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Ongoing Confusion over Foreigners’ Inclusion in China’s Social Security System

There continues to be continued uncertainty over whether, as well as how, China is going to include foreign workers in the nation’s social security scheme, with only 3 cities so far, including the nation’s capital, having committed themselves to registering and taxing foreign employees.

The inclusion of foreigners in China’s social security taxation structure is part of China’s health care reforms and the modernization of the country’s social welfare structure to accommodate such reforms. Through taxing expatriates, China offers them access to a number of things through the social security system such as unemployment insurance, pensions and basic medical cover. The scheme requires that the employer pays a tax of 37 percent of the employees’ salary to the state, while the employee contributes a further 11 percent, although contributions are supposed to be capped at three times the average salary in any city.

The plan to include foreign expatriates in China in the social security taxation scheme was initially announced by the central government in July of 2011, and foreigners were supposed to have commenced paying into the social security scheme in October. However, while the Chinese central government announced the new taxation on expatriates, it is the local authorities who are supposed to be implementing it through the registration of foreigners and a mechanism for how to actually pay into the social security system.

The lack of clarity over how the process should work, as well as the relatively short timeline to put necessary frameworks in place in many localities, has resulted in much confusion all around. Beijing was the only city ready to begin registering foreign workers, and even that has been rumored to be fairly unorganized.

However, two new cities have begun registering foreigners to comply with the new tax law, namely Tianjin and Suzhou. Other large centers of commerce in China, such as Shanghai, Guangzhou and Shenzhen have so far not begun to implement the new taxes for the social security scheme.

On top of the general bureaucratic chaos, both companies and their foreign employees have great concerns over the new tax and its implications. Many companies are concerned that in a business climate where it is increasingly more expensive to do business in China, the tax on expatriates’ salaries would become a drain on both business growth and foreign investment.

Foreign employees on the other hand are concerned that since much of their rights as workers are linked to their work visas, they will most likely never see the benefits they have been paying for. When expatriates lose or finish their employment in China, they must leave the country, largely rendering the benefits of the social security scheme moot.

Only in December did state media outlet Xinhua cite an unnamed social security official in Beijing as saying that foreigners who leave China will have their pension accounts kept, until they return to the country, retire, or submit a written application to drop the scheme. Although given the fact that this came out three months after people were supposed to have started paying into a scheme which they may or may not see the benefits from, it may only serve to further the sense of confusion surrounding the new taxes. While the social security scheme is similar to many other countries which include both citizens and foreigners, much needs to be done in order to clarify the scheme in order to make it reasonable.

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Austerity Efforts in Europe Putting Pressure on Health Services

As financial concerns continue to affect the Eurozone, many countries have been forced to make efforts in reducing state spending which is leading to the cutting back of benefits, such as national healthcare programs.

In the EU, countries ranging from the more powerful such as the UK and Germany, to countries such as Slovakia and Hungary are facing falling or stagnating budgets, in many cases as a result of the European debt crisis. Various countries have been impacted differently, with some managing to put of drastic changes to services with timely reforms and others seeing rising wait times for procedures.

Slovakia and other ex-communist eastern European countries have been hard hit, with the pressure to cut costs keeping salaries low for doctors and medical professionals in the countries. This has resulted in brain drain over the long term, but more recently has lead to around 1,600 medical personnel resigning in Slovakia. While some doctors have agreed to return to work after the government offered a 40 percent raise in salary, many have not, and other doctors in nearby countries with similar problems may follow suit. Many Slovakians have been left without treatment, prompting the Czech Republic to send 30 army doctors in to assist, while Austrian and Polish hospitals are preparing to accept Slovakian patients.

Countries like Germany or the UK face different problems to those faced in Slovakia, however budget cuts to established healthcare systems in these countries, coupled with shifting demographics are stretching these national healthcare systems thin. In 2010, Germany reformed its health insurance system, increasing the contributions for workers and their employers while also adding controls for the price of pharmaceuticals. This has worked to some degree, reducing the programs budget shortfalls, but as the population continues to age and the workforce shrinks as is being seen in many developed countries, the amount of money spent on drugs and outpatient care will continue to grow in the future.

The UK National Health Service (NHS) is seeing cracks in the system as the result of budget reductions alongside growing health outlays. Lines for surgeries are increasing in length in the UK, while a growing number of NHS hospitals are in dire enough financial condition that they could be required to merge with other hospitals which may result in loss of services or reduced access to quality healthcare in some localities.

Britain has previously experienced a rising uptake of private medical insurance plans when the NHS was not highly considered, due to people wanting to ensure they have access to quality medical care. However with unemployment in the UK reaching a 17 year high at 8.3 percent, people may have to consider whether paying for healthcare through private health insurance or out of pocket spending is more cost effective for them.

Citizens or even resident expatriates in countries with developed healthcare systems and high quality medical facilities may find it easier to pay for treatment as needed, in some cases. Although there are many places and people in the world for which paying for private care out-of-pocket may work, in many instances it simply would not be appropriate.

Paying your own way for hospitals treatments requires firstly that you have enough money saved up to pay for any treatments, and secondly that you are knowledgeable about the hospital and its capability in the required treatment. This is not always possibly, especially for expatriates or business people who travel frequently to numerous countries. Paying your own way also may not be a feasible option for expats located in places like Africa or elsewhere where the hospitals or medical facilities may not be of a high quality, necessitating a medical evacuation. This can be prohibitively expensive.

Thankfully many international insurance providers have been paying attention to developing trends and many have been reevaluating their products and services in response. Insurance companies such as Medicare International and Allianz Worldwide Care are developing cost effective international health insurance payment plans and services, offering customers plans with high benefits and variable premium structures that can appeal to a wide range of international customers on a broad spectrum of budgets.

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Cost of Care Rising as Insurers Trying to Provide Value for Money

As medical services grow more and more costly around the world, international private medical insurance providers are trying to ensure that their policies provide good value for money while maintaining high levels of benefits.

In many countries, including such places as the US and the UK, the cost of medical services has been rising throughout recent years. In the US, the S&P Healthcare Economic Composite index showed an annual growth rate of 5.11 percent for the fiscal year that ended in October, outstripping the 4.74 annual growth rate reported in September by a significant margin. S&P’s Healthcare Commercial Index, which takes into account only healthcare costs covered by commercial insurance, saw its fourth consecutive month of rising annual growth rates to arrive at 6.91 percent for the year ended October.

Across the pond in the UK, there are similar stories with healthcare company Bupa releasing a study that predicts the costs of cancer treatment will rise steadily in the future. The report Cancer Diagnosis and Treatment: A 2021 Perspective was aimed at trying to make predictions about the cost of treating cancer over the next 10 years. The results estimated that the cost of treating cancer will rise by approximately 62 percent, meaning that while cancer treatment for someone in 2010 may cost on average around £30,000 (US$46,487), it will cost £40,000 (US$62,007) on average by 2021.

With premium costs over the last decade being pushed up by almost 10 percent a year due to medical inflation, insurers globally are recognizing that while everyone may like policies with extraordinary benefits, cost is a point of consideration for many. As 2011 comes to an end, some international health insurance companies are beginning to introduce changes to services or flexibilities to payment structure and cost-sharing to ensure that customers get value for money while maintaining high levels of benefits.

International private medical insurance provider, MediCare International, has introduced new excess structures that clients may select if they so choose that give policy discounts of up to 50 percent. The new options allow for four levels of excesses, offering discounts that range from 10 percent, 20 percent, 35 percent and all the way to 50 percent depending on the selected size of co-payment.

Another company that is reevaluating their products is Allianz Worldwide Care, which has revealed that it is trailing a new system of medical evacuation. Typically, if a policyholder finds themselves in a situation which necessitates medical evacuation, they are put on an air ambulance and either transferred back to their home country, or to the nearest center of medical excellence, depending on the particulars of the policy. The new option for transport will transport medically stable policyholders on commercial flights while they are accompanied by one of Allianz’s own doctors.

Allianz Wordlwide Care’s Medical Director, Dr. Ulriche Sucher, explained that “Many of our corporate clients have employees working in remote regions within Eastern Europe, Asia, Africa and Latin America, where sparse medical facilities means a greater reliance on evacuation services following a medical emergency. Plus, advancements in medical treatments and medical specialism in specific countries means that sometimes patients need to be brought to another country to receive the care that they need. Added to this is the increase in natural disasters such as storms, earthquakes and floods which can result in people needing medical treatment at a time when the closest medical facilities may have been damaged,”

While air ambulances will still be used in cases where the policyholder is in an emergency situation which requires emergency evacuation to the nearest quality medical facility, the new medical escort service is expected to bring large cost savings with it, especially for large corporate clients. The service is expected to be introduced after a 12 month trial proves successful.

Companies Mentioned

Allianz

Allianz Group is one of the leading global services providers in insurance and asset management. With a worldwide network of 153,000 employees, the Allianz Group serves 75 million customers in over 70 countries. Allianz offers a wide variety of insurance products to both private and corporate customers, including motor, accident, general liability, fire and property, legal expenses, credit and travel insurance. Allianz provides life and health insurance products on individual and group basis. Allianz is the market leader in the German market and has a strong international presence in insurance.

MediCare International

With 25 years of providing expatriates top quality international health insurance, Medicare International has grown by ensuring quick and easy access to their services 24 hours a day. The company currently covers clients from 86 nationalities in 114 countries around the world.

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India May Soon Let Insurers Form Subsidiaries & JVs Overseas

Indian insurance regulator IRDA (Insurance Regulatory and Development Authority) is currently drafting guidelines which would allow Indian insurance and reinsurance companies to open branch offices, subsidiaries or joint-ventures overseas.

IRDA is currently circulating preliminary draft guidelines on what would be required of Indian insurance companies in order to allow them to open operations overseas. As the drafts circulate among domestic insurance companies, IRDA is asking for feedback from insurance companies before the end of 2012.

Many of the preliminary guidelines appear to be aimed at ensuring that domestic Indian insurance companies seeking to commence overseas operations are on solid financial footing to do so, and that doing so would not pose risks to local business and policyholders. As it stands now, domestic Indian insurance companies are not permitted to expand overseas, either through branch offices or investment in foreign firms, while foreign companies can currently own stakes in domestic insurers of up to 26 percent.

The draft allows for insurance companies of any category to apply to the regulator for permission to open foreign businesses after the insurers have been in operation domestically for 10 years. The proposed regulation would allow domestic insurers to start a foreign operation in a number of ways, either by opening branch offices, the formation of foreign subsidiaries by controlling the board or owning 50 percent of the paid-up equity capital, or by starting a foreign joint venture.

While many insurance companies in India have joined with foreign insurers to make joint ventures, any company that a domestic Indian insurer engaged with overseas to create a joint venture outside of India would not be allowed to enter into the domestic Indian insurance market.

Although there is a drive to make certain that Indian companies wishing to start operations abroad will have the financial wherewithal to do so without putting domestic business at risk, there are no concrete financial guidelines at the moment, whether with regards to the minimum net worth necessary to apply to the regulator for authorization or the capital requirements for establishing joint-venture’s overseas. However, the guidelines do mandate any losses incurred or capital requirements that must be met by foreign branches must be paid for by shareholder funds only, so as not to interfere with the policyholders’ funds in the domestic Indian business.

This could open a doorway to many opportunities for Indian insurance companies to globalize their business. In many places such as countries in the Middle East, there is a sizable Indian Diaspora which some insurers may already be considering tapping in to, however the opening of an office would also allow them to underwrite local business as well as expatriate Indians.

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Maldives Enlists Allied Insurance for Universal Health Insurance

The Maldivian government will move forward on plans to engage in a public private partnership with Allied Insurance to provide universal health insurance in the island nation.

The government had previously invited insurance companies to draw up plans for providing universal health insurance for the island and submit them to be considered for the partner position. The Maldivian Finance Ministry made the announcement that it was looking for private sector insurers to partner with in late October, prompting Sri Lanka Insurance, Amana Takaful and Allied Insurance to apply.

More recently, the Finance Ministry has announced that it will be partnering with Allied Insurance to provide universal health insurance to the populace, as it was the only company to finish the letter of expression.

The proposed system for the universal health insurance program is designed to be split 40/60, with the government holding 40 percent ownership in the scheme and the private insurance company, in this case Allied Insurance, holding the remaining 60 percent. The system is supposed to provide a wide array of benefits, including emergency treatments, both inpatient and outpatient treatment, prescribed medicines, therapeutic treatments and emergency evacuations within the Maldives. Also to be included will be overseas cover for any treatments that are not available locally.

In fulfilling its roll as the private sector partner, Allied Insurance will be handling billing from healthcare providers, processing claims and raising public awareness. The Maldivian government will pay the premium. The ministry’s Director General Saami Ageel said that they were still negotiating the costs of the insurance plan with Allied.

There is still much debate surrounding the implementation of the universal health insurance plan, and many things may change before the scheme gets underway. MPs are debating the 100 or so amendments that have been proposed, many of which could have a fundamental impact on how the scheme operates.

As the bill currently stands, workers are required to contribute 3.5 percent of their salaries towards the universal health insurance scheme, however, some MPs have already called for the scheme to be compulsory for both locals and expatriates in the Maldives. Other MPs have submitted amendments that would alter the amount of money contributed by the worker and others that would require the employer to contribute as well. Another proposed amendment would see the government pay all costs to cover the entire country under the scheme and do so through money raised by a tax on tobacco products.

There are reports that the universal health insurance scheme is supposed to begin being implemented in January of 2012, however this may depend largely on the content and number of amendments that have been proposed to the universal health insurance bill as more material changes to the proposed system may delay the start date.

Company Mentioned

Allied Insurance Company

The Allied Insurance Company was founded as a joint-venture between the Maldives’ State Trading Organization and the Commercial Union Assurance Company of the UK in 1985. In 1987 the STO bought back all shares from Commercial union Assurance and Allied Insurance now offers a wide range of general insurance products and life insurance in the Maldives.

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Aviva Setting Up Locally Compliant UAE International Health Insurance

UK-based Aviva is moving to build a network in the United Arab Emirates to provide international health insurance products to expatriates situated on the Arabian Peninsula.

Many countries in the Gulf Cooperation Council (GCC) are facing rising costs of healthcare, often due to a rising number of instances of lifestyle related diseases such as diabetes and heart disease. Abu-Dhabi alone spends approximately AED1 billion (US$272 million) every year on healthcare costs associated with treating young diabetics at risk of suffering heart disease in the future.

Abu Dhabi is not alone in this, with GCC compatriot Saudi Arabia having similar problems. The rise of sedentary lifestyles in the region has pushed the levels of obesity up alongside diabetes and related diseases. As many countries in the GCC pay for a large proportion of healthcare in their countries, this rising tide of costly chronic and lifestyle-related health problems is becoming an increasingly large problem.

The GCC healthcare market is expected to grow by approximately 11 percent a year, from an estimated AED94 billion (US$25.6 billion) in 2010 to AED161 billion (US$43.9 billion) in 2015. Given that much of this expenditure on healthcare is paid for by governments, many in the region are looking at health measures to ameliorate the trend lifestyle diseases, as well as possible health insurance mandates.

Abu Dhabi has led the way in this regard, initially requiring mandatory health insurance policies originally for expatriates to get a visa, and later expanding that program to the point where mandatory health insurance is now a requirement for most citizens and residents in the country. While other countries in the region may be debating similar requirements, some health insurance companies are working proactively to provide products that offer customers quality products while fulfilling any governmental health insurance requirements.

International health insurance company Aviva has recently been working with Abu Dhabi-based Emirates Insurance Company to build up a UAE health insurance network. Their efforts have paid off, resulting in the creation of Emirates’ International Solutions product line, a group of 4 benefit plans designed especially for the UAE region which will be available after March 1^st, 2012.

In being designed for the local region, international health insurance products that are to be available from Aviva will comply with local regulation. This means that any expats who live in Abu Dhabi will be able to take out one of the Emirates’ International Solutions products and have it satisfy the visa requirement for compulsory local insurance, allowing them to simply have one plan to cover them in Abu Dhabi and internationally.

In commenting on the recent news, the International Business Lead for Aviva, UK Health, Teresa Rogers noted that “Offering health provision in the UAE is complex due to different legislative requirements across each of the Emirates. We’ve worked with a specialist international law firm to help us develop bespoke solutions for our customers based in the UAE and we believe that our four products will enable us to respond to changes in legislation and customer needs both now and in the future.”

Company Mentioned

Aviva

Europe’s fourth largest insurance company, with more than 300 years of experience in the global insurance industry, Aviva is committed to the safety and satisfaction of its customers. They sell a broad range of insurance products including motor and property insurance, protection and health insurance, business insurance, life insurance and pensions.

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Aviva Global Lifecare Plans to be Shut Down

Aviva Life Insurance Company Ltd, part of Aviva PLC, has announced to its brokers and agents in Hong Kong that the company will be cancelling its line of Aviva Global LifeCare products.

The Aviva Global LifeCare plan is an individual international private medical insurance policy licensed out of Hong Kong SAR.

In a recent communication to the Aviva distributor network in Hong Kong the company has stated that ”we have decided to discontinue any new business of our Aviva Global Lifecare products with immediate effect and also the renewal of all existing Aviva Global Lifecare policies.”

This means that any policyholders in possession of an Aviva Global LifeCare plan will be unable to renew their policy. However, until the plan reaches the renewal date, now the cancellation date, Aviva has confirmed that customers will be able to seek coverage under the plan.

This poses a grave concern for many individuals and families currently covered by the Aviva plan, as the cancellation will force them to seek alternative health insurance options. Any medical conditions developed by the policyholder while enrolled on the Aviva policy would subsequently be treated as Pre-Existing with any new health insurance application.

Pre-exsiting medical conditions are normally not eligible for coverage under an international health insurance policy.

As of the time of publishing, Aviva has offered no solutions for continuing coverage to Aviva policyholders currently suffering from severe chronic conditions whose plans will be cancelled. This means that individuals experiencing life threatening medical conditions, such as cancer, are now no longer to obtain coverage from a plan which they have been enrolled on for a number of years.

Additionally, many Aviva policyholders are finding that they have only just completed the waiting periods associated with coverage benefits such as Maternity, and are now being told that their policy is no longer being offered. These individuals must find new coverage and complete a new set of waiting periods before they are able to start their family with the protection they deserve.

A current Aviva policyholder, who did not wish to be named for this story, said of the cancellation:

“This is horrific; I’m absolutely outraged at the decision. This belies an utter lack of commitment to the customer and is, quite frankly, extremely disappointing from one of the world’s, supposedly, ‘premier’ insurance providers… How am I meant to get coverage now?”

Upon being asked if he had any pre-existing conditions which would require continuing coverage the policyholder stated:

“Yes, and it’s definitely a condition which will be excluded from my next plan – if I’m even accepted. The whole situation is verging on the criminal, in my opinion.”

One woman, asking to be called Mrs. S in this article, who had purchased the policy expressly for the maternity coverage said of the news that “this is insane! My husband and I were going to try to start a family this year…. We now have to wait another 10 months on a different policy before we can give birth? How can Aviva do this?!”

Aviva entered the international health insurance market with the Aviva LifeCare plan in 2007 and it is unknown at this moment why the company is choosing leave. Additionally, it is also unknown whether Aviva’s offerings in the United Kingdom or Singapore will be affected by this decision.

However, it should be noted that Aviva has had a history of extreme premium increases over the last 2 years with the LifeCare product, with average plan costs doubling for 2 consecutive years. This is unusual for Health insurance and may indicate a structural unsoundness at the core of the Aviva LifeCare business.

At this time International Insurance News recommends that any person holding an Aviva Global LifeCare Health Insurance policy should contact their agent, broker, or representative to establish continuing coverage options.

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UAE Steps Up Medical Screening on Expats

The United Arab Emirates’ large expatriate workforce will soon be subject to a comprehensive medical screening process before being admitted into the country as part of the government’s plan to stop the spread of contagious diseases amongst migrant workers in the Arab state. The new system will also curb the number of workers who slip into the UAE with fake certificates by mandating re-tests once they arrive in the UAE.

Starting on October 1 2011, expatriate workers from Indonesia and Sri Lanka will undergo preliminary screening for 16 medical conditions, including tuberculosis, hepatitis B, HIV/Aids and malaria, in their respective countries of origin before they can be approved for a visa to live or work in the UAE. Some specific categories of expatriates will also be further checked for additional non-infectious health issues such as diabetes, cancer and renal failure. Those who test positive for a specified illness at any of the 220 medical centers throughout Asia that are part of the Gulf Approved Medical Centers Association (GAMCA) will be refused entry into the Emirates. Migrant workers who pass the first screening will then be re-tested in the UAE upon their arrival to confirm results. These same tests will also become applicable for residence visa renewal. Visitors entering the UAE on tourist or visit visas however will be exempt from these new health requirements for now.

The screening process being implemented in the UAE is the first phase of the Gulf Co-operative Council’s (GCC) Expatriate Worker Medical Examination Program, which began in 1995 as a medical fitness system to track the spread of communicable diseases across the Gulf region. This standardized healthcare exam is currently used by Qatar, Oman, Kuwait and Saudi Arabia, and includes tests for HIV/Aids, pulmonary tuberculosis, leprosy and syphilis. All GCC visa applicants must also be up-to-date on all their vaccines, including Hepatitis A and B, influenza and the Rubella virus. The UAE is now the final GCC member country to put this program into action, a state that sees almost 1.7 million new expatriate workers head to the state every year. Now, in collaboration with the region’s leading physician’s advisory group, the GCC technical committee, routine checks will be held internationally to ensure that the highest health reporting standards are maintained and that all newcomers in UAE have genuine accreditation and are free of infectious diseases.

Indonesia and Sri Lanka were chosen as the first two countries to undergo the medical screening system after the GCC technical committee conducted a thorough inspection of their healthcare facilities. These two countries will serve as very useful pilot subjects, as there are currently an estimated 250,000 Sri Lankan and 100,000 Indonesian expatriates working in the UAE. After a three-to-six month evaluation period, the program will be extended towards migrant labor from at least eight other Asian and African countries, including India, Pakistan, Bangladesh, Ethiopia, Nepal, Egypt, Sudan and the Philippines.

Health officials have long expressed concern about the spread of infectious disease among migrant workers in the Gulf, and in particular tuberculosis. The World Health Organization (WHO) has warned that new strains of tuberculosis and other drug resistance diseases have increased globally over the past few years, with new cases occurring most prominently in South Asia, a region that supplies the Gulf with many of its workers. According to the UAE Ministry of Health’s 2009 data, over 21 percent of all Asian expatriates screened for visa renewal tested positive for TB while in the country.

The UAE’s Ministry of Health explained in a statement that the new testing regime was necessary to both prevent the spread of disease and keep adequate records of migrant labor in the Emirates. “The new procedures will positively affect public health and eliminate diseases among newcomers to the UAE who are either coming for work or residence…The most important reason for the implementation of the program in the country of origin is to discover diseases in a suitable time. This achieves the highest protection grades.” The UAE’s previous immigration rules called for similar medical checks for expatriates before securing a visa. However, immigrants were allowed to enter the country and wait for up to a month before the screening process and this could’ve contributed to the spread of communicable diseases in the UAE before the diagnosis was made.

According to the Ministry of Health, instituting a thorough double check process by both the home country and UAE will work to curtail fraud and will lessen the stress and expenses on the UAE healthcare system, which has to treat all patients with communicable diseases at great cost before deporting them. Many of these sickly immigrants would not have been able to fulfill their job commitments in their present condition anyway. The number of people waiting to get tested is also expected to drop as expatriate workers will be deterred from trying to get into the country with faked test results. As part of the GCC’s regional expatriate testing initiative, all screening centers, embassies and consulates are connected through a computer system to ensure transparency and improve security. Health centers found issuing fraudulent health certificates and medical reports will have their license revoked and be fined thousands of dollars.

“Double-testing will positively affect public health and eliminate diseases brought in,” said Salem Darmaki, Acting Undersecretary at the Ministry of Health, at a press conference in Dubai on Wednesday, concluding that “We hope these procedures have a positive impact on public health in society to eliminate diseases among newcomers to the UAE, and reduce the psychological and financial burden in case they fail to obtain a residency visa.”

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Middle East Insurance Slowdown Sees Development of New Products

A number of financial reports released by Qatari insurance companies on Monday indicate that the country’s insurance sector may be poised to experience a significant slowdown. Five Qatari insurance companies, operating mainly in the non-life insurance market, have indicated that the sector’s total net profits have risen by only 2 percent during 2011, compared to 9 percent for the same period in 2010.

The companies, which include Qatar Islamic Insurance, Qatar General Insurance and Reinsurance, Al Khaleej Takaful, Qatar Insurance, and Doha Insurance, saw the sector’s net profit for January – June 2011 reach QR 545.96 million (US$ 149.91 million), compared to the QR 537.11 million (US$ 147.48 million) in profits seen for the same reporting period in 2010. The data on the general profitability of these five Qatari insurance companies was released by Qatar Exchange data.

One of the primary reasons cited by the insurers with regards to the lower than expected profits in the first half of 2011 is due to the rise in premiums yielded to reinsurance companies. Reinsurance premium yielding has risen by 8 percent for Qatar’s insurance companies in 2011, with three companies actually yielding more than 55 percent of total written premiums to reinsurers. With the levels of premiums being yielded to reinsurers outstripping the total growth in premium revenue for the market, profits have inevitably come in at lower than expected levels.

Profit growth for the first half of 2011 for the five companies, compared to the same period in 2010, stood at:

Qatar Islamic Insurance: 1.83 percent growth in 2011, up from 0.43 percent in 2010.

Qatar General Insurance and Reinsurance: 1.83 percent growth in 2011, up from -7.31 percent in 2010.

Al Khaleej Takaful: 11.29 percent growth in 2011, down from 46.85 percent in 2010.

Qatar Insurance: 10.74 percent growth in 2011, down from 65.77 percent in 2010.

Doha Insurance: -8.80 percent growth in 2011, down from 60.55 percent in 2010.

While the slowdown of the non-life insurance sector in Qatar does not pose major concerns at present, it has highlighted the need to create innovative policies with which to cover underserved segments of the Middle Eastern insurance market.

One company taking notice from the Qatari slowdown is the Dubai Islamic Insurance and Reinsurance Company, also known as Aman, which is headquartered in Dubai, UAE. Aman’s CEO, Hussein Al Meeza, announced the creation of two new types of protection policy which would focus on affording medical cover to Indian expatriates working in the United Arab Emirates.

The Indian Expatriate Medical Insurance plans from Aman are being run in conjunction with ICICI Lombard, one of India’s leading insurance companies. On creating the plans, Hussein Al Meeza said;

“If you check the structure of the population in the UAE and what relation it has with Emiratis, they are our partners; they are our brothers. They are also the people who (are) behind all the work that has been done here. The relationship that we have with the Indian population was not (built) today or yesterday. Also, we have (an agreement) with ICICI Lombard, which is one of the top names in the Indian market.”

Mr Hussein went on to say;

“Europeans already have the culture of insurance. They have very advanced products. We are looking to see where the opportunities are to provide services. We are looking at the Arab world, Pakistanis, Bangladeshis and Filipinos. It needs a background from the countries, because India has a platform for service providers… The Indian (expatriate population) is a big market and there are a lot of opportunities. Also, we got the right partner for the products.”

The policies, named “Rishtey” and “Health on Return,” aims to give Indian expatriates in the UAE a wider choice with regards to their medical cover than they have previously been afforded. The Rishtey plan would see UAE expatriate workers obtain medical insurance cover for their families in India, while the Health on Return policy would provide health insurance protection to those same expatriate workers in the event that they return to India for a short stay. Additionally, the Health on Return plan also offers the expatriate Indian workers the option of having retirement health insurance cover, creating a far more flexible and comprehensive health insurance product than any which currently cater to this niche market segment.

While a slowdown in Qatar’s general insurance market may pose a concern for the region, industry analysts are aware that there exists significant potential with regards to developing ever more unique products for the GCC insurance sector.

Insurance Companies Mentioned

Qatar Islamic Insurance

Founded in 1995, Qatar Islamic Insurance, also known as QIIC, operates a number of lines of insurance coverage. Offering insurance based on Islamic principles QIIC offers coverage for all risks from Aviation to personal protection.

Qatar General Insurance and Reinsurance

Qatar General Insurance and Reinsurance was founded in 1979, and is a Qatari national company. Qatar General Insurance and Reinsurance offers both individual and business insurance products in Qatar.

Al Khaleej Takaful

Founded in 1978, Al Khaleej Takaful operates primarily in the general insurance and reinsurance markets. Covering risks including Property, Engineering, Liability, General Accident, Marine Transit, and Marine Hull, Al  Khaleej has proven time and again to be an innovative insurer.

Qatar Insurance Company

Founded in 1964, Qatar Insurance Company, also known as QIC, is Qatar’s oldest insurance provider. Operating a number of personal and business insurance products across the GCC, QIC is one of the most established insurers in Qatar.

Doha Insurance

One of the younger insurance providers in Qatar, Doha Insurance was founded in 2000. Establishing a Takaful products company in 2006, under the name Doha Takaful Insurance, Doha Insurance company offers a range of general insurance products.

Dubai Islamic Insurance and Reinsurance Company

Dubai Islamic Insurance and Reinsurance Company, also known as AMAN, was established in 2002 to provide comprehensive Islamic insurance products to residents of the UAE. Offering Motor, Home, and Medical Islamic insurance products, AMAN is one of the leading insurance providers in the UAE.

Globalsurance International Health Insurance - Expat Medical insurance products for you and your family no matter where in the world you live.

New Health Screening Requirements for Expats in UAE

Last Sunday, the UAE ‘s Ministerial Service Council, chaired by Shaikh Mansour Bin Zayed Al Nahyan, the Deputy Prime Minister and Minister of Presidential Affairs, announced that expatriate workers who want to work in the UAE must get medical tests done in both their home countries and in the UAE prior to receiving a work visa for the emirate.

Many expatriate workers try to cheat the system by providing a fake medical test result from their home country. The new system will curb the number of workers, who slip into the UAE work force with fake certificates, by mandating re-tests once the workers arrive in the UAE.

The Ministerial Service Council has ordered the Ministry of Health to prepare and implement the legislations necessary to put the new system into effect. Expatriate workers, who bring communicable diseases into the UAE, have been a long-term issue for the council.

Another challenge that the council fights in preventing expatriate workers with communicable diseases from entering the country is internal corruption. Recently eight people, an Emirati health official, her uncle, and six others, were accused of accepting bribes and forging health certificates for individuals with infectious diseases.

The 25-year old Emirati woman, who worked for the Dubai Health Authority (DHA), is charged with accepting 30,000 Dhs ($8,167 USD) in bribe from her 42-year old Indian uncle to forge and issue health certificates to expatriate workers who have communicable diseases.

The uncle owns a typing center, which he is accused of working out of to distribute clean medical certificates to people with infectious diseases, ranging from hepatitis to Acquired Immuno-Deficiency Syndrome (AIDS). Prosecutors claimed that the 25-year old niece would abuse her authority and position to stamp certificates with a free-of-communicable-diseases stamp during her night shift.

Another two DHA clerks, a 28-year old Iranian and a 30-year old Indian, are also charged for accepting 45,000 Dhs ($12,251 USD) from four Pakistani workers to forge similar health certificates.

As of Monday, the Emirati woman has pleaded not guilty before the Dubai Court of First Instance. Her uncle also pleaded not guilty as he defended himself in the courtroom, which was presided by Judge Hamad Abdul Latif Abdul Jaward.

The 28-year old Iranian, 30-year old Indian, and one of the four Pakistani workers have too pleaded not guilty, while the other three Pakistani workers were not present for Monday’s trial.

An Emirati second lieutenant testified that the Dubai Police’s CID was informed that an Asian suspect was responsible for forging health certificates at one of the DHA’s fitness centers. He also notes, “We arrested the uncle who ran a typing center. During interrogation, he admitted that he collected from one of the Pakistani workers applications for individuals with infectious diseases and needed to renew their residence permits or have one issued.” The lieutenant also claimed that the uncle would charge around 500 Dhs to 1,000 Dhs ($136 to $272 USD) per application.

He goes on to say, “We detained one of the Pakistani individuals, who immediately admitted the two clerks, who worked in fitness centers, used to issue for him the forged certificates.”

Prosecution records showed that the confession was confirmed by another one of the Pakistani workers after he was arrested.

Although the new system cannot prevent DHA health officials from forging health certificates, it can deter expatriate workers who have infectious diseases from coming into the country with false test results and help relieve the pressure on the UAE healthcare system.

Any expatriate who wishes to work and live in the UAE is required to get a health check to see if he or she has HIV/AIDS, syphilis, or pulmonary TB. Housemaids and nannies will also be subjected to a pregnancy test, while kindergarten school employees, barber shop, health club, and restaurant workers will also have to test for hepatitis B.

The Ministerial Service Council hopes that the new system will lessen the stress and expenses on the UAE healthcare system, which has to treat all patients with communicable diseases before deporting them. The number of people waiting to get tested is also expected to drop as expatriate workers will be deterred from trying to get into the country with faked test results. DHA clinics have been so busy recently that some have suffered a breakdown in services.