日前，国家金融监管总局向各保险公司印发《关于推动城市商业医疗险高质量发展的通知》（以下简称 《通知》），要求城市商业医疗险（惠民保）突出普惠定位，坚守商业属性，遵循保险规律，规范精准 定价。机构分析称，预计率先开展寿险渠道及产品高质量转型，产品定价具备优势且深度布局健康险产 服体系的头部保险公司将更为受益。 国泰海通证券非银金融分析师刘欣琦认为，《通知》系统引导城市商业医疗险走向规范、可持续发展， 要求保险公司对产品规范精准定价，持续提升产品和服务的多样化水平，回归市场化、专业化经营，利 好进一步健全保险保障体系，激发居民对保障产品的需求。"预计率先开展寿险渠道及产品高质量转 型，产品定价具备优势且深度布局健康险产服体系的头部保险公司将更为受益。" 《通知》要求突出城市商业医疗险的普惠定位。保险业要坚持以人民为中心的发展思想，围绕人民群众 的优质医疗保障需求，优化城市商业医疗险产品供给，及时将医疗新技术、新药品、新器械应用纳入责 任范围，提供覆盖广泛、公平可得、保费合理、保障有效的保险服务。要努力扩大城市商业医疗险的惠 及面，推动商业医疗保险可及可信、可保可赔、可感可知。 （文章来源：广州日报） 同时，《通知 ...

Regulatory Voice - The Financial Regulatory Bureau emphasizes the importance of disaster response and insurance claims services during the main flood season, urging relevant units to enhance resource investment and streamline claims processes to support affected areas like Beijing and Hebei [1] - The Financial Regulatory Bureau has issued guidelines for the sustainable development of urban commercial health insurance, focusing on inclusivity, product management, risk management, and market order [1] Industry Focus - The predetermined interest rate for traditional life insurance products has been lowered by 50 basis points to 2.0%, with the guaranteed interest rate cap for participating insurance reduced to 1.75% [3] - The insurance industry reported a total premium income of 3.74 trillion yuan in the first half of the year, a year-on-year increase of 5.04%, with life insurance premiums growing by 5.34% [4] - Property insurance companies reported a combined profit of 87.59 billion yuan in Q2 2025, a 68.08% increase year-on-year, with 63 companies profitable [5] Corporate Dynamics - Zhongyi Property Insurance has received approval to increase its registered capital from 1.3 billion yuan to 1.692 billion yuan [7] - China Ping An has appointed Wang Xiaohang as the Chief Technology Officer [10] - Qian Fang is temporarily assuming the role of chairman at Guolian Life Insurance pending regulatory approval [11]

Core Viewpoint - The new regulatory guidelines emphasize the importance of balancing the inclusive nature and commercial attributes of urban commercial health insurance (惠民保), aiming for sustainable development while adhering to market principles [1][5]. Group 1: Regulatory Guidelines - The Financial Regulatory Bureau issued a notification on July 31, requiring urban commercial health insurance to focus on inclusivity while maintaining its commercial nature [1]. - The notification mandates that insurance companies optimize product offerings to meet diverse health protection needs, ensuring broad coverage and reasonable premiums [2][5]. - Insurance companies are instructed to base pricing on reliable historical data, ensuring fair and differentiated pricing according to factors like age, gender, and health status [3][5]. Group 2: Market Competition - The notification prohibits "involution-style" competition, urging insurance companies to avoid chaotic price wars and maintain fair competition [4][5]. - Companies must enhance product diversity and adhere to internal control management during product development, sales, and claims processes [4]. - Sales practices must be transparent, with clear communication of product functions and obligations to prevent misleading information [4][5]. Group 3: Long-term Development - Experts believe the guidelines aim to curb unhealthy competition and ensure service quality, promoting the long-term health of 惠民保 [5]. - The focus is on transitioning from short-term expansion to long-term value creation, supporting a multi-tiered medical insurance system [5].

Core Viewpoint - The National Financial Supervision Administration issued a notice aimed at promoting the high-quality development of urban commercial health insurance, emphasizing the importance of inclusivity, adherence to commercial principles, and compliance with insurance regulations [1] Group 1: Regulatory Guidelines - Urban commercial health insurance should highlight its inclusive positioning while maintaining its commercial nature and following insurance laws [1] - The notice mandates that insurance companies operate independently, with consumers voluntarily choosing to purchase insurance [1] - Companies are required to align premium collection with the level of coverage provided, ensuring a balance between expanding coverage and sustainable commercial development [1] Group 2: Consumer Protection and Product Management - Insurance companies must focus on the needs of target customers when defining insurance responsibilities and exclusions [1] - There is a requirement for enhanced management of product sales appropriateness, ensuring accurate communication of product functions and benefits to the public [1] - Companies must collaborate with sales channels to fulfill the obligation of explaining exclusion clauses, preventing misleading sales practices that exaggerate coverage or conceal exclusions [1]

Core Viewpoint - The Financial Regulatory Bureau issued a notice to promote the high-quality development of urban commercial health insurance, emphasizing its inclusive nature and commercial attributes to ensure sustainable growth [1][4]. Group 1: Development and Challenges - Urban commercial health insurance, known as "Hui Min Bao," has rapidly developed in recent years, with 168 million participants, effectively meeting public healthcare needs [2]. - Despite its growth, the commercial sustainability of Hui Min Bao faces challenges, including a low overall participation rate of about 5%, which may lead to adverse selection and financial instability [3]. Group 2: Regulatory Guidelines - The notice outlines several guidelines to enhance the sustainable development of Hui Min Bao, including optimizing product supply, expanding coverage, and ensuring fair pricing [4][5]. - Insurance companies are required to adopt risk-based pricing, considering factors such as age, gender, and health status to improve product fairness and adaptability [5][6]. Group 3: Market Dynamics - The notice reiterates the commercial nature of Hui Min Bao, mandating that insurance companies operate independently while ensuring consumer protection and satisfaction [6]. - It also prohibits low-price, chaotic competition among insurers to promote high-quality development in urban commercial health insurance [6].

Core Viewpoint - The National Financial Regulatory Administration has issued a notice to promote the high-quality development of urban commercial health insurance, emphasizing its inclusive nature while maintaining its commercial attributes and adhering to insurance regulations [1][2]. Group 1: Urban Commercial Health Insurance Overview - Urban commercial health insurance, known as "Hui Min Bao," is guided by local governments and operated by insurance companies, designed to complement basic medical insurance with low entry barriers, low premiums, and high coverage [1]. - The rapid development of urban commercial health insurance in various regions meets the diverse health protection needs of the population [1]. Group 2: Policy Requirements - The notice mandates that urban commercial health insurance should focus on inclusivity, optimizing product supply to ensure broad coverage, reasonable premiums, and effective protection [1]. - Insurance companies are required to operate autonomously while ensuring voluntary participation from the public, aligning premium collection with the level of coverage provided [1]. Group 3: Pricing and Data Insights - Urban commercial health insurance must implement precise pricing based on risk-sharing principles, considering factors such as age, gender, and health status for differentiated pricing [2]. - The commercial health insurance premium income in China is projected to reach nearly 1 trillion yuan in 2024, with 6.223 billion yuan collected in the first half of 2025, reflecting an average annual growth rate of approximately 20% over the past decade [2]. - Cumulative claims paid amount to 2.6 trillion yuan, with over 2.5 trillion yuan in long-term liability reserves accumulated, indicating a robust future health protection reserve for the population [2].

Core Viewpoint - The new regulations issued by the Financial Regulatory Bureau aim to enhance the quality and sustainability of urban commercial health insurance, particularly focusing on the "Hui Min Bao" program, which has been updated after four years to better meet public health needs and expand coverage [3][8][9]. Group 1: New Regulations Overview - The new regulations emphasize the inclusive nature of "Hui Min Bao," aiming to optimize supply and include innovative drugs in the coverage [4][10]. - The regulations stress voluntary insurance participation and differentiated pricing based on health status and age, with higher payout ratios and lower deductibles for healthier individuals [20][21]. - Insurers are prohibited from adjusting the payout conditions of signed insurance contracts within the same year, ensuring stability for policyholders [39][40]. Group 2: Product Positioning and Consumer Satisfaction - The regulations highlight the need for urban commercial health insurance to maintain a public welfare focus while adhering to commercial principles [11][19]. - Insurers are encouraged to improve product offerings and customer service to enhance consumer satisfaction and retention [18][19]. - The regulations support the establishment of platforms for better communication among healthcare, insurance, and pharmaceutical sectors to facilitate claims processing [34][36]. Group 3: Risk Management and Pricing Strategies - Insurers are required to implement precise pricing strategies that reflect the risk profiles of different demographic groups, thereby enhancing fairness and adaptability in product offerings [23][25]. - The regulations address concerns about the sustainability of "Hui Min Bao" by promoting risk management practices and preventing adverse selection [22][24]. - The new rules also call for a clear distinction between commercial insurance and social insurance to avoid confusion among consumers [50]. Group 4: Market Order and Compliance - The regulations outline six prohibitions to maintain market order, including the requirement for insurers to avoid unfair competition and ensure transparent communication of product features [41][42]. - Insurers must clearly indicate the "customized" nature of their products and specify applicable regions in their offerings [51][53]. - The regulations encourage collaboration among insurers to share data and improve operational efficiency, thereby enhancing the overall ecosystem of urban commercial health insurance [38][49].