保险行业AI应用全景丨洞察报告 卷首语： 然而，当目光锚定科技前沿，一个深刻变革正在上演：AI正以系统性重塑者的姿态，重新定义保险行业的运 行逻辑。它不再是概念宣讲里的"未来畅想"，而是通过智能算法、数据洞察，深度融入产品设计、服务流 程、风险管控，实现科技赋能与保险初心的同频共振。这场变革的底层逻辑，是数字技术与金融服务的深度 融合。 每一次基于大数据的精准风险定价，每一回借助智能交互完成的便捷理赔，都在重构大众对保险服务的认知 范式。 当AI能够比人工更高效识别潜在风险，当算法可以为客户定制专属保障方案，如何在科技效率与人文关怀之 间筑牢平衡支点，将成为贯穿保险AI时代的核心命题。我们期望行业各方，能在数字创新与保障本质的共鸣 中， 寻回保险"守护稳稳幸福"的初心，奔赴对行业高质量发展、对客户美好保障体验的深度追求。 核心摘要： 发展背景 ➢ 市场规模： 中国保险市场持续扩容，2026年原保费收入有望突破 6.3万亿元 ，寿险、财产险、健康险等 均呈增长态势。 ➢ 科技投入： 保险业科技投入持续高速增长，2025年总投入将突破670亿元，大数据、云、AI为主要投入 领域。 ➢ 技术价值： 生成式 AI 有 ...

南方财经全媒体记者 孙诗卉 实习生 涂盛青 上海报道 近日，多款百万医疗险上新，21世纪经济报道记者发现，百万医疗险"卷"药品责任成为产品升级新趋 势。具体来看，多款产品对特药目录进行了扩容、放开了外购药责任，尤其在外购药责任方面做出了极 大的突破。 以往，不限清单的外购药责任仅出现在高端医疗险产品责任中，而普通的百万医疗几乎是没有产品可以 扩展外购药责任。 之所以出现这样的趋势，众安保险资深产品专家王顺对21世纪经济报道记者解释称，一方面原因是患者 的实际就医需求，在实际就医过程中患者可能遇到的用药限制，在癌症重症治疗领域中，患者也需要长 期自费购买免疫或靶向药，通过设计外购药责任，可以大幅降低经济负担，解决用户实际痛点。 另一方面，医疗险的基础责任趋同，而外购药的增设也同时提升了产品的竞争力，针对清单范围内的特 药、高昂价格药品提供特药直付和用药追踪，将 "报销环节" 延伸至 "治疗全流程"，降低患者垫资压力 的同时，也通过审核规范用药减少理赔纠纷。 事实上，自按疾病诊断相关分组（DRG）和按病种分值付费（DIP）支付方式的多项改革措施在全国范 围内加速推进，许多价格较高的原研药、进口药，以及一些非医保目 ...

Regulatory Dynamics - Six departments support optimizing the guarantee system and promoting innovation in pension-related products [5] - Two departments released the "Implementation Plan for High-Quality Development of Inclusive Finance in Banking and Insurance" [6] - The central bank emphasized utilizing securities, fund, and insurance company swap facilities and stock repurchase to maintain capital market stability [7] - The Ministry of Human Resources and Social Security announced a 3% tax on personal pension withdrawals, not distinguishing between principal and investment income [8] - The Medical Insurance Bureau released guidelines for adjusting the basic medical insurance catalog and commercial insurance innovative drug catalog for 2025 [9][10] - The China Trust Industry Association is drafting guidelines for insurance trust business [11] - Former vice chairman of the China Insurance Regulatory Commission, Li Kemu, highlighted the significant potential in advancing the pension industry [12] - The Shanghai Financial Regulatory Bureau issued a plan to enhance pension financial services for the silver economy [13] - Shanghai will adjust unemployment insurance payment standards starting July 1 [14] Company Dynamics - Ping An Life has made three significant investments in China Merchants Bank's H-shares within six months [16] - PICC Pension's Beijing branch has been approved to commence operations [26] - China Ping An increased its stake in Agricultural Bank of China H-shares to 16.09% [17] - JPMorgan's stake in AIA Group has risen to 8.04% [18] - China Life, along with other companies, plans to establish a partnership with a total investment of 1.2 billion [19] - Haigang Life and CITIC Financial Assets have formed an equity investment fund with a total investment of 4.009 billion [20] - China Post Group and AIA have jointly injected capital, elevating China Post Life's registered capital to the fourth largest in the life insurance industry [21][22] - Huatai Asset Management's second-largest shareholder plans to transfer its shares, potentially making Huatai Insurance Group the sole shareholder [23] - Zhong An Insurance initiated a strategic capital increase of 3.9 billion HKD to enhance financial technology innovation investments [24] - China Pacific Insurance's subsidiary completed private fund manager registration [25] - Taikang Insurance has abolished its supervisory board [27] - Beida Forward signed an insurance agency agreement with Ping An Bank, with expected annual agency fees between 230 million to 360 million [28][29] Industry Dynamics - Insurance companies have raised nearly 70 billion in capital through large-scale increases and bond issuances this year [47] - The trend of insurance funds frequently acquiring H-shares has been noted, with significant increases in activity compared to the previous year [48] - Major insurance companies are increasing investments in real estate, with over 4 companies disclosing significant investments totaling over 4.8 billion [49] - Guojin Securities highlighted the potential for a revaluation of insurance stocks under new standards [50] - UBS maintained a "buy" rating for AIA after its investment in China Post Insurance, indicating minimal impact on its solvency [51] - 60% of insurance institutions plan to increase their investment in Hong Kong stocks by 2025, with Hong Kong being the preferred market for overseas investments [52] - The number of pilot cities for long-term care insurance has expanded to 49, with over 180 million participants [53] - The longevity economy presents significant opportunities for the pension industry, as highlighted by industry leaders [54] Product Services - China Life launched two new annuity insurance products: GuoShou XinXiang HongYing and GuoShou XinYue WanGeng [55]

Group 1 - Company has initiated an H-share placement to raise approximately HKD 40 billion for capital supplementation, fintech innovation, and general corporate purposes, marking its first equity financing since listing [1] - The placement involves 215 million H-shares, accounting for approximately 14.63% of the total share capital before placement and 12.76% after placement, with a placement price of HKD 18.25 per share, representing an 8.5% discount to the closing price on June 25 [1] - The expected net proceeds from the fundraising are approximately HKD 38.96 billion [1] Group 2 - The company's insurance premium growth is strong, with a 12.3% year-on-year increase in the first five months of 2025, outperforming the industry, driven by rapid growth in health and auto insurance [2] - The combined ratio (COR) for Q1 is reported at 94.1%, a decrease of 5.3 percentage points year-on-year, with a net profit of HKD 570 million, compared to a loss of HKD 90 million in the same period last year [2] - The company is actively involved in the stablecoin business in Hong Kong, holding approximately 20% of Yuan Coin Technology, which is one of the first institutions to enter the Hong Kong Monetary Authority's stablecoin issuance sandbox [2] Group 3 - The company is expected to see significant profit growth in H1 2025 due to a low base effect, with a net profit of only HKD 55 million in H1 2024, representing a 75% year-on-year decline [2] - As of the end of Q1 2025, the company's core and comprehensive solvency ratios are 214% and 220%, respectively, indicating stability [2] - The recent equity financing is anticipated to strengthen the company's capital position, supporting rapid growth in the insurance sector and ongoing investments in technology [2] Group 4 - The company is expected to maintain a competitive advantage in the internet insurance market, with significant growth potential from technology output and digital banking operations [3] - The profit forecasts for 2025-2027 project the company's net assets to be HKD 22.9 billion, HKD 24.3 billion, and HKD 26.1 billion, respectively, with current market capitalization corresponding to price-to-book (PB) ratios of 1.09, 1.03, and 0.96 for the same years [3] - The company maintains a "buy" rating based on its growth prospects [3]

Regulatory Developments - Six departments, including the People's Bank of China, issued guidelines to enhance commercial health insurance support for innovative drugs, aiming to meet diverse health protection needs [1] - The National Financial Regulatory Administration is working on incorporating inclusive insurance development into the regulatory evaluation system for insurance companies, establishing an assessment mechanism for inclusive insurance [2] Industry Trends - The implementation of new compliance regulations is accelerating, as evidenced by the appointment of chief compliance officers in multiple insurance companies, indicating readiness for the upcoming Compliance Management Measures [3] - The popularity of the Jiangsu Province City Football League has led to increased participation from insurance companies, providing comprehensive risk coverage for players and spectators [4] Capital Movements - Insurance companies have accelerated capital replenishment through significant increases in registered capital and bond issuance, totaling 69.213 billion yuan by June 22, a 95% year-on-year increase [5] - Zhongyou Insurance has been approved to increase its registered capital by 3.98 billion yuan, raising it to 32.643 billion yuan [6] - China United Insurance has received approval to increase its registered capital by 1.2 billion yuan, bringing it to 4.1 billion yuan [7] Corporate Actions - ZhongAn Online plans to place 215 million H-shares, expecting to raise approximately 3.8963 billion HKD after expenses [8] - Guobao Life's 7.6% equity stake was auctioned off, with the new owner being Meishan State-owned Assets Management Company, which acquired it for 176 million yuan [8] Personnel Changes - Baolingjie is set to become the new president of ICBC-AXA Life Insurance, filling a vacancy left by the previous president [9] - Yu Hong has been approved as the general manager of AIA Life Insurance, responsible for strategic planning and daily operations [10] - Wang Xuze has been appointed as the interim head of Taiping Life Insurance, overseeing the company's operations [11] - He Xiao has been approved as the general manager of Zijin Insurance, taking on leadership responsibilities [12]

Group 1 - The Hang Seng Index fell by 0.61% on June 26, with southbound trading totaling HKD 167.21 billion, including HKD 86.25 billion in buying and HKD 80.96 billion in selling, resulting in a net buying amount of HKD 5.29 billion [1] - The southbound trading through the Shenzhen Stock Connect amounted to HKD 52.41 billion, with net buying of HKD 2.04 billion, while the Shanghai Stock Connect saw a total of HKD 114.80 billion with net buying of HKD 3.24 billion [1] - Among the actively traded stocks, Guotai Junan International had the highest trading volume at HKD 31.72 billion, followed by Hong Kong Travel and China Everbright Holdings with HKD 8.89 billion and HKD 5.91 billion respectively [1] Group 2 - Semiconductor Manufacturing International Corporation (SMIC) recorded a net buying amount of HKD 8.96 billion, with a closing price increase of 1.02% [2] - China Construction Bank and Xinda Biopharmaceuticals also saw significant net buying amounts of HKD 5.82 billion and HKD 6.75 billion respectively, while Tencent Holdings experienced the highest net selling of HKD 5.71 billion, despite a slight price increase of 0.10% [2] - A total of 7 stocks, including SMIC and Hong Kong Travel, were active in both the Shenzhen and Shanghai Stock Connects, with SMIC's total trading amount reaching HKD 4.63 billion and a net buying of HKD 8.96 billion [2]

Core Insights - On June 26, several stocks including China Everbright Holdings, Hong Kong Travel, Ocean Park, and Rongchang Biopharmaceutical made their debut on the active trading list of Hong Kong Stock Connect, marking their first appearance in the past month [1][2] - The total trading volume of active stocks on June 26 reached 752.26 billion HKD, accounting for 44.99% of the total trading amount for the day, with a net buying amount of 37.13 billion HKD [1][2] Trading Activity Summary - China Everbright Holdings had a trading volume of 59.07 billion HKD with a net buying of 0.94 billion HKD, closing up by 6.19% [2] - Hong Kong Travel recorded a trading volume of 88.87 billion HKD and a net buying of 5.30 billion HKD, closing up by 85.98% [2] - Ocean Park had a trading volume of 16.72 billion HKD with a net buying of 0.23 billion HKD, closing up by 11.27% [2] - Rongchang Biopharmaceutical saw a trading volume of 12.64 billion HKD with a net buying of 1.13 billion HKD, but closed down by 11.71% [2] Most Active Stocks - The most active stock by trading volume was Guotai Junan International, with a trading amount of 317.23 billion HKD [1][2] - Alibaba and Tencent Holdings were the most frequently listed stocks in the past month, each appearing 22 times on the active trading list [1][2]

Investment Rating - The report maintains a "Buy" rating for the company [1] Core Views - The company has initiated an H-share placement to enhance its capital and support innovation in the fintech sector, marking its first equity financing since listing [7] - The placement involves 215 million H-shares, expected to raise nearly HKD 4 billion, with a placement price of HKD 18.25 per share, representing an 8.5% discount to the closing price on June 25 [7] - The company's core business in property and casualty insurance shows positive trends, with a 12.3% year-on-year growth in premiums for the first five months of 2025, outperforming the industry [7] - The company is actively involved in the stablecoin business in Hong Kong, holding approximately 20% equity in a stablecoin technology firm, which is beneficial for long-term performance growth [7] - The low base effect from 2024 is expected to lead to significant profit growth in the first half of 2025, supported by the recent equity financing [7] - The report forecasts substantial growth in net profit for 2025-2027, with projected net assets of RMB 229 billion, RMB 243 billion, and RMB 261 billion respectively, and a corresponding price-to-book (P/B) ratio of 1.09, 1.03, and 0.96 [7] Financial Summary - Total revenue is projected to grow from RMB 27,535 million in 2023 to RMB 48,506 million by 2027, with a compound annual growth rate (CAGR) of approximately 14.82% [1] - The net profit attributable to shareholders is expected to recover from a loss in 2024 to RMB 1,574 million by 2027, reflecting a significant turnaround [1] - The company's book value per share is anticipated to increase from RMB 13.66 in 2023 to RMB 17.78 in 2027 [1] - The current market capitalization is approximately HKD 25,848 million, with a price-to-book ratio of 1.28 [5]

Core Insights - On June 26, 2025, Guotai Junan International (01788), Hong Kong Travel (00308), and China Everbright Holdings (00165) ranked as the top three companies by trading volume in the Southbound Stock Connect, with trading amounts of 24.285 billion, 6.964 billion, and 4.470 billion respectively [1] - In the Southbound Stock Connect for the Shenzhen-Hong Kong Stock Connect, Guotai Junan International (01788), Hong Kong Travel (00308), and Xiaomi Group-W (01810) were the top three companies, with trading amounts of 7.437 billion, 1.923 billion, and 1.730 billion respectively [1] Southbound Stock Connect (Shanghai-Hong Kong) - Top active companies by trading volume include: - Guotai Junan International (01788): 24.285 billion with a net buy of 26.0143 million - Hong Kong Travel (00308): 6.964 billion with a net buy of 400 million - China Everbright Holdings (00165): 4.470 billion with a net buy of 7.03114 million - Shandong Molong (00568): 4.252 billion with a net buy of 93.5208 million - Xiaomi Group-W (01810): 3.235 billion with a net buy of 78.9768 million [2] Southbound Stock Connect (Shenzhen-Hong Kong) - Top active companies by trading volume include: - Guotai Junan International (01788): 7.437 billion with a net buy of 233 million - Hong Kong Travel (00308): 1.923 billion with a net buy of 130 million - Xiaomi Group-W (01810): 1.730 billion with a net buy of 123 million - SMIC (00981): 1.652 billion with a net buy of 532 million - China Everbright Holdings (00165): 1.437 billion with a net buy of 24.1098 million [2]

Core Viewpoint - The recent stock price volatility of ZhongAn Online (06060.HK) is attributed to its planned placement of H-shares at a discount, which has raised concerns among investors despite the company's strong performance in the stablecoin sector [1][4]. Group 1: Company Performance - ZhongAn Online's stock price fell by 6.62% to HKD 18.62 per share, with a market capitalization of approximately HKD 27.37 billion, despite a significant trading volume of HKD 3.288 billion on the day [1]. - The company has seen a substantial rebound in stock price since late May, with a maximum increase of over 70%, driven by its positioning in the stablecoin market [1][3]. - For the year 2024, ZhongAn Online's total premium income is projected to reach RMB 33.417 billion, reflecting a year-on-year growth of 13.3% [2]. Group 2: Industry Context - The Hong Kong Legislative Council passed the Stablecoin Bill on May 21, 2023, which will take effect on August 1, 2023, establishing a comprehensive regulatory framework for fiat-backed stablecoins [2]. - Analysts predict that the stablecoin market could reach a size between USD 1.6 trillion and USD 3.7 trillion by 2030, indicating significant growth potential in the sector [2]. - ZhongAn Online is positioned as a leader in the stablecoin space, having become the first digital bank in Hong Kong to provide reserve banking services for stablecoin issuers [3]. Group 3: Shareholder Actions - Major shareholders, including Ant Group and Youfu Holdings, have reduced their holdings in ZhongAn Online by approximately 51.26 million shares, cashing out over HKD 900 million [4]. - Ant Group stated that the share reduction is a normal investment decision aimed at optimizing capital allocation and will not affect its business collaboration with ZhongAn Online [4].