Members' Login

Login to your account

Username *
Password *
Remember Me

projects in general insurance

AKI is in the process of implementing a system that will centralise motor insurance data to facilitate the detection of fraudulent claims and assist in the management of motor certificates. The Integrated Motor Insurance Data System (IMIDS) will promote best practice across the industry through use of standard formats for processing underwriting and claims information; facilitate information sharing among AKI members; and promote good governance through compliance of regulatory issues.
The IMIDS system will have statistics in various categories including; stolen motor vehicle data, salvage data, written-off motor vehicle data, uninsured motor vehicles, accidental claims and other key indicators.
Once completed, the system will provide a link to other key stakeholders in motor insurance in the country such as Kenya Revenue Authority (KRA), the Police and National Transport and Safety Authority (NTSA). However, to protect the privacy of policy holders, the system will have an information management system that protects sharing of personal client information.
Motor Insurance Business accounts for almost half the total gross premium for general insurance. In view of the fact that the data will be centrally located; this will improve the efficiency and effectiveness of processing claims an action that will greatly improve customer service delivery levels in insurance companies.

Highlights from the Medical Actuarial Study 
The AKI Secretariat engaged Zamara (formerly Alexander Forbes) to undertake an actuarial determination of medical insurance rates in the country. 
The study, which took the better part of the year, aimed to review the factors responsible for continued poor performance of medical insurance despite significant growth. The study also aimed to analyse industry data over a period of five years and prescribe ideal medical insurance premium rates and terms for both inpatient and outpatient packages.

The key highlights from the study indicate that the highest claims cost for inpatient are pregnancy related conditions and diseases of the respiratory system, while outpatient goes to both diseases of the respiratory and digestive systems. This is also reflected in the morbidity rates, where a spike is witnessed in children below 10, and adults between ages 25 and 45 due to respiratory diseases, and pregnancy related conditions respectively.

The average number of visits per claimant is 1 for inpatient and 4 for outpatient at an average cost of Ksh. 107,451 and Ksh. 5,177 respectively. A higher percentage of the inpatient cost is classified as ‘miscellaneous’, while that of outpatient goes to medication.

The study recommends that there is need for stakeholder engagement between medical service providers, health care system regulators, underwriters and the insureds. There is much needed improvement of data standards through use of standardised codes, data capture of both premium and claims data, and use of data analytics to make informed decisions.

For the insureds, there is need for the underwriters to engage them in preventive exercises such as healthy eating and active lifestyles as opposed to curative measures. Underwriters should provide deterrents such as co-pay and incentives such as medical savings accounts. 

Highlights from the Medical Actuarial Study Presentation

Newletters

Sign up to our monthly newsletter and receive news, tips, offers etc.

Latest Tweets

Contact Us

Mimosa Road, Muchai Drive,
Off Ngong Road,
P. O. Box 45338 – 00200
Nairobi; Kenya
+254 0722-204-149 +254 0733-610-325
Copyright © 2018 Akinsure. All Rights Reserved.
Joomla! is Free Software released under the GNU General Public License.