1. Presented by Isaac Nzyoka Group Managing Director - Health 17 th November 2015 Realigning Healthcare as a Business

2. OLD MUTUAL EMERGING MARKETS AT A GLANCE - FY 2014 Customer # FuM 3.1m Kes. 434 billion Rest of Africa FUM Kes.6.3 Trillion Customer # FuM Asia 69k Kes. 112 Billion Customer # FuM 5.9m Kes. 5.01 Trillion South Africa 1 Customer # FuM 456k Kes. 777 Billion Latin America NCCF Kes. 149 Bn IFRS AOP Kes. 77 Bn Customers c. 9m Employees c. 25k

3. IS HEALTHCARE A BUSINESS? Healing is an art, medicine is a profession but healthcare is a business

4. HEALTHCARE IS BIG BUSINESS ….AND GROWING  $7.2 trillion annually 2015  10.6% of global GDP  5.2% annual growth rate to $9.3 trillion by 2018 Harvard Business Review, What is the business of healthcare, 2012

5. 4 TRENDS IMPACTING HEALTHCARE IN 2015 1. Costs 2. Adapting to market forces 3. Transformation and digital innovation 4. Regulation and compliance Deloitte Global Health Report – 2014

6. 20 YEARS FROM NOW…. Genetic modification, robotics, telemedicine will be standard practice Real progress in understanding and slowing aging A whole new generation of long term and costly pill takers Likely need to choose between prolonging life or having babies Demand for funding innovations for old, sick and poor

7. …..BUT COMMERCIAL DILEMMAS WILL PERSIST Reducing cost of services Meeting Increasing demand Those in most need are those least able to pay Society must choose between allowing the sick and poor to suffer and die, or provide a mechanism to share these costs among the many. Insurance to play a key role in financing health

8. THANK YOU Healthcare, and Health Insurance have a very sound, if different, future!