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| REVIEWS / OPINIONS : | |||
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Insurance – among other financial services – is a powerful way to help poor people manage the myriad of risks that are part of their everyday lives. This comprehensive compendium comes at a key moment, as funders, governments, microfinance institutions and even commercial insurers are increasingly interested in insurance services for low-income people. Peppered with examples from over 20 case studies, this essential guide combines in-depth analysis with readability, a remarkable achievement on a topic of critical importance to improving the lives of the poor. Elisabeth Littlefield CEO, Consultative Group to Assist the Poor (CGAP)
The planning process has brought about significant and pronounced transformation in rural areas and among the disadvantaged sections of the population in India. This has paved the way for the financial sector to step in and extend their services more as a business opportunity than as an obligatory service. The Micro Insurance Regulations enacted by the Insurance Regulatory and Development Authority facilitate extension of insurance intermediation in a smooth and seamless manner and at affordable cost to meet the overarching objective of inclusive growth. The publication Protecting the Poor: A Microinsurance Compendium enables policy-makers, insurers, academics and NGOs an opportunity to study the various initiatives taken in different countries and profit from these experiences. I congratulate the publishers for bringing out this excellent compendium. C.S. Rao Chairman, Insurance Regulatory and Development Authority (IRDA), India
Microinsurance is now a mainstream development topic. Research over the last 15 years shows clearly and consistently that the main reasons people fall below the poverty line are related to idiosyncratic risks such as the death of a wage earner or, more frequently, catastrophic health expenditures. Insurance, in conjunction with savings and credit, provides a mechanism whereby the working poor can retain their productive assets after such discontinuities. This compendium provides an invaluable summation of the state of the art and will hopefully encourage people with relevant skills and unfettered minds to look at what they can contribute to grassroots risk management. Rodney Lester Program Director, Financial Markets for Social Safety Net, The World Bank
Poor households employ various strategies to protect against risk. These include building stocks of food or saving small amounts. Some risk situations are more predictable than others, and if the expected impact is small, it is easier for a poor household to prepare for these. However, events that are unexpected and that may cause significant damage in terms of lost income or increased expenditures pose high financial pressures to poor households. Availing microinsurance helps poor households better manage unexpected events such as accidents, serious illness, and death. Protecting the Poor builds on experiences and lessons made to-date and thus is an important step for innovations of the future. Dr. Aristotle Alip, President, CARD Bank, Philippines |
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| ABOUT THE BOOK : | |||
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This authoritative compendium brings together the latest thinking of leading academics, actuaries, and development professionals in the microinsurance field. The result is a practical, wide-ranging resource which provides the most thorough overview of the subject to date. The book allows readers to benefit from the valuable lessons learned from a project launched by the CGAP Working Group on Microinsurance analysing operations around the world. Essential reading for insurance professionals, practitioners and anyone involved with offering insurance to low-income persons, this volume covers the many aspects of microinsurance in detail, including product design, marketing, premium collection and governance. It also discusses the various institutional arrangements available for delivery such as the community- based approach, insurance companies owned by networks of savings and credit cooperatives and microfinance institutions. The roles of key stakeholders are also explored and the book offers insightful strategies for achieving the right balance between coverage, costs and price.
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| ABOUT THE EDITOR : | |||
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Craig Churchill joined the ILO’s Social Finance Programme in 2001. Craig has microfinance experience in both developed and developing countries having previously worked for Get Ahead Foundation in South Africa, ACCION International, the MicroFinance Network and Calmeadow. In his current position, he focuses primarily on the role of financial services that the poor can use to manage risks and reduce their vulnerability, including microinsurance. He serves as Chair of the CGAP Working Group on Microinsurance and on the editorial boards of the MicroBanking Bulletin and the Journal of Microfinance. Craig has authored and edited dozens of articles, papers and monographs on various microfinance topics including microinsurance, customer loyalty, organizational development and management, governance, lending methodologies, and regulation and supervision. |
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| CONTENTS IN DETAIL: | |||
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Acknowledgement Table of Acronyms Introduction |
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| Part 1 Principles and practices | |||
| 1.1 | What is insurance for the poor? (Craig Churchill) | ||
| 1 Defining microinsurance | |||
| 2 The two faces of microinsurance | |||
| 3 What a difference three words make | |||
| 1.2 | The demand for microinsurance (Monique Cohen and Jennefer Sebstad) | ||
| 1 Managing risk | |||
| 2 The importance of understanding the demand for microinsurance | |||
| 3 Current coping strategies: Strengths and weaknesses | |||
| 4 Opportunities for microinsurance | |||
| 5 Conclusion | |||
| 1.3 | The social protection perspective on microinsurance (Christian Jacquier,Gabriele Ramm, Philippe Marcadent and Valérie Schmitt-Diabate) | ||
| 1 Introduction | |||
| 2 What is social security? What is social protection? | |||
| 3 What is microinsurance) | |||
| 4 Potential and limitation of microinsurance as a social protection mechanism | |||
| 5 How can microinsurance be used to extend social protection? | |||
| 6 Conclusion | |||
| Part 2 Microinsurance products and services | |||
| 2.1 | Challenges and strategies to extend health insurance to the poor (Ralf Radermacher, Iddo Dror and Gerry Noble) | ||
| 1 Product manufacturing | |||
| 2 Product sales | |||
| 3 Product servicing | |||
| 4 Maintenance of long-term stability | |||
| 5 Conclusion | |||
| 2.2 | Long-term savings and insurance (James Roth, Denis Garand and Stuart Rutherford) | ||
| 1 Providing savings to the poor | |||
| 2 Long-term savings and insurance products for the poor | |||
| 3 Key issues in offering long-term savings and insurance | |||
| 4 Conclusions | |||
| 2.3 | Savings- and credit-linked insurance (Sven Enarsson, Kjell Wirén and Gloria Almeyda) | ||
| 1 Loan-linked products | |||
| 2 Savings-linked insurance | |||
| 3 Product design and delivery issues | |||
| 4 Conclusions | |||
| 2.4 | Meeting the special needs of women and children (Mosleh Ahmed and Gabriele Ramm) | ||
| 1 Special risks affecting women and children (girls and boys) | |||
| 2 Microinsurance to address the special needs of women and children | |||
| 3 Policy tasks to improve the strategic situation of women and children | |||
| 4 Conclusions | |||
| Part 3 Microinsurance operations | |||
| 3.1 | Product design and insurance risk management (John Wipf, Dominic Liber andCraig Churchill) | ||
| 1 Market research | |||
| 2 Eligibility | |||
| 3 Terms and payment options | |||
| 4 Benefits | |||
| 5 Risk management and claims controls | |||
| 6 Conclusions | |||
| 3.2 | Marketing microinsurance (Craig Churchill and Monique Cohen) | ||
| 1 Main marketing messages | |||
| 2 Marketing techniques | |||
| 4 Marketing and mandatory insurance | |||
| 5 Conclusion | |||
| 3.3 | Premium collection: Minimizing transaction costs and maximizing customer service (Michael J. McCord, Grzegorz Buczkowski and Priyanka Saksena) | ||
| 1 Modes of premium collection | |||
| 2 Collection frequency and timing | |||
| 3 Client considerations | |||
| 4 Premium collection controls | |||
| 5 Conclusion | |||
| 3.4 | Claims processing (Michael J. McCord and Richard Leftley) | ||
| 1 Introduction | |||
| 2 Claims notification | |||
| 3 Settlement | |||
| 4 Controls | |||
| 5 Claims considerations in product design | |||
| 6 Conclusions | |||
| 3.5 | Pricing microinsurance products (John Wipf and Denis Garand) | ||
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1 Database design requirements for pricing (and sound microinsurance management) |
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| 2 Pricing components, key factors and methodology | |||
| 3 Modelling techniques | |||
| 4 Conclusions | |||
| 3.6 | Risk and financial management (Denis Garand and John Wipf) | ||
| 1 The risks inherent in insurance products | |||
| 2 Capital requirements | |||
| 3 Reserves | |||
| 4 Reinsurance | |||
| 5 Investment management | |||
| 6 Profit distribution | |||
| 7 Conclusion | |||
| 3.7 | Organization development in microinsurance (Craig Churchill and Richard Leftley) | ||
| 1 Organizational structure: Where does microinsurance fit in? | |||
| 2 Recruitment: Where to access appropriate expertise | |||
| 3 Training | |||
| 4 Compensation | |||
| 5 Institutional culture | |||
| 6 Conclusions | |||
| 3.8 | Governance (Zahid Qureshi) | ||
| 1 Governance in microinsurance | |||
| 2 Board composition and expertise | |||
| 3 The foundation stone | |||
| 4 Microinsurance governance in practice | |||
| 5 Conclusions | |||
| 3.9 | Loss control (Zahid Qureshi and Gerry Noble) | ||
| 1 A retrospective look at loss prevention | |||
| 2 Converging interests | |||
| 3 Pinpointing prevention | |||
| 4 Practising prevention | |||
| 5 Minimization: A stitch in time | |||
| 6 Evaluating the return on investment in prevention | |||
| 7 Conclusions | |||
| 3.10 | Performance indicators and benchmarking (Denis Garand and John Wipf) | ||
| 1 Marketing and distribution | |||
| 2 Financial management and viability | |||
| 3 Efficiency and client value | |||
| 4 Investment management | |||
| 5 Conclusions | |||
| Part 4 Institutional options | |||
| 4.1 | Cooperatives and insurance: The mutual advantage (Klaus Fischer and Zahid Qureshi) | ||
| 1 Introduction | |||
| 2 What is a mutual insurer? | |||
| 3 The cooperative difference | |||
| 4 Insurance development models and stages | |||
| 5 Insurance products offered under the cooperative network model | |||
| 6 Why mutuals develop networks and how they work | |||
| 7 Advantages and disadvantages of the model | |||
| 8 Conclusion | |||
| 4.2 | The partner-agent model: Challenges and opportunities (Michael J. McCord) | ||
| 1 Why a partner-agent model? | |||
| 2 How the partner-agent model works | |||
| 3 The good and the bad | |||
| 4 Advantages and disadvantages | |||
| 5 Conclusions | |||
| 4.3 | The community-based model: Mutual health organizations in Africa(Bénédicte Fonteneau and Bruno Galland) | ||
| 1 What is a community-based model? | |||
| 2 Why was/is this approach implemented in West Africa? | |||
| 3 What is the target group of the community-based model? | |||
| 4 Do MHOs function (well) and make a significant impact? | |||
| 5 What are the origins of the problems? | |||
| 6 What is the added value of this model? | |||
| 7 Conclusion | |||
| 4.4 | Institutional options for delivering health microinsurance (Ralf Radermacher and Iddo Dror) | ||
| 1 Institutional options | |||
| 2 Value, interests and conflicts in the insurance business process | |||
| 3 Conclusion | |||
| 4.5 | Beyond MFIs and community-based models: Institutional alternatives (Richard Leftley and James Roth) | ||
| 1 Risk-carrying alternatives | |||
| 2 Administrative alternatives | |||
| 3 Distribution alternatives | |||
| 4 Conclusions | |||
| 4.6 | Retailers as microinsurance distribution channels (James Roth and Doubell Chamberlain) | ||
| 1 Why retailers? Which retailers? | |||
| 2 Microinsurance distribution/Product combinations for retailers | |||
| 3 Conclusions | |||
| 4.7 | Microinsurance: Opportunities and pitfalls for microfinance institutions(Craig Churchill and James Roth) | ||
| 1 Institutional arrangements | |||
| 2 The type of insurance | |||
| 3 Conclusions | |||
| Part 5 The role of other stakeholders | |||
| 5.1 | The role of donors (Alexia Latortue) | ||
| 1 An analytical framework | |||
| 2 Donor requirements to effectively support microinsurance | |||
| 3 Types of donor support for microinsurance | |||
| 4 Conclusion | |||
| 5.2 | An enabling regulatory environment for microinsurance (Martina Wiedmaier-Pfister and Arup Chatterjee) | ||
| 1 Background | |||
| 2 Barriers in existing regulatory frameworks | |||
| 3 Country experiences – preliminary insights | |||
| 4 Conclusions | |||
| 5.3 | The promotional role of governments (Sabine Trommershäuser, Roland Lindenthal and Rüdiger Krech) | ||
| 1 Policy-making, participation and consensus-building | |||
| 2 Creating an enabling environment | |||
| 3 Strengthening institutions | |||
| 4 Providing financial assistance | |||
| 5 Concluding remarks | |||
| 5.4 | The role of insurers and reinsurers in supporting insurance for the poor(David M. Dror and Thomas Wiechers) | ||
| 1 The value proposition of reinsurance | |||
| 2 Involvement of commercial insurers and reinsurers in microinsurance | |||
| 3 What part of this value proposition can insurers and reinsurers deliver? | |||
| 4 Recommendations | |||
| 5 Conclusion | |||
| 5.5 | The provision of technical assistance (Richard Leftley and Richard Lacasse) | ||
| 1 Why is technical assistance required? | |||
| 2 What does a TA provider do? | |||
| 3 Who provides microinsurance technical assistance? | |||
| 4 Conclusion: Providing quality technical assistance | |||
| Part 6 Conclusions | |||
| 6.1 | Strategies for sustainability (Craig Churchill and Denis Garand) | ||
| 1 Limit benefits | |||
| 2 Focus on efficiency | |||
| 3 Diversify income sources | |||
| 4 Good management | |||
| 6.2 | The future of microinsurance (Felipe Botero, Craig Churchill, Michael J. McCord and Zahid Qureshi) | ||
| 1 Microinsurance customers of the future | |||
| 2 Microinsurance providers of the future | |||
| 3 The regulatory landscape | |||
| 4 The environment for microinsurance | |||
| 5 Embracing the future | |||
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Appendix I: Description of microinsurance providers Appendix II: About the authors Bibliography Index
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| List of tables | |||
| 1 Microinsurance providers and products | |||
| 2 Priority risks in selected countries | |||
| 3 Coping strategy by risk | |||
| 4 Examples of informal group-based insurance systems | |||
| 5 Test for an insurable risk | |||
| 6 Typology of microinsurance linkages | |||
| 7 Overview of product manufacturing tasks and features | |||
| 8 Overview of product sales tasks and features | |||
| 9 Overview of product servicing tasks and features | |||
| 10 Some key ratios of health microinsurers | |||
| 11 Overview of the tasks to be undertaken to maintain long-term stability | |||
| 12 Two insurers with endowment products | |||
| 13 CARD MBA’s loan protection plus family funeral insurance | |||
| 14 Different benefit classes for minimum/maximum premiums at Yasiru | |||
| 15 Market coverage of selected voluntary life insurance products | |||
| 16 VimoSEWA’s coverage and price in rupees | |||
| 17 Benefits of LIC’s Janashree Bima Yojana | |||
| 18 Benefits from UIIC’s UniMicro insurance scheme | |||
| 19 Benefits of La Equidad’s Ampararmicroinsurance product | |||
| 20 Coinsurance and payment ceiling of health microinsurers | |||
| 21 Benefit amounts at CARD MBA | |||
| 22 Rolling admission versus annual campaign | |||
| 23 Marketing checklist for microinsurance managers | |||
| 24 Comparison of premium collection modes | |||
| 25 A sample of claims durations | |||
| 26 Evolution of life mortality rate at VimoSEWA | |||
| 27 Claims experience of VimoSEWA’s child benefit | |||
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28 Potential effect of investment mismatch on CARD’s Provident Fund – An illustration |
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| 29 Average monthly earnings for frontline staff (US$) | |||
| 30 Commissions on long-term policies at ALMAO and Tata-AIG | |||
| 31 Non-life and life insurance loss prevention | |||
| 32 Improved service enhances retention at VimoSEWA (India) | |||
| 33 Selected examples of net income | |||
| 34 Expense and claims rations for selected schemes | |||
| 35 Rating of microinsurance schemes – An illustration | |||
| 36 Case studies that correspond to the cooperative network model | |||
| 37 Insurance products offered by SACCO networks | |||
| 38 ASA’s cost per policy | |||
| 39 ASA’s profit/loss per policy | |||
| 40 Performance of four microinsurance schemes in Zambia | |||
| 41 Advantages and disadvantages to the agent compared to self-insuring | |||
| 42 Advantages and disadvantages for an insurer | |||
| 43 Advantages and disadvantages for low-income policy-holders | |||
| 44 A comparison of premiums and benefits for selected MHOs | |||
| 45 Basic motivations and primary interest through the business process | |||
| 46 HTG funeral insurance product | |||
| 47 Does self-insurance provide greater client value? | |||
| 48 Definition of microinsurance in India | |||
| 49 Partnership factors for an insurance or reinsurance company | |||
| 51 Advantages and disadvantages of long-term, on-site TA support | |||
| 52 Continuing challenges that limit the expansion of microinsurance | |||
| 53 Process automation transforms insurance operations | |||
| List of figures | |||
| 1 Janus: The two faces of microinsurance | |||
| 2 Impact of shocks on household income and assets | |||
| 3 The impact of risks | |||
| 4 The locus of microinsurance | |||
| 5 A dynamic approach to extending social protection through microinsurance | |||
| 6 Health insurance product design | |||
| 7 Claims model 1: Insurer pays healthcare provider (third-party payment) | |||
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8 Claims model 2: Integrated healthcare and insurance provider (internal financial transaction) |
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9 Claims model 3: Insurer reimburses clients’ out-of-pocket healthcare expenses |
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| 10 Daughter’s wedding insurance plan: Delta Life | |||
| 11 Marketing brochure: Yeshasvini | |||
| 12 Guaranteed savings brochure: TUW SKOK | |||
| 13 Three-step marketing process | |||
| 14 Microinsurance drop-outs and access to microcredit | |||
| 15 Typical claims settlement process for Madison’s microinsurance product | |||
| 16 The claims process at UMSGF | |||
| 17 Microcare and Opportunity International claim form | |||
| 18 CARD MBA timing of claims | |||
| 19 Kharif Hungama sales prizes | |||
| 20 Organizational chart of Tata-AIG | |||
| 21 Illustrating Grameen’s 16 decisions | |||
| 22 The circular logic of customer retention | |||
| 23 Distribution of microinsurance products in the SACCO network model | |||
| 24 A mutual network structure with its portfolio of functional subsidiaries | |||
| 25 The MHO system | |||
| 26 Types of health insurance provision | |||
| 27a The partner-agent model | |||
| 27b The partner-agent model with TPA | |||
| 28 The charitable insurance model | |||
| 29 The provider-driven model | |||
| 30 The community-based/mutual model | |||
| 31 Three components of insurance provision | |||
| 32 Yeshasvini’s claim settlement process | |||
| 33 Micro-agents, CRIGs and NGOs in the premium-collection process | |||
| 34 An analytical framework for donor support for microinsurance | |||
| 35 The Aid Effectiveness Star | |||
| 36 The what, who and how of microinsurance technical assisatance | |||
| 37 The RIMANSI model of technical assistance to MBAs | |||
| 38 Striking a balance: The microinsurance challenge | |||
| 39 Perspectives on the future | |||
| List of boxes | |||
| 1 Microinsurance and the MDGs | |||
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2 Applying Prahalad’s “Twelve Principles of Innovation for BOP Markets” to microinsurance |
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| 3 Impact of shocks on the rich and poor in Viet Nam | |||
| 4 Risks and risk management in Malawi | |||
| 5 Coping strategies in Viet Nam | |||
| 6 Risk management and over-indebtedness in Georgia | |||
| 7 Membership in multiple burial societies | |||
| 8 High cost of funerals in Zambia | |||
| 9 Understanding the demand for microinsurance in Sri Lanka | |||
| 10 We want to know more . . | |||
| 11 The extension of social protection through microinsurance in Colombia | |||
| 12 Linkages in the Philippines | |||
| 13 Developing balanced linkages in Senegal | |||
| 14 The Global Social Trust | |||
| 15 Cambodia’s Master Plan | |||
| 16 An integrated approach to social protection in Senegal | |||
| 17 BRAC’s three-tier approach to providing health services | |||
| 18 CARD’s foray into annuities | |||
| 19 Grameen’s deposit pension scheme (GPS) | |||
| 20 Mis-selling in South Africa | |||
| 21 Life insurance as an alternative to loan protection? | |||
| 22 Illness cover in a credit life policy? | |||
| 23 Shepherd’s Sugam Fund | |||
| 24 Outreach at Yeshasvini | |||
| 25 Family coverage at UMSFG | |||
| 26 Lapses at Delta Life | |||
| 27 Flat-rate pricing for Shepherd | |||
| 28 Mass weddings | |||
| 29 UHC definition of family in Uganda | |||
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30 Creating awareness: The experience of the South African Insurance Association |
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| 31 UMSGF’s three-tiered marketing strategy | |||
| 32 Regional differences in Zambia | |||