事件 9 月 30 日，为贯彻落实《国务院关于加强监管防范风险推动保险业高质量发展的若干意见》精神，金融监管总局发布 《关于推动健康保险高质量发展的指导意见》，提出到 2030 年，健康保险在国家健康保障体系中的重要作用进一步发 挥的总体目标。 核心内容 明确健康保险不同细分领域相应要求。1）商业医疗险：表态为"积极发展"，预计是未来健康险的核心增量。①积极 将医疗新技术、新药品、新器械纳入保险保障范围。②鼓励长期医疗保险根据风险类别定价，健全费率调整机制。③ 支持开展个人账户式长期医疗保险业务。④严格按照商业保险的基本原则和客观规律，平稳有序开展城市商业医疗保 险（惠民保）。⑤鼓励开发惠及带病群体、罕见病群体的产品。2）疾病险：表态为"稳步发展"，亮点为支持监管评 级良好的保险公司开展分红型长期健康保险业务。3）此外，①加快发展商业长期护理保险和失能收入损失保险；② 支持与药械企业建立联动合作机制，探索按照市场化原则自主协商谈判、按疗效付费等创新药械多元化支付方式。 推进健康保险公司特色化、专业化经营，增强核心竞争力。①探索符合健康保险特点的发展战略和经营模式，深耕健 康管理，促进医养康养相结合。②支持监管 ...

保险Ⅱ 2025 年 10 月 08 日 投资评级：看好（维持） 行业走势图 数据来源：聚源 -29% -22% -14% -7% 0% 7% 14% 2024-10 2025-02 2025-06 保险Ⅱ 沪深300 相关研究报告 《财险和权益投资拉动业绩，分红险 转型驱动投资端增配权益—保险行业 深度报告》-2025.9.22 《固收兼顾配置和交易，高股息+长股 投 为 破 局 之 道 — 行 业 深 度 报 告 》 -2025.4.10 《资负两端驱动业绩与分红，假设调 整提升 EV 可信度—行业深度报告》 -2025.4.7 拓宽产品形态和功能，健康险有望迎来增长新机遇 ——"健康险高质量发展意见"点评 高超（分析师） gaochao1@kysec.cn 证书编号：S0790520050001 顶层设计打通堵点，指明方向，全方位助推健康险高质量发展 2025 年 9 月 30 日，金监总局发布《关于推动健康保险高质量发展的指导意见》 (以下简称《意见》)，为关乎国计民生的重要险种健康险的发展提出明确要求。 主要内容包括：(1)总体要求：到 2030 年，健康保险在国家健康保障体系中的重 要作用进一步发 ...

Investment Rating - The report maintains an "Outperform" rating for the biopharmaceutical industry [1] Core Viewpoints - The growth of healthcare expenses, which reached 9.06 trillion yuan in 2023, is outpacing GDP growth, indicating that commercial health insurance may provide a solution to the pressures faced by the medical insurance system [3][15] - The commercial health insurance sector is expected to grow significantly, with premiums projected to reach 97.74 billion yuan by 2024, driven by low penetration rates and the need for additional funding sources [20][24] - Policies are increasingly supportive of commercial health insurance, particularly in relation to innovative drugs, which are now being included in the commercial health insurance directory [71][76] Summary by Sections Part 1: Healthcare Financing System - The healthcare financing system in China consists of government, social, and personal contributions, with social contributions being the main driver for future growth [10][15] Part 2: Growth of Health Insurance - The commercial health insurance market is expected to fill a significant funding gap, with an estimated shortfall of over 1.7 trillion yuan by 2030 [21][22] - Medical insurance is the primary source of compensation within commercial health insurance, with a compensation rate of approximately 68.79% in 2022 [27][31] Part 3: Core Products of Medical Insurance - The report highlights the importance of medical insurance as a key focus area, noting that it directly compensates for medical expenses, unlike critical illness insurance [31][35] Part 4: Policy Support for Health Insurance Development - A series of policies since 2009 have aimed to promote the development of commercial health insurance, with specific targets for market size and coverage [71][72] Part 5: Investment Recommendations - The report suggests focusing on innovative drug companies with rich pipelines, DTP pharmacies, and companies in the TPA industry, as well as innovative medical devices and high-end medical service providers [77]

Core Insights - The insurance industry in China is projected to see a significant increase in premium income and total assets by 2025, with a growth of over 25% in premium income and 68% in total assets compared to 2020 [1] Group 1: Strengthening Social Welfare - The insurance sector has expanded its capacity to improve and guarantee livelihoods, with personal insurance payouts reaching 1.2 trillion yuan in 2024, an increase of 88.08% from 2020, and property insurance payouts at 1.1 trillion yuan, up 57.14% [2] - The insurance industry is actively developing commercial insurance products, enhancing the supply of insurance for new industries and urban residents, and improving the inclusive insurance system to better meet public needs [2] - Catastrophe insurance has achieved full coverage for common natural disasters in China, with over 20 provinces piloting comprehensive catastrophe insurance [2] Group 2: Enhancing Support for the Real Economy - The insurance industry provides risk protection across various sectors, including agriculture, with agricultural insurance premiums increasing from 97.6 billion yuan in 2021 to 148.37 billion yuan in 2024 [3] - The introduction of innovative insurance products, such as weather index insurance for oil tea plantations, demonstrates the industry's commitment to supporting agricultural resilience [3] - Insurance funds are increasingly being utilized for long-term investments in major projects, with the balance of insurance company funds rising from 21.68 trillion yuan at the end of 2020 to 34.93 trillion yuan by the first quarter of this year [4] Group 3: Ongoing Reforms in Key Areas - The insurance industry is undergoing significant reforms, including the establishment of a dynamic adjustment mechanism for life insurance product pricing linked to market rates, aimed at enhancing pricing accuracy [7] - The implementation of the "Car Insurance Good to Insure" platform has facilitated the coverage of over 880,000 new energy vehicles, with total insured amounts reaching 888.95 billion yuan [6] - Reforms in the auto insurance sector have led to a 21.2% decrease in average premiums, while the compulsory insurance coverage has increased significantly [6]

Core Insights - The insurance industry in China is projected to see a significant increase in original insurance premium income, with a growth of over 25% by 2024 compared to 2020, and total assets expected to rise by 68% by mid-2025 compared to the end of 2020 [1] - The insurance sector has enhanced its capacity to safeguard and improve people's livelihoods, with personal insurance payouts reaching 1.2 trillion yuan in 2024, an increase of 88.08% from 2020, and property insurance payouts at 1.1 trillion yuan, up 57.14% from 2020 [2] - The insurance industry is actively developing commercial insurance products, optimizing coverage for new industries and urban residents, and improving the inclusive insurance system to better meet public needs [2] Group 1: Enhancements in Livelihood Protection - The insurance industry has expanded its coverage and improved service capabilities, with a focus on commercial insurance annuities and long-term care insurance [2] - Catastrophe insurance has achieved full coverage for common natural disasters in China, with over 20 provinces piloting comprehensive catastrophe insurance [2] - In 2024, the urban and rural residential catastrophe insurance community provided 22.36 trillion yuan in catastrophe risk protection for 64.39 million households [2] Group 2: Support for the Real Economy - The insurance sector has provided risk protection across various aspects of the real economy, including agricultural insurance, which saw premium income grow from 97.6 billion yuan in 2021 to 148.37 billion yuan in 2024 [3] - Innovative insurance products, such as weather index insurance for oil tea gardens, have been developed to mitigate losses from adverse weather conditions [3] - The insurance industry has also supported major projects and infrastructure through long-term investments, with the balance of insurance funds increasing from 21.68 trillion yuan at the end of 2020 to 34.93 trillion yuan by early 2023 [4] Group 3: Ongoing Reforms in Key Areas - The implementation of comprehensive reforms in auto insurance has led to a 21.2% decrease in average premiums, with significant increases in coverage limits [6] - The insurance industry is undergoing reforms to enhance product pricing accuracy and operational efficiency, including the establishment of a dynamic adjustment mechanism for life insurance product rates [6] - These reforms aim to improve the competitiveness and risk management capabilities of insurance companies while better serving national strategic goals and enhancing social governance [6] Group 4: Future Directions - The financial regulatory authority plans to continue enhancing risk management, regulatory oversight, and high-quality development within the insurance sector [7] - The focus will be on strengthening the insurance industry's role as an economic stabilizer and social stabilizer, while improving insurance protection capabilities and service levels [7]

Core Insights - The insurance industry in China is expected to see significant growth during the 14th Five-Year Plan period, with original insurance premium income projected to increase by over 25% compared to 2020, and total assets expected to grow by 68% by mid-2025 [1] Group 1: Strengthening Social Welfare - The insurance sector has expanded its capacity to improve and guarantee livelihoods, with personal insurance payouts expected to reach 1.2 trillion yuan in 2024, an increase of 88.08% from 2020, while property insurance payouts are projected at 1.1 trillion yuan, up 57.14% from 2020 [2] - The insurance industry is actively developing commercial insurance products, including annuities and long-term care insurance, to better serve the needs of new citizens and emerging industries [2] - Catastrophe insurance has achieved full coverage for common natural disasters in China, with over 20 provinces piloting comprehensive catastrophe insurance [2] Group 2: Enhancing Support for the Real Economy - The insurance industry provides risk protection across various sectors, with agricultural insurance premiums rising from 97.6 billion yuan in 2021 to 148.37 billion yuan in 2024, reflecting an increase in coverage and protection levels for staple crops [3] - The establishment of the China Integrated Circuit Mutual Insurance Body has provided approximately 4.2 trillion yuan in risk protection since its inception, while technology insurance is expected to cover around 9 trillion yuan in 2024 [4] Group 3: Long-term Investment and Financial Support - Insurance funds are increasingly supporting large-scale projects, with the balance of insurance company funds invested rising from 21.68 trillion yuan at the end of 2020 to 34.93 trillion yuan by the first quarter of this year [5] Group 4: Ongoing Reforms in Key Areas - The launch of the "Car Insurance Easy to Insure" platform has facilitated the underwriting of over 880,000 new energy vehicles, with total coverage reaching 888.95 billion yuan, addressing high compensation risks in this sector [6] - The average car insurance premium has decreased by 21.2% to 2,773 yuan per vehicle since the implementation of comprehensive car insurance reforms [6] - The insurance industry is undergoing significant reforms to enhance operational standards and improve service quality, with a focus on risk management and regulatory compliance [7]

Core Insights - The insurance industry in China is projected to see significant growth, with original insurance premium income expected to increase by over 25% from 2020 to 2024, and total assets expected to grow by 68% by mid-2025 compared to the end of 2020 [1][2] Group 1: Enhancements in Social Welfare - The insurance industry has strengthened its capacity to protect and improve people's livelihoods, with personal insurance payouts reaching 1.2 trillion yuan in 2024, an increase of 88.08% from 2020, and property insurance payouts reaching 1.1 trillion yuan, up 57.14% from 2020 [1] - The industry has expanded its coverage and improved service capabilities, actively developing commercial insurance products such as annuities and long-term care insurance to better meet public needs [2] Group 2: Disaster Risk Management - The insurance sector has improved its claims handling and risk reduction services, with significant payouts for natural disasters, including 116 billion yuan for heavy rainfall in 2021 and 126 billion yuan in 2023 [2] - A comprehensive catastrophe insurance pilot has been implemented in over 20 provinces, providing 22.36 trillion yuan in catastrophe risk protection for 64.39 million households in 2024 [2] Group 3: Support for the Real Economy - The insurance industry has provided risk protection across various sectors, with agricultural insurance premiums increasing from 97.6 billion yuan in 2021 to 148.37 billion yuan in 2024, enhancing coverage for staple crops [3] - Insurance funds have supported large-scale projects, with cumulative risk protection of approximately 4.2 trillion yuan for integrated circuit co-insurance and around 9 trillion yuan for technology insurance [3] Group 4: Investment and Reform Initiatives - The balance of insurance company funds has grown from 21.68 trillion yuan at the end of 2020 to 34.93 trillion yuan by the first quarter of 2024, reflecting active investment in advanced manufacturing, technology innovation, and green initiatives [4] - The implementation of comprehensive reforms in auto insurance has led to a 21.2% decrease in average premiums, while the compulsory insurance coverage has increased significantly [4][5] Group 5: Future Directions - The insurance industry is expected to continue enhancing its operational standards and management practices, focusing on risk prevention, regulatory compliance, and high-quality development to better serve national strategies and improve social governance [5]

Core Insights - The insurance industry in China is projected to see significant growth, with original insurance premium income expected to increase by over 25% by 2024 compared to 2020, and total assets expected to grow by 68% by mid-2025 compared to the end of 2020 [1] Group 1: Strengthening Social Welfare - The insurance sector has expanded its capacity to improve and guarantee livelihoods, with personal insurance payouts expected to reach 1.2 trillion yuan in 2024, an increase of 88.08% from 2020, and property insurance payouts expected to reach 1.1 trillion yuan, up 57.14% from 2020 [2] - The insurance industry is actively developing commercial insurance products, enhancing the supply of insurance for new industries and urban residents, and improving the inclusive insurance system to better meet public needs [2] - Catastrophe insurance has achieved full coverage for common natural disasters in China, with over 20 provinces piloting comprehensive catastrophe insurance [2] Group 2: Supporting the Real Economy - The insurance industry provides risk protection across various sectors, including agriculture, with agricultural insurance premiums increasing from 97.6 billion yuan in 2021 to 148.37 billion yuan in 2024 [3] - The introduction of innovative insurance products, such as weather index insurance for oil tea plantations, demonstrates the industry's commitment to supporting agricultural resilience [3] - Insurance funds have been increasingly directed towards long-term investments in major projects, with the balance of insurance funds rising from 21.68 trillion yuan at the end of 2020 to 34.93 trillion yuan by the first quarter of this year [4] Group 3: Reform and Innovation - The launch of the "Car Insurance Easy to Insure" platform has facilitated the coverage of over 880,000 new energy vehicles, with a total insured amount of 888.95 billion yuan [5] - The average car insurance premium has decreased by 21.2% to 2,773 yuan since the implementation of comprehensive car insurance reforms, while the compulsory insurance coverage has increased significantly [5] - Ongoing reforms aim to enhance the precision of product pricing and improve operational efficiency within the insurance sector, thereby increasing competitiveness and risk management capabilities [5] Group 4: Future Directions - The regulatory body emphasizes the need for continued efforts in risk prevention, strong regulation, and promoting high-quality development within the insurance industry to enhance its role as an economic stabilizer and social stabilizer [6]

Core Viewpoint - The insurance industry in China is enhancing its risk protection capabilities and service quality during the "14th Five-Year Plan" period, contributing significantly to economic stability and social welfare [1][2][3]. Group 1: Insurance Industry Growth - By 2024, the original insurance premium income in China is expected to grow over 25% compared to 2020, with total assets projected to increase by 68% by mid-2025 [1]. - The personal insurance sector's payout in 2024 is anticipated to reach 1.2 trillion yuan, an increase of 88.08% from 2020, while property insurance payouts are expected to hit 1.1 trillion yuan, up 57.14% from 2020 [2]. Group 2: Improvement in Public Welfare - The insurance industry is expanding its coverage and improving service capabilities, with a focus on commercial insurance products such as annuities and long-term care insurance [2]. - The disaster insurance system has achieved full coverage for common natural disasters, with over 20 provinces piloting comprehensive disaster insurance [2]. Group 3: Support for the Real Economy - The insurance sector is providing risk protection across various sectors, including agriculture, with agricultural insurance premiums rising from 97.6 billion yuan in 2021 to 148.37 billion yuan in 2024 [3]. - The technology insurance sector is projected to provide approximately 9 trillion yuan in insurance coverage for innovation activities in 2024 [4]. Group 4: Investment in Key Areas - Insurance funds are increasingly supporting large-scale projects, with the balance of insurance company funds rising from 21.68 trillion yuan at the end of 2020 to 34.93 trillion yuan by the first quarter of this year [5]. Group 5: Reforms in the Insurance Sector - The "Car Insurance Easy to Insure" platform has facilitated coverage for over 880,000 new energy vehicles, with total insured amounts reaching 888.95 billion yuan [6]. - The average car insurance premium has decreased by 21.2% to 2,773 yuan, while the compulsory insurance coverage has increased from 122,000 yuan to 200,000 yuan [6][7]. Group 6: Future Directions - The insurance industry is expected to continue enhancing its risk management and regulatory frameworks, aiming to improve service levels and support national strategic goals [7].

Core Insights - The insurance industry in China is projected to see a significant increase in original insurance premium income, with a growth of over 25% by 2024 compared to 2020, and total assets expected to rise by 68% by mid-2025 compared to the end of 2020 [1] - The insurance sector has enhanced its capacity to safeguard and improve people's livelihoods, with personal insurance payouts reaching 1.2 trillion yuan in 2024, an increase of 88.08% from 2020, and property insurance payouts at 1.1 trillion yuan, up 57.14% from 2020 [2] - The insurance industry is actively developing commercial insurance products, optimizing coverage for new industries and urban residents, and improving the inclusive insurance system to better meet public needs [2] Group 1: Enhancements in Public Welfare - The insurance industry has expanded its coverage and improved service capabilities, with a focus on commercial insurance for long-term care and annuities [2] - Catastrophe insurance has achieved full coverage for common natural disasters in China, with over 20 provinces piloting comprehensive catastrophe insurance [2] - The urban and rural residential catastrophe insurance community provided 22.36 trillion yuan in catastrophe risk protection for 64.39 million households in 2024 [2] Group 2: Support for the Real Economy - The insurance sector is providing risk protection across various aspects of the real economy, including agriculture, with agricultural insurance premiums increasing from 97.6 billion yuan in 2021 to 148.37 billion yuan in 2024 [3] - Innovative insurance products, such as weather index insurance for oil tea gardens, have been developed to mitigate losses from adverse weather conditions [3] - The insurance industry has supported significant projects and infrastructure, with insurance fund utilization increasing from 21.68 trillion yuan at the end of 2020 to 34.93 trillion yuan by the first quarter of 2023 [4] Group 3: Ongoing Reforms - The auto insurance reform has led to a 21.2% decrease in average premiums, with the average compulsory insurance coverage increasing significantly [6] - The insurance industry is implementing reforms to enhance product pricing accuracy and operational efficiency, including the establishment of a dynamic adjustment mechanism for life insurance product rates [6] - A series of reform measures aim to improve the competitiveness and risk management capabilities of insurance companies while better serving national strategies and social governance [6] Group 4: Future Directions - The financial regulatory authority plans to continue enhancing risk management, regulatory oversight, and high-quality development in the insurance sector, emphasizing its role as an economic stabilizer and social safety net [7]