Ireland
Belgium
The Netherlands
Slovakia
Romania
Bulgaria
GreeceTurkey
Cyprus
Russia
EUREKO EUROPEAN PRESENCE
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TURKEY IS ONE OF OUR 3 CORE COUNTRIES
TURKEY RUSSIAGREECE
• Strong operational results• Top 5 ambition• Growth potential in large,
attractive market
• Strong operational results• Top 5 ambition• Growth potential in large,
attractive market
INTERNATIONAL HUMAN DEVELOPMENT INDEX
Turkey NL
• Population: 75 M 16.6 M
• Expenditure of GDP for Health: 5 % 10 %
• GDP: 13,359 USD 41,000 USD
WHY INTERNATIONAL PRESENCE MATTERS
•Growth
•Risk diversification
•Importing and exporting competences
•Attracting talent
•Strategic flexibility
•Growth
•Risk diversification
•Importing and exporting competences
•Attracting talent
•Strategic flexibility
4
Pre
miu
ms
as
% o
f G
DP
Non-life GWP (denominated in US$)
0
1
2
3
4
5
0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 45,000 50,000
GermanySpain
Netherlands
Poland
Czech Rep
Hungary
Romania
Ukraine
Turkey
55,000
Greece
Ireland
Bulgaria
GDP per capita, US$
Large upside potential in
Turkey
Russia
Non Life regression, 2006
TURKEY HAS A LARGE UPSIDE POTENTIAL
Source: Swiss Re, EIU, McKinsey, Eureko estimatesSource: Swiss Re, EIU, McKinsey, Eureko estimates
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FIRST AMONG OPERATIONG COMPANIES
• Sound profitability: TL 43 million profit last year – meeting our high expectations
• 5.4% Market Share, Rank 9 – moving toward our goals
• Competence: Number one in bank assurance
• Potential for scale: low insurance penetration (1.3% of GDP vs 11% in the Netherlands)
Eureko Sigorta
38%
Division Europe GWP Non Life
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EUREKO SIGORTA – 2010 AND BEYOND
• Deepening partnership with Garanti Bank
• More simplicity and trust - with customer focus
• Increase market share to 8% by 2013 and a top 5 position
• Expand in Motor and Health markets
• Accelerating best practice transfer
8
MANAGED COMPETITION ON THREE MARKETS
Providers market
Insurance market
Insured
Health insurer Provider
Patient market
Government
9
Premiums based upon health risks
Insured Health risksDiagnosis
Therapy
Health Care
Transactions
Insurer
Complaints
More effective care
Risk-manage-ment
Process-manage-ment
Feedback
Feedback
PROCESS HEALTH INSURANCE WITH FOCUS ON RISK
Focus on costs
Low quality
Focus on quality
Low costs
11
TURKISH HEALTH MARKET
Healthcare expenditure as % GDP
Private Health Expenditure as % of total
+65%
-4%
Source: WHO
Source: WHO
0
1
2
3
4
5
6
7
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
%
0
5
10
15
20
25
30
35
40
45
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
%
• Turkey has a “Duplicated” Private Health market, meaning that private health insurance is offering an alternative to the already in place social coverage.
• As an alternative, it offers access to high quality private healthcare, with freedom of choice, while avoiding queues.
• Increasing interest and expenditure in healthcare services.
• Low penetration of Private Health Insurance (PHI) in combination with vast population offers large upside potential.
• Young population with increasing awareness in health as an attractive client segment.
• Well established private healthcare sector allows insurance companies to build strong sustainable business models.
• (Future) Healthcare reform measures allow potentially for further growth opportunities.
• Turkey has a “Duplicated” Private Health market, meaning that private health insurance is offering an alternative to the already in place social coverage.
• As an alternative, it offers access to high quality private healthcare, with freedom of choice, while avoiding queues.
• Increasing interest and expenditure in healthcare services.
• Low penetration of Private Health Insurance (PHI) in combination with vast population offers large upside potential.
• Young population with increasing awareness in health as an attractive client segment.
• Well established private healthcare sector allows insurance companies to build strong sustainable business models.
• (Future) Healthcare reform measures allow potentially for further growth opportunities.
12
THE DUTCH MARKET FOR TURKISH PEOPLE
• 25% of the Turkish people in the
Netherlands are insured at Agis. The market
share of Agis and other Achmea labels
together is > 50%
• The Turks do visit their homeland often and
when they do, they need health care
• That’s why Agis has an office in Turkey and
meets the customers in Turkey frequently
Almere 76%
Amersfoort 78%
Amsterdam 88%
Apeldoorn 80%
Hilversum 86%
Nieuwegein 70%
Utrecht 81%
Zeist 79%
Market share urban areas
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AGIS TURKEY
• Contract with most important health professionals in Turkey
• Guiding towards suitable health care
• Elective care, dialysis, IVF treatments, second opinion etc.
• Personal contact when needed
• Office in Istanbul
• Network all over Turkey
• Call centre - in- and outbound (Dutch, Turkish, English)
• Client does not have to pay immediately
• The costs will be paid directly by Agis Turkey
• Agis is taking care of the quality of healthcare
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COLLABORATION AGIS AND EUREKO SIGORTA
• The Idea: Dutch – Turkish clients can insure their family members in Turkey through a local (Turkish) insurance product from Eureko Sigorta
• Why: Allows the Dutch – Turkish clients to do something for their relatives in Turkey while enjoying a benefit themselves
• But also: To enhance Agis’ proposition in The Netherlands and offer something new and extra for their client base
• As well as: To enhance Eureko Sigorta’s access to new market segments in Turkey
• But first a pilot:
• Co-operation with one selected broker
• Communication driven by Agis
• Assess win-win situation for clients, Agis and Eureko Sigorta
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HONORARY CONSULATE-GENERAL TURKEY
• Joost Peters - Director External Relations and Advisor for the Executive Board
• Facilitated by Eureko/Achmea because of:
> Eureko Sigorta and Agis in Turkey
> Half of the Turkish population in the Netherlands is insured for healthcare with Achmea (including Agis)
• Main objective: enhancing the relationship between Turkey and the Netherlands
• The HCG has an extended network within the business field at diplomatic level. It wants to create a business platform for trade with Turkey.
• More information: www.hcgturkije.nl