orangeblock

Direct model trumps traditional insurer profits

02 April 2012 | Non-life | General | Gareth Stokes

The South African short-term insurance industry is continually evolving. Although claims management remains a critical part of the overall insurer business model the recent trend is to allocate more resource to the risk management process. This is one of

It seems local insurers enjoyed a profitable 2011 despite ongoing global economic woes. With the threats posed by slow GDP growth and financial system liquidity having largely worked through the system, the obstacle to ongoing performance excellence is from an unexpected source. PwC Financial Services Leader, Tom Winterboer, observes: “The greatest challenge currently facing the industry is a raft of proposed new legislation governing solvency and business practices, including Solvency Assessment and Management (SAM), binder agreements and micro-insurance legislation.” He said the expanding regulatory universe would have both financial and administrative implications for the sector. How did the country’s “big four” short-term insurers perform last year? A sensible starting point is to determine how much business they have on their books.

Premiums track inflation higher

At 31 December 2011 the four short-term insurers boasted R36.6 billion in gross written premiums (GWP), a 5% improvement over the previous year. Ilse French, Short-term Insurance and Investment Management Leader at PwC singled out Santam as the star performer in this regard. The group, with 22% of the short-term market at present, reported a solid 12% increase in GWP for the year. Operating profits improved across the board thanks to a strong combined underwriting margin across the four insurers of 9.1% (versus 6.4% in 2010). But things get interesting when you split out the numbers to exclude the country’s best-recognised direct insurance brand.

We will begin with the claims ratio – the percentage of premium paid out by an insurer to settle claims. Over the past three years the percentage paid out to the insured (by the four insurers surveyed) has decreased significantly, from 72.8% in 2009 to just 61.9% today. If we exclude Outsurance from this calculation the remaining three insurers report a claims ratio of 64.6%! It seems the direct insurer pays out considerably less than its traditional broker-based peers. The experts say this is due to improved risk management (underwriting), but it could just as easily be due to tougher claims settlement policies or higher excesses charged. Another benefit of the direct distribution model is that acquisition costs are kept in check. The acquisition cost for the big four came in at 11.3% in the latest year, versus 13.6% if Outsurance’s numbers are excluded.

This trend persists when putting the underwriting margin under the microscope. All insurers in the survey achieved 9.1% (already mentioned) versus just 6.3% without Outsurance, suggesting that the direct insurer boasts an underwriting margin somewhere in the region of 20%! The bottom line is that Outsurance pays out less of its collected premium (claims ratio) – spends less on acquisition – and generates more than three times the industry underwriting margin. This revelation explains why it is the darling in the RMB Holdings stable – and why the traditional broker-based insurers have so keenly entered the direct space.

Prospects for 2012

PwC reports invested assets for the short-term insurers of R28.6 billion, on which R1.6 billion in income was generated through 2011. The return on average invested assets was 6.2%, slightly better than inflation, and slightly better than the 5.1% achieved by long-term insurers. It seems many of the country’s insurers (both long and short) have de-risked their balance sheets by moving out of equities and into cash and bond investments. This trend will accelerate as the January 2014 SAM implementation date looms, because the new regulation introduces stricter capital requirements for equity investments.

Aside from regulation the biggest challenge to short-term insurers will be the struggling consumer. We have often mentioned the impact of administered price hikes (typically above inflation) on household budgets – and by this Wednesday (4 April 2012) each and every potential short-term insurance client will be paying up to 71c per litre more for fuel! The average household will have little in the kitty for grudge insurance purchases once this increase passes through the economy.

“Premium growth will be under pressure this year due to inflationary pressures in the economy, the regulatory examinations affecting intermediaries, the current soft short-term insurance cycle as well as continued economic uncertainty,” concludes Winterboer. These pressures will force insures to cut costs by further limiting their claims payouts (by more aggressive risk management and claims settlement practices) as well as seeking out alternative distribution channels in the hunt for new business. Aside from the continued foray into the direct space PwC expects an increase in the number of insurers pursuing affinity partners and expanding their businesses into Africa, India and China.

Editor’s thoughts: The country’s major broker-based insurers entered the direct insurance market some time ago. Santam’s MiWay and Mutual & Federal’s iWYZE already boast large numbers of policyholders. Has your brokerage suffered as clients migrate to the direct short-term model – and do you think the introduction of affinity business partners will impact your business further? Add your comment below, or send it to [email protected]

Comments

Added by Anarchist, 03 Apr 2012
I'm not involved with a direct writer and have a few comments: 1) The greater profitability of the direct writer may not only be as a result of claims management, but is probably also related to the degree of sophistication of their statistical analysis. This translates into smarter underwriting and more niched risk acceptance, often a good thing. 2) One must wonder what the results emanating form I-wyse etc are in comparison to the general portfolios of the majors. This may be telling - but nobody is telling!. 3) There will always be a place for the client requiring the lowest possible premiums even at the expense of policy restrictions. Caveat emptor I think the saying goes. 4) Given the numbers we can expect another round of price cutting - as Yoda is quoted as saying : always a good thing for the consumer is competition. 5) Direct insurers are often viwed as abusers of the system, repudiating claims on technicalities. But then whats the point of policy terms unless adhered to? And thats why policy wordings are so important. And why good comparative advice is necessary. 6) Lastly, in hard times, the last thing someone needs is a technically deficient policy. One buys certainty when paying a premium and restrictive policy terms diminish that certainty. To the client's detriment. And that goes to the role of the broker, to advise on the best value policy given the experience and market knowledge of that broker. One cannot fool all of the people all of the time as the saying goes. Anarchist
Report Abuse
Added by Alan Henderson, 02 Apr 2012
While I haven't seen large numbers of clients leaving to go to the direct insurers, there has been some move. However, I have two concerns about the Direct Model and both are to the client's detriment. The first concern is that some of the direct insurers are not disclosing all the applicable excesses to clients, only the Basic Excess. The client only finds out about the other excesses when they receive their policy documents and if these are not read, then they only find out at claim stage. My second main concern is the fact that when a client calls the direct insurers for a quote, they are only getting one quote and there is no discussion about the quality of the policy wording and this is where a broker comes into play. Most clients don't know to ask about the policy wording before buying insurance so they are buying "blind", only to find out at the time of a claim. Lastly, the direct insurers seem very good at writing new business at low premiums only to increase them, sometime quote substantially, at renewal or after the first claim. Some of the direct insurers also don't get confirmation of the declared claims history at the new business stage but they do so at claims stage. Because of these four factors alone, the direct insurers must have a higher churn rate which doesn't bode well for the industry as a whole, or the clients. We all know how important it is to build up a history with an insurer. Having said all this, I know there is a need for direct insurers in the market as some clients just want the cheapest cover and are not at all concerned about the quality.
Report Abuse
Added by Fred, 02 Apr 2012
The nicest thing in live is to give a direct insurer a blood nose. They only compete on the basis of price. We have succeeded to take more of their clients than them taking of our clients (what an exiting exercise to move their clients) Some of their clients have been moved and after 3 years' normal increases our premiums are still lower than theirs' of 3 years ago - and take into consideration with better explained products and more extended benefits . What is quite interesting is that when you move their clients they can suddenly lower their premiums in an effort to undercut you on price. This makes it even more interesting, since, all those clients have still moved - their decision was based on the principle of the matter. You will find that most of their clients you will move because at claim stage they have discovered all the fine/small print of the policy. There will always be a place for them and us - for them to walk in front, make clients angry and for us to pick up those pieces, nicely put them together and then have happy clients with whom there is a personal relationship of mutual respect. With the direct friends it is and will always just be a numbers game !!!
Report Abuse

Comment on this Post

Name*

Email Address*

Comment*

Direct model trumps traditional insurer profits
quick poll
Question

If you had to hazard a guess, when do you reckon the COFI Bill will be signed into law?

Answer