Hong Kong-based Asia Financial Holdings and Bangkok-based Bumrungrad International, a world-renowned Thai company, recently submitted to the Hong Kong Food and Health Bureau a bid to build a US$385 million (HK$3 billion) 350-bed private hospital at Wong Chuk Hang in Aberdeen, a district located in the southern part of Hong Kong Island.

During 2009 the Bumrungrad Hospital in Bangkok, one of the largest medical tourism facilities in the world, treated over 1 million patients. Bumrungrad International also owns, operates and manages hospitals and healthcare facilities in seven other countries in Asia and the Middle East.

The joint venture envisions to create an integrated hospital offering comprehensive services, expanding its capacity by 150 extra beds in a second phase, based on demand from the public and availability of sufficient medical personnel.

Opening of the first phase of the hospital would be timed to coincide with the completion of the Mass Transit Railway (MTR) South Island Line.

It is now up to the government of Hong Kong to reveal a favourable and attractive land premium rate, which the initial US$385 million (HK$3 billion) bid hasn’t factored-in yet, for the project to go ahead.

Companies mentioned:

Asia Financial Holdings

Asia Financial Holdings Ltd.. The Group’s principal activity is providing underwriting of general and life insurance. Other activities include securities trading and holding, mortgage loan financing, providing health care services and investment holding. Operations are carried out in Hong Kong, Liberia and British Virgin Islands.

Bumrungrad International

The Group’s principal activities are owning and operating hospitals. Its flagship hospital, Bumrungrad International, is a renowned medical centre attracting over 1 million patients annually and named one of the world’s top ten international hospitals by Newsweek International. The Company also owns a businesses in real estate and anti-ageing and functional medicine.

Citing the massive increase in awareness to insure themselves against possible causalities, the Associated Chambers of Commerce and Industry of India (ASSOCHAM) has projected that premium from General Insurance will rise to levels of close to US$22.2 billion (EUR 16.4 billion) in the next 5 years.

A recently released assessment by ASSOCHAM estimates the current insurance premium collection to be close to US$77.8 million (EUR 57.6 million), with a high likelihood in future that it will gain a speedier pace.

The year-on-year annual growth of general insurance premiums between 2000 and 2009 is estimated to have been in excess of 15%. The gross premiums of general insurance in 2000 were estimated to have reached almost US$22.2 million (EUR 16.4 million). This amount by 2009 is estimated to have climbed to close to US$77.8 million (EUR 57.6 million) due to increased penetration levels, particularly in large towns, metropolitan areas and other cities.

According to ASSOCHAM, over 60% of the population in India, largely in the rural parts of the country has yet to be tapped by the insurance industry. The social schemes of the government are having the effect of raising levels of awareness and improving the income among a large chunk of the rural population, and this is believed to become one of the driving factors for the growth of insurance premiums up to the projected level of US$22.2 billion (EUR 16.4 billion) by 2015.

The automotive sector is experiencing high growth, together with great improvements in healthcare, both of which factors will substantially open up the potential of health insurance as well.

The market size of general insurance in the United States is currently worth US$488 billion (EUR 361.5 billion), compared to US$10.5 billion (EUR 7.8 billion) of Switzerland, US$74 billion (EUR 54.8 billion) of France, US$77 billion (EUR 57 billion) of Germany, US$70 billion (EUR 51.9 billion) of Japan, US$14.2 billion (EUR 10.5 billion) of Brazil, US$14.1 billion (EUR 10.4 billion) of Russia, US$2.6 billion (EUR 1.9 billion) of Thailand, and US$26.3 billion (EUR 19.5 billion) of China. As per latest estimate, the size of this market in India is US$6.2 billion (EUR 4.6 billion).

The penetration level of general insurance in India is estimated to be 0.60% of its GDP, which compares to a world average of 2.14%. In the United States it is 3.94% of its GDP. While in Switzerland, France, Germany, Japan, Brazil, Russia, Thailand and China, this percentage in relation to their GDP amounts to 2.4%, 2.34%, 1.99%, 1.46%, 1.10%, 1.10%, 1.08%, and 0.81 respectively. India ranks 136th in penetration levels worldwide, compared to rankings 106 of China, 87 of Thailand, 86 of Russia, 85 of Brazil, 61 of Japan, 36 of Germany, 25 of France, 20 of Switzerland and 9 of The United States of America.

The great potential for growth in general insurance premiums in India lays in its rural sector, in which a large number of micro financing institutions will explore possibilities for wider coverage of general insurance, together with the government initiatives on mass insurance, which will also be gradually widen to cover large portions of the countryside for general insurance, including the urban pockets in India.

In a more distant future, non-banking financial companies will also be tied up with the entire banking infrastructure to better utilise the distribution of insurance products.

An additional online resource for the more than 400,000-member worldwide base of Aetna Global Benefits (AGB) has been made available for them to easily navigate their benefits and achieve optimal health. The international business segment of Aetna has launched its presence in Facebook with the aim of enhancing the level of service experienced through the Internet.

Initially AGB will focus its efforts on creating an online community comprising of not only its diverse and geographically-dispersed members but prospective individual customers as well. AGB has already been offering members online access to the secure portion of their website.

The Facebook Wall of AGB will include frequently updated information on its international provider community of more than 61,000 health care providers outside of the U.S. and approximately 900,000 in the U.S., answers to frequently-asked benefits questions, news feeds and videos, and health and wellness information and resources provided as an extension of the Aetna Global Health Connections programme.

Existing Facebook members can access the resources described above by becoming fans of “Aetna Global Benefits.”

AGB plans in future to include content specifically targeted to employer customers and brokers.

Insurance Companies mentioned:

AGB

Aetna Global Benefits, the international business segment of Aetna, is committed to helping create a stronger, healthier global community by delivering comprehensive health benefits and health management solutions worldwide. AGB’s expatriate business is one of the industry’s largest and most prominent U.S.-based international health benefits providers, supporting more than 400,000 members worldwide. Our expatriate offerings include medical, dental, vision, life, disability and emergency assistance. The organisation’s health management business collaborates with health care systems, government entities and plan sponsors around the world to design and build locally-applied health management solutions to improve health, quality and cost outcomes.

Aetna

Aetna LogoAetna is a leading global diversified health care benefits company headquartered in the U.S., serving approximately 36.1 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioural health, group life and disability plans, and medical management capabilities and health care management services for Medicaid plans. Our customers include employer groups, individuals, college students, part-time and hourly workers, health plans, governmental units, government-sponsored plans, labour groups and expatriates.

Following its acquisition of American Life Company (ALICO), MetLife now aims to become a force in the Middle East, which had been missing from its portfolio of 18 countries.

Given that the growth of life insurance sales is happening outside of the US, and ALICO has been in an excellent position to strategically capitalise this segment of the market in Asia, it is only natural for MetLife to take advantage of this opportunity to extend its cover to the Middle East.

Insurers are particularly drawn by the fact that the Middle East is currently under-insured in a severe manner. In developed countries premiums reach about 15 percent of their GDP whilst per-capita premiums in the Gulf account for an average of only 1 per cent of GDP, and it is estimated that insurance premiums grew 28 percent last year.

This calling has brought 58 insurers to the UAE, with approximately half of them being foreign companies. This intense competition has driven down premiums to some of the lowest levels in the world.

Within the particularly undeveloped segment of personal insurance, car insurance and health insurance are the most common products, especially since regulators have started to gradually make them compulsory. Life insurance, the core business of MetLife and ALICO is an even newer concept in this market.

Whilst awaiting regulatory approval for its ALICO purchase, MetLife plans the integration of the two companies and continue watching the markets for opportunities. MetLife hopes to close the deal by 01 November of this year.

Actively present in 55 countries with a 20-million customer base, the presence of ALICO in the Middle East and Japan complements activities of MetLife in China, India and Brazil. MetLife counts with a 70-million customer base.

The success story of ALICO made it one of the crown jewels of AIG, before being bailed out by the US government.

Insurance Companies mentioned:

MetLife

MetLife Life Insurance CompanyPossessing over 140 years of insurance expertise, MetLife aims to be an innovator in the field of international Life insurance. Globally, MetLife is able to offer its clients accident and health insurance, life insurance, disability income protection, and retirement and savings products.

Alico

Alico provides a broad and innovative range of insurance and savings products to individual customers, corporate clients and high net worth customers. With products to support every aspect of their customers’ lives, and provide comprehensive cover for the employees and commercial needs of their business clients.

Residents in developed cities in Continental China are starting to show less interest in buying insurance products and it is expected that the leading insurance groups will set their sights this year to capitalise in the development of the central and western regions of the country.

The top three Chinese insurance companies in Mainland China, China Life Insurance Co., Ping An Insurance (Group) Co. of China Ltd. and China Pacific Insurance (Group) Co. based in Beijing, Shenzhen and Shanghai respectively, correspondingly reported back in January of this year premium revenues of US$6.13 billion (CNY 41.8 billion), US$3.2 billion (CNY 21.8 billion) and US$2.48 billion (CNY 16.9 billion), recently boosting the interest on their shares from investors at the stock market.

The latest report compiled by HSBC Insurance showed that Chinese consumers are more willing to put their savings into bank accounts, chiefly worried about inflation, regardless of the fact that the Chinese economy actually has made a turnaround since the financial crisis. By so doing, it becomes hard for insurers to see the revenue from premiums increase in cities like Shanghai, Beijing and Guangzhou and that is a good reason why the insurance companies may focus their market development strategies into second-tier cities in central and western China.

The pace of implementation of the medical reform in China may provide a window of opportunity for the commercial insurance companies to adopt the aforementioned strategy, making it a win-win situation for both urban and rural residents.

It remains to be seen whether the lower profits, heavier taxes, and less developed economy in some regions will diminish the enthusiasm of these commercial insurance service providers to offer managed medical insurance services.

Insurance Companies mentioned:

China Life Insurance Co.

China Life Insurance (Group) Company and its subsidiaries constitute the largest commercial insurance group in Mainland China. It is the only domestic insurance group with an asset exceeding 1 trillion RMB yuan. It is also one of the largest institutional investors in China’s capital market.

Ping An Insurance (Group) Co. of China Ltd.

Ping An Insurance (Group) Company of China, Ltd (“Ping An” or “the Group”) is the first integrated financial services conglomerate in China that blends its core insurance operations into securities brokerage, trust and investment, commercial banking, asset management and corporate pension business to create a highly efficient and diversified business profile. The Group was established in 1988 and headquartered in Shenzhen, Guangdong Province, China.

China Pacific Insurance (Group) Co.

China Pacific Insurance (Group) Co., Ltd. (CPIC) was established on the basis of China Pacific Insurance Co., Ltd., which was founded on May 13, 1991. Headquartered in Shanghai, its registered capital stands at RMB 7.7 billion. The company was listed in Shanghai Stock Exchange on Dec. 25, 2007, with the stock code of 601601 and the stock name of “ China Pacific”. The Company was listed in the Stock Exchange of Hong Kong Limited on Dec. 23, 2009, with the stock code “02601” and the stock name of “CPIC”.

On the 23rd of March, 2010, the President of the United States Barack Obama signed the Patient Protection and Affordable Care Act (H.R. 3590) into law. As part of the President’s efforts to reform healthcare in the United States, this bill marks the biggest change to federal healthcare laws in decades. But what does the bill contain and what effects will the new law have on people?

The bill has a number of provisions, most of which are rolled out in two stages. The first stage is to take fairly immediate effect, with the provisions in the bill to start being actioned by September 21, 2010, while the second set of provisions are to come into effect by 2014.

The first phase is mostly comprised of short term fixes in preparation for the second phase. It includes provisions for: closing the ‘donut hole’ in Medicare by providing rebates for prescription drugs; preventing insurance companies from denying coverage or raising premiums for children with pre-existing conditions; removing lifetime payment limits on insurance coverage and restricting annual limits; allowing young adults to stay on their parents plans until the age of 26; and banning insurance companies from the practice of rescission, whereby coverage is denied or removed after you fall sick, except in case of fraud.

Also included in the first batch of provisions are tax credits for small businesses when purchasing cover, as well as the creation of high-risk pools where uninsured adults with pre-existing conditions will be able to find coverage. The provision for high-risk insurance pools is a temporary measure before state insurance exchanges for individuals and small businesses are set up under the second stage of reform. On a lighter note, indoor tanning services using ultraviolet light are subjected to a 10% tax.

The second phase, whose provisions are slated to be in effect by January 1st, 2014, provides a more robust reformation of rules and systems related to insurance and healthcare in the United States. Some of the provisions include: fully prohibiting insurers from discriminating against individual adults with pre-existing conditions; abolishing annual spending limits on insurance plans; and expanding Medicaid to allow anyone earning 133% of the poverty line to qualify. The Medicare payroll tax is also set to be raised in 2013 for individuals earning US$200,000 or joint-filers earning more than US$250,000, from 1.45% to 2.35%.

By this point in time, state health insurance exchanges for small companies and individuals should be set to start business, offering a larger pool to disperse risk and lower costs. Also, any individual who gets their insurance through their employer will be able to purchase a state-run health insurance option if their premiums are more than 9.5% of their income or if their plan does not cover 60% of the cost of their benefits.

One of the most contentious portions of the bill relates to the mandate to get insurance and the penalties for not doing so. In order to effectively widen risk pools and spread out costs, the bill mandates that everyone with the means must obtain health insurance. Financial penalties will be incurred by companies with 50 or more employees that do not offer their workers health insurance, while individuals will have an annual fine imposed on them for not obtaining insurance. However, there are various financial incentives to promote compliance, such as subsidies for people earning up to 400% of the poverty line and other exemptions for financial hardships and religious views.

But what does this all mean for American expatriates living abroad? While some of the healthcare reform bill, such as the increased Medicare payroll taxes, may affect expatriates, in general the mandate for health insurance and the penalties for not obtaining it will not affect them. In the new Internal Revenue Service (IRS) tax code, expatriates are treated as if they have health insurance regardless of whether they do or not. Although in order to be exempted from the insurance mandate, American expatriates must already be eligible for the IRS’ foreign earned income exclusion.

In order to meet the criteria for the exclusion that allows U.S. expats to avoid paying U.S. taxes on their first US$91,500 worth of income, the expatriate must have a tax home (the general area of your main place of business or employment where you happen to be permanently or indefinitely engaged) in a foreign country, as well as be either a legitimate resident in that country, or spend at least 330 days a year outside the United States.

By selling about one third of its remaining stake in the Industrial & Commercial Bank of China (ICBC) Ltd., Allianz SE the biggest insurer in Europe, has made a profit of US$545 million (EUR 400 million).

Back in February of this year, Allianz sold 1 billion shares of ICBC, according to a report recently published in their website. Allianz originally owned 3.22 billion ICBC shares, which are traded in the HK Stock Exchange and were equivalent to a 0.97 percent stake of this Chinese bank, the largest lender in the world by market value.

The shares sold in February could have been sold back in October of last year, when the lockup for the second half of its stake ended but Allianz decided to keep them. The sale of the first half of its stake were immediately sold in April, with Allianz booking a US$897 million (EUR 658 million) gain.

ICBC did the IPO of its shares in the Hong Kong Stock Exchange back in October 2006 and Allianz, along with American Express and Goldman Sachs Group Inc., bought its original stake six months before then. These companies agreed at that time to hold half their shares for three years, and the remainder for an additional half year.

ICBC shares have outperformed by 8 percent the 67 percent gain of the benchmark Hang Seng Index over the last 12 months. Over this same period, Allianz shares have gained 45 percent in value.

This latest sale reported by Allianz will have a positive financial impact for earnings booked under the first quarter of 2010.

Companies mentioned:

Allianz

Allianz Group is one of the leading global services providers in insurance and asset management. With approximately 153,000 employees worldwide, the Allianz Group serves approximately 75 million customers in about 70 countries. On the insurance side, Allianz is the market leader in the German market and has a strong international presence.

ICBC

By the end of 2008, ICBC had altogether 385,609 employees and 16,386 domestic and overseas branches, providing extensive and high-quality financial products and services to 190 million personal clients and 3.1 million corporate clients.

The results of a global study conducted by Microbiologists from the University of Hong Kong have found a link between infections and acupuncture performed with poorly sanitised needles. According to this research, these findings appear to be just the beginning of more reported cases of infections since the 1970s, including hepatitis B and C and HIV.

The report, released as an editorial in a recent British Medical Journal aims to call on regulatory boards to enforce stricter training and cleanliness among practitioners, so that proper sterilisation of needles is followed or better yet, make the use of disposable needles compulsory.

In addition of clean, disposable needles, researchers call for other infection control measures to be jointly implemented, including skin disinfection procedures, aseptic techniques and proper application.

Since acupuncture has gained worldwide popularity, the warnings and recommendations contained in this study are relevant to help prevent future cases of infection, particularly in light of five outbreaks of hepatitis B linked directly to dirty acupuncture needles and several cases of HIV-positive patients whose only risk factor was participation in acupuncture. It is believed that most patients affected in this way might not be aware that acupuncture was the culprit of their illness.

An entirely new ailment known as mycobacteriosis, has been traced specifically to acupuncture and it is caused by infected needles inserted a few centimetres deep into the skin, causing bacterial outbreaks that lead to abscesses and ulcers. In the great majority of these cases, patients fully recover and only about 5 to 10 percent develop symptoms that become life-threatening, such as organ failure, flesh-eating disease or even paralysis. This new illness has a long incubation period, which may be the reason why some patients fail to connect their symptoms to the acupuncture treatment.

The study aims to raise awareness in countries where acupuncture is not already regulated, about the proper procedures to observe in order to prevent infections caused by poorly sterilised needles and improper application.

CIGNA International Expatriate Benefits has broadened its African healthcare network with 47,000 healthcare facilities on March 17, 2010.

The new additions to CIGNA International’s healthcare facility network is part of its unveiling of CIGNALinks Africa which opens in Morocco, Tanzania, Kenya and South Africa; taking their network of health facilities outside the United States to about 140,000 international clinics, doctors and hospitals.

CIGNALinks is a program that aims to facilitate expatriate’s experience with international healthcare by establishing contractual alliances with local insurers and healthcare administrators, which allow CIGNA International Expatriate Benefits (CIEB) customers to get provider discounts, cashless services and streamlined claims procedures. The CIGNALinks Africa network integrates the global coverage of CIEB with South African company, Medical Services Organisation (MSO), and their joint-venture company Global Access Health Network’s local African healthcare network and services.

This continues a trend in international insurance companies expanding business and services in new markets, as seen by CIGNA’s expanded provider base in Russia and Aetna Global Benefits rolling out their Online Wellness Center in the Middle East and Africa.

Companies Mentioned:

CIGNA International

CIGNA LogoFor more than 125 years, CIGNA has been helping people lead healthier, more secure lives. The company provides health care and related benefits offered through the workplace. Key product lines include health care products and services (medical, pharmacy, behavioural health, clinical information management, dental and vision benefits, and case and disease management); and group disability, life and accident insurance. In addition, CIGNA also provides life, accident, health and expatriate employee benefits insurance coverage in selected international markets, primarily in Asia and Europe.

Aetna Global Benefits

Aetna Global Benefits LogoThe international health insurance arm of Aetna, AGB is able to cater to the needs of expatriates located around the globe. With innovative policies, and dedication to service, Aetna Global Benefits exemplifies the commitment to the customer shown by their parent company.

Medical Services Organisation

Medical Services Organisation LogoMedical Services Organisation SA (Pty) Ltd., registered in 1995 in South Africa, is a wholly owned subsidiary of South African Druggist Ltd. Group. Medical Services Organisation provides healthcare industry related risk management services, specializing in Hospital and Disease Management.

Global Access Health Network

Global Access Health Network LogoGlobal Access Health Network is a joint venture betweek Medical Services Organisation and Axihealth. It works with other companies, namely international insurance companies and self-insured corporates, by giving them access to local in-country Third Party Administrator healthcare networks.

Citing a strong recovery in investment performance along with growth in its life insurance segment, the Italian Generali Group reported a 52.1% rise in 2009 net profit, which amounted to EUR 1.31 billion (US$1.783 billion) compared to EUR 861 million (US$1.172 billion) in 2008.

Compared with the results for 2008, Generali attributed the boost in net profit to its profitable underwriting and premium growth, plus a EUR 1.8 billion (US$2.45 billion) contribution attributed to the recovery in financial markets. Additionally, EUR 2.5 billion (US$3.4 billion) were gained through its merger with Alleanza Toro.

Alleanza Toro is a new company wholly controlled by Generali created through a merger by incorporation of Alleanza Assicurazioni and Toro Assicurazioni, approved by shareholders last year in July. This new company combines the experience in the property/casualty market of Alleanza with the knowledge of the life insurance market in Italy of Toro.

Despite these positive net profit results, stock analysts gave a mixed review leaning towards dissatisfaction, explaining that stronger results were expected at the level of group operating profits.

Company mentioned:

Generali

The Generali Group is one of the most significant participants in the global insurance and financial products market. The Group is leader in Italy and Assicurazioni Generali, founded in 1831 in Trieste, is the Group’s Parent and principal operating Company. Characterised from the outset by a strong international outlook and now present in 65 Countries, Assicurazioni Generali has consolidated its position among the world’s leading insurance operators. It has in fact a strong position in western Europe, its main area of activity, with significant market shares in Germany, France, Austria, Spain, and Switzerland as well as Israel.

UK based international insurance company Aviva plc has come to an agreement with PT Asuransi Wahana Tata to purchase a 60% share of PT Asuransi Winterthur Life Indonesia (WLI). This is the first time Aviva has entered the Indonesian market and comes amidst heightened global interest in the Asian insurance industry.

Once the deal is finalized and Indonesian regulatory approval is given for the venture, Winterthur Life will be renamed PT Asuransi Aviva Indonesia. Aviva currently has a presence in China, Hong Kong, India, Korea, Sri Lanka, Singapore, Taiwan, Malaysia and Australia.

PT Asuransi Winterthur Life Indonesia is one of Indonesia’s top three health insurance providers, as well as having a 6% share in the country’s financial institution pension market. The company currently holds gross assets of approximately US$ 22.7 million and manages pension asset funds in excess of US$ 63 million.

Chief Executive of Aviva Asia Pacific, Simon Machell said of the deal, “It is another stop in our strategy to build a competitive presence in key markets in Asia to ensure that we benefit from the region’s long-term potential.”

Similar sentiments were offered by the Chairman of PT Asuransi Winterthur Life, Rudy Wanandi, who stated “We are happy to have found in Aviva a partner that shares our strategic priorities – profitable growth in the long-term, a disciplined and focused approach and the ambition to reach out to the Indonesian people and offer them peace of mind through our range of product offerings.”

Aviva Plc is currently the fourth largest insurance company in Europe, holding a 5% share of the market. In contrast the company’s holdings and operations in both North America and Asia are much smaller by comparison. The agreement with Winterthur Life sees the continuation of a trend which has realized spurred interest by foreign insurers with regards to the Asian insurance industry; a trend which has seen such deals as the Sale by AIG to Prudential of the American Insurance Group’s Asian businesses.

Companies Mentioned

Aviva PLC

Aviva acquires stake in Indonesian insurance marketEurope’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 it’s customers.

Members of à la carte healthcare, Ltd. (ALC Health) will gain online access to the contracted community of doctors and hospitals in 180 countries that Highway To Health, Inc. (HTH Worldwide) has nurtured over 12+ years of operation. Through the proprietary mobile and online medical assistance tools developed by HTH Worldwide, travellers can search for and conveniently access top quality medical providers all over the world.

This deal will benefit the thousands of expatriates and their families currently covered by the comprehensive range of flexible and affordable global healthcare insurance solutions provided by ALC Health on a group and individual basis. Using their mobile phones, ALC Health members will now be able to conveniently search for, select and map carefully selected doctors, hospitals and pharmacies, as well as to translate brand names of medications and key medical terms and phrases.

In addition of the comprehensive health plans provided to ALC Health members, they will now have the added incentive of being in a better position to manage their health by gaining access to the highest quality health services available worldwide through the latest mobile and online tools already in use by the globally mobile members of HTH.

Companies mentioned:

ALC Health

ALC Heath is an international medical insurance company providing insurance to private clients companies and organizations worldwide. ALC Health was built and continues to grow on a philosophy of ensuring that private clients, corporate and intermediaries are all offered a high quality personal service.

HTH Worldwide

HTH Worldwide provides health insurance plans and global medical assistance services for business and leisure travelers as well as students abroad. HTH programs are distinguished by a contracted community of hospitals and doctors in 180 countries. HTH combines its health and safety research, advanced Internet and mobile applications, and extensive experience in designing and delivering international health insurance plans to ensure customers’ health, safety and peace of mind. HTH was recently named one of North America’s fastest growing companies in Deloitte’s Technology Fast 500.

Once the ink dries on the deals for AIG to divest American Life Company (ALICO) and American International Assurance Company (AIA), there will be a stakeholders shift in the Life Market in Asia, as observed by market analysts.

Since the effects of the global financial crisis started to be felt over a year ago, there has been a transformation of the insurance markets in Asia, with the sale of American Life Insurance Company to MetLife Inc. and the purchase of AIA Group by Prudential plc becoming the most recent adjustments in the Asian markets.

It is envisioned that the acquisition of Alico by MetLife in Japan will bring about a refreshed competitive environment for both local and foreign players in the Japanese life insurance market. This latest deal by MetLife together with the IPO next month of Dai-ichi Life’s stock may exercise some pressure to the leading life insurers such as Nippon Life Insurance Co. Ltd., Sumitomo Life Insurance Co. and Meiji Yasuda Life Insurance Co. to consider their strategic alternatives.

The combination of MetLife and Alico in Japan is likely to produce innovative life products that meet the demands for savings and long-term care for their ageing population and transitioning demographic. Foreign players entering the Japanese market are well positioned to introduce new savings products, something that the local insurers must factor in whilst drafting their new competitive strategies.

In general, the competitive landscape of the Asian insurance market has been altered by the financial tsunami. One of the noticed effects in the Japanese market is that local insurers have gained a larger share at the expense of the portion of business held by foreign insurers disposing of their Asian operations, as exemplified by the acquisition made by MetLife. Likewise, Prudential is now well positioned to gain market share in the rest of Asia, following the acquisition of AIA.

Increased global reach will be another positive impact for MetLife, increasing its presence from 17 to 64 countries as a result of its Alico acquisition. MetLife move into the top-five tier in many emerging markets including Latin America, the Middle East, Central and Eastern Europe among others.

The integration of Alico into MetLife is scheduled for completion towards the end of this year. The majority of employees currently working for Alico will be retained, in favour of a smooth integration process into MetLife.

Insurance Companies mentioned:

AIG

AIG LogoAmerican International Group, Inc. (AIG), a world leader in insurance and financial services, is the leading international insurance organization with operations in more than 130 countries and jurisdictions. AIG companies serve commercial, institutional and individual customers through the most extensive worldwide property-casualty and life insurance networks of any insurer. In addition, AIG companies are leading providers of retirement services, financial services and asset management around the world. AIG’s common stock is listed on the New York Stock Exchange, as well as the stock exchanges in Paris and Tokyo.

AIA

AIA LogoAIA is a Hong Kong-based life insurance company doing business across Asia that has been in business since 1919. They service over 20 million policies through 23,000 employees and 300,000 agents throughout markets in Asia, including; Vietnam, Thailand, Taiwan, South Korea, Singapore, Philippines, New Zealand, Malaysia, Macau, Indonesia, India, Hong Kong, Mainland China, Brunei and Australia.

Alico

Alico provides a broad and innovative range of insurance and savings products to individual customers, corporate clients and high net worth customers. With products to support every aspect of their customers’ lives, and provide comprehensive cover for the employees and commercial needs of their business clients.

MetLife

MetLife Life Insurance CompanyPossessing over 140 years of insurance expertise, MetLife aims to be an innovator in the field of international Life insurance. Globally, MetLife is able to offer its clients accident and health insurance, life insurance, disability income protection, and retirement and savings products.

Prudential

Prudential plc LogoPrudential has been in the insurance and financial services business since 1848. Today they operate throughout the UK, US and Asia offering international health insurance and retirement planning services, supported by 27,000 employees worldwide.

Aviva UK Health has added another product to its group risk lineup, with the new group critical illness insurance product giving it one of the broadest ranges of policy options in the top four group insurers.

Aviva said the new product was in response to customer demand for cheaper benefits for employees that can be included in a flexible benefits scheme and also cited the fact that the group critical illness market has seen the fastest premium income growth per annum out of any risk group in the last few years.

The group critical illness product allows for a choice between a standard list of procedures and illnesses or an extended list of coverage. All pre-existing conditions have been excluded from coverage in order to streamline the application process and reduce administration, removing the need for full medical underwriting. The group critical illness product pays benefits up to five times the worker’s salary with a maximum of £500,000 (US$752,608).

The way Aviva’s new product is intended to work is that once the employee has been diagnosed with an illness on the pre-determined list or has a surgical operation on the list and survives for 14 days, then the employee is paid a cash lump sum which they can use as they see fit, such as to pay for treatment or pay off mortgages, bills, etc.

Companies Mentioned:

Aviva UK Health

Aviva LogoThe UK Health insurance branch of Aviva Group is the UK’s third largest private medical insurer. They have 1800 employees providing health insurance and income protection plans to individuals and corporate clients from the largest of companies to small and medium enterprises.

Last Thursday, the Shenzhen-based Ping An Insurance Group of China announced its group insurance premiums for the first two months of 2010 are up from the same time period last year.

Ping An Insurance Group announced its results for its pension, property, life and health insurance businesses. Pension insurance for January and February 2010 was 715.54 million yuan, up about 73% from 412.73 million yuan in 2009. Property premiums grew to 10.11 billion yuan in 2010 from 5.75 billion yuan last year, an increase of about 75.8%.

China Ping An’s health insurance premiums for the first two months of 2010 were 38.01 million yuan, showing a 114.75% increase over 2009’s health insurance premiums of 17.7 billion yuan. Life insurance premiums were 36.94 billion yuan in 2010, a 35% year-on-year increase over 27.32 billion yuan worth of life insurance premiums in 2009.

The improvement in business across sectors is a good sign as China has been ramping up spending in a bid to reform its healthcare system. The Chinese government spent 127.7 billion yuan on healthcare in 2009, an increase of 49.5% over similar spending in the year before.

Chinese Premier Wen Jiaobao pointed out five targeted areas of improvement in a government report; reform of public hospitals, improving disease prevention, promotion and development of traditional Chinese medicine, expanding basic medical care and securing non-government financing for medical institutions. The increased spending and reforms could lead to improved business for insurers in China.

Companies Mentioned:

Ping An Insurance (Group) Company of China, Ltd.

China Ping An LogoEstablished in Shenzhen, Guangdong province in 1998, Ping An Insurance Group has grown into an integrated financial conglomerate, operating core insurance businesses alongside commercial banking, securities brokerage, and asset management among others. As of the end of June 2009, the Group holds 885.419 billion yuan worth in total assets and 101.793 billion yuan in total equity under International Financial Reporting Standards and services about 47 million customers throughout all its businesses.

Individuals and families looking to apply online for insurance coverage provided by Blue Cross and Blue Shield of Texas (BCBSOT) may now do so through the Internet system developed by Quotit(R) Corporation, a division of The Word & Brown Companies.

The seamless integration between the Quotit quoting system and BCBSOT makes for an improved online shopping experience for applicants of insurance coverage. Users will save time by not having to repeat the input of information already stored in the secured database of BCBSOT.

People looking to apply for health insurance online face a complicated and often intimidating process that requires them to visit multiple websites in order to find the coverage best suited to their needs. The insurers accepting online applications for coverage require the users to input information that they may have already provided, thus opening the possibility of typing mistakes which translate into unnecessary delays when the information needs to be verified by the insurer and reconfirmed by the user. The system developed by Quotit targets the elimination of all these hassles.

The Quotit system has been designed in a way that it is easy to use, saves time and allows its users to apply for insurance coverage, all in a single website.

Companies mentioned:

Blue Cross and Blue Shield of Texas

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation — the only statewide, customer-owned health insurer in Texas — is the largest provider of health benefits in the state, working with nearly 40,000 physicians and 400 hospitals to serve 4.4 million members in all 254 counties.

Quotit(R) Corporation

Quotit® Corporation, a division of The Word & Brown Companies, is the leading Internet application service provider for the health insurance and employee benefits industry. Quotit has relationships with more than 150 insurance carriers representing more than 11,300 plans in the health, life, dental and vision insurance markets, including Aetna, United Healthcare, Health Net, WellPoint, Assurant Health, Humana, Celtic and independent licenses of the Blue Cross and Blue Shield Association. Quotit’s database of carriers and plans extends to 50 states, including the District of Columbia.

Reporting a 2009 net profit of US$1.62 billion (EUR 1.19 billion), chiefly due to the profitable performances of its remaining insurance operations, Fortis also announced its re-branding strategy which aims to reflect the transformation it went through during the past year that made it a focused insurance company.

The profit reported by the Dutch-Belgian financial group for 2009 is a positive contrast with the net loss of US$38.2 billion (EUR 28 billion) in 2008.

As yet another casualty of the global financial crisis, the governments of Belgium, Luxembourg and the Netherlands bailed out Fortis during the last week of September 2008 due to wild fluctuations in its share price. The company went through a painful restructuring exercise under which the Dutch government removed all its Dutch operations, and BNP Paribas acquired its Belgian operations plus Fortis Bank, causing the ire of its then shareholders. All that remained of the original Fortis after completing the restructuring exercise were its insurance segments.

Fortis will change its name to ageas (in lowercase). As per explanation from the company, the first two letters – ag – are a reference to AG Leven, the root of the group back in 1824. The subsequent two letters – ea – are a reference to Europe and Asia, the key markets of the group. Finally, the last two letters of the new name ageas – as – refer to the first two letters of the word assurance, the focus of Fortis’ core insurance business.

The new branding identity of Fortis will take place once the new name ageas is formally approved by the shareholders next month.

Insurance Company mentioned:

Fortis

Fortis is an international insurance company consisting of: 75% ownership of AG Insurance, Fortis Insurance International, a 45% stake in Royal Park Investments – a structured credit portfolio entity – and the financial assets and liabilities of various financing vehicles. AG Insurance is the undisputed leader of the Belgian market for Individual Life and Employee Benefits and is also one of the top players in Non-Life. The international insurance activities (Fortis Insurance International) are located in the UK, where Fortis is the third largest player in the market for private car insurance, France, Hong Kong, Germany, Turkey and Ukraine. In addition, Fortis operates in partnership through joint ventures in Luxembourg (Life), Italy, Portugal, where Millenniumbcp Fortis is among the market leaders, China, Malaysia, India and Thailand.

London-based international medical insurer Medicare International has now added ‘passive war cover’ as an option on its health polices to provide coverage for contractors and workers in war torn nations.

Medicare has recognized there is a growing number of people working in and around zones of conflict in the world and has tried to cater to contractors and NGO staff by offering passive war cover options on top of their regular benefits for both individual and group international health insurance policies.

Senior Executive Director of Medicare International, David Pryor, said “In an age where localised conflicts seem to be ever present, whether in the form of a full scale encounter such as that in Afghanistan or on a more localised basis in other world hotspots, the reconstruction and rebuilding of economies is of vital importance. As a contractor or voluntary worker attached to an NGO, preparing yourself for the reality of entering such areas is a must, as the type of medical care which will be needed is quite different from standard healthcare practice. For those companies involved in reconstruction and aid, attracting the necessary highly-skilled specialists can be helped if they know they can at least have full medical cover.”

While most insurance policies have a complete war exclusion, Medicare International’s policies with passive war cover come with the full range of benefit options such as medical and evacuation, as well as rehabilitation coverage of up to £100,000 (US$149,330) which would go towards reconstructive plastic surgery and prosthetics. The plans with passive war cover also provide cover in the event of a terrorist attack. Medicare International also generally offers premium discounts on groups of 3 or more lives insured.

Companies Mentioned:

Medicare International

Medicare International LogoWith 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.

The British Government is looking at a number of proposals that would attempt to curtail the number of medical tourists who leave without paying the bill, such as forcing visitors to show proof of medical insurance before entering the country.

The British Home Office has put forward ideas on ways to curtail the abuse of the National Health Service (NHS) system by visitors as the Department of Health is seeking to recover £22 million (US$32.9 million) in debt from foreign nationals that have received NHS services in the last 2 years without paying for them.

Numerous individual NHS Trusts are said to be seeking repayment of over £1 million in outstanding medical costs, including: London’s Imperial College Healthcare which is seeking £1.4 million including two £50,000 unpaid bills, one for a patient from the United Arab Emirates and one from Egypt; Pennine Acute Trust in Manchester has £1.2 million in outstanding bills, of which £34,000 is owed by a Malawian national with HIV; and Barts and the London NHS Trust is seeking repayment of £1.3 million, including a £52,000 surgery bill for a Chinese citizen.

On average, unsettled bills are £1,000, while numbers from the British Department of Health show that 50% of outstanding bills are not settled within one year of receiving treatment and 5% of overseas patients have three or more invoices that haven’t been paid. In total the NHS has to swallow £5 million in medical costs owed by foreigners every year.

At the moment, immigration laws only allow for barring people that already have an outstanding balance with the NHS from coming into Britain specifically for medical treatment. However, the proposals would seek to prevent abuse of the NHS system by making changes to immigration laws including making non-resident foreign nationals show proof that they have health insurance when they go through immigration, and extending the amount of time British expatriates can spend overseas before losing access to NHS services.

Any foreign visitor who already owes money to the NHS would be barred from entry into Britain, while any already in the country would be refused an extension of their visa until the debt has been settled. Also, any migrant seeking British citizenship will have their application delayed until any money they owe the NHS has been repaid. However, the proposals do allow free health care for failed asylum seekers who cannot be returned to their home nations at that time.

The proposals would not cover people who are from countries in the European Economic Area or those nations where Britain has reciprocal healthcare agreements. There are however, some concerns due to the fact that the proposals would mean sharing information on non-paying individuals with the Border Agency, which may be in conflict with patient confidentiality rules.

The regulatory agency responsible for overseeing the insurance superintendency in Costa Rica has approved “Pan American Life Insurance de Costa Rica, S.A.” as provider of insurance coverage in the country. This makes of Pan-American Life Insurance Group, an international insurance provider and financial planning service based in New Orleans, Louisiana, the first US insurance company to be officially welcomed into the Costa Rican market.

The Costa Rican insurance market remained closed up till 2009 when competition was opened, after the passing of the Central American Free-Trade Agreement with the United States (CAFTA). For slightly over 84 years, the National Insurance Insitute (INS) had been the sole provider of insurance to Costa Ricans, together with Seguros del Magisterio, a company providing life insurance to teachers.

Over the years of presence in Latin America, Pan-American Life is the main provider of both individual and group life and health insurance policies in the region comprised by Guatemala, Honduras and El Salvador.

“Pan American Life Insurance de Costa Rica, S.A.” is the name of the local corporation through which the Pan-American Life Insurance Group will compete in the Costa Rican insurance market, together with the other five approved providers of insurance coverage in the country: Seguros del Magisterio, Mundial-MAFRE, Alico Costa Rica, Assa Compania de Seguros and INS.

As per statement released by the regulatory agency overseeing the Costa Rican insurance superintendency (SUGESE), these companies will begin selling their products within the next few months.

Insurance Company mentioned:

Pan-American Life Insurance Group

The Pan-American Life Insurance Group was established in New Orleans in 1911 and now has operations in 47 U.S. states, as well Puerto Rico, Colombia, Guatemala, Panama, Ecuador, El Salvador, Honduras and the Cayman Islands. In Costa Rica, the company will offer term life insurance, universal life insurance, health and medical expense insurance and accident insurance.

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