Press Release Summary: Health insurance market in FY2007 is estimated to be USD659.1m registering a growth of 30% compared with FY2006. In FY2006,the life insurance market occupied the major pie constituting 83.82%
Press Release Body: Health insurance market in FY2007 is estimated to be USD659.1m registering a growth of 30% compared with FY2006. In FY2006,the life insurance market occupied the major pie constituting 83.82% of the insurance market. The non-life segment is still in its growing phase with the market occupancy of 16.18%. In FY2006 health insurance covered only 1% of the population of the country and accounted for 1.2% of the total healthcare expenditure. However health insurance is growing very fast and according to Cygnus estimates health insurance premiums are expected to reach USD856.83m in 2007-08. This report has attempted to discuss the vital scenario in healthcare and health insurance market in India. A brief about global insurance industry in 2006, Indian insurance industry and health insurance industry overview are discussed. Growth drivers and issues of the industry are also covered. Major public and private players are covered in terms of their performance, products and outlook. Future outlook of the industry is also discussed.
Table of Contents : -
1. EXECUTIVE SUMMARY
2. HIGHLIGHTS
3. GLOBAL INSURANCE INDUSTRY
4. INDIAN HEALTHCARE INDUSTRY 4.1 Market Size and Growth
5. INDIAN HEALTH INSURANCE INDUSTRY 5.1 Introduction 5.2 Industry structure & Overview 5.2.1 Regulatory body 5.3 Micro insurance 5.3.1 Regulations 5.3.2 Agents 5.3.3 Remuneration/commission 5.3.4 Micro health insurance 5.4 Health insurance industry segments 5.4.1 Social health insurance schemes 5.4.2 Community health insurance schemes 5.4.2.1 Community health insurance-based family protection plan (CHIFHP) 5.4.3 Employer-provided insurance schemes 5.4.4 Market-based schemes 5.4.4.1 Government products 5.4.4.2 Private products 5.5 Types in Health Insurance 5.5.1 Critical Illness 5.5.2 Indemnity 5.5.3 Managed Care 5.5.4 Overseas Travel 5.6 Growth of Health Insurance 5.7 Trends 5.8 Opportunities
6. HEALTH INSURANCE VALUE CHAIN 6.1 Identifying the players across the value chain
7. MAJOR PLAYERS 7.1 Introduction 7.2 Public Sector Non-Life Insurers 7.2.1 New India Assurance Company Limited 7.2.1.1 Products offered 7.2.1.2 Health insurance policies 7.2.1.3 Financial performance 7.2.2 Oriental Insurance Company Limited 7.2.2.1 Products offered 7.2.2.2 Health policies 7.2.2.3 Financial performance 7.2.3 National Insurance Company Limited 7.2.3.1 Products offered 7.2.3.2 Health products 7.2.3.3 Financial performance 7.2.4 United India Insurance Company Limited 7.2.4.1 Products offered 7.2.4.2 Health products 7.2.4.3 Financial performance 7.3 Private Sector Non-Life Insurers 7.3.1 Bajaj Allianz General Insurance Company Limited 7.3.1.1 Products offered 7.3.1.2 Health insurance policies 7.3.1.3 Financial performance 7.3.2 Royal Sundaram Alliance Insurance 7.3.2.1 Products offered 7.3.2.2 Financial performance 7.3.3 IFFCO TOKIO 7.3.3.1 Products offered 7.3.3.2 Health insurance policies 7.3.3.3 Financial performance 7.3.4 ICICI Lombard General Insurance Company Limited 7.3.4.1 Products offered 7.3.4.2 Health insurance policies 7.3.4.3 Financial performance 7.3.5 HDFC Chubb General Insurance Company Limited 7.3.5.1 Products offered 7.3.5.2 Health insurance policies 7.3.5.3 Financial performance 7.3.6 Cholamandalam MS General Insurance Limited 7.3.6.1 Products offered 7.3.6.2 Health insurance policies 7.3.7 TATA-AIG General Insurance Company Limited 7.3.7.1 Products offered 7.3.7.2 Health insurance policies 7.3.7.3 Financial performance 7.3.8 Reliance General Insurance 7.3.8.1 Products offered 7.3.8.2 Health insurance products 7.3.8.3 Financial performance 7.4 Specialized institutions 7.4.1 Star Health and Allied Insurance Company Limited 7.4.1.1 Health products 7.5 Other Intermediaries 7.5.1 Third Party Administrators (TPA) 7.5.2 Insurance agents 7.5.3 Insurance surveyors and Loss Assessors
8. REGULATIONS 8.1 Tax Regulations 8.2 Fixing health insurance premium according to region 8.3 Floor Rates for Rural Insurance
9. GROWTH DRIVERS 9.1 Demographic 9.2 Life-Style
10. ISSUES AND CONCERNS 10.1 Awareness 10.2 Frivolous claims 10.3 Processing Time and Administration 10.4 Cross selling activities by banks 10.5 Issues related to stakeholders 10.5.1 Hospital related issues 10.5.2 Insurance policies' related 10.5.3 Policy holders 10.5.4 Related to insurance company 10.5.5 Government related 10.5.6 TPAs 10.5.7 General factors 10.6 Measures for Overcoming Challenges 10.6.1 Hospitals 10.6.2 TPAs 10.6.3 Policy conditions 10.6.4 Insurance companies 10.6.5 Government 10.6.6 General factors 10.6.7 Recent initiatives by IRDA 10.6.8 Health insurance working group (HIWG)
11. OUTLOOK
ANNEXURE 1-BIBLIOGRAPHY
ANNEXURE 2-LIST OF ABBREVIATIONS
ANNEXURE 3-COMMUNITY HEALTH INSURANCE NETWORK
ANNEXURE 4-LIST OF LICENSED TPAS IN INDIA
List of Tables
Table 3.1: Insurance premiums (USDbn)
Table 3.2: Real premiums growth in 2006 (In %)
Table 3.3: Premiums as percent of GDP in 2006
Table 4.1: Public healthcare physical infrastructure
Table 4.2: Major epidemics
Table 4.3: New entrants (FY2006 -FY2007)
Table 5.1: Commission paid to micro insurance agents
Table 5.2: Types of CHI schemes in India
Table 5.3: Premium structure
Table 7.1: Mediclaim policies sold and claims settled (FY2001-FY2005)
Table 7.2: Kisan card holder's policies sales during FY2002-FY2005 and the claims reported
Table 7.3: Universal health policies sales (FY2004-FY2005)
Figure 7.4: Gramin policies sales (FY2002-FY2006) and claims ratio
Figure 7.5: Janata policies sold and claims reported (FY2002-FY2006)
Figure 7.6: Coverage of Universal policy and claims reported (FY2004-FY2006)
Figure 7.7: Coverage of Mediclaim policy and claims (FY2002-FY2006)
Figure 7.8: Coverage of Mediclaim policy and claims reported (FY2002-FY2006)
Figure 7.9: Coverage of Uni-Medicare policy and claims settled (FY2004-FY2006)
Table 7.10: Rating for family packs under Medi Classic Policy
Table 7.11: Rating of groups under Medi Classic Policy
Table 7.12: Rating of groups under Medi Premier Benefits
Table 7.13: Premiums paid under the sum insured
Table 7.14: Premiums paid under the sum insured and age group (Diabetes Policy)
Table 7.15: TPA (infrastructure) - FY 2005 and FY 2006
Table 7.16: TPA claims data (FY 2005 - FY 2006)
Table 7.17: Fee structure of surveyor and loss assessor
List of Figures
Figure 4.1: Indian Healthcare Market Size
Figure 4.2: Pattern of Healthcare Expenditure
Figure 5.1: Health Insurance Market Size and Growth Rate (FY2004-FY2007)
Figure 6.1: Value chain of health insurance
Figure 9.1: Indian Population according to their Age Group
Figure 9.2: Indian per Capita Income
Figure 9.3: Growth in diseases related to life style (2006)
Figure 9.4: Population involved in accidents
Figure 10.1: Awareness about types of insurance (2006)
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