1
Medical with Life Cover
Opportunity for Advisers and
Clients
February 2015
Russell Hutchinson and Alan Rafe
www.chatswood.co.nz
2
Long-term Trend: Medical and Life
More than 25 years ago the health and life markets were largely separate, then
this happened
• Sovereign bought Met Life
• TOWER Life bought AXA Health
• Club Life – now OnePath life
• Partners Life
• Fidelity Life and nib
Other insurers without health cover are interested. Even insurers with poorly
operating health books see the value of health insurance as a gateway product
to sales of more life, disability, and trauma insurance. In parallel we have seen:
• More mortgage cover
• More income protection
• More trauma cover
www.chatswood.co.nz
February 2015
3
www.chatswood.co.nz
February 2015
Better Together: Joint Quoting
Number of Health only Quotes in June 2014 1,871
Number of quotes with health in (last crunch, 2-3 re-crunches is typical) 3,295
Proportion of quotes including health of any kind which are health only: 57%
Proportion of all advisers that have quoted health at least once: 66%
400
500
600
700
800
900
1000
1100
1200
Jul-14 Aug-14 Sep-14
Accuro AIA Fidelity / nib OnePath Partners Life Southern Cross Sovereign
4
Benefit Combinations With Health
Benefit Combinations with Health in last crunch How many in June
Health 1,871
Health Life 330
Health Life Trauma 283
Health IP Life Trauma WOP 111
Health IP Life TPD Trauma WOP 100
Health Life Repayment Trauma WOP 73
Health Trauma 65
Health Life TPD Trauma 53
Health IP Life Repayment TPD Trauma WOP 47
Health IP Life Repayment Trauma WOP 32
Subtotal 2,965
Others 330
Total 3,295
www.chatswood.co.nz
February 2015
5
Excess Options
0
200
400
600
800
1000
1200
1400
$- $250 $500 $1,000 $2,000 More
NumberofCrunches
Excess Option
Health Quote Excess Options
www.chatswood.co.nz
February 2015
6
Add-On Options
Basic
32%
With Specialists
68%
Health Quote Add-On Options
Note: Other combinations with GP and Dental too small to graph.
www.chatswood.co.nz
February 2015
7
Children in Health Quotes
0
500
1000
1500
2000
2500
0 1 2 3 4+
NumberofCrunches
Number of Children
Number of Children Included in Health Quotes
www.chatswood.co.nz
February 2015
8
How Clients Use Medical Cover
Full health Medical Trauma Disablement Death
Care free or
careless?
Specialists and
tests
Trauma add-
ons
Mortgage
cover
Terminal Illness
Basic medical Limited Trauma Income
protection
Life Cover
Fully featured
medical
insurance
Fully featured
trauma
Total and
Permanent
Disablement
Non-Pharmac
cover
International
Direct /
“Everyday”
products
Doctors’
Visits etc.
Clients can
see this
need first!
Choices are created by the financial assistance provided
www.chatswood.co.nz
February 2015
9
Competition: Making Products Better
• Stand alone specialists and tests sales
• ‘Best Doctors’ diagnosis tool
• Simple direct products – low cost, low benefit, high co-
payments
• Non-Pharmac drugs cover
• Loyalty rewards offering procedures outside scope of medical
cover e.g. Sterilisation, Breast Reduction & Bariatric Surgery.
• Extensive range of products and benefit variations on offer
prompted by new market entrants, where previously a couple
of providers held market monopoly.
www.chatswood.co.nz
February 2015
10
Advisers: Please Consider
• Medical insurance has a role in the risk package
• Role of medical, IP, Trauma alongside state benefits
• Overseas treatment - International options
• Sales process innovations
• Bundling
• Health savings accounts
• Long-term care cover
• Screening programmes
www.chatswood.co.nz
February 2015
11
How Do You Compare Products?
Risks
• “The One thing” to rule them all
• The “non-compliant” feature
Factors
• The whole product
• Price
• Service
• Claims
• Company Factors
Preference
• A Package View
www.chatswood.co.nz
February 2015
12
Overview
• Medical is the next protection benefit clients can see the need for
• It is a great way to open up a constructive discussion about all the
other benefits
• Good advice acknowledges that it is part of a personal risk plan
• That risk plan isn’t alone: it exists in a context of personal wealth,
family, and state health and welfare provision
• An overview considering a range of factors rather than just one
factor is the right starting point for product selection
www.chatswood.co.nz
February 2015
13
Current Issues in Comparing
Medical
• Guaranteed wordings
• Provides customer value in knowing wordings that cannot be altered
• Provides an option for unsustainable books
• Non-Pharmac
• We are seeing claims paid for Cancer related treatment
• Increased our weighting due to claims experience being higher
• Still working to understand the impact of non cancer related treatments
• Need to understand the impact of Chronic Condition exclusions
• Impact of out of hospital benefits
• Breast Reconstruction
• Cosmetic versus medically required
• Covered under main surgical benefit
• Including realignment, tattooing
• Exclusions
• Different excesses
www.chatswood.co.nz
February 2015
14
What We Compare on Quotemonster
Company Basic Excess Options Specialist &
Tests Excess
Options
Saying Specialist
Excess
Used
Accuro
$0, $250, $500, $1,000,
$2,000, $4,000
$0
$250
Nil excess on specialist & tests
no matter which base excess is
selected.
$0
AIA
$0, $250, $500, $1,000,
$2,000
$100 $100 excess on specialist &
tests no matter which base
excess is selected.
$100
nib
$0,$250, $500, $1,000,
$2,000, $4,000, $6,000
$0 Nil excess on specialist & tests
no matter which base excess is
selected.
$0
OnePath
$0, $250, $500, $1,000,
$2,000, $5,000
$250 $250 excess on specialist &
tests no matter which base
excess is selected.
$250
Partners Life $0, $250, $500, $1,000,
$2,000, $5,000,
$10,000
$250 $250 excess on specialist &
tests no matter which base
excess is selected.
$250
Southern
Cross $0, $250, $500, $1,000
$0 Excess for specialist & tests is
matched to whichever base
excess is selected.
$0
Sovereign
$0, $250, $500, $750,
$1,000, $2,000, $4,000
$0
$250
Nil excess on specialist & tests
no matter which base excess is
selected.
$250
www.chatswood.co.nz
February 2015
15
Getting it Right: Settings
www.chatswood.co.nz
February 2015
16
Rating Process
Definition Incidence Frequency Amount
Readability Impact
Better research to support recommendations, based
on: the meaningful differences between products, on
your client’s actual situation, and on real-world risks.
Based on actual
risks and
payment
Specific to each
client and
options
Low cost, easy
to update and
use
Male / Female
Employed / self-
employed
Age
Options
selected
Realistic claims
scenario
Each report
varied for each
quotation
www.chatswood.co.nz
February 2015
17 www.chatswood.co.nz17
Thank You!
Visit us at www.chatswood.co.nz
Please remember that this material is
© Copyright – please use in your business but do
not distribute or re-sell
Information was current to 2 February 2015.
18
Rating Process
Definition Incidence Frequency Amount
Readability Impact
Better research to support recommendations, based
on: the meaningful differences between products, on
your client’s actual situation, and on real-world risks.
Based on actual
risks and
payment
Specific to each
client and
options
Low cost, easy
to update and
use
Male / Female
Employed /
self-employed
Age
Options
selected
Realistic
claims
scenario
Each report
varied for each
quotation
www.chatswood.co.nz

More Related Content

PPTX
Chatswood Data Services for Insurance Industry Participants
PDF
The Marketplace - Insurance Exchanges and Providers
PDF
Health Care Reform Preparedness 103: The Post-Election Direction
PPTX
ACA 201 - Mastering the Marketplace
PDF
Financial well-being: the future of advice
 
PPTX
Adapting to change: How to future-ready your practice
PPTX
Colorado Banking Trends
Chatswood Data Services for Insurance Industry Participants
The Marketplace - Insurance Exchanges and Providers
Health Care Reform Preparedness 103: The Post-Election Direction
ACA 201 - Mastering the Marketplace
Financial well-being: the future of advice
 
Adapting to change: How to future-ready your practice
Colorado Banking Trends

Viewers also liked (14)

PPT
Like death - just worse - Total and Permanent Disablement and the need for in...
PPT
Storytelling P.1
PPTX
2020 IFA PAA Conference Discussion on use of Remunerations models 26 05 15
PDF
PEIzine! #1+
PPT
Author's workflow and the role of open access
PPSX
Project Work Ticketlive.Mobi
PDF
pam.ibanez portfolio
PPT
Dati della ricerca e bibliotecari
PPT
La Biblioteca 2.0
PPT
Reference-informazione-comunicazione mobile
PPT
A little bit about Roller Derby
PPT
Bears like honey but no bees - Storytelling P.2
PPTX
KIDS GAME: The wheel of fortune
PPT
I like to eat! (kids song)
Like death - just worse - Total and Permanent Disablement and the need for in...
Storytelling P.1
2020 IFA PAA Conference Discussion on use of Remunerations models 26 05 15
PEIzine! #1+
Author's workflow and the role of open access
Project Work Ticketlive.Mobi
pam.ibanez portfolio
Dati della ricerca e bibliotecari
La Biblioteca 2.0
Reference-informazione-comunicazione mobile
A little bit about Roller Derby
Bears like honey but no bees - Storytelling P.2
KIDS GAME: The wheel of fortune
I like to eat! (kids song)
Ad

Similar to Medical With Life Cover - Opportunity for Advisers and Clients (12)

PPTX
Professional Product Comparison
PPTX
QM Roadshow - Auckland
PPT
Critical illness cover – health insurance for the
PPTX
Bankhall Conference 2009 - Aviva
PDF
Ultimate Guide Excerpt
PPT
National Mental Health, Dementia and Neurology Intelligence Network
PPTX
Quotemonster roadshow session two June 2019
PPTX
Research and Advicemonster Deep Dive - July 2019: Session Two
PPTX
When It Comes To Illness The Choice Of Benefit Is Critical June 2011
PPTX
Birmingham_OPSN_TH
PPTX
Managed care-UK .pptx
PDF
Health Plan Week 10-27-14
Professional Product Comparison
QM Roadshow - Auckland
Critical illness cover – health insurance for the
Bankhall Conference 2009 - Aviva
Ultimate Guide Excerpt
National Mental Health, Dementia and Neurology Intelligence Network
Quotemonster roadshow session two June 2019
Research and Advicemonster Deep Dive - July 2019: Session Two
When It Comes To Illness The Choice Of Benefit Is Critical June 2011
Birmingham_OPSN_TH
Managed care-UK .pptx
Health Plan Week 10-27-14
Ad

More from Chatswood Consulting Limited (6)

PPTX
How valuable is your financial advice business?
PPTX
FSLAA implementation impacts snippet
PPTX
Quotemonster - advertising to New Zealand insurance advisers
PPTX
Quotemonster roadshow session one June 2019
PPTX
Introductory - robo advice for insurance financial advisers
PPTX
Financial adviser businesses have long term growth challenges - we diagnose a...
How valuable is your financial advice business?
FSLAA implementation impacts snippet
Quotemonster - advertising to New Zealand insurance advisers
Quotemonster roadshow session one June 2019
Introductory - robo advice for insurance financial advisers
Financial adviser businesses have long term growth challenges - we diagnose a...

Recently uploaded (20)

PDF
Science 5555555555555555555555555555.pdf
PPT
Management Accounting: A Business Partner
PPTX
Introduction-of-Macroeconomics.pptx.....
PPT
Project_finance_introduction in finance.ppt
PPTX
balanced_and_unbalanced_growth_theory_ppt.pptx
PPTX
1. Set Theory - Academic AWellness 2024.pptx
PDF
Pension Trustee Training (1).pdf From Salih Shah
PDF
Call cute girls 😀 Delhi, call now pls cute girls delhi call🔙
PPT
1_Chapter_1_Introduction_to_Auditing.ppt
PPT
CompanionAsset_9780128146378_Chapter04.ppt
PPTX
481696537-Pediatric-pharmacokinetic.pptx
PPTX
DOC-20250604-WA0001.pbbgjjghhyt gg fromptx
PPTX
BU22CSEN0300556_PPT.pptx presentation about
PDF
Modern Advanced Accounting in Canada, 9th Edition by Darrell Herauf, Murray H...
PPTX
Networking news latter snnansbhshabbsbshabbsb
PPTX
Evolution of International Business.....
PDF
Fintech as a Gateway for Rural Investment in Bangladesh
PPT
Relevant Information & Alternative Choice Decisions
PDF
Field Experiments in Experiments: A Basic Introduction
PPTX
Andry Specialty Vehicles case study for Accounting
Science 5555555555555555555555555555.pdf
Management Accounting: A Business Partner
Introduction-of-Macroeconomics.pptx.....
Project_finance_introduction in finance.ppt
balanced_and_unbalanced_growth_theory_ppt.pptx
1. Set Theory - Academic AWellness 2024.pptx
Pension Trustee Training (1).pdf From Salih Shah
Call cute girls 😀 Delhi, call now pls cute girls delhi call🔙
1_Chapter_1_Introduction_to_Auditing.ppt
CompanionAsset_9780128146378_Chapter04.ppt
481696537-Pediatric-pharmacokinetic.pptx
DOC-20250604-WA0001.pbbgjjghhyt gg fromptx
BU22CSEN0300556_PPT.pptx presentation about
Modern Advanced Accounting in Canada, 9th Edition by Darrell Herauf, Murray H...
Networking news latter snnansbhshabbsbshabbsb
Evolution of International Business.....
Fintech as a Gateway for Rural Investment in Bangladesh
Relevant Information & Alternative Choice Decisions
Field Experiments in Experiments: A Basic Introduction
Andry Specialty Vehicles case study for Accounting

Medical With Life Cover - Opportunity for Advisers and Clients

  • 1. 1 Medical with Life Cover Opportunity for Advisers and Clients February 2015 Russell Hutchinson and Alan Rafe www.chatswood.co.nz
  • 2. 2 Long-term Trend: Medical and Life More than 25 years ago the health and life markets were largely separate, then this happened • Sovereign bought Met Life • TOWER Life bought AXA Health • Club Life – now OnePath life • Partners Life • Fidelity Life and nib Other insurers without health cover are interested. Even insurers with poorly operating health books see the value of health insurance as a gateway product to sales of more life, disability, and trauma insurance. In parallel we have seen: • More mortgage cover • More income protection • More trauma cover www.chatswood.co.nz February 2015
  • 3. 3 www.chatswood.co.nz February 2015 Better Together: Joint Quoting Number of Health only Quotes in June 2014 1,871 Number of quotes with health in (last crunch, 2-3 re-crunches is typical) 3,295 Proportion of quotes including health of any kind which are health only: 57% Proportion of all advisers that have quoted health at least once: 66% 400 500 600 700 800 900 1000 1100 1200 Jul-14 Aug-14 Sep-14 Accuro AIA Fidelity / nib OnePath Partners Life Southern Cross Sovereign
  • 4. 4 Benefit Combinations With Health Benefit Combinations with Health in last crunch How many in June Health 1,871 Health Life 330 Health Life Trauma 283 Health IP Life Trauma WOP 111 Health IP Life TPD Trauma WOP 100 Health Life Repayment Trauma WOP 73 Health Trauma 65 Health Life TPD Trauma 53 Health IP Life Repayment TPD Trauma WOP 47 Health IP Life Repayment Trauma WOP 32 Subtotal 2,965 Others 330 Total 3,295 www.chatswood.co.nz February 2015
  • 5. 5 Excess Options 0 200 400 600 800 1000 1200 1400 $- $250 $500 $1,000 $2,000 More NumberofCrunches Excess Option Health Quote Excess Options www.chatswood.co.nz February 2015
  • 6. 6 Add-On Options Basic 32% With Specialists 68% Health Quote Add-On Options Note: Other combinations with GP and Dental too small to graph. www.chatswood.co.nz February 2015
  • 7. 7 Children in Health Quotes 0 500 1000 1500 2000 2500 0 1 2 3 4+ NumberofCrunches Number of Children Number of Children Included in Health Quotes www.chatswood.co.nz February 2015
  • 8. 8 How Clients Use Medical Cover Full health Medical Trauma Disablement Death Care free or careless? Specialists and tests Trauma add- ons Mortgage cover Terminal Illness Basic medical Limited Trauma Income protection Life Cover Fully featured medical insurance Fully featured trauma Total and Permanent Disablement Non-Pharmac cover International Direct / “Everyday” products Doctors’ Visits etc. Clients can see this need first! Choices are created by the financial assistance provided www.chatswood.co.nz February 2015
  • 9. 9 Competition: Making Products Better • Stand alone specialists and tests sales • ‘Best Doctors’ diagnosis tool • Simple direct products – low cost, low benefit, high co- payments • Non-Pharmac drugs cover • Loyalty rewards offering procedures outside scope of medical cover e.g. Sterilisation, Breast Reduction & Bariatric Surgery. • Extensive range of products and benefit variations on offer prompted by new market entrants, where previously a couple of providers held market monopoly. www.chatswood.co.nz February 2015
  • 10. 10 Advisers: Please Consider • Medical insurance has a role in the risk package • Role of medical, IP, Trauma alongside state benefits • Overseas treatment - International options • Sales process innovations • Bundling • Health savings accounts • Long-term care cover • Screening programmes www.chatswood.co.nz February 2015
  • 11. 11 How Do You Compare Products? Risks • “The One thing” to rule them all • The “non-compliant” feature Factors • The whole product • Price • Service • Claims • Company Factors Preference • A Package View www.chatswood.co.nz February 2015
  • 12. 12 Overview • Medical is the next protection benefit clients can see the need for • It is a great way to open up a constructive discussion about all the other benefits • Good advice acknowledges that it is part of a personal risk plan • That risk plan isn’t alone: it exists in a context of personal wealth, family, and state health and welfare provision • An overview considering a range of factors rather than just one factor is the right starting point for product selection www.chatswood.co.nz February 2015
  • 13. 13 Current Issues in Comparing Medical • Guaranteed wordings • Provides customer value in knowing wordings that cannot be altered • Provides an option for unsustainable books • Non-Pharmac • We are seeing claims paid for Cancer related treatment • Increased our weighting due to claims experience being higher • Still working to understand the impact of non cancer related treatments • Need to understand the impact of Chronic Condition exclusions • Impact of out of hospital benefits • Breast Reconstruction • Cosmetic versus medically required • Covered under main surgical benefit • Including realignment, tattooing • Exclusions • Different excesses www.chatswood.co.nz February 2015
  • 14. 14 What We Compare on Quotemonster Company Basic Excess Options Specialist & Tests Excess Options Saying Specialist Excess Used Accuro $0, $250, $500, $1,000, $2,000, $4,000 $0 $250 Nil excess on specialist & tests no matter which base excess is selected. $0 AIA $0, $250, $500, $1,000, $2,000 $100 $100 excess on specialist & tests no matter which base excess is selected. $100 nib $0,$250, $500, $1,000, $2,000, $4,000, $6,000 $0 Nil excess on specialist & tests no matter which base excess is selected. $0 OnePath $0, $250, $500, $1,000, $2,000, $5,000 $250 $250 excess on specialist & tests no matter which base excess is selected. $250 Partners Life $0, $250, $500, $1,000, $2,000, $5,000, $10,000 $250 $250 excess on specialist & tests no matter which base excess is selected. $250 Southern Cross $0, $250, $500, $1,000 $0 Excess for specialist & tests is matched to whichever base excess is selected. $0 Sovereign $0, $250, $500, $750, $1,000, $2,000, $4,000 $0 $250 Nil excess on specialist & tests no matter which base excess is selected. $250 www.chatswood.co.nz February 2015
  • 15. 15 Getting it Right: Settings www.chatswood.co.nz February 2015
  • 16. 16 Rating Process Definition Incidence Frequency Amount Readability Impact Better research to support recommendations, based on: the meaningful differences between products, on your client’s actual situation, and on real-world risks. Based on actual risks and payment Specific to each client and options Low cost, easy to update and use Male / Female Employed / self- employed Age Options selected Realistic claims scenario Each report varied for each quotation www.chatswood.co.nz February 2015
  • 17. 17 www.chatswood.co.nz17 Thank You! Visit us at www.chatswood.co.nz Please remember that this material is © Copyright – please use in your business but do not distribute or re-sell Information was current to 2 February 2015.
  • 18. 18 Rating Process Definition Incidence Frequency Amount Readability Impact Better research to support recommendations, based on: the meaningful differences between products, on your client’s actual situation, and on real-world risks. Based on actual risks and payment Specific to each client and options Low cost, easy to update and use Male / Female Employed / self-employed Age Options selected Realistic claims scenario Each report varied for each quotation www.chatswood.co.nz