Claims Statistics for 2014

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Risk Summit 2015 Claims statistics 2014 Stephen van Niekerk

Transcript of Claims Statistics for 2014

Page 1: Claims Statistics for 2014

Risk Summit 2015

Claims statistics 2014

Stephen van Niekerk

Page 2: Claims Statistics for 2014

R130 BILLION

Page 3: Claims Statistics for 2014

LARGEST

DEATH CLAIM

R22 MILLION

Page 4: Claims Statistics for 2014

LARGESTDISABILITY CLAIM

R10 MILLION

Page 5: Claims Statistics for 2014

LARGEST CRITICAL ILLNESS

CLAIM

R4.7 MILLION

Page 6: Claims Statistics for 2014

LARGEST INCOME DISABILITY CLAIM

R315 000 pm

Page 7: Claims Statistics for 2014

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

Page 8: Claims Statistics for 2014

95.1%

3,9% 1%

Claims paid

Did not meet policy definition

Repudiated

Repudiated claims

Page 9: Claims Statistics for 2014

82%

18%

Non-disclosure

Suicide

Reasons for repudiated claims

Page 10: Claims Statistics for 2014

NO OMBUDSMAN RULINGS AGAINST MYRIAD IN 2014

Page 11: Claims Statistics for 2014

Major causes of death

35% 12% 9% 5%20% 9%

Cardiovascular

systemCancer Respiratory

system

Unnatural Central nervous

system

Endocrine

and

metabolic

Page 12: Claims Statistics for 2014

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

Page 13: Claims Statistics for 2014

CRITICAL

ILLNESS

CLAIMS

Page 14: Claims Statistics for 2014

Major causes of critical illness claims

37%14% 6%

3%20%

4%

Cancer Cardiovascular

system

Central nervous

system

Musculo-

skeletal

Visual Gastro-

intestinalSkin

3%

Page 15: Claims Statistics for 2014

LUMP SUM

DISABILITY

CLAIMS

Page 16: Claims Statistics for 2014

Major causes of disability claims

21%12% 8% 6%

15% 6%

Musculo-

skeletalCancer Nervous system Psychiatric/

Mental

Accidental Cardio-vascular Surgery

5%

Page 17: Claims Statistics for 2014

INCOME

DISABILITY

CLAIMS

Page 18: Claims Statistics for 2014

Causes of income disability claims

25% 9%8% 6%

11%8%

Musculo-

skeletalSurgery Fractures &

HospitalisationCancer Accidental Respiratory Psychiatric/

Mental

5%

Page 19: Claims Statistics for 2014

SOME INTERESTING

OBSERVATIONS

Page 20: Claims Statistics for 2014

Myriad “living” benefits increase

2013 2014

46 cents 65 cents

Page 21: Claims Statistics for 2014

BIG 4 DOWN FROM

78%

TO 71%

Page 22: Claims Statistics for 2014

Major causes of critical illness claims

37%14% 6%

3%20%

4%

Cancer Cardiovascular

system

Central nervous

system

Musculo-

skeletal

Visual Gastro-

intestinalSkin

3%

Page 23: Claims Statistics for 2014

Lower than industry repudiations

0.4%

Momentum1.0%

Industry

1.1%

0.5%

2012 2013

Page 24: Claims Statistics for 2014

TERMINAL ILLNESS CLAIMS STAND

OUT AGAIN

R82 MILLION

Page 25: Claims Statistics for 2014

Relevance of income disability

25%9% 8% 6%

11%8%

Musculo-

skeletalSurgery Fractures &

Hospitalisation

Cancer Accidental Respiratory Psychiatric/

Mental

5%

Page 26: Claims Statistics for 2014

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

Page 27: Claims Statistics for 2014

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

Page 28: Claims Statistics for 2014

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

Page 29: Claims Statistics for 2014

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

Page 30: Claims Statistics for 2014

ARE YOU COVEREDUNDER THE MOST

RECENT AND

UPDATED

BENEFIT?

Page 31: Claims Statistics for 2014

TOTAL COST OF LIVING PRODUCT PHILOSOPHY

R200MILLION

Page 32: Claims Statistics for 2014

COST OF “LIVING

PRODUCT” CLAIMS 2014

R25MILLION

Page 33: Claims Statistics for 2014

MOMENTUM INTERACTIVE DISCOUNTS

R1BILLION

Page 34: Claims Statistics for 2014

RETIREMENT BOOSTER ALLOCATIONS –

R450MILLION

Page 35: Claims Statistics for 2014

THANK YOU