Professional Documents
Culture Documents
Chapter 7 - Marketing and Sales (PMI)
Chapter 7 - Marketing and Sales (PMI)
1
INTRODUCTION
Gaining market share is one of the objectives in most insurance
companies and this is achieved through marketing and sales function
The concept of marketing require active support from every facet of the
company, from product development to sales material and sales training
to the closing of sales
With steep competition, each insurer has to deploy the best marketing
techniques in coming up with the right product and pricing to meet
consumer needs.
Products have to be marketed through its own distribution channel.
2
GUIDELINES ON MARKETING AND SALES
Apart from internal guidelines on marketing and sales to promote growth and profitability,
regulators and related associations also issue guidelines
MALAYSIAN AUTHORITIES
BNM is the monetary body that oversees Malaysia’s financial system and economy to
promote financial stability and growth
Under FSA 2013, one of the main objectives is to strengthen business conduct and
consumer protection requirements to promote the use of financial services and products
by customers
In relation to marketing and sales, the related guidelines issued by BNM:
Introduction to New Products by Insurers and Takaful Operators (BNM/RH/STC 029-10) (“the Revised
Policy”) Issued by BNM on 15/5/2015
Guidelines on Product Transparency and Disclosure issued by BNM on 31/5/2013
Guidelines on Medical and Health Insurance Business (revised) issued by BNM on 11/8/2007
3
INTRODUCTION TO NEW PRODUCTS BY INSURERS AND
TAKAFUL OPERATORS
The Revised Policy set out the regulatory requirements for the offering of
new insurance and takaful products and BNM’s expectations regarding
the management and control of risk associated with the
development
offering
marketing
of those products by the institutions
It addresses the responsibilities of the institutions towards consumers in
ensuring that the needs and rights of consumers are respected
Consumers are clearly and fully informed of the nature and risks
associated with the products
4
INTRODUCTION TO NEW PRODUCTS BY INSURERS AND
TAKAFUL OPERATORS
5
INTRODUCTION TO NEW PRODUCTS BY INSURERS AND
TAKAFUL OPERATORS
The Revised Policy also reflects the following requirements:
a) Responsibilities of approving authority must be identified to product approval of “new products” for the
purpose of product approval specified in the revised policy
b) Declaration by CEO for product documentation (“PD”) as per the “launch and file” system requirements
with complete submission of information as to:
i. the information on new products
ii. the supporting information and documents; and
iii. the context of the product documentation and supporting information
The “launch-and-file” for general insurance is only applicable to medical and health insurance
c) Insurer must set in place a sound product management program for the development of appropriate
policies and procedures for managing product risks. Must have in place procedures to identify, assess
and mitigate risks associated with new products offered by insurers, including procedures related to
reinsurance, retakaful, underwriting and diversification and the profitability assessment and
quantification of financial impact for the new products and
d) Summary of product development considerations, financial impact analysis and product risk
management
6
GUIDELINES ON PRODUCT TRANSPARENCY AND DISCLOSURE
ISSUED BY BNM 0N 31/5/2013
These guidelines were implemented to help consumers in making
informed decisions on acquiring financial products and services
This is to protects the customers’ interests and understanding of the
products and services that they are buying from the pre-contract stage to
fund purchase
They are well informed of the product and it meets their neds and
affordability
Insurers are required to ensure proper and adequate disclosure of the
general and specific information pertaining to MHI products
They must ensure their marketing and sales material and practices are in
line with the requirements of the guidelines
7
GUIDELINES ON MEDICAL AND HEALTH INSURANCE BUSINESS
(REVISED) ISSUED BY BNM 11/8/2007
These were issued specifically for all MHI products underwritten by both the
general and life insurers
The guideline is applicable to all types of MHI products including:
a) Medical expense or hospital and surgical insurance (HSI)
b) Critical illness or dread disease insurance
c) Long-term care insurance
d) Hospital income insurance; and
e) Dental insurance
This Guideline makes reference to the `HSI Guide’ adopted by LIAM and PIAM
The insurer has to adopt the definitions of the HSI Guide where applicable in
MHI products (eg terms of a particular benefit , definition, conditions or
exclusions included in its policies
This is to standardize the common definitions for consumer understanding and
to avoid mis-selling or misinterpretation among insurers
8
GUIDELINES ON MHI (REVISED) ISSUED BY BNM ON 11/8/2007
Should the insurer impose a limitation on benefits as stated below, the insurer shall observe
the standard intended to preserve a reasonable degree of minimum protection to policy
owners:
a) Waiting period shall not exceed 30 days from the effective date of the policy and shall
not apply to any injuries arising from an accident;
b) Specified illness shall not exceed 120 days from the effective date of the policy (illness
shall be limited to the list as specified in the HIS guide
c) Pre-existing conditions shall be limited to disabilities, which existed before the effective
date of cover and for which the policyholder should have reasonably been aware of;
d) Co-payment under cost-sharing or co-insurance shall not exceed 20% of the claimable
expenses (excluding deductibles) per disability subject to an absolute maximum limits
of RM3000 (inclusive of deductibles) per disability. The limit is not applicable to co-
payment on upgraded room and board, policies exceeding RM100,000 and major
medical expense policies
(refer to commission table on page 172 –table 7.1)
9
INSURANCE RELATED ASSOCIATIONS
the insurance related associations are:
a) Persatuan Insurans Am Malaysia (PIAM)
10
PERSATUAN INSURANS AM MALAYSIA
PIAM is the national trade association of all licensed direct and reinsurance
companies for general insurance
It is a statutory association recognized by the Government of Malaysia for all
registered insurers transacting general insurance business (28)
PIAM’s corporate objectives are:
Articulate one unified voice for and on behalf of the industry
Create favourable business environment for member companies
Promote image of the industry and its role in the economy
Educate consumers on general insurance products
Foster public confidence by protecting the interest of consumers
Establish a sound and efficient insurance infrastructure with best practices
Raise professionalism and ensure standards in distribution
Harmonize approaches and solutions to industry issues
Build a pipeline of talent and profile general insurance as a career of choice
Facilitate information sharing within boundaries of Competition Act
11
LIFE INSURANCE ASSOCIATION OF MALAYSIA (LIIAM)
12
LIFE INSURANCE ASSOCIATION OF MALAYSIA (LIIAM)
13
MALAYSIAN TAKAFUL ASSOCIATION (MTA)
The objective of MTA is of promoting and representing the interests of its members
The membership comprises of all 15 licensed Takaful and Re-Takaful operators in Malaysia
Their objectives are:
Promote and represent the interests of members and also to establish foundation of a
Collect, collate and publish statistics and any other relevant information relating to Takaful
mambers
14
HOSPITAL AND SURGICAL GUIDELINES
The HSI Underwriting Guide prepared by the Joint Technical Committee
on Medical and Health Insurance prepared by PIAM, LIAM and NIAM was
approved by BNM for industry on underwriting H&S business
BNM in its revised guidelines has made reference to follow the HIS guide,
where applicable, specifically for H&S policies written by both life and
general insurers
The HSI guide sets the minimum basic standards and controls, with
recommended underwriting guidance to ensure fair treatment of
policyholders and to reduce disputes through
standardizing of definitions used in the hospitalization and surgical insurance
policies
15
HOSPITAL AND SURGICAL GUIDELINES
The HSI underwriting guide is segregated into two sections, namely:
a) Mandatory compliance
b) Recommended guidelines
The application of the mandatory guidelines is segregated into product
types, namely:
a) Individual policies
b) Group policies, under section 128 FSA 2013, Schedule 8 Part 3 sub-
section 2/section 140 Paragraph 11 of the IFSA 2013
c) Group policies under section 128 FSA 2013, Schedule 8 Part 3 Sub-
section2/section 140 Paragraph 11 of IFSA 2013
d) Group Policies
16
HOSPITAL AND SURGICAL GUIDELINES
Mandatory compliance refers to the guidelines that must be complied with
strictly
It is mandatory for all insurers to comply with the following guidelines:
a) Standardized glossary of terms and conditions
b) Specific guidelines applicable to the respective product types of policies
In the guidelines, `recommended’ means that the insurer has an option to
follow or offer better terms, not less than the recommended terms
It also provides a guide for any new medical underwriters, on how to
underwrite medical conditions ranging from various disabilities to acute
or chronic medical conditions
17
HOSPITAL AND SURGICAL GUIDELINES
The HSI guide does not apply to the following classes of health
insurance:
Hospitalization cash allowance
Clinical insurance
Dental insurance
Critical illness insurance
Other health insurances not deemed to be hospitalization and surgical insurance
The HSI guide may be reviewed from time to time to address issues of
concern resulting from the changing socio-economic landscape, with
BNM’s approval
18
HOSPITAL AND SURGICAL GUIDELINES
OTHERS
The other guidelines would the respective company’s internal guidelines
related to its marketing strategy and area of growth
Sound product design and pricing strategies are fundamental to
achieving company’s objectives or profitability .
Most insurers would have their internal product design and pricing policy
encompassing the following:
a) Objectives
The objectives will be to ensure product design and pricing strategies will enable
the company to achieve its financial objectives
The policy covers all types of insurance products offered by the company
19
HOSPITAL AND SURGICAL GUIDELINES
OTHERS
b) Policy
Outlines the type of risks, risk appetite, and the products the company can offer
with the desired profit targets, along with the processes of assessment, follow-up
and reporting on the financial aspects of product design and pricing
Company also has to comply with the regulatory guidelines in the product design
and pricing requirements
c) Approvals
All product designs and pricing must be approved by the senior management or
approving authority of the company
Under the local `launch-and-file’ system, the company will only file with BNM for
prior approval of new products or product enhancements that carry a material risk
profile, prior to launch
\
20
HOSPITAL AND SURGICAL GUIDELINES
OTHERS
d) Monitoring and Controls
the existing products will be monitored and reviewed on an annual basis
There will be annual planning process to determine the types of business that the
company anticipates to write in the short or long term
Should any re-pricing of existing products be required, there would be a pricing
report to substantiate the action
21
BUYERS
Buyers of PMI policies are segmented into three broad categories:
a) Private individuals, who buy policies for themselves or for their
family
22
THE INDIVIDUAL MARKET
PMI products are more individually driven to meet the private health
cover needs of consumers at large.
There is great potential for the individual market as the population of the
country increases
An individual would buy PMI plan for financial protection for himself
and/or for the family members
The reasons can be as /follows:-
Quick access to private care in the event of illness
Financial protection as being the sole bread earner is crucial
Greater choice of options for treatment when in need
In Malaysia, there is a tax relief of RM3,000 for individuals for the
purchase of Medical and education policies
23
THE VOLUNTARY GROUP MARKET
Voluntary groups are generally members of a group coming together for
the purpose of buying PMI cover with a common purpose
1) Affinity Group
• This is a group of people who have an affinity such as membership of a particular
organization or a shared interest
• They can be club members or association members and they use the combined
buying power to negotiate for special coverage at a lower premium
• The marketing cost for a PMI insurer is lower with a greater number of sales and
the probability of the members buying is also favourable as recommended by the
group for the group benefits
24
THE VOLUNTARY GROUP MARKET
2) Other Voluntary Group
This may include the agents or the distributors of big corporate clients who may
come together for a common scheme to purchase a PMI policy
the policy can be specifically tailor-made for them at an agreed premium
consideration
25
CORPORATE/COMPANY GROUP MARKETS
A group company scheme is a scheme for the employees and may range
from a few employees to a large group of employees
The key element is that the coverage is taken up by the company as part
or its obligations and the benefits are paid directly to the employees
The companies may pay all or part of the premium for their employees
26
CORPORATE/COMPANY GROUP MARKETS
1) Company – part employees paid
This means that the company only pays for part of the premium and the employees
pay a part as well
The company would pay for the bigger part of the share for the basic cover and the
employees may pay a small portion for the same extension of benefits
2) Company – employee pay for dependants only
This means that the company pays or the employee coverage only,
The employees will have to ;pay for their own spouses/children to be covered
3) Company – employer paid
This means that the company will arrange for group cover for the employees
Company pays for the coverage, including the dependents of the employees,
should be scheme be extended for dependents as well
27
MARKETING TECHNIQUES FOR PMI
Insurers will use various marketing techniques, which they deem the best
fit to secure the market share
28
RIGHT PRODUCT AND PRICING
Key marketing function is to develop the right product at the right price
This can be done by identifying the market segment to which the
products will appeal
The market segment can be categorized as follows:-
By age – most individual products can be targeted at young working
adults while others may be targeted at the senior citizens
By gender – some plans may cater for women, for example, specific
benefits as in cosmetic surgery benefits or maternity benefits
Geographical - special plans may appeal to the buyers in a location
By affinity group - special benefits can be identifies for target groups, for
example, to provide outpatient physiotherapy for members of a sports
club
29
RIGHT PRODUCT AND PRICING
The market segment can be categorized as follows:-
By family status - the benefits for singles will differ from those with
children
By price range – the affordability of individuals differ and some may have
a limited budget, whereas others may prefer a premier plan
To develop the right product insurers may also conduct surveys to check
the preference or feedback from intermediaries
In the development of new products or for enhancing existing products
However, insurers must comply with the BNM Guideline on Introduction
of New Products by Insurers and Takaful Operators and other related
guidelines
30
GETTING THE PRODUCT PR0POSITION TO THE CUSTOMER
Insurer must determine how to distribute the product by identifying
distribution channel or `open to all’ in reaching out to the targeted
segment
In some products, the distribution channel can be specific, eg
bancassurance products
In other cases, it may be distributed by intermediaries, greater effort must
be made in the design of the product brochures so they can draw
attention of the customer for buying the product
Mass communication is effective in getting across the message to the
general public on new product promotions
Advertising agencies will advise on type if media to use and will monitor
the responses to the advertisement to maximize returns to the company
31
THE PR0POSITION AND ITS PRESENTATION
The sales brochure must explicitly explain the product and have to follow
Guidelines on Product Transparency issued by BNM
32
THE PR0POSITION AND ITS PRESENTATION
The marketing department will create a marketing sales kit for their
marketing staff for effective presentation, highlighting the following:
The Product Coverage
Unique features and other salient points
The product terms
Renewal terms
33
FOLLOW UP
Follow up is important to secure sales after a presentation
The policy pack includes not only the policy conditions but also
information on how to make a claim and list of panel hospitals, if using
the `medical card facility’
34
FOLLOW UP
If there is an intermediary involved, the PMI sales process would consist
of the following stages:
Prospecting
This is to find potential new customers, which can be from referrals, personal
contacts, immediate family members, advertisement responses, direct mailing
responses , cold calling from the telephone directory or other mailing list
Initial contact
This is the setting up of a meeting to meet the customer to discuss their needs and
proposition of the plan
At times, information of the company and the quotation of the specific product may
have been sent to the customer in advance of the meeting
35
FOLLOW UP
Meeting
Meeting with the customer to establish the rapport, to ascertain the customer’s
needs and to determine the best solution to meet the needs
Information may be gathered and the intermediary will determine if there are other
needs or products to be recommended and meeting again for presentation
If the solution offered is acceptable, the intermediary will get customer to fill up the
proposal form
Follow up and servicing meeting
If further presentation is required, a follow up meeting can be arranged
Once sales is secured, a service meeting will be conducted to address any issues
that may arise during the course of the policy period, in terms of claims or renewal
36
DISTRIBUTION CHANNEL
The distribution channels used in the sale of PMI products are:
a) Direct
b) Indirect
Using the combination of both can balance the benefits and costs
37
DIRECT DISTRIBUTION CHANNELS
In direct distribution channels, the insurer is in control of all marketing
activities and connecting with the customer directly
Some of the main direct channels are:
38
DIRECT DISTRIBUTION CHANNELS
Direct Sales Force
The insurer will:
Identify the target market through market segmentations (small medium sized
enterprises or large corporates
Design products and sales promotional material or sales kits for presentation
The sales personnel will directly approach the customer in all aspects,
from marketing the product, to closing the sale and providing full service
throughout the period of cover
39
DIRECT SALES FORCE
There are advantages and disadvantages of direct sales:
Advantages
a) The insurer is in control of the distribution channel
b) Customers enjoy the direct rebate as the insurers is able to rebate the
full commission/brokerage directly to the customer
c) The insurer can cross sell with other products as a website package
41
ADVERTISING
Refers to advertisements placed in newspapers and magazines also
known as `print media’
This will capture reader’s attention, attract the reader to learn more
about a product
This may induce a decision to purchase directly from the company
Insurers can target specific groups of readers, even in different
vernacular platforms
The other form of advertising in `broadcast media’ (radio, TV and
websites)
It is for a short span due to cost of advertisement
There will be a tool free line or email for customers to call/email
There will be sales personnel assigned to answer response and covert
to sales 42
DIRECT MAIL
Direct mail is sent directly to the customer
The design of the literature in the direct mail is generally attractive with
an appeal for the customer to consider
43
TELEMARKETING
Telemarketing is the use of telephones to contact customers to explain
the product features and convince them to purchase the product
The product is usually a simplified product which is easy to understand
and without much underwriting required
Insurers usually engage the service of a call centre for such operations
as it requires well-trained staff with a positive disposition and good
knowledge of the product
This will help them articulate the product features and the ability to close
sales within short spans of tele-conversation
The product identified for tele-marketing strategy can be for special
target segments according to their needs or ability to purchase
44
INTERNET SALES
This method is gaining popularity and will be the way forward for the
next generation of individual PMI sales
46
WORKSITE MARKETING
The advantage is that there is no disruption to the employee’s time at
work and employees can have access to the information or explanation
in person by the insurer
Insurers can reach out to many employees during the specific time
within the confines of the premises,
47
INDIRECT DISTRIBUTION CHANNELS
Agents
Two types of groups of agents
General Insurance agents; and
Life insurance agents
Agents act on behalf of insurance companies to solicit and negotiate
insurance business in line with the terms of appointment
General insurance agents can represent 2 copies while life agents can
represent only 1 company
To be an agent one must pass SPM and PCEIA (AB) for general and C
for life
After passing they need to register with PIAM or LIAM and are subject to
GIARR
48
INDIRECT DISTRIBUTION CHANNELS
Brokers
Brokers are full time professionals licensed by BNM and can represent
all insurance companies
Paid up capital for brokers is RM500,000
They must have insurance qualifications and experience
49
INDIRECT DISTRIBUTION CHANNELS
Financial Advisers (Fas)
FAs are approved under FSA and IFSA to carry out advisory business
Must be a corporate body with a minimum paid up capital of RM100,000
Must have PI cover of RM200,000 to protect consumers
50
INDIRECT DISTRIBUTION CHANNELS
Bancassurance
This is the selling of insurance through the banks
It is a partnership relationship between a bank and the insurance
company
The insurance products are sold to the bank’s client base by bank staff
and tellers, rather then an insurance agent
Bank staff are supported by insurance company through sales training,
product information. Marketing campaigns as well as specialized
insurance advisers
Advantage is banks can earn commission and insurance companies are
able to expand their customer base
51
PRODUCT MARKETING
Product marketing in insurance is about sales and services
The role of product marketing department is to manage the products
and achieve the maximization of sales
A product marketing department functions generally cover the following:
52
PRODUCT MARKETING
1) Analyzing sales
Insurer must monitor the progress of the product in terms of growth and its
competitiveness in the market
Products have a life span and with analysis, it will identify any problems or gaps in
cover that may require immediate action or rectification
Rectification can be done by organizing sales campaigns to boost sales or in areas of
training of sales personnel
2) Competitive analysis
Insurers must keep abreast of what competitors are offering in terms pf new product
innovation and terms of cover
This is vital for new product development that are competitive as well as recognizing
the company’s strength and weakness in the product offering
Commercial packages can be used to analyze competitor products in varying detail
from benefits to terms and pricing
53
PRODUCT MARKETING
3) Pricing
Pricing of products is the function of an actuarial department
Marketing has a role in helping to ensure that the product pricing level set can optimize
sales and meet profit targets
This is done by analyzing the competitors pricing, setting up pricing models and
negotiating with actuary on the balance between benefits and price
Insurers will identify the market segment and be competitive in their pricing to appeal to
certain age groups or gender
Insurers can also choose to maximize their market share in certain groups or in
particular in areas even though the profit margin may be low
Example, large groups above 500 members, where a proactive insurer can block out
the rest of the competitors and gain market control as the leading insurer of choice
specializing in PMI business for that group
54
PRODUCT MARKETING
4) Product Design
Product design includes terms of benefits and features, pricing level, and promotional
materials
There will always be a tussle between maximizing sales or maximizing profits between
the marketing department and the finance department
Optimal mix is to be able to maximize profitability and yet offer competitive products
while gaining market share
55
PRODUCT MARKETING
5) Product Promotion
Product promotion can take the following forms:
a) Advertisements - to the general public through newspapers, internet, magazines, TV
and radio
b) Product brochures - this is the sales aid, brochure design, application form and
information of the product
c) Launching of the product to the press - involves press briefings and press releases
to create an impact on the launching of the product to the general public to create
more interest
d) Launching of the product to the intermediaries – takes the form of a roadshows
addressing sales meetings with the key intermediaries. Motivation talks and sales
campaigns will be arranged to kick-start the product
e) Product training - training for all who sell the product to create awareness and be
equipped for the sales and support functions
56
RELATIONSHIP BETWEEN INSURERS &
HEALTHCARE PROVIDERS
Relationship between these insurer and provider is mutual as both rely on each other
to providing services to the Insured
Insurer needs to know of the types and costs of services provided to adequately price
the products as well as for allowing the insured access to their panel hospitals
Insurer would want the provider to:
aware that even though the Insured has a PMI policy, the charges must be fair,
reasonable and customary
ethical in their jurisdiction of care
co-operate with the insurer in the event of claims;
not likely to cause difficulties for the Insured
able to influence potential customers positively for the need of getting cover
57
RELATIONSHIP BETWEEN INSURERS &
HEALTHCARE PROVIDERS
This is achieved by close liaison between the hospitals and the claim personnel of the
insurance company (including Chief Medical Officer) in creating mutual rapport
With the `medical card facility’, the providers are assured of prompt settlement of their
bills and this increases the Insured’s confidence in seeking private healthcare facilities
Providers should also take the initiative to get to know the insurer and the types of
coverage they offer
Provider should provide best service to their mutual client (the Insured)
58
ROLE PLAYED BY HEALTHCARE PROVIDERS
Providers are hospitals, specialists and medical practitioners that provide healthcare
services to the people at large (with or without PMI policies)
They are professionals ad are guided by their code of ethics to treat the patient in their
best practice
In insurance, healthcare providers are expected to play an effective role by necessary
assistance to the Insured by:
not delaying in providing assistance required in the filing of the claim form and
other relevant information, when necessary
not frustrating the patient in interpreting the PMI policy with limited knowledge
administrating fair and medically necessary treatment
The role played by healthcare providers is vital for maintaining a good relationship
between insurers, providers and the insured or the patient
59
MALAYSIAN INSURANCE MARKET
Product marketing in Malaysia is governed by the related marketing guidelines
imposed by BNM and related associations
There is greater financial capacity in the market, which encourages competition among
insurers
The evolving landscape also changes the way insurance businesses are managed
The right business strategy, product innovation and distribution channels will set the
market leaders apart
There are good prospects of growth with an increasing populations, as well as greater
consumer awareness with proper product marketing techniques setting the pace
60
OTHER MARKETS
The health insurance market in other countries may differ significantly from the
Malaysian Market
Where there is national healthcare scheme and established health practices, the
product marketing techniques will have to be adjusted to the local needs and the way
the business is transacted
61
MARKET SIZE AND GROWTH
Refer to pages 190 and 191 to compare the market size and growth
Market Strategy
Insurer may pursue a certain market segment by developing products, which appeal to
that particular market
Identifying the right market is crucial as if there are too many competitors, it may be
difficult to dislodge the them
More intensive marketing activities and higher cost of sales may be required
If the chosen segment is a group segment, there is still potential of growth especially if
the premium is paid by the employer as part of an employee benefit scheme
The marketing strategy would then involve identifying the target group, geographical
area, occupation and so on
Other factors that must be considered will be the growing population, increasing
medical inflation, the affluent society and the growth of the provider industry
62
PRIVATE MEDICAL INSURANCE PROVIDERS
The following are providers of medical insurance
General Insurance companies
Life Insurance Companies
Takaful Operators
63
PRIVATE MEDICAL INSURANCE PROVIDERS
Life Insurers (10)
They are regulated by BNM and provide life insurance business
Life insurers can underwrite health insurance such as:
a standalone individual policy
a rider to a life policy
a rider to an investment linked policy
a group policy for corporate
64
PRIVATE MEDICAL INSURANCE PROVIDERS
Composite Insurers (4)
Regulated by BNM for the purpose of life and general insurance business
FSA 2013 prohibits insurers from operating both life and general insurance
simultaneously
Composite companies will have to convert into a single insurance business and are
given a five year transition period to convert
65