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Indian Health Insurance

Cygnus Business Consulting and Research
September 1, 2007
107 Pages - SKU: CYG1559957

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Countries covered: India

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.

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; 5.3 Micro insurance; 5.4 Health insurance industry segments; 5.5 Types in Health Insurance; 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; 7.3 Private Sector Non-Life Insurers; 7.4 Specialized institutions; 7.5 Other Intermediaries
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; 10.6 Measures for Overcoming Challenges
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); 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 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); 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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