claims statistics for 2014

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Page 1: Claims Statistics for 2014

Risk Summit 2015

Claims statistics 2014

Stephen van Niekerk

Page 2: Claims Statistics for 2014

R130 BILLION

Page 3: Claims Statistics for 2014

LARGESTDEATH CLAIM

R22 MILLION

Page 4: Claims Statistics for 2014

LARGESTDISABILITY CLAIM R10 MILLION

Page 5: Claims Statistics for 2014

LARGEST CRITICAL ILLNESS

CLAIM R4.7 MILLION

Page 6: Claims Statistics for 2014

LARGEST INCOME DISABILITY CLAIM R315 000 pm

Page 7: Claims Statistics for 2014

Risk claims 2014

Disability R299 156 783

Critical illnessR382 890 011

Death R1 970 108 967

Income disabilityR84 970 541

Total paidR 2.73bn

Page 8: Claims Statistics for 2014

95.1%

3,9% 1%

Claims paidDid not meet policy defini-tionRepudiated

Repudiated claims

Page 9: Claims Statistics for 2014

82%

18%

Non-disclosureSuicide

Reasons for repudiated claims

Page 10: Claims Statistics for 2014

NO OMBUDSMAN RULINGS AGAINST MYRIAD IN 2014

Page 11: Claims Statistics for 2014

Major causes of death

35% 12

%9% 5%20

% 9%

Cardiovascular system

Cancer Respiratorysystem

Unnatural Central nervous system

Endocrine and

metabolic

Page 12: Claims Statistics for 2014

Trauma

Drowning

Aviation

Other accidents

Murder

Suicide

Motor vehicle accident

0% 10% 20% 30% 40% 50% 60%

1%

1%

2%

12%

15%

20%

49%

Causes of unnatural deaths

Page 13: Claims Statistics for 2014

CRITICALILLNESSCLAIMS

Page 14: Claims Statistics for 2014

Major causes of critical illness claims

37% 14

%6% 3%

20% 4%

Cancer Cardiovascular system

Central nervous system

Musculo-skeletal

Visual Gastro-intestinal

Skin

3%

Page 15: Claims Statistics for 2014

LUMP SUMDISABILITY CLAIMS

Page 16: Claims Statistics for 2014

Major causes of disability claims

21% 12

%8% 6%15

% 6%

Musculo-skeletal

Cancer Nervous system Psychiatric/ Mental

Accidental Cardio-vascular Surgery

5%

Page 17: Claims Statistics for 2014

INCOMEDISABILITY CLAIMS

Page 18: Claims Statistics for 2014

Causes of income disability claims

25% 9% 8% 6%

11% 8%

Musculo-skeletal

Surgery Fractures & Hospitalisation

Cancer Accidental RespiratoryPsychiatric/Mental 

5%

Page 19: Claims Statistics for 2014

SOME INTERESTINGOBSERVATIONS

Page 20: Claims Statistics for 2014

Myriad “living” benefits increase

2013 2014

46 cents 65 cents

Page 21: Claims Statistics for 2014

BIG 4 DOWN FROM 78%TO 71%

Page 22: Claims Statistics for 2014

Major causes of critical illness claims

37% 14

%6% 3%

20% 4%

Cancer Cardiovascular system

Central nervous system

Musculo-skeletal

Visual Gastro-intestinal

Skin

3%

Page 23: Claims Statistics for 2014

Lower than industry repudiations

0.4%

Momentum1.0%Industry

1.1%

0.5%

2012 2013

Page 24: Claims Statistics for 2014

TERMINAL ILLNESS CLAIMS STAND

OUT AGAINR82 MILLION

Page 25: Claims Statistics for 2014

Relevance of income disability

25% 9% 8% 6%

11% 8%

Musculo-skeletal

Surgery Fractures & Hospitalisation

Cancer Accidental Respiratory Psychiatric/Mental 

5%

Page 26: Claims Statistics for 2014

Death claims by age

< 30

31-40

41-50

51-60

>60

0% 10% 20% 30% 40% 50% 60% 70%

1%

3%

11%

22%

63%

Page 27: Claims Statistics for 2014

Critical illness claims by age

< 30

31-40

41-50

51-60

>60

0% 5% 10% 15% 20% 25% 30% 35%

3%

21%

26%

29%

21%

Page 28: Claims Statistics for 2014

Disability claims by age

< 30

31-40

41-50

51-60

>60

0% 5% 10% 15% 20% 25% 30% 35% 40%

2%

21%

36%

31%

10%

Page 29: Claims Statistics for 2014

Income disability claims by age

< 30

31-40

41-50

51-60

>60

0% 5% 10% 15% 20% 25% 30% 35% 40%

3%

32%

38%

20%

7%

Page 30: Claims Statistics for 2014

ARE YOU COVERED UNDER THE MOST RECENT AND

UPDATED BENEFIT?

Page 31: Claims Statistics for 2014

TOTAL COST OF LIVING PRODUCT PHILOSOPHY

R200 MILLION

Page 32: Claims Statistics for 2014

COST OF “LIVING PRODUCT” CLAIMS 2014

R25MILLION

Page 33: Claims Statistics for 2014

MOMENTUM INTERACTIVE

DISCOUNTS R1

BILLION Discounts

Page 34: Claims Statistics for 2014

RETIREMENT BOOSTER ALLOCATIONS – R450 MILLION

Page 35: Claims Statistics for 2014

THANK YOU