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Caregiver Microinsurance Program – Ri’aya
Pioneering WWB Caregiver
Feb. 28, 2013
Microfund for WomenAmman, Jordan
www.microfund.org.jo
Contentso Microfund for Women – Who We Areo Program Backgroundo Product Concepto Caregiver Development – key stepso Training and Awareness o Program implementation processo Product Evolutiono Client testimonialso Experience and resultso Challengeso Lessons Learnto Key messages
• Private, non profit microfinance institution•MFW was the first microfinance program in Jordan
•Jordan Quick Facts Jordan population: 6.3 millionFemale percentage: 49.3 % GDP/Capita: US$5,900
1994Save the Children launches Jordan’s first Group Guaranteed Lending Program
1996The program was registered as a local NGO, the Jordanian Women’s Development Society
1999Microfund for Women is registered as a non-profit limited liability company
2002MFW achieved full financial sustainability
2006MFW celebrated its 10-year anniversary and reached the 25,000-active loan mark
MFW - Who We Are
Indicators are as of January, 2013
No. of Branches 44
No. of Staff 409 (75% ♀)
No. of Loan officer 232 (80% )♀
No. of Active clients 81,593
Portfolio (In millions) 35.8 US$
MFW – The Hand that reaches…..Services January, 2013
Financial Services•Credit group & Individual loans
Financial services Non Credit•Microinsurance
Non- Financial services
•Capacity Building & Training•Market Linkages•Social Services•Rewards & Benefits•College Scholarships
No. of Insured Clients-Himaya (Credit life) 80,406
No. of Insured Spouses 63,520
No. of insured Ri’aya(Caregiver)
72,848
www.microfund.org.jo
Program Background
Needs ResearchIn-depth gender research
Majority not insured. Use public facilities
Use savings or borrow to pay
www.microfund.org.jo
Program Background
Why MFIs & Microinsurance ?
In April 2009 MFW/WWB applied for an ILO grant to launch an insurance product that would enable our clients to better cope with financial burdens associated with medical emergencies
Risk management tool to reduce the vulnerability of lower income clientsImprove the ability of clients to repay their loansHelp MFIs improve retention and attract new clientsContributes to MFI’s Commercial and Social agenda
www.microfund.org.jo
Product Concept
Risk• Health risks & related
financial losses• Women (caregivers &
breadwinner) suffer double Impact
• A solution is needed to protect active women against associated financial shock
Solution• Caregiver policy helps in
covering incidental expenses & part of lost income
• Policy pays fixed amount for each night stayed in hospital
• Not intended to cover health care cost
www.microfund.org.jo
Key steps in product development
Product Design
Term and Pricing
Negotiation
Administrative Process and MIS
Marketing & Training
Pilot Launch and Rollout
Caregiver
www.microfund.org.jo
Training and Awareness
Training in branch with field staff
www.microfund.org.jo
Training and Awareness
A Senior Loan Officer explains product features to clients
Clients are automatically covered when they receive a new loan
www.microfund.org.jo
Implementation Process
Detailed Preparation
Pilot Launch
Pilot Review
Commence Roll Out
Fully Operitonealise
Terms modified after first annual review• Revised pricing• Revised policy wording• Profit sharing• In-house claim processing• Prepare to offer family coverage (voluntary)
www.microfund.org.jo
Product Evolution
Initial Product Shape
• Cost: 1.55 US$ per month• Benefit: 14 US$ per night• Max Benefit: 48 nights/loan
Term• Max per claim: 30 nights• Enrollment: Automatic with
loan• Claim: Simple form +
Admission/discharge form• Exclusions: Minimal• Maternity benefit limited
After 1st annual review
• Cost: 1.4 US$ per month• Benefit: 21 US$ per night• Max Benefit: 48 nights/year• In house claim processing up
to 6 nights• Exclusions: (Almost non)• Maternity is considered as any
other hospitalization w/o limitation
www.microfund.org.jo
Client Testimonials
“This kind of insurance really gives you a peace of mind.”
-Naela Hamdan (left) is the first beneficiary of Ri’aya. She was admitted to hospital with appendicitis and was forced to close her business for 3 days.
“I have invested the money back into my business and bought a blood sugar meter.”
-Bahira Aquilan (center) had diabetes prior to being admitted to hospital, and has received US$438 in claims.
Bahira Aquilan (center) receives her first cheque in an MFW branch
Naela Hamdan’s (left) whole family benefitted from her payout
Experience and Results
Public74%
Military18% Private
8%
Hospital Type
Others46%
Diseases of the genitourinary system
6%
Diseases of the circulatory system
6%
Child birth and Postpartam conditions
42%
Hospitalization reason
6 nights or less87%
More than 6 nights13%
In house processing
Experience and ResultsKPIs monitoredNumber of Insured
Number of Claims
Number of rejected loans
Expense Ratio
Claims Ratio
Coverage Ratio
Claims Frequency
Hospital Stay Length
Claim Processing Duration
Claim Rejection Ratio2010.04
2010.06
2010.08
2010.10
2010.12
2011.02
2011.04
2011.06
2011.08
2011.10
2011.12
2012.02
2012.04
2012.06
2012.08
2012.10
2012.120.0
1.0
2.0
3.0
4.0
5.0
6.0
Average hospital Stay
Hosp
ital n
ight
s
Experience and Results
MFI
Client
Insurer
Win – Win - WinInsurer: oAccess to a concentration of clients (low – income persons)oInfrastructure w/ community presenceoExisting financial transactionsoDelivery chanel with trusted agents in the target market
MFIoRisk mitigation for its clientsoAdditional source of revenueoUnique benefit – attract/retain clients
ClientoAccess to affordable insuranceoProtection from unexpected eventsoService by a trusted agent/institutionoStabilize finances
www.microfund.org.jo
Challenges
Client understanding of basic insurance concept
Managing potential pushback to mandatory products
Minimizing and catching fraudulent claims
Ensuring staff are adequately trained and deliver constant message
www.microfund.org.jo
Lessons Learnt
Preparation• Research your clients needs; we know our clients but their health needs
and behaviour are unique• Build a product around these needs, no one size fits all• Engage the field staff at all levels of the program development and
implementation• Thoroughly plan before going to Pilot
Running a Pilot• Set up a pilot protocol; helps engender clear goals, objectives and
indicators• Monitor performance during the pilot; operational, financial, claims• Collect feedback; from clients, claimants, field staff. • React to that feedback
www.microfund.org.jo
Lessons Learnt – Cont.
Choosing Insurance Partner• Local vs. International • Flexible (micro insurance vs. classical) /sensitive to micro client segment• Constant policy review
Product Fit• Hospital cash is a good first step for a health insurance offering and a base to
work out of in the future
Moving Beyond a Pilot• Rolling out the program requires time and commitment but you are not
reinventing the wheel each time
The Unexpected • Committed staff to handle issues as they arise and close connection to the field• Keep the main objective of the program in mind; delivering insurance to our
clients in a simple manner
www.microfund.org.jo
Key messages
Develop the product for the right reason. (to serve your client)
Use pilot program to validate the product
Keep a close eye on your indicators Keep it simple
Thank you.