QUOTE(hafizmamak85 @ Jun 6 2024, 03:26 PM)
I'll start with your EB question. The measure I use to gauge competitiveness: EB vs IL cost of insurance claims ratios, and on a bouquet basis (HSI, CI, Death/ADB, PA, others) - all ages, all coverage amounts & types, the margin is much lower for EB. E.g. It might be 75%/ 80% for EB whereas it might be half (50%) for IL. And on top of the profit margin padding in IL COI, you have unallocated premium charges, yearly policy fees, fund management charges to consider when purchasing IL. This is not uncommon knowledge. Its natural as EB is negotiated by brokers who can hawk the clients' historical experience to the highest bidder (cheapest price).
As for why phase IL out, you asked so I'm going to answer and I hope this post doesn't get taken down. Putting aside the high charges issue, IL's main issue in my opinion is the expectation it has placed on consumers (IL policyholders) to achieve a certain rate of investment return to ensure the policy is sustainable till end of term and that meets the other reasonable expectations of policyholders (e.g. savings element after meeting all ouflow charges till end of policy term). The issue is that this expectation has never been clearly communicated to policyholders. Customers do not know the minimum rate of yearly investment return needed to achieve the above objectives and the insurer's reasonable expectations of the IL policy's yearly investment return rate. The other main issue is that IL is usually sold by agents with the default setting of equity funds. Which in zaman dahulu kala, circa 2010, version had embedded 9% yearly return rates in their pricing. This rate has proven to be illusory judging by past KLCI (including dividends) performance and also the IL equity funds performances. If only IL policies were sold assuming 0% yearly investment return rates. This would be better, and fairer, because it gives consumers a clear eyed view of what is expected of him/her.
EY, KPMG and all other auditors do not audit for consumer fairness in every aspect of the insurer's operations in their signing off of financial statements . It is a true and fair view of financial statements audit based on compliance to audit standards and certain BNM regulations and even in that limited scope, I can show you how consumer fairness is not accounted for. Take your IL funds. IL funds are required to be audited on annual basis. Did you know that there are many insurers out there not reserving for 8% investment tax on unrealised gains. Accounting standards don't require this to be done. However, fairness, which is a much broader principle/consideration and for a product which is priced and traded daily, would require that reserves for tax on unrealised gains be set up to treat all customers fairly, across all time lines and not create a musical chairs situation with the last group of policyholders having to saddle this unrealised tax when those assets are liquidated. As for BNM, BNM does not do "audits" per se but does its own checks/reviews and it does not cover every aspect of an insurance company either and BNM has failed in many instances as well. The task of auditing, putting controls and checking controls for effectiveness lies with the respective line departments and their oversight departments such as compliance, risk management, audit.
This is not the only area regarding fairness where financial auditors, BNM have failed. GELM's estate issue is one example. Link below, if you wish to know more.
GELM Estate IssueAs for YRT standardisation, there are plenty of areas. The industry does not have a minimum basic standard contract with same wording, operationalisation and coverage for the main life types (e.g. accident, CI, HSI). Terms like "reasonable and customary charges", "medically necessary", "pre-existing condition" have many operational issues including disclosure/transparency which haven't been sorted out. Every insurer might have similar wordings but is operationalized differently. What is reasonable/customary for one insurer might not be so for others. For CI, come up with a basic product that has been tested with medical professionals, designed to ensure that it truly captures all the truly financially debilitating illnesses and at the various necessary stages. Lot of medical professionals complain that CI covers things that shouldn't be covered as much and other sthat should be covered are not. As for HSI, push for high deductibles. In fact I think should ban no deductible policies and only sell min RM 5k deductible. The main issue for HSI is not inflation but a loss of insurance value proposition. Insurance can only work in low frequency and high severity setups. We have to many low severity, high frequency hospitalisation claims (RM 5k below). I suspect it is contributed mostly by dengue, respiratory illnesses that require hospitalisation for antibiotic shots. For the min 5K deductible policies, make sure there is no yearly, annual and inner limits, and it covers all claims, including pre hospitalisation, post hospitalisation, daycare etc. Right now, there is a lot of cross selling points between CI and HSI. This is cause U can tell consumers HSI doesn't cover expensive medication so have to take CI and there will be additional financial burdens. Find a way, if you decide to sell them together, that ensures that the design is comprehensive enough that consumers really do not have to fear being financially worse off due to disease/hospitalization.
I used to work in the Insurance/Takaful Supervision & Consumer/Market Conduct Department as an insurance analyst/supervisor
So, after typing all that, you beh song is because ILP exposes the insured to market risks?
And the nature of market risks being when interest rates are high, it takes less from the pot; and when interest rates are low, it takes more from the pot... The expectation from the consumer, and in this instance, the insured, is really just to ensure that the box is fed kan?
With this in mind, basically the expectation is for the insured to make hay when the sun shines... is an unfair practice?
The Life really is unfair, NOW that you've said it.
It's an insurance policy, provided by an insurance company, for the masses.
I'm glad we agree on at least one thing, which is deductibles being the way forward.
Will we see a comeback for co-insurance (already making its way back), inner limits? I'm guessing yes.
But that's a macro view that you have, which as a consumer, I want to know how an insurance policy can benefit me without compromising for my lifestyle needs.
The insurance companies can crash and burn for all I care, as long as it doesn't affect my budgets as a consumer.
There is a chinese idiom - 道高一尺,魔高一丈 <<< google it if you will.
It basically means whatever you do or whatever preventive measure you put up, there will be a way to use and abuse it.
In short,
medical insurance guarantees the service providers that they will be paid, just render the services to me within the legal framework.
A CI insurance guarantees me the income that I need in order to sustain my living expenditures over some time.
I dunno if it is comprehensive enough for your taste la, but I sell based on calculated needs, or otherwise known as needs-based selling.
Yes, of course there is the risk profile that some may want to bring up with regard to ILP.
Have you had a chat with agents like me? Or any agents from my team?
Maybe you should spend some time with us and hopefully work with us too, either professionally or even as a client pun boleh.
I live in the real world la bro. I'm not John Connor or someone with a messiah complex trying to save the world from whatever it is.
Maybe bring your issue up with your former employer, or your local MP is a more appropriate channel for your cause.
Trying to shore up support here.... I can tell you frankly you're wasting your time bro.
Your macro perspective gna fall on.... just the ground I guess.