FINANCIAL INCLUSION IN INSURANCE

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FINANCIAL INCLUSION IN INSURANCE
FINANCIAL INCLUSION
IN INSURANCE
Financial inclusion
      in insurance

        Microinsurance
           for inclusion
This study has been prepared by MAPFRE Economics.

The information contained in this study may be reproduced
in part, provided the source is cited.

Cite as:
MAPFRE Economics (2020), Financial inclusion in insurance, Madrid, MAPFRE Economics.

© Cover image: iStock

© Text and publication:
  MAPFRE Economics - mapfre.economics@mapfre.com
  Spain: Carretera de Pozuelo, 52 – Edificio 1
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           03800 Benito Juárez, Mexico City

June 2020.
MAPFRE Economics

     Manuel Aguilera Verduzco
     General Director
     avmanue@mapfre.com

     Ricardo González García
     Director of Analysis, Sectorial Research and Regulation
     ggricar@mapfre.com

     Gonzalo de Cadenas Santiago
     Director of Macroeconomics and Financial Analysis
     gcaden1@mapfre.com

     José Brito Correia
     jbrito@mapfre.com

     Begoña González García
     bgonza2@mapfre.com

     Isabel Carrasco Carrascal
     icarra@mapfre.com
     Fernando Mateo Calle
     macafee@mapfre.com

     Rafael Izquierdo Carrasco
     rafaizq@mapfre.com
     Eduardo García Castro
     gcedua1@mapfre.com

     Maximilian Antonio Bruno Horn
     Verónica Martínez Vera
     Almudena Aramburu González
     José Luis Pozo Estudillo
     Miguel Ángel Martínez Roa
     Óscar García García
Contents

      Presentation .......................................................................................         9

      Executive summary............................................................................               11

      1. Financial inclusion in insurance: fundamentals ........................                                  13
             1.1      Mass-market insurance, inclusive insurance,
                      and microinsurance ..........................................................               14
             1.2      Microinsurance and the barriers to financial inclusion ...                                  15
             1.3      Global outlook of financial inclusion
                      and microinsurance ..........................................................               17
             1.4      The role of new technologies ............................................                   20
             1.5      Insurtech inclusion initiatives ............................................                21

      2. Microinsurance products .............................................................                    23
             2.1      Type of products ................................................................           23
             2.2      Product features ................................................................           24

      3. Review of relevant markets .........................................................                     27
             3.1      Asia ....................................................................................   27
             3.2      Africa .................................................................................    28
             3.3      Mexico ................................................................................     30
             3.4      Central America ................................................................            31
             3.5      Colombia............................................................................        32
             3.6      Brazil .................................................................................    33
             3.7      Peru ...................................................................................    35
             3.8      Argentina ...........................................................................       37
             3.8      Other Latin American markets .........................................                      37

      4. Regulatory aspects ......................................................................                41

      5. Conclusions ..................................................................................           43

                                                                                                                       7
References ..........................................................................................   45

    Bibliographic references ...................................................................            47

    Index of charts and tables .................................................................            51

8
Presentation

             Insurance is a financial instrument that, through risk pooling and loss compensation, contributes to
             the continuity of the economic process and the consolidation of capital. To this extent, greater
             expansion of insurance activity in the economy is a prerequisite for the increased efficiency of its
             performance, which will help support a sustained path of growth.

             However, insurance is also a mechanism that can facilitate social mobility by allowing individuals and
             families to overcome shocks that, over the course of their lives, can affect their wealth and future
             income-generating capacities. In the absence of mechanisms that, like insurance, allow for these
             risks to be transferred, individual or family progress can be lost to certain adverse events. Thus, the
             possibility of accessing insurance products and services may be the difference between individuals or
             families achieving the goal of social mobility, or remaining in a situation of economic vulnerability.

             In this way, the search for mechanisms that allow the population—particularly the lower-income
             segment—access to mechanisms to transfer the risks they face and compensate losses arising from
             the materialization of said risks, is an essential part of public policies geared toward improving the
             material living conditions of these people. Thus, the purpose of this report is to present a conceptual
             and international analysis of how microinsurance can contribute to the objective of financial inclusion
             and therefore to increasing opportunities for a very broad segment of society to have access to
             higher levels of well-being.

             MAPFRE Economics

FINANCIAL INCLUSION IN INSURANCE                                                                                 9
Executive summary

             The concept of financial inclusion is the process     From the analysis conducted in this report, it
             through which a society has access to different       can be inferred that the future viability of mi-
             financial services (credit, savings, insurance,       croinsurance will depend largely on its ability to
             payment and pension services), as well as fi-         be supported by modern technological bases.
             nancial education mechanisms, with the goal of        Otherwise, most of the premium would need to
             improving its material conditions of well-being.      be allocated to covering administration expens-
             In the case of insurance activity, financial inclu-   es, distribution costs, and prudential margins,
             sion focuses on allowing lower-income groups          which would only allocate a very small percent-
             of society to gain access to the products that        age of the premium to paying claims. This
             enable them to protect their life, health and         would prevent the insurance from fulfilling its
             assets, through the savings and loss compen-          risk mutualization and/or savings generation
             sation processes which are an inherent part of        function; it would therefore not create value for
             insurance products.                                   microinsurance policyholders.

             The process of financial inclusion in insurance       This report also highlights that IT platforms
             has been implemented, in general, through             designed for the production and distribution of
             three types of products: "group insurance," "in-      standardized mass-market products can sup-
             clusive insurance," and "microinsurance." At          port the viability of microinsurance. The aim is
             the beginning of the 1990s, "microinsurance"          to take advantage of these technological plat-
             began to be considered as a potential tool with-      forms as much as possible in order to incorpo-
             in the framework of different public programs         rate products into the offering with more suit-
             and international bodies, as it tries to help im-     able coverage for the low-income population,
             prove the living conditions of the low-income         seeking the economies of scale that will allow
             groups to which it is geared. Without a doubt,        these policies to be issued at a reasonable cost.
             "microinsurance" is a tool that can be used to        The significant development of these web plat-
             protect the most economically vulnerable popu-        forms or cellphone applications for financial
             lations from unexpected costs due to the occur-       services can considerably facilitate the distribu-
             rence of an event which is able to be mutualized      tion of microinsurance.
             through insurance techniques. The fact that
             these institutions have included it as part of        One notable case is the public initiative
             their agendas is increasing pressure on insur-        launched in India. In this market, microinsur-
             ance companies to include it in their product         ance is sold through IT platforms called "Com-
             offering.                                             mon Service Centers" (CSC), where financial
                                                                   services and other public and private services
             In particular, two main factors can be identified     are also offered. The goal of these platforms
             that have influenced the development of mi-           (which make up the "CSC Network") is to en-
             croinsurance globally in recent years. The first      sure reduced operating costs, transparent digi-
             is the willingness of public authorities to stimu-    tal processes, and easy accessibility to products
             late its growth as part of the design of specifi-     and services, even in rural areas. Likewise,
             cally created public policies; and the second is      these new technologies can be extremely useful
             technology, which can facilitate access to a          for segmenting clients through the data they
             broad group of potential policyholders (even in       provide; facilitating the digital identification of
             rural areas) at a reasonable cost.                    policyholders; receiving, managing and paying
                                                                   claims (including automatic compensation

FINANCIAL INCLUSION IN INSURANCE                                                                                   11
FINANCIAL INCLUSION IN INSURANCE

based on indices); analyzing information; de-      insurance, property insurance, and agricultural
tecting fraud; and preventing and mitigating       insurance can also be found, as well as health
risks, among other things.                         microinsurance—one of the insurance prod-
                                                   ucts with the highest demand among low-in-
This report analyzes the main markets of Asia,     come families, but also with the lowest levels
Africa, Latin America and the Caribbean, which     of penetration and highest levels of complexity
have large middle-to-low income populations—       in terms of its implementation.
the target group of microinsurance. The analy-
sis indicates that the environment for financial   Finally, the study delves into the public policy
inclusion is improving at a global level, with     measures that could be adopted, both from a
Latin America leading the way in infrastructure    supply and demand point of view, in order to
and regulation. Colombia, Peru, Uruguay, Mex-      promote financial inclusion through microin-
ico and India are some of the most advanced        surance, breaking down the barriers that curb
countries. However, even in these countries,       its development.
there is still a long way to go.

As for the segment of insurance markets rele-
vant for this report, temporary term Life insur-
ance is currently dominant in the microinsur-
ance market. However, versions of Life savings

12
1. Financial inclusion in insurance: fundamentals

              In general, the concept of financial inclusion                        families can be suddenly lost due to the
              is the process through which a society has                            materialization of certain risks that affect
              access to different financial services (credit,                       their life or wealth. Thus, in the long-term,
              savings, insurance, payment and pension ser-                          the possibility of accessing insurance
              vices), as well as financial education mecha-                         products and services may be the difference
              nisms, with the goal of improving its material                        between families achieving the goal of social
              conditions of well-being. In the case of insur-                       mobility, or remaining in a situation of
              ance activity, financial inclusion focuses on                         economic and social vulnerability (see
              allowing lower-income groups of society to                            Chart 1).
              gain access to the products that enable them
              to protect their life, health and assets,                             In this way, as it is found to be closely tied to
              through the savings and loss compensation                             patterns of economic and social inequality,
              processes which are an inherent part of in-                           the challenge of expanding financial inclusion
              surance products.                                                     involves both the design and implementation
                                                                                    of public policies and progress in the design
              On the journey of the lowest-income individu-                         of insurance products, in such a way that
              als and families, who seek to emerge from                             there is increased penetration of the insur-
              poverty and who move beyond the safety nets                           ance mechanism in the economy and, there-
              provided by social government policies, they                          fore, in levels of well-being. For this reason,
              may encounter shocks that affect their wealth                         the means by which this process of financial
              and income-generating capacities. In the ab-                          inclusion in insurance can be carried out are
              sence of mechanisms such as insurance,                                connected to the ways access is provided to
              which allow for these risks to be transferred                         specific groups, especially those at the bot-
              and the respective losses to be compensated,                          tom of the population pyramid.
              progress made by these individuals or

                                                                               Chart 1
                                                      Effect of risk materialization on the path of low-income
                                                                 populations to improving well-being

                       Middle and high income                                               Shocks from the
                                                                                          materialization of risks

                                                                                                                         With options to
                       Middle-to-low income                                                                              transfer risks

                       Vulnerable population
                                                Poverty line

                                                                                                                                           t
                       Moderate poverty
                                                Safety net of
                                                social policies
                       Extreme poverty
                                                                                                                         Without options to
                                                                                                                         transfer risks

                       Absolute poverty

               Source: MAPFRE Economics, from Monique Cohen and Jennefer Sebstad, "Reducing vulnerability: the demand for microinsurance,"
               Journal of International Development (2005)

FINANCIAL INCLUSION IN INSURANCE                                                                                                               13
FINANCIAL INCLUSION IN INSURANCE

1.1 Mass-market insurance,                                   Until now, "microinsurance" was not normally
    inclusive insurance, and                                 part of the business models of most tradi-
                                                             tional insurance companies. The main reason
    microinsurance
                                                             seemed to have to do with the fact that it was
                                                             unattractive as a potential market, given its
In recent years, one of the tools that has been              poor profitability, the non-traditional distribu-
associated with the process of financial inclu-              tion mechanisms, and the difficulties in esti-
sion in insurance is microinsurance. The term                mating its demand. However, two factors
"microinsurance" is used to refer to insur-                  seem to have influenced the development of
ance for low-income populations, which may                   microinsurance in recent years. The first is
fall within a broader category called "inclu-                the willingness of public authorities to stimu-
sive insurance" — insurance intended for                     late its growth as part of the design of specif-
groups generally excluded or under-served by                 ically created public policies; and the second
the insurance market (see Chart 1.1).                        is technology, which can facilitate access to a
                                                             broad group of potential policyholders (even
By contrast, "mass-market insurance" en-                     in rural areas) at a reasonable cost.
compasses products designed for sale
through far-reaching distribution channels, in               At the beginning of the 1990s, "microinsur-
terms of the target population, and standard-                ance" began to be considered as a potential
ized products that are easily understandable                 tool within the framework of different public
by their target audience. For example, health                programs and international bodies, as it tries
insurance designed for distribution through                  to help improve the living conditions of the
electronic markets in the United States                      low-income groups to which it is geared.
(known as "exchanges") can be considered                     Without a doubt, "microinsurance" is a tool
"mass-market insurance." Therefore, it is a                  that can be used to protect the most econom-
much broader universe than that of "inclusive                ically vulnerable populations, small busi-
insurance" and "microinsurance." However, it                 nesses, farmers, stockbreeders, and compa-
is important to note that some of the features               nies from unexpected costs due to the occur-
of "mass-market insurance," such as sim-                     rence of an event which is able to be mutual-
plicity and easy distribution, are completely                ized through insurance techniques. In this
usable by "microinsurance."                                  regard, the fact that these institutions have
                                                             included it as part of their agendas is

                                                     Chart 1.1
                                   Taxonomy of mass-market and inclusive insurance

           Mass-market
            insurance
                                                                                            Inclusive
                                                                                           insurance
                                                                 Excluded and
                                                                 under-served
                                                                    groups

                                 All socio-economic
                                       groups

                                                                  Low-
                                                                 income
                                                                 groups

                                                                          Microinsurance
Source: MAPFRE Economics (with data from IAIS and ASSAL)

14
FINANCIAL INCLUSION IN INSURANCE

             increasing pressure on insurance companies        mass-selling mechanisms ("mass-market
             to include it in their product offering1.         insurance"), geared toward various portions
                                                               of the population.
             Through "microinsurance," insurance tech-
             niques allow protection to be offered to these    Because of its features, "inclusive insurance"
             vulnerable groups against risks of death, ac-     is one of the main tools for bridging the In-
             cidents, illness, damage to assets, or even       surance Protection Gap (IPG) in emerging
             catastrophic risks, with the coverage and         economies, as it acts in two ways. In the
             costs suited to their economic circumstances.     short-term, it raises demand for insurance by
             The typical coverage offered by "microinsur-      bringing new segments of the population
             ance" is usually associated with high-impact      (whether excluded or under-served) within
             and low-frequency risks. In this way, "mi-        the system of protection and compensation
             croinsurance," combined with other social         provided by insurance. Meanwhile, on a more
             and financial government policies, can sup-       mid- to long-term horizon, inclusive insur-
             port these population segments faced with         ance is also a means of financial education
             the occurrence of these types of events, pre-     that will advance the social and economic
             venting these shocks from causing setbacks        development of the population and ultimately
             on these families' paths to increasing their      increase demand for insurance.
             income levels.
                                                               However, financial inclusion in insurance
             Within the low-income population, there is a      faces several barriers. These obstacles can
             segment that lends its services through for-      be classified, for analytical purposes, into two
             mal labor contracts; therefore, there is usu-     categories: those that have to do with limita-
             ally a mandatory social security system that      tions affecting insurance demand, and those
             covers accidents, disability and death. For       which concern aspects related to the supply
             this reason, "microinsurance" has most po-        of insurance services (see Chart 1.2-a).
             tential when geared toward low-income pop-
             ulations belonging to the informal economy        Demand-related barriers
             who, in emerging countries, tend to be con-
             sidered a target group for "microinsurance"       On the demand side, there are three main
             programs. Most of the time, the most vulner-      obstacles that must be addressed in order to
             able groups are found in rural areas, which       achieve greater financial inclusion in insur-
             makes access to traditional insurance distri-     ance: (i) the low income level of the target
             bution channels difficult, as they tend to fo-    population; (ii) the seasonality of available
             cus on urban areas as a matter of cost effi-      income, and (iii) the low level of financial ed-
             ciency. However, new digital distribution         ucation.
             channels are helping to break down this bar-
             rier.
                                                               The first of these obstacles has to do with the
                                                               low income level of the target population, par-
             1.2 Microinsurance and the barriers               ticularly in the case of the excluded segment,
                 to financial inclusion                        which represents one of the biggest chal-
                                                               lenges in bridging the insurance gap. So long
             As indicated before, financial inclusion in in-   as families' available income is insufficient to
             surance focuses on establishing policies and      adequately cover basic needs, it will be diffi-
             mechanisms that expand insurance access,          cult for them to afford financial protection
             which offers protection and compensation          products.
             against basic risks (life, health, accidents,
             property and liability), to groups excluded       The second aspect has to do with the seasonal
             from or under-served by society. Gearing its      nature of available income. Groups excluded
             policies toward both excluded and under-          from insurance protection in emerging mar-
             served populations, inclusive insurance en-       kets, due to their link to the labor markets
             compasses not only microinsurance (tradi-         and the type of economic activity they carry
             tionally intended for low-income groups), but     out, typically receive income on a highly sea-
             also a segment of insurance offered through       sonal basis, which has implications for the

                                                                                                            15
FINANCIAL INCLUSION IN INSURANCE

                                                     Chart 1.2-a
                                     Barriers to financial inclusion in insurance

                                                                                      Supply-related

                  Demand-related
                                                                                          Unsuitable
                                                                                    business models
                   Low income
                   level                                                                    Product
                                                                                             design

             !     Income                                                               Distribution
                   seasonality                                                         mechanisms

                   Low level of                                                          Regulatory
                   financial education                                                     aspects

Source: MAPFRE Economics

traditional insurance business models, par-                  Firstly, unsuitable business models prevent
ticularly regarding the premium payment                      effective access to target populations. Busi-
mechanism.                                                   ness models (for traditional commercial in-
                                                             surers, mutuals and cooperatives, and even
And finally, the last demand-related factor is               micro-insurers and new participants in insur-
the low level of financial education among tar-              ance markets) need to adapt to the specific
get population groups, which implies a lack of               conditions of markets where they want to ex-
awareness of the need to have protection                     pand levels of inclusion.
against the effects of risk materialization,
and of how these can affect the path to im-                  Even though this suitability must comply with
proving personal and household well-being.                   the particular conditions of each market, as
                                                             well as the specific strategy of the companies
As indicated above, demand-related factors                   that hope to address these markets, there
are structural, associated with a country's                  seems to be a set of basic aspects to
pace of economic growth, with its income dis-                consider:
tribution structure, and with matters related
to the lack of in-depth formal education                     (i)   The individual profile of the client (low
mechanisms in emerging economies.                                  level of available income, low level of
                                                                   awareness regarding the risks they face
Supply-related barriers                                            and how to protect themselves against
                                                                   them, the nature of their consumption
On the other hand, there are four relevant                         expenses, location difficulties, informal
elements to consider in terms of supply-re-                        work schemes, irregular income sources,
lated obstacles in order to progress more                          etc.), which differs from traditional con-
quickly in insurance-related financial inclu-                      sumers that are already served by the
sion processes within emerging markets: (i)                        insurance industry.
unsuitable business models; (ii) prevailing
characteristics in the design of insurance                   (ii) The need to use non-traditional distribu-
products; (iii) the need for new distribution                     tion channels.
mechanisms, and (iv) regulatory aspects.

16
FINANCIAL INCLUSION IN INSURANCE

             (iii) The particularities of the inclusive insur-
                                                                                          Chart 1.2-b
                   ance product cycle, which differs from                     Inclusive insurance product cycle
                   traditional products.

             (iv) The need for the intensive use of tech-                                Product design

                  nology and digitization as ways to cut op-
                  erating and transaction costs.                       Complaints                           Distribution
                                                                         payment                            mechanisms
             The second supply-related obstacle has to do
             with the prevailing characteristics of the insur-
             ance product design process. Like in the previ-
             ous case, the design of the "inclusive insur-            Evaluation of                         Underwriting
                                                                       complaints                           process
             ance" product should consider certain special
             characteristics that do not necessarily exist in
             the design process of traditional value propo-                                   Payment of
                                                                                              premiums
             sitions (see Chart 1.2-b). In this regard, "in-
             clusive insurance" products require special
                                                                   Source: MAPFRE Economics
             treatment, which includes, among other
             things:
                                                                  as the introduction of digital channels) has
             (i)   a complex rate establishment process (due      had the effect of reinforcing the multi-chan-
                   to a lack of sufficient information to         nel concept.
                   measure the risks of the target population);
                                                                  In terms of "inclusive insurance," it seems
             (ii) the determination of well-defined and           necessary to go even further. The multi-
                  limited coverage, as well as a reduction        channel concept should be expanded with
                  of the number and type of product               other distribution methods (use of micro-fi-
                  exclusions (this allows for simplification      nance institutions, cooperatives, rural sav-
                  and deals with the issue of low financial       ings banks, pawnshops or pawnbrokers,
                  education);                                     banking and non-banking correspondents,
                                                                  agreements with client service providers,
             (iii) flexible premium-payment mechanisms            NGOs, public utility companies such as gas
                   (to deal with the issue of seasonal avail-     and electricity, among others) that better suit
                   able income), and                              the conditions of the target population. All of
                                                                  this seeks to reduce transaction costs and
                                                                  allows "inclusive insurance" products to be
             (iv) the establishment of simple, fast pro-
                                                                  affordable for the target population.
                  cesses for the payment of indemnifica-
                  tion derived from the product. Innovation
                  plays a crucial role in the design of inclu-    Lastly, within the framework of the design
                  sive insurance products, as these are           and implementation of public policies, regula-
                  products that cannot necessarily be             tory aspects are particularly relevant when
                  adapted from traditional products;              encouraging financial inclusion in insurance.
                  rather, they require new formulas suit-         This aspect is addressed specifically in sec-
                  able for a target population with different     tion 4 of this report.
                  features.
                                                                  1.3 Global outlook of financial
             Thirdly, greater financial inclusion requires            inclusion and microinsurance
             new distribution mechanisms. Until quite re-
             cently, the distribution channels used by the        The World Bank's data on financial inclusion,
             insurance industry were rather traditional           through the Global Findex Database2, can
             (agents and brokers). Recently, however, the         serve as an indicator of a country's develop-
             incorporation of other channels (bancassur-          ment potential in terms of financial inclusion,
             ance, agreements with commercial entities            under the rationale that this potential in-
             and non-financial service providers, as well         creases insofar as the level of income is

                                                                                                                       17
FINANCIAL INCLUSION IN INSURANCE

lower. Chart 1.3-a shows, in yellow and                     With regard to microinsurance, at the mo-
green, middle and low income countries,                     ment there are significant constraints con-
following the World Bank's classification.                  cerning the information that can be obtained
These countries, which make up the majority                 on the current global situation. In general,
of the world's population and land, are                     the financial and statistical information pub-
reference markets with the highest potential                lished by regulatory and supervisory bodies
for the development of "inclusive insurance."               does not consider the identification of these
                                                            types of products.
In terms of inclusion, it is worth noting the
investigation work carried out by "The Econ-                Nevertheless, with these limitations, a more
omist Intelligence Unit," with the support,                 complete current outlook on the state of the
among other institutions, of the Inter-Ameri-               population's coverage through this type of
can Development Bank's (IADB) innovation                    insurance is offered and updated by the Mu-
lab and investment corporation. This analysis               nich Re Foundation and the Microinsurance
unit publishes an annual report with indica-                Network, which is the most extensive private
tors to assess the environment for financial                network in terms of the number of its mem-
inclusion in more than fifty countries, creat-              bers and their dedication to the awareness
ing an index that takes five aspects into con-              and promotion of microinsurance, offering a
sideration: (i) the government and support of               common view of the majority of the initiatives
policies; (ii) stability and integrity; (iii) prod-         being developed in this field4. Another orga-
ucts and points of sale; (iv) consumer protec-              nization is also worth highlighting: the Mi-
tion, and (v) infrastructure3. The 2019 report              croinsurance Centre (Milliman Research),
concludes that the global environment for                   which dedicates substantial efforts to study-
financial inclusion is improving, with Latin                ing more than 100 poor countries across the
America being the leading region for financial              world with low-income inhabitants. Through
inclusion in terms of infrastructure and regu-              this study, it has determined that only ap-
lation. Among the first five countries of its               proximately 3% of these people currently
ranking, there are four Latin American coun-                have access to “microinsurance"5.
tries (Colombia is number one, followed by
Peru, Uruguay and Mexico); India comes in at
fifth (see Table 1.3 and Chart 1.3-b).

                                                      Chart 1.3-a
                           Financial inclusion development potential based on income level

                                                                     Low-income countries (greatest potential)
                                                                     Middle-income countries
                                                                     High-income countries (least potential)

Source: MAPFRE Economics (with data from the World Bank)

18
FINANCIAL INCLUSION IN INSURANCE

                                                                          Table 1.3
                                            Ranking of financial inclusion environment: global microscope 2019

               Ranking                        Country                    Score               Ranking                         Country              Score
                1               Colombia                                   82                 29               Cameroon                            51
                2               Peru                                       80                 29               Egypt                               51
                3               Uruguay                                    76                 29               Morocco                             51
                4               Mexico                                     74                 32               Trinidad and Tobago                 50
                5               India                                      71                 33               Turkey                              49
                5               Philippines                                71                 33               Vietnam                             49
                7               Argentina                                  70                 35               Ghana                               48
                7               Indonesia                                  70                 35               Jamaica                             48
                9               Brazil                                     69                 37               Senegal                             47
                10              Rwanda                                     68                 38               Nicaragua                           45
                11              Chile                                      65                 39               Nepal                               44
                11              China                                      65                 40               Madagascar                          43
                13              El Salvador                                63                 40               Nigeria                             43
                13              South Africa                               63                 42               Sri Lanka                           42
                15              Tanzania                                   62                 43               Guatemala                           41
                16              Paraguay                                   61                 44               Lebanon                             40
                17              Costa Rica                                 58                 45               Ethiopia                            39
                18              Bolivia                                    57                 46               Bangladesh                          38
                19              Panama                                     56                 47               Cambodia                            37
                19              Russia                                     56                 47               Uganda                              37
                21              Pakistan                                   55                 49               Haiti                               34
                22              Dominican Republic                         54                 50               Ivory Coast                         33
                22              Honduras                                   54                 50               Myanmar                             33
                22              Kenya                                      54                 52               Venezuela                           32
                22              Thailand                                   54                 53               Tunisia                             30
                26              Ecuador                                    53                 54               Sierra Leone                        28
                26              Mozambique                                 53                 55               Democratic Republic of the Congo    21
                28              Jordan                                     52

             Source: The Economist, Intelligence Unit. Global Microscope 2019: The enabling environment for financial inclusion

                                                                      Chart 1.3-b
                                                    General environment for financial inclusion in 2019

                                                                                                       Index ≥ 75 (more favorable environment)
                                                                                                       50 ≤ Index < 75
                                                                                                       Index < 50

             Source: MAPFRE Economics (with data from The Economist, Intelligence Unit.
             Global Microscope 2019: The enabling environment for financial inclusion)

                                                                                                                                                        19
FINANCIAL INCLUSION IN INSURANCE

1.4 The role of new technologies                 to serve these policyholders. The considera-
                                                 tion of these types of associations as insur-
Microinsurance, by definition, encompasses       ance companies depends on the regulatory
products intended for people, families, and      framework in force in each market.
businesses that fall within the low-income
segment of the population. Therefore, these      From this technological standpoint, there are
types of products should be supported by         several elements that can influence the fu-
modern technological bases, with the goal of     ture development of microinsurance. Among
achieving significant reductions in manage-      them are the following:
ment and transaction costs and, consequent-
ly, making them viable for the population for    • Electronic money (especially for unbanked
which they are intended. Otherwise, most of        populations).
the premium would need to be allocated to
covering administration expenses, distribu-      • Information obtained through artificial
tion costs, and prudential margins, which          satellites and social networks.
would only allocate a very small percentage
of the premium to paying claims. This would      • Sensors (wearables, telemetry), Internet of
mean that the insurance would not fulfill its      things (IoT)
risk mutualization and/or savings generation
function, and would therefore not create val-
                                                 • Video calls (especially for health insur-
ue for the policyholders.
                                                   ance).

In this regard, technological platforms that
                                                 • Cloud services (data storage and comput-
have been developed for the production and
                                                   ing).
distribution of standardized mass-market
products can support the viability of microin-
surance. The aim is to take advantage of         • Macro data analytics, artificial intelligence
these technological platforms as much as           and machine learning (chatbots, call cen-
possible in order to incorporate products into     ter management, pricing, among other
the offering with more suitable coverage for       applications).
the low-income population, seeking the
economies of scale that will allow these poli-   • Digital platforms (on the web or through
cies to be issued at a reasonable cost. The        cellphone applications).
significant development of these web plat-
forms or cellphone applications for financial    • Blockchain (still at an early stage).
services can considerably facilitate the dis-
tribution of microinsurance.                     The lack of information on insurance policy-
                                                 holders has been identified as one of the ma-
Furthermore, together with the platforms of      jor issues when it comes to issuing microin-
major insurance and technology companies,        surance policies. Therefore, these technolog-
other digital platforms developed by startups    ical elements may be extremely useful when
are emerging (independent or backed by ma-       segmenting clients through the data they
jor technology and/or insurance companies),      provide, as they prevent the absence of such
specializing in these types of group and in-     data from resulting in surcharges, which can
clusive products. As a matter of fact, strate-   significantly raise the price of products. In
gic alliances with telecommunications com-       addition, they facilitate the digital identifica-
panies (mobile network operators, or MNOs)       tion of policyholders; the receipt, manage-
are commonly used to distribute microinsur-      ment and payment of claims (including au-
ance in emerging markets. Some "peer to          tomatic compensation based on indices); the
peer" (P2P) microinsurance platforms have        analysis of call center calls, chatbots, infor-
also emerged. These are not linked to any        mation from social networks; the detection of
pre-existing insurance company and are           fraud; as well as the prevention and mitiga-
geared toward groups with similar insurance      tion of risks, etc.
demands, establishing group funds in order

20
FINANCIAL INCLUSION IN INSURANCE

             Electronic money is particularly significant        These new companies, heavily backed by
             for the development of microinsurance. The          technology platforms, use data that allows
             policy contracting of these types of products       them to better direct their marketing, such as
             via prepaid cell phones is a significant phe-       Cignifii (in Sub-Saharan Africa), which uses
             nomenon, as it is increasing the penetration        voice calls, cellphone credits or interactions
             of microinsurance in regions such as Africa,        on social networks to assess consumers' pro-
             Latin America and emerging countries in             files and behaviors. Furthermore, there are
             Asia. Additionally, the digital platforms used      new digital platforms emerging that facilitate
             to carry out shipments and electronic sales         data collection, such as Discovery Insure in
             can also contribute to the development of this      South Africa, which allows consumers to up-
             type of product.                                    load images on the platform in order to add
                                                                 them to claims. In the case of agricultural
             1.5 Insurtech inclusion initiatives                 property taxes, data from weather station
                                                                 sensors (PlaNet Guarantee, Senegal) can be
             There are numerous innovation and financial         used to provide the necessary information to
             inclusion in insurance initiatives through          make a claim, without needing to wait to re-
             what are called Insurtechs. The information         ceive data from consumers in order to verify.
             supplied along these lines by the Centre for
             Financial Regulation and Inclusion (CENFRI)         Another company that stands out is MicroEn-
             is worthy of note. It provides an up-to-date        sure, which began to develop its model in
             view, through its tracker6, of the different ini-   2002. Through its model, insurance coverage
             tiatives that are active in emerging markets in     is initially provided to clients for free, the idea
             Africa, Asia and Latin America. Numerous            being that these clients will assess the cover-
             examples of Insurtechs can be found in this         age and decide to pay for it later on. MicroEn-
             dynamic information, and they are continu-          sure is at the forefront of bringing insurance
             ously increasing.                                   to the mass market through cellphones. In
                                                                 2013, MicroEnsure Asia established itself as a
             One particularly noteworthy organization is         joint venture between the Telenor Group and
             the Swedish company BIMA, which developed           the British Company MicroEnsure Holdings
             a mobile insurance platform in 16 countries,        Limited. MicroEnsure is a provider special-
             allowing for mobile phone access to insur-          ized in insurance for the mass market, with
             ance policies, including health microinsur-         more than 42 clients in the African, Asian and
             ance. Clients can sign up through the plat-         Caribbean markets. It provides a range of life,
             form, and deductions can be taken from a            health and property products through a series
             prepaid credit in order to pay for premiums.        of distribution partners that include micro-
             Founded in 20107, Milvik AB, also known as          finance companies, cooperatives and mobile
             BIMA Mobile, is a microinsurance company            network operators8. For example, in Kenya,
             headquartered in Stockholm. It currently op-        MicroEnsure has partnered with the mobile
             erates in countries such as Bangladesh,             network operator Airtel and Pan Africa Life
             Cambodia, Ghana, Sri Lanka, Senegal, Tanza-         Assurance to offer free medical coverage to
             nia, Indonesia, Fiji, Papua New Guinea, Haiti,      Airtel clients based on the amount of monthly
             Paraguay, Honduras, and Pakistan, and has           airtime used. Pan Africa Life underwrites the
             approximately 31 million users. It was a pio-       risk and MicroEnsure handles services such
             neer in the mobile insurance model, offering        as the operation of the digital technology
             affordable insurance and creating a system to       platform. Additionally, MicroEnsure uses the
             easily understand the product. A large part of      teleoperator's network to send text messages
             its business is driven by partnerships with         that contain policy information. The program
             cellphone operators or financial institutions       operates through a small monthly cellphone
             in emerging countries. Its products range           top-up charge, which allows the telephone
             from life, accident and hospitalization insur-      company's clients to receive hospitalization,
             ance to mobile medical insurance. The chan-         life and accident coverage; this coverage in-
             nel offers a completely digitized underwriting,     creases if more money is spent on top-ups
             payment and claims process, which clients           monthly. At the end of the period operating
             can carry out on their cellphones.                  under this model, clients have the option to

                                                                                                                 21
FINANCIAL INCLUSION IN INSURANCE

receive additional benefits in exchange for
paying a small monthly amount as a premi-
um. The goal is to encourage clients to use
the phone network, while simultaneously
providing low-cost insurance to low-income
groups.

In Kenya, Hello Doctor, in collaboration with
CBA and Cannon Assurance, offers a health
solutions package for Safaricom M-Pesa
clients, called Semadoc, which is based on a
cellphone subscription service. In this case,
the hospital coverage underwritten by Can-
non Assurance is supplemented with 24-hour
access to doctors by text message or phone
call, and clients can obtain prescriptions over
the phone. Twice a day, clients receive health
advice via text message. Through M-Pesa, a
health account is opened when individuals
sign up with Semadoc for health-related sav-
ings. This account is used to pay the monthly
Semadoc subscription fee and to make pay-
ments at health centers. Individually, people
registered with Semadoc can apply for
healthcare loans, which have favorable re-
payment conditions and can be paid directly
at the facility. Hospital coverage is provided
digitally via cellphones, through which infor-
mation on benefits is provided, as well as the
terms and conditions of coverage.

22
2. Microinsurance products

              The expansion of protection levels for low-         Life insurance linked to savings
              income groups through microinsurance is a
              strategy that clearly focuses on the types and      While they are not common, as they are more
              features of the insurance products intended         complex to manage, microinsurance products
              for this target population. With regard to the      that include different savings elements can
              first point, those that best cover the risk pro-    be found in some emerging countries. In the
              file of policyholders should be considered,         markets in which they are sold, they tend to
              while simple features and conditions should         be simple risk products with some savings-
              be considered for the second point.                 related element. In India, for example, more
                                                                  complex savings microinsurance versions are
              2.1 Types of products                               sold with periodic premiums. These products
                                                                  combine death capitals with premium reim-
                                                                  bursement at maturity, capitalized with a
              The types of microinsurance products that
                                                                  specific interest rate and a surrender value
              can commonly be found in the markets at
                                                                  with variable rates, which increase over time,
              present9, classified according to the level of
                                                                  as an incentive to remain in the contract.
              difficulty and success in their implementa-
              tion, are illustrated in Chart 2.1.
                                                                  Property insurance
              Life Protection insurance
                                                                  This type of insurance can be extremely use-
                                                                  ful for the low-income population, as it offers
              Temporary term Life insurance is currently
                                                                  protection against damage to homes, busi-
              dominant in the microinsurance market.
                                                                  ness inventories, or even farming and live-
              Telecommunications companies (through
                                                                  stock equipment, which tend to be stored in
              cellphones) and micro-finance institutions
                                                                  homes or adjacent structures. Usually, it
              (where they have been developed) facilitate
                                                                  forms part of the product range of microin-
              its distribution within their usual product
                                                                  surance institutions. Typical policies cover
              portfolio (in which microloans, savings ac-
              counts, and loan repayment microinsurance—
              also called credit life insurance—prevail).
              This is a temporary insurance policy in the                                               Chart 2.1
                                                                                            Most common types of microinsurance
              event of the death of the insured party, in or-
              der to protect their family. This policy is often
              combined with additional accidental death or                                           Life (associated with receivables)
              disability coverage and/or funeral expense
              coverage, both for the policyholder and the                                            Life (temporary)/
                                                                                                     Personal accidents
              family members designated by the policy-
              holder. Funeral coverage normally consists of
                                                                      Level of difficulty

                                                                                                     Life (savings)
                                                                                                                                          Level of success

              a sum of money, although service provisions
                                                                                                     Property insurance
              are occasionally offered. Some versions also
              offer benefits for the diagnosis of serious ill-                                       Life (endowment)
              ness and/or maternity. The insured sum and
              the premiums are determined in considera-                                              Agriculture
              tion of the group for which the insurance is
              intended (low-income population), with pre-                                            Health
              mium limits for a single policyholder. There
              also tend to be exclusion periods for pre-ex-                                      
              isting illnesses and an eligibility age limit.       Source: MAPFRE Economics (with data from the International
                                                                   Labor Organization)

FINANCIAL INCLUSION IN INSURANCE                                                                                                                             23
FINANCIAL INCLUSION IN INSURANCE

fire and water damage, but they also occa-         2.2. Product features
sionally cover catastrophic damage caused by
nature, such as storms, flooding, and              The main features of microinsurance prod-
avalanches, or damage caused by humans,            ucts are summarized in Table 2.2. From the
such as during riots or military interventions,    analysis of these features, it is worth high-
and certain other situations. As with other        lighting the various degrees of complexity in
forms of microinsurance, limits on premiums        implementing these products. Therefore, in-
and insured sums are determined in consid-         clusion policies should begin by promoting
eration of the groups for which the policies       the introduction of microinsurance that offers
are intended (low-income population).              lower degrees of complexity, and progress in
                                                   different stages toward those with greater
Agricultural Insurance                             complexity.

Although it still presents significant chal-       As mentioned before, a key aspect in the suc-
lenges, the outlook for agricultural microin-      cess of microinsurance concerns the process
surance has evolved considerably over the          of determining the premium, which must be
last two decades, due to two different ele-        affordable for the target groups. Within this,
ments: (i) greater government participation        the microinsurance underwriting process,
and (ii) the use of indices to define coverage.    and thus the determination of technical safe-
The existence of rural agricultural coopera-       ty margins that must be included in the risk
tives and other similar organizations has also     premium, is essential. As illustrated in Chart
contributed to its development.                    2.2, in the short-term, and faced with the lack
                                                   of sufficient information on the frequency and
Particularly, index-based agricultural mi-         severity of the risks to cover, these margins
croinsurance is an alternative to traditional      can weigh negatively on the price of these
indemnity insurance, in which indemnifica-         products. However, in any case, it is neces-
tion is paid based on the actual loss incurred     sary for these margins to be adjusted as suf-
by the policyholder, which must be assessed        ficient information is collected on the partic-
individually. In the case of index-based insur-    ularities of the risks covered, so that the
ance, compensation is paid to policyholders        price is affordable for the groups of society
automatically if it remains within the limits of   toward which this insurance is geared.
the parameters established in the contract. It
is mainly used in agriculture, but it also oc-     Moreover, cutting transaction costs is an ad-
casionally applies to other business lines.        ditional way to make microinsurance prod-
                                                   ucts accessible to vulnerable groups of the
Health                                             population. This requires supplementing tra-
                                                   ditional distribution means with non-tradi-
Health microinsurance is one of the insur-         tional channels, such as banking and micro-
ance products with the highest demand from         finance networks, sales networks, public util-
low-income families, although it continues to      ity bills, and new distribution networks based
have the lowest levels of penetration and          on non-traditional intermediaries, as de-
highest levels of difficulty in implementation.    scribed in the sections above. Additionally,
The most common modalities are those that          the use of technology is essential to reduce
offer daily compensation in case of hospital-      costs not only for contracting the product and
ization and/or single payments in the event        the payment of the associated premium, but
the policyholder is diagnosed with a serious       also for its management and renewal, and for
illness. Nevertheless, more comprehensive          the payment of the corresponding indemnifi-
versions are also sold, which include medical      cation.
information services, consultations, as well
as prescriptions for medical treatments and        Finally, it should be noted that, as it is geared
monitoring over the phone, unless an in-per-       toward the vulnerable population in order to
son medical visit is considered necessary.         deal with the short-term effects of shocks

24
FINANCIAL INCLUSION IN INSURANCE

                                                        Table 2.2
                                             Main features of microinsurance

                                 Item                                              Main features

                                             • The payment period can be split, considering the irregular income flow of insurance
                                               policyholders.
                                             • Premiums can be:
                                                 • Paid in cash.
                Payment of premiums
                                                 • Deducted from receivable payments.
                                                 • Deducted from bank accounts.
                                                 • Deducted from pay stubs for other services.
                                                 • Collected through non-traditional intermediaries.

                Product design               Simple legal and technical design.

                Contractual documentation    Simplified and easy to understand.

                Coverage                     Clearly defined insured sums and benefits.

                                             • Rates fixed according to the experience of the mutual insurance companies served.
                                             • With minimal exclusions or restrictions.
                Underwriting process
                                             • With adjustment of technical safety margins as information is collected on the specific
                                               features of the risks covered.

                                             • Use of non-traditional distribution channels to reduce transaction costs:
                                                • Banking and micro-finance networks.
                Distribution channels           • Sales networks.
                                                • Utility bills.
                                                • New distribution networks based on non-traditional intermediaries.

                                             • Use of technology to reduce costs for:
                                                • Product contracting and premium payments.
                Product management
                                                • The management and renewal of the product.
                                                • Payment of indemnification.

                                             • Almost immediate.
                Payment of indemnification
                                             • With specific and minimal documentary requirements.

               Source: MAPFRE Economics

             caused by the materialization of risks, mi-                                    Chart 2.2
             croinsurance should be designed in such a                     Expected medium-term development in the
             way that indemnification is paid almost im-                           pricing of microinsurance
             mediately, with specific and minimal docu-
             mentary requirements.                                                         Elimination of prudential margins
                                                                                           Acquisition costs
                                                                                           Administration costs
                                                                                           Prudential margins for insufficient information
                                                                                           Risk premium

                                                                                                           tion                      Adjustment for
                                                                                                    nsac
                                                                                            (-) Tra                                     sufficient
                                                                                             costs                                    information
                                                                                                          ncy
                                                                                                     icie
                                                                                                 Eff
                                                                                              (+) cale
                                                                                                  s
                                                                                               by

                                                                             Traditional                          Microinsurance   Microinsurance
                                                                             insurance                             (short-term)     (long-term)

                                                                       Source: MAPFRE Economics

                                                                                                                                                      25
3. Review of relevant markets

              3.1 Asia                                           stimulated its development, which continues,
                                                                 however, to be very weak, as regulatory provi-
              China                                              sions of this kind do not influence the key as-
                                                                 pects that can make microinsurance both af-
                                                                 fordable for the insurers offering it and bene-
              One of the Chinese government's explicit
                                                                 ficial for low-income populations. Insurance
              public policy objectives is to increase the lev-
                                                                 companies dedicate few resources to innova-
              el of insurance penetration in the economy.
                                                                 tion in this area and, from a supply perspec-
              There is no data regarding the relevance that
                                                                 tive, see the lack of data and suitable distrib-
              microinsurance may have in this market, but
                                                                 ution channels as the main issues for its de-
              it is not common to find it within the product
                                                                 velopment.
              offering of insurance companies that operate
              in this country. However, there are Life insur-
              ance policies linked to microloans that are        It should be noted, however, that savings mi-
              sold through the postal system, micro-credit       croinsurance with periodic premiums is sold
              constitutions, and rural credit cooperatives,      in this market through "Common Service
              although the level of development is low.          Centers" (CSC). CSCs are digitized IT plat-
              Other personal microinsurance lines are also       forms created for public authorities to offer
              sold through what are known as "people's           financial services, including insurance, and
              committees"10.                                     other public and private services. The goal of
                                                                 these platforms (which make up the "CSC
                                                                 Network") is to ensure reduced operating
              However, there are ongoing initiatives that
                                                                 costs, transparent digital processes, and easy
              can be utilized in the future to increase the
                                                                 accessibility to products and services, even in
              penetration of microinsurance in China. For
                                                                 rural areas. All of the products sold through
              example, in 2018 the technology company
                                                                 this network must include the letters "CSC"
              ZhongAn Technology launched an IT health
                                                                 at the beginning of their name. Insurance
              insurance platform for the Chinese insurance
                                                                 products labeled "CSC" must comply with
              industry, which uses artificial intelligence
                                                                 special guidelines developed by the insurance
              algorithms11. This company consolidates and
                                                                 supervisory authority12.
              utilizes a medical database, which is seldom
              available to insurance companies otherwise.
              This database can be extremely useful for          Indonesia
              pricing microinsurance, as it provides access
              to medical records, as well as for supplying       In Indonesia, there is also willingness on the
              data on medical directories and hospitals, as      part of public authorities to develop microin-
              well as other services.                            surance. In this regard, in 2013 an initiative
                                                                 was launched known as "The grand design
              India                                              microinsurance blueprint," an action plan to
                                                                 understand the market, build the microinsur-
                                                                 ance industry, and improve the public percep-
              India is one of the countries that wishes to
                                                                 tion of microinsurance. However, although it
              boost the development of microinsurance as
                                                                 seems to be growing, it is still under-devel-
              a coverage tool for low-income individuals. It
                                                                 oped. The main issues identified by insurance
              has established a system of minimum annual
                                                                 companies are high development costs, an
              quotas, in terms of the percentage of premi-
                                                                 inadequate capital base, and the lack of cost-
              ums and the number of insured persons, that
                                                                 efficient distribution channels13.
              it imposes on insurance companies operating
              in this market. This provision has partially

FINANCIAL INCLUSION IN INSURANCE                                                                              27
FINANCIAL INCLUSION IN INSURANCE

Philippines                                        Bangladesh

In the case of the Philippines, public authori-    The penetration of cellphones in Bangladesh
ties have also expressed their interest in         (as in other Asian countries) is widespread,
promoting microinsurance. In 2006, "Mutual         which contrasts with its low level of bank us-
Benefits Associations" (MBAs) were intro-          age. Therefore, microinsurance is mostly dis-
duced in the country as a new type of mi-          tributed through mobile network operators
croinsurance provider, becoming the main           (Robi Axiata and Grameenphone). In particu-
catalyst for development. These served to          lar, technological service provider BIMA is
formalize many micro-finance and non-gov-          quite active in microinsurance marketing in
ernmental organizations, which had previ-          the country, partnering with mobile operators
ously been operating informally. The microin-      to do so.
surance industry has been developed with
the backing of the Ministry of Finance, with       3.2 Africa
its policy created to promote financial inclu-
sion, facilitating coordination and collabora-     Africa is home to over one billion people, and
tion between different government agencies.        it is estimated that around 400 million of
It should be noted that both the Insurance         them still live in extreme poverty. According
Commission and local business associations         to the report developed by Microinsurance
were also heavily involved in this project.        Network, "Landscape of Microinsurance in
                                                   Africa 2018," the insurance market in Africa
With respect to distribution channels,             is very fragmented. Despite the role that in-
the Philippines is unique insofar as a signifi-    surance could play to recover and contribute
cant portion of microinsurance products is         to its economy, insurance for retail business-
sold through pawnshops, which have a vast          es is largely underdeveloped. The little data
network of establishments throughout the           obtained on Africa impinges on global fig-
country. According to the report developed by      ures, but according to data provided by 100
Milliman Research14, Cebuana Lhuillier is the      insurers in this study, only 2% of the estimat-
largest company of this kind, with around          ed 700 million low-income individuals is cov-
1,800 branches throughout the nation and           ered with microinsurance products, for a to-
selling over one million microinsurance poli-      tal of 420 million dollars in premiums (less
cies a month. Since 2017, approximately 30%        than 1% of the total amount of premiums in
of Filipinos insured with microinsurance have      Africa).
taken out their policy with this company15.
                                                   Credit-life, life, and funeral products make
However, according to the Milliman Research        up around 60% of the microinsurance mar-
report, the industry is still facing a series of   ket, although significant growth has been
important challenges. The Philippines are          observed in health insurance. Life insurance
located in one of the most natural disaster-       was one of the first microinsurance products
prone areas of the world, which makes it dif-      in Africa, making up a significant portion of
ficult to underwrite appropriate reinsurance       the market. At the beginning of 2014, health
contracts. Furthermore, the use of cash is         insurance began to be used as a supplement
deeply ingrained in the population, therefore      by providers such as MicroEnsure, growing
the use of alternatives such as electronic         as an independent product and also forming
money is not a viable solution. As such, the       part of a product package that offers life or
mobile network operator (MNO) distribution         accident coverage. Additionally, new services
channel has not taken off in the Philippines.      have been added to simple health coverage,
This is also compounded by the fact that its       such as telemedicine which, due to its posi-
mobile network market is run by a duopoly          tive reception among clients, has trans-
whose two operators have not shown interest        formed health insurance into an important
in insurance innovation.                           product for insurers.

28
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