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中高端医疗险开始靠“转保”挖客户了
经济观察报· 2025-09-16 10:13
Core Viewpoint - The article discusses the increasing trend of "policy transfer" in the short-term health insurance sector, particularly in the context of slowing growth in new medical insurance policies. Existing customers are becoming a key target for mid-to-high-end medical insurance products, with insurance brokers and platform institutions actively promoting policy transfers [1][4]. Group 1: Policy Transfer Phenomenon - The phenomenon of "policy transfer," common in auto and long-term insurance sales, is now emerging in the short-term health insurance sector [2]. - An example is provided where a client, Ms. Liu, is advised by her insurance broker to transfer her expiring medical insurance policy to a new product, "Zhongminbao," which offers expanded coverage despite a significant increase in premium from several hundred to nearly 2000 yuan [3]. Group 2: Transfer Rules and Conditions - Different insurance products have varying rules for policy transfers. For instance, "Zhongminbao" requires the previous policy to be active and past the waiting period, with a minimum coverage of 150,000 yuan and a maximum deductible of 10,000 yuan [4]. - The transfer process is noted to be more complex than direct purchasing, requiring clients to submit their original policy details and health disclosures, which increases operational costs for insurance companies [4]. Group 3: Changing Consumer Demands - Consumer demand for medical insurance is evolving, with products that cover outpatient medications and special medical services becoming more popular. Products with relaxed health disclosures are particularly attractive to individuals with pre-existing health conditions [5]. - The expansion of coverage responsibilities is leading to increased premiums, and brokers can earn higher commissions by promoting more comprehensive mid-to-high-end medical insurance products [5]. Group 4: Considerations for Consumers - While policy transfers can waive waiting periods, consumers must be cautious about the underwriting process, which may be less convenient if health conditions fall within the inquiry limits. Existing health issues may not be covered under the new policy [5].
中高端医疗险开始靠“转保”挖客户了
Jing Ji Guan Cha Bao· 2025-09-16 08:46
Core Viewpoint - The phenomenon of "policy transfer," common in car and long-term insurance sales, is increasingly appearing in the short-term health insurance sector, indicating a shift in consumer behavior and insurance marketing strategies [1][2]. Group 1: Policy Transfer in Short-Term Health Insurance - Policy transfer allows customers to switch their insurance responsibilities and premiums to another company before their current policy expires, with the potential to waive the 30-day waiting period [2][3]. - Various short-term health insurance products, such as China Pacific Insurance's "Jin Yi Bao" and ZhongAn Insurance's "Zhong Min Bao," currently support policy transfers, reflecting a competitive market [2][3]. Group 2: Conditions and Complexity of Policy Transfer - Different insurance products have specific conditions for policy transfer, such as the requirement for the previous policy to be active and the absence of claims [3]. - The policy transfer process is more complex than direct purchasing, requiring customers to submit health disclosures and specific coverage details, which increases operational costs for insurance companies [3][4]. Group 3: Changing Consumer Demand and Market Dynamics - The demand for health insurance is evolving, with consumers favoring products that cover external medications and special medical services, driven by changes in medical insurance payment methods [3][4]. - Insurance brokers are actively promoting policy transfers as a strategy to retain existing customers and increase commissions through the sale of more comprehensive high-end health insurance products [3][4].
众安在线公布2025年中期业绩:净利同比增长1103.5%,综合成本率改善
Huan Qiu Wang· 2025-08-21 11:03
Group 1: Financial Performance - In the first half of 2025, the company achieved total premiums of RMB 16.661 billion, a year-on-year increase of 9.3% [1] - The comprehensive cost ratio improved by 2.3 percentage points to 95.6% [1] - The net profit attributable to shareholders reached RMB 668 million, a significant increase of 1103.5% compared to the same period in 2024 [1] Group 2: Health Insurance Segment - The total premiums for the health ecosystem reached RMB 6.275 billion, growing by 38.3% year-on-year, covering approximately 15.21 million insured users [1] - The flagship health insurance product "Zunxiang eSheng" generated premiums of about RMB 4.25 billion during the reporting period [1] - The "Zhongminbao" series, which targets non-standard health users, achieved total premiums of approximately RMB 1.03 billion, a year-on-year increase of 638.8% [1] Group 3: Digital Life Ecosystem - The digital life ecosystem generated premiums of RMB 6.209 billion, with innovative business premiums reaching RMB 2.49 billion, accounting for 40.1% of the total, and a year-on-year growth of 40.0% [2] - The pet insurance segment saw total premiums close to RMB 563 million, with a year-on-year growth of over 51.3% [2] - The automotive ecosystem achieved total premiums of RMB 1.478 billion, a year-on-year increase of 34.2%, with new energy vehicle insurance premiums growing by approximately 125.4% [2] Group 4: Digital Banking and Technology Integration - ZA Bank, a subsidiary of the company's joint venture, has become one of the most comprehensive digital banks in Hong Kong, achieving a net profit of HKD 49 million in the first half of 2025 [3] - The company emphasizes a "technology-driven finance" strategy, leveraging AI, blockchain, cloud computing, and big data to enhance service quality [3] - The mission is to create value for users, shareholders, and society through innovative insurance solutions [3]
免健告开启“非标体”窗口 中高端医疗险加速进军
Huan Qiu Wang· 2025-07-15 07:21
Core Viewpoint - The insurance industry is witnessing a shift with multiple companies launching high-end medical insurance products that do not require health disclosures, raising discussions about underwriting standards and market trends [1][3]. Group 1: Market Trends - Several insurance companies, including Taikang Online and Ping An Property & Casualty, are promoting "no health disclosure" high-end medical insurance as a key selling point, which can cover general pre-existing conditions [3]. - The trend was initiated by Zhong An Insurance with its launch of the Zhong Min Bao high-end medical insurance, prompting other insurers to follow suit [3]. - The market for high-end medical insurance is becoming increasingly competitive, with a significant focus on the "non-standard" population, which includes over 300 million chronic disease patients in China [3][4]. Group 2: Product Features and Risks - The new insurance products feature relaxed underwriting conditions and higher coverage limits, but their sustainability is under scrutiny due to potential risks [4]. - These products often include high deductibles and restrictions on pre-existing condition coverage to manage risk, leading to disparities in coverage and claims experience between healthy individuals and the "non-standard" population [4]. - Concerns about "adverse selection" are prominent, as individuals with poorer health are more likely to purchase these insurance products, potentially increasing overall risk and claims rates [3][4].
带病可投、无需健告,中高端医疗险加速向“非标体”市场进军
Bei Jing Shang Bao· 2025-07-14 13:58
"健康告知",这一横亘在大量非健康人群与商业健康保障之间的巨大鸿沟,正在被悄然填平。7月14日,北京商报记者注意到,近期包括平安产 险、泰康在线等在内,多家险企推出了无需健康告知的中高端医疗险产品。 健康告知是风险筛选的第一道也是最重要的闸门。不用看复杂的健康告知就能投保,到底是真的降低了投保门槛,还是营销噱头?又将如何影响 医疗险市场走向? 以泰康在线的泰享无忧·中高端医疗险为例,据介绍,该产品的主要卖点包括免健康告知、无职业限制、一般既往症可保可赔等。平安产险推出的 北极星(免健告)中高端医疗险同样投保无需健康告知,能赔一般既往症。 在保险领域,健康告知,是指保险公司在投保前了解投保人的健康情况,保险公司评估风险的重要环节,一般告知内容包括疾病史、身体现状、 家庭病史、职业等。通常采取询问和有限告知的方式。如实告知也是投保人的法定义务,在投保时没有做到如实告知,容易给将来的理赔埋下隐 患。 此前,健康告知几乎是所有商业健康险,尤其是中高端医疗险不可逾越的环节。保险公司据此评估风险,决定是否承保、是否加费或设置责任免 除条款。对于身体存在异常指标或既往病史的"非标体"人群,这一过程往往意味着保障机会的丧失或 ...
“带病能买也能赔”,众民保是爆款也是“毒丸”?
Core Viewpoint - The article discusses the controversial nature of the "Zhongminbao" health insurance product launched by Zhong An Insurance, highlighting its attractive pricing and relaxed underwriting standards, which have raised concerns about potential losses for the company [2][5][10]. Summary by Sections Product Features - Zhongminbao offers unique features such as coverage for pre-existing conditions, the ability to purchase insurance up to the age of 105, and a zero deductible, which have garnered significant attention in the market [4][10]. - The product has achieved over 100 million in sales within ten days of its launch, indicating strong market demand [4]. Market Dynamics - The health insurance market is experiencing a shift, with increasing demand for high-end medical resources following reforms in medical insurance payment systems [9]. - Zhongminbao's pricing is approximately 40% lower than similar products, making it highly competitive in the market [10]. Risks and Concerns - The relaxed underwriting criteria may attract a higher number of high-risk clients, leading to potential future losses for Zhong An Insurance if claims exceed expectations [12]. - There is a lack of clarity regarding the definitions of "general pre-existing conditions" versus "serious pre-existing conditions," which could lead to disputes over claims [14]. Strategic Importance - Zhong An Insurance's move into the health insurance sector is seen as a strategic shift, as other lines of business have not been profitable [17]. - The company aims to reduce its reliance on online platforms and improve its cost structure through the introduction of Zhongminbao [21][22]. Market Positioning - The product targets a middle-income demographic that has a growing need for commercial health insurance, particularly among individuals around 40 years old [23]. - Zhongminbao is positioned as a potential solution for Zhong An Insurance to escape the cycle of high customer acquisition costs and low profitability associated with its previous offerings [19][20].