The 2004 Healthcare Conference April 2004, Scarman House, University of Warwick
A New World Of Protection? Ian Sissons and Peter Banthorpe Munich Re UK Life Branch
Contents What is Protection? What do we do at the moment? What risks can the customer be encouraged to manage? Delivering personal risk management Where next?
What is protection?
What is Protection? Dictionary says: Protect 1. Keep safe (a person, thing etc); defend; guard….. Protection 1 a the act or an instance of protecting. b the state of being protected; defence. c a thing, person, or animal that provides protection. Source: The concise Oxford Dictionary. Ninth Edition.
Do current products protect? Life Assurance Critical Illness Insurance Income Protection Private Medical Cover Long-term Care Hospital Cash
What do we do at the moment?
A selection: Bright Grey – free gym trial, discounted health screening, discounted health foods BUPA – health screening Axa – Denplan dental check-ups
What risks can customers be encouraged to manage?
The major causes of claim - CIC Source: Claims Submitted to CMIB 2000 CI Investigation – excludes death claims
The major causes of claim - IP Source: Wilkie Data. All years. Top 40 Causes of Claim. DP26.
The major causes of claim - PMI Source: MRe Specific Client Data
The major causes of claim - summary Cancer Heart Attack Stroke Musculoskeletal injuries Psychological
How do we reduce the risk? Exercise Diet Environment Preventative Drug Treatments
Exercise Numerous studies for classifying the benefits of moving from inactive to moderate to vigorous exercise Studies concentrate on death from cause rather than incidence but can proxy Direct benefits and also benefits on risk factors: BMI Blood pressure Cholesterol levels Reduced levels of stress
Relative Risk From Exercise For Various Diseases MenFemales IllnessModerateInactiveModerateInactive CHD Diabetes Prostate/Breast Cancer Lung Cancer Source: The case for active exercise insurance. Estelle V. Lambert et al.
Diet Diet thought to account for 30% of cancers in Western Countries but proof of cause/effect is limited Balanced diet of fruit, vegetables and cereals recommended Effects on other risk factors: Blood pressure Lower cholesterol Control Weight Source: The effect of diet on risk of cancer; Timothy Key et al; Lancet Volume 360; September
BMI and Disease Risk Source: Body Weight: implications for the prevention of coronary heart disease, stroke and diabetes mellitus in a cohort study of middle aged men; Shaper et al. BMJ 1997; 314:1311 BMI< Major coronary event Major Stroke Event Diabetes Adjusted Relative Risks for Various Diseases (14.8 year average follow up)
Drug Treatments and CHD Aspirin: the perennial wonder drug! For high risk over 50’s reduces chance of stroke and CHD by 20% Costs c37p a month Impact on quality of life/reduce fear of disease
Psychological/Musculoskeletal Could be work or lifestyle related Lifestyle underwriting excludes many Work related difficult to address Addressed through group insurances? Psychological exclusions?
Delivering personal risk management
What does the insurance industry need? Activities that are verifiable Cost effective Scientific proof/data on benefits Attractive to the public No side effects
What do people want? Health improvements Financial Incentives Things people really want! Cheap cinema tickets Cheap travel Cheap gym membership Reward points(?) Insurance Benefits Reduced premiums Greater benefits
Where does the value come from? Explicit Charging Does this work in a competitive environment? Lower claims Better quality of life at outset Improving quality of life over term of policy Better persistency Cheaper costs of obtaining and running business Non-Insurance Benefits cheaper due to commercial/affinity deals
Lower Claims Better Quality of life at Outset Verified by preferred/lifestyle underwriting factors? What about other pools of risk? Improving quality of life over term of policy Verifiable? Does this benefit annual policies?
How to structure the products Need to encourage those lives which are improving (and discourage those that aren’t) Age at entry rates Competitive market Annually Costed Long-term products Less competitive market More flexible in passing on discounts Short-term products Reserving implications?
Where next?