Claims Statistics for 2014
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Transcript of Claims Statistics for 2014
Risk Summit 2015
Claims statistics 2014
Stephen van Niekerk
R130 BILLION
LARGEST
DEATH CLAIM
R22 MILLION
LARGESTDISABILITY CLAIM
R10 MILLION
LARGEST CRITICAL ILLNESS
CLAIM
R4.7 MILLION
LARGEST INCOME DISABILITY CLAIM
R315 000 pm
Risk claims 2014
Disability
R299 156 783
Critical illness
R382 890 011
Death
R1 970 108 967
Income disability
R84 970 541
Total paid
R 2.73bn
95.1%
3,9% 1%
Claims paid
Did not meet policy definition
Repudiated
Repudiated claims
82%
18%
Non-disclosure
Suicide
Reasons for repudiated claims
NO OMBUDSMAN RULINGS AGAINST MYRIAD IN 2014
Major causes of death
35% 12% 9% 5%20% 9%
Cardiovascular
systemCancer Respiratory
system
Unnatural Central nervous
system
Endocrine
and
metabolic
1%
1%
2%
12%
15%
20%
49%
0% 10% 20% 30% 40% 50% 60%
Trauma
Drowning
Aviation
Otheraccidents
Murder
Suicide
Motorvehicle…
Causes of unnatural deaths
CRITICAL
ILLNESS
CLAIMS
Major causes of critical illness claims
37%14% 6%
3%20%
4%
Cancer Cardiovascular
system
Central nervous
system
Musculo-
skeletal
Visual Gastro-
intestinalSkin
3%
LUMP SUM
DISABILITY
CLAIMS
Major causes of disability claims
21%12% 8% 6%
15% 6%
Musculo-
skeletalCancer Nervous system Psychiatric/
Mental
Accidental Cardio-vascular Surgery
5%
INCOME
DISABILITY
CLAIMS
Causes of income disability claims
25% 9%8% 6%
11%8%
Musculo-
skeletalSurgery Fractures &
HospitalisationCancer Accidental Respiratory Psychiatric/
Mental
5%
SOME INTERESTING
OBSERVATIONS
Myriad “living” benefits increase
2013 2014
46 cents 65 cents
BIG 4 DOWN FROM
78%
TO 71%
Major causes of critical illness claims
37%14% 6%
3%20%
4%
Cancer Cardiovascular
system
Central nervous
system
Musculo-
skeletal
Visual Gastro-
intestinalSkin
3%
Lower than industry repudiations
0.4%
Momentum1.0%
Industry
1.1%
0.5%
2012 2013
TERMINAL ILLNESS CLAIMS STAND
OUT AGAIN
R82 MILLION
Relevance of income disability
25%9% 8% 6%
11%8%
Musculo-
skeletalSurgery Fractures &
Hospitalisation
Cancer Accidental Respiratory Psychiatric/
Mental
5%
Death claims by age
1%
3%
11%
22%
63%
0% 10% 20% 30% 40% 50% 60% 70%
< 30
31-40
41-50
51-60
>60
Critical illness claims by age
3%
21%
26%
29%
21%
0% 5% 10% 15% 20% 25% 30% 35%
< 30
31-40
41-50
51-60
>60
Disability claims by age
2%
21%
36%
31%
10%
0% 5% 10% 15% 20% 25% 30% 35% 40%
< 30
31-40
41-50
51-60
>60
Income disability claims by age
3%
32%
38%
20%
7%
0% 5% 10% 15% 20% 25% 30% 35% 40%
< 30
31-40
41-50
51-60
>60
ARE YOU COVEREDUNDER THE MOST
RECENT AND
UPDATED
BENEFIT?
TOTAL COST OF LIVING PRODUCT PHILOSOPHY
R200MILLION
COST OF “LIVING
PRODUCT” CLAIMS 2014
R25MILLION
MOMENTUM INTERACTIVE DISCOUNTS
R1BILLION
RETIREMENT BOOSTER ALLOCATIONS –
R450MILLION
THANK YOU