre 5
  • 6. 1 Assessing client value with PACE 6
  • 7. Building on risk-management preferences appropriate responsive simple accessible affordable 7
  • 8. Client value assessment tool PRODUCT • Coverage & sum assured • Exclusions & waiting periods • Eligibility criteria • Value-added services EXPERIENCE ACCESS • Policy administration & tangibility • Choice and enrolment • Claims procedures • Information & understanding • Claims processing time • Premium payment method • Customer care • Proximity COST • Premium to client income • Premium to benefit/cost • Other fees & costs • Cost structure and controls 8
  • 9. Unpacking one dimension - Product Covers appropriate risks from a client perspective 1.1 Coverage, quality of Integrates appropriate riders to main cover service, exclusions and 0.35 Provides adequate service quality (for health) waiting periods Offers simple cover without many exclusions Provides limited waiting period 1.2 Sum insured in Pays out adequate amount in relation to cost of risk 0.35 relation to cost of risk Does not put many sub-limits on specific covers 1.3 Eligibility criteria 0.15 Is inclusive, does not exclude groups of people Offers non-insurance benefits 1.4 Value-added Offers preventive health services (for health) 0.15 services Offers value-added agriculture services Triggers positive behaviour changes 9
  • 10. Data collection • Key Sources – Product: policy documents, marketing information, training info – Access: interviews mgt & field staff, operational process manual – Cost: product specs, budgets, tech analysis, KPI’s – Experience: Direct client interviews, operational manual, KPI’s • Approach – Audit type, triangulation – More client data the better 10
  • 11. PACE vs other tools Impact Market Study Study Client Satisfaction MILK Study Client Math PACE KPIs 11
  • 12. 2 Identifying value creation opportunities 12
  • 13. PACE pilot testing Kenya India Philippines composite health life • CIC • ICICI Lombard – • FICCO • Pioneer MG Swath Bima • CARD MBA • Britak Yojna • CLIMBS • Jamii Bora • Yeshasvini • TSKI - • NHIF • Bharti/AXA - Microensure PWDS • VimoSEWA • Uplift • RSBY 13
  • 14. Uplift in India: case study Expanding member benefits • Hospitalization product changes • Network of over 300 care providers providing care at negotiated rates • Access to health initiatives • To be sustainable with volumes and technology Claims administration • Education & empowerment versus timely payments Product and performance improved over time • Claim Rejection ratio has decreased over time to 2% • Claims ratio increased to 70% • Renewal ratio has increased over time to 70% • Out of Pocket expenses have reduced over time • Reduction in claim cost about 3 million rupees in 2010 14
  • 15. Microensure in the Philippines: case study TSKI Product Cover Amount Dagyaw Raised Documents Community Required Pricing Exclusions => Includes Increasing borrower and benefits spouse Definition of dependents extended 15
  • 16. Opportunities and trade-offs • Many opportunities, small improvements that make a difference • Balancing trade offs in a continuous improvement process – Cost vs Product, Access and Experience • ‘Balanced’ client value vs business strategy • Contextualizing client value 16
  • 17. 3 Analyzing offerings in relation to alternatives Product Product A B 17
  • 18. Benchmarking to informal mechanisms informal Welfare groups product P: mostly life, ad-hoc for health, low cover, social function A: widespread and very accessible C: 300 Kshs per month/family, high transaction costs E: delays in ‘payouts’, good experience experience access 18 cost
  • 19. Benchmarking to social security NHIF (launched 2007) informal Informal sector product mechanisms NHIF P: in-patient health; limited exclusions A: no information, limited awareness C: 1920 KES pa per family E: low HCP quality; limited customer care experience access cost 19
  • 20. Comparing JBT to benchmarks JBT (launched 2001) 600,000 lives (MFI) informal product mechanisms P: in-patient health full cover, no NHIF exclusions JBT A: mandatory; simple; close PoS & premium financing C: 200 Kshs per month/family, cost controls E: cashless, good quality HCP, good customer care experience access cost 20
  • 21. Client value in Kenya? product experience access 21 cost
  • 22. Enhancing value in the Philippines product experience access cost 22
  • 23. 4 Conclusions 23
  • 24. Conclusions • PACE – a complementary, simple and timely approach – to integrate client value in a product development process – to provide preliminary inputs for policy discussions – to complement other client value studies • Many value creation opportunities, small improvements that can make a difference • Product or market maturity matters! 24
  • 25. 5 Questions and Answers 25
  • 26. Discussion Forums May 25 – June 8 26