MR Microinsurance_2012_03_29.indd - International Labour ...

Improving client value
Products included in PACE analysis, India
Table 15.3
Uplift
Yeshasvini Bharti-Axa/ PWDS VimoSEWA, Sukhi Parivar
and Swastha Parivar
RSBY ICICI Lombard, HIS scheme for
weavers
Start date 2009 2005 2007 2010 1992 2003
IP health, mandatory,
group, credit-linked
IP health, voluntary, group,
often linked
IP health, voluntary, group,
stand-alone
IP health, voluntary, group,
stand-alone
IP and OP health, voluntary,
group, stand-alone
Product type IP health, voluntary,
individual, stand-alone
Distribution Varied Cooperatives Cooperatives Self-help groups SHGs SHGs MFIs
INR 15 000 for IP, sub-lim- sub-lim-
its pre and post IP, OPD
discounts, preventive health
services
INR 2 000 to 6 000 for
composite products; INR
10 000 for the stand-alone
product
INR 30 000 no sub-limits,
full maternity
INR 200 000 IP but limited
to one incidence per person
per year; mostly surgery
INR 15 000 no sub-limits, com- com-
prehensive cover
Cover INR 30 000 no sub-lim- sub-lim-
its, pre and post IP, full
maternity, transport
allowance, OP discounts
– Mostly urban population,
Pune and Mumbai, slum
dwellers, microcredit clients
– – Poor, Poor, some some BPL BPL members members
– INR 2 500 (rural) and INR
3 000 (urban)
– Members of SEWA and
other NGO benefi ciaries,
mostly in Gujarat
– Informal Informal sector, sector, rural rural (60 (60
per cent) and urban (40
per cent)
– Poor, some BPL members
– INR 2 500 (rural) and
INR 3 000 (urban)
– Members of SHGs in 7
Federations in 3 southern
districts of Tamil Nadu
– Rural only
– Upper poor
– INR 3 500 (rural)
– Members of the Registered
Cooperative Societies in
rural Karnataka
– Upper poor, some BPL
members
– INR 3 000 (rural) and
INR 3 500 (urban)
– Weavers and other other textile
workers
– Semi-urban and and mostly rural
(in 29 Indian states)
– Mostly BPL members members
– Monthly household household income:
INR 2 000 (rural) (rural) and INR
2 500 (urban)
– BPL population in
both urban and rural
settings
– Monthly household
income: INR 1 500
(rural) and INR 2 000
(urban)
segment 11
Targeted
segment
100 000 lives
47 per cent claims ratio,
2 per cent rejection ratio
70 per cent renewals ratio
(Feb. 2011)
60 000 policies, 100 to
125 000 lives (Dec. 2010); 8
per cent of SEWA members
60 to 90 per cent claims
ratio, 15 per cent claims
rejection ratio
60 per cent renewals ratio
6 500 policies, 16 000 lives
(Dec. 2010)
140 to 160 per cent claims
ratio
2.7 million lives (Nov. 2010)
70 to 100 per cent claims
ratio
70 per cent renewals ratio
1.7 to 1.8 million policies, policies, 5 to 6
million lives (Dec. (Dec. 2010); 90 per
cent coverage ratio ratio
50 to 90 per cent claims claims ratio;
low claims rejection rejection ratio
95 to 100 per cent renewals ratio
Performance 22.5 million cards issued
(Feb. 2011)
Average 2.5 lives per card
enrolled
1 Client income estimations should be treated with caution as limited data was available. Amounts stated above are based on estimations of providers in relation to
BPL level in India, for which the threshold is set at approximately INR 1 800 (rural) and INR 2 300 (urban) monthly income for a family of four.
Notes: US$1 = INR 44.
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