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Presentation to :. Local protection, global connection. Who We Are…. The Generali Group is a leading player in the global insurance and financial markets. 68 countries worldwide 60 million clients Over 70 billion Euro of premiums 85,000 employees - PowerPoint PPT Presentation

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Page 1: Local protection, global connection

Local protection, global connection

Presentation to:

Page 2: Local protection, global connection

2

Who We Are…..

Page 3: Local protection, global connection

The Generali Group is a leading player in the global insurance and financial markets

• 68 countries worldwide • 60 million clients• Over 70 billion Euro of

premiums• 85,000 employees• Over 1.3 billion Euro of net profit

It all began in 1831 in Trieste where Assicurazioni Generali S.p.A. was founded. Today Assicurazioni Generali S.p.A. is::

1st insurer in Italy The biggest Life Insurer in Europe

It has strong financial rating: S&P AA-

Page 4: Local protection, global connection

Spain4.7%

French7.6%

Germany8.7%

Austria15%

Italy24.9%

Switzerland4.7%

CEE6.9%

China5.8%

Geographic Expansion: Continental Europe and Asia

Indonesia

Page 5: Local protection, global connection

5

What we offerWhat do they say about us….

Page 6: Local protection, global connection

China Life

CNP Assurance

Zurich Financial Services

Nippon Life

Munich Re

Prudential

Aviva

AIG

Allianz

Generali

ING Group

AXA

- 50,000 100,000 150,000 200,000

126,012

Fortune Global 500 – Year 2010: Worldwide Insurance Ranking

Based on Revenue (in USD Bio)

GENERALI

Page 7: Local protection, global connection

Forbes Global 2000 – Year 2010: Worldwide Insurance Ranking

Based on Sales (in USD Bio)

China Life Insurance

Travelers Cos

Prudential Financial

Manulife Financial

CNP Assurances

Munich Re

Zurich Financial Services

Prudential

Aviva

Generali

Allianz

AXA

- 20.00 40.00 60.00 80.00 100.00 120.00 140.00 160.00

123.14 GENERALI

Page 8: Local protection, global connection

Global Employee Benefit Market Share

GENERALI

Source: Ernst & Young 2009 Market share survey

2005 2006 2007 2008 20090.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

19.61% 19.19%

23.13% 23.57%25.70%

Column4 Column3 Column2 GENERALI Column1

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What we offer

Generali Indonesia

Page 10: Local protection, global connection

Head Office

PT. Asuransi Jiwa Generali Indonesia

Cyber 2 Tower 30th FloorJl. H.R. Rasuna Said Blok X - 5 /13

Jakarta 12950

Page 11: Local protection, global connection

Key Development Milestone

• Started Operations in January 2009

Strong Risk Based Capital(481% per Juni 2010)

• 153 companies (world best known)• Over 50,000 member

• 570 hospitals in Indonesia• 30 international hospitals

(REVIEWED)• 90 employee (4 doctors)

Page 12: Local protection, global connection

Active Members

-

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

50,000

2,442

34,545

49,600

Page 13: Local protection, global connection

(3)Proactive Claim

Management

(2)Speed

ProcessingLong Term

Relationship

Our Business Model

Healthier and Productive

Employees(1) Customized

Solutions

+GEBSupport

Group Medical

Group Term Life

QUALITY OF

SERVICE

Capacity

Free Cover Limit

Page 14: Local protection, global connection

Serving you better…

3. Easy Tracking Process

1. Easy and Convenience Claim Process

2. Easy and FasterRegistration Process

Page 16: Local protection, global connection

Claim Business Process

Verify ID card & Swipe the card

Provide Medical ServicesAdmission Process

Patient Hospital/Clinic Hospital/Clinic

Page 18: Local protection, global connection

Easy and Faster Registration & Tracking Process

Regional Office

Regional Office

Regional Office

HO Insurance Company

Common Practice

Regional Office

Regional Office

Regional Office

DIRECT REGISTRATION (Through Generali Indonesia Web - CLICK)

Generali Indonesia

Page 19: Local protection, global connection

Serving you better…

User id

Password

Generali CLICK

xxxxxxxx

ACCEPTED

CLAIM

POLICY

BILLING

CASH

Regional Office

Regional Office

Regional Office

DIRECT REGISTRATION (Through Generali Indonesia Web - CLICK)

Generali Indonesia

Page 20: Local protection, global connection

CLAIM

Serving you better…

POLICY

BILLING

CASH

Policy Inquiry Member Registration

Claim Inquiry Claim History

Billing Due Date Billing Tracking

Payment Status Cash Receipt

Page 21: Local protection, global connection

Serving you better…

Claim & Payment Status email to member

Wide provider network 7x24 Hour Call center & Emergency Mobile Phone

Regional Processing Center

Service

Page 22: Local protection, global connection

Wider Provider Network (570 local and 30 overseas)

Jabotabek : 260

Provider

West Java : 55

Provider

Bali/NTT/NTB : 25 Provider East Java : 64

Provider Middle java : 45 Provider

Papua : 1

Provider

Maluku : 2

Provider

Kalimantan : 16 Provider

NAD : 1

Provider

Riau /Batam : 15

Provider Sulawesi : 10

Provider

Other Sumatera : 18 Provider

Singapore : 8 Provider (Review)

Malaysia : 22 Provider

(Review)

Page 23: Local protection, global connection

MANFAAT RAWAT INAP & PEMBEDAHANNO BENEFIT PLAN 1 PLAN 2 PLAN 3 PLAN 4

250 350 500 13501 Biaya kamar Rumah Sakit per hari (Maks 365 hari) 250,000 350,000 500,000 1,350,000

2 Biaya Unit Perawatan Intensif (Maks 180 hari) 500,000 700,000 1,000,000 2,650,000

3 Biaya Pembedahan - Pembedahan A 22,000,000 29,000,000 40,000,000 80,000,000 - Pembedahan B 11,000,000 14,000,000 18,000,000 52,000,000 - Pembedahan C 5,600,000 7,500,000 9,000,000 25,000,000 - Pembedahan D 2,800,000 3,630,000 4,500,000 12,500,0004 Biaya Perawatan Rumah Sakit lainnya (obat-obatan, x-ray, lab) 6,250,000 8,750,000 12,500,000 30,000,000

5 kunjungan dokter di rumah sakit per hari (Maks 365 hari) 200,000 280,000 400,000 600,000

6 Biaya konsultasi dokter spesialis di rumah sakit (Maks 365 hari) 300,000 320,000 500,000 1,000,000

7 Perawatan Gawat Darurat per ketidakmampuan 2,000,000 3,000,000 4,000,000 10,000,0008 Biaya perawat pribadi (Maks 90 hari) 150,000 200,000 300,000 600,0009 Biaya Ambulan per kasus 200,000 280,000 400,000 1,000,000

10 Biaya sebelum (30 hari) & setelah (30 hari) perawatan 750,000 1,050,000 1,500,000 3,500,000

Batasan Tahunan Tidak terbatasTidak terbatas Tidak terbatas Tidak terbatas

11 Santunan kematian 2,500,000 2,500,000 2,500,000 2,500,000

Page 24: Local protection, global connection

MANFAAT PERSALINAN

NO MANFAAT PLAN 1 PLAN 2 PLAN 3 PLAN 4

2,500 3,500 5,000 8,000

1 Persalinan normal 2,500,000

3,500,000 5,000,000

8,000,000

2 Persalinan dengan Pembedahan 3,125,000

4,500,000

6,500,000

10,000,000

3 Komplikasi kehamilan 1,700,000

2,500,000

3,500,000

5,500,000

4 Perawatan sebelum & sesudah melahirkan 500,000 700,000 1,000,000 1,600,000

Page 25: Local protection, global connection

MANFAAT RAWAT JALAN

NO MANFAAT PLAN 1 PLAN 2 PLAN 3 PLAN 4

1 Biaya konsultasi Dokter Umum (per kunjungan/hari) 40,000 50,000 70,000 150,000

2 Biaya konsultasi Dokter Spesialis (per kunjungan/hari) 120,000 150,000 210,000 450,000

3 Biaya obat-obatan sesuai resep dokter / tahun 900,000 1,250,000 1,400,000 3,250,000

4 Biaya Diagnostik/laboratorium / tahun 675,000 825,000 1,200,000 2,325,000

5 Biaya Fisioterapi per tahun 200,000 300,000 500,000 600,000

         BATAS TAHUNAN PER ORANG 3,500,000 4,250,000 5,900,000 12,000,000

PENGGANTIAN 100% 100% 100% 100%

Page 26: Local protection, global connection

MANFAAT RAWAT GIGI

NO MANFAAT PLAN 1 PLAN 2 PLAN 3 P-LAN 4

1 Perawatan dasar (per tahun) 400,000 500,000 700,000 1,000,000

2 Perawatan pencegahan (per tahun) 200,000 250,000 350,000 500,000

3 Perawatan kompleks (per tahun) 600,000 750,000 1,050,000 1,500,000

4 Gigi palsu (per tahun) 400,000 500,000 700,000 1,000,000

BATAS TAHUNAN PER ORANG 1,600,000 2,000,000 2,800,000 4,000,000PENGGANTIAN 100% 100% 100% 100%

Page 27: Local protection, global connection

MANFAAT KACA MATA

NO MANFAAT PLAN 1 PLAN 2 PLAN 3 P-LAN 4

1 Penggantian Kacamata

a. Frame (batas dua tahunan) 210,000 300,000 600,000 700,000

b. Lensa atau lensa kontak (batas tahunan) 140,000 200,000 400,000 500,000

2 Biaya Dokter Mata per tahun 35,000 50,000 100,000 200,000

PENGGANTIAN 100% 100% 100% 100%

Page 28: Local protection, global connection

Kelebihan Program Asuransi Kesehatan Rawat Inap & Rawat Jalan, Persalinan & Kacamata dari Generali

29

1. Limit Tahunan Rawat Inap “Tidak terbatas” dengan Biaya Rawat Inap, Kunjungan Dokter, Konsultasi Dokter Spesialist dicover sampai 365 hari, Biaya Unit perwatan intensif dicover sampai 180 hari

2. Perawatan gawat darurat rawat jalan dan gigi dijadikan satu, dan disediakan per ketidakmampuan, bukan per tahun.

3. Biaya operasi : dokter bedah, dokter anestesi, & kamar operasi dijadikan satu4. Biaya Fisioterapi di Rawat Jalan terpisah dari biaya dokter spesialis.5. Untuk rawat jalan langsung ke dokter spesialis tanpa rujukan dari dokter umum.6. Tidak ada masa tunggu untuk PRE-EXISTING CONDITION.7. Untuk rawat jalan penggantian bisa 100% untuk reimbursement.8. Pada program Persalinan, penggantian biaya dokter dan bidan sama besar.9. Pada program Persalinan, biaya perawatan sebelum & sesudah melahirkan terpisah.10. Biaya pemeriksaan dokter mata pada program kacamata terpisah dari biaya pembelian kacamata dan

bingkai.11. Proses klaim reimbursement adalah 14 hari kerja (dibayarkan ke rekening karyawan/perusahaan)

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Mengapa memilih Generali Indonesia ?

1. Kekuatan keuangan : a. Bagian dari Generali Group, terbesar di Itali, 3 terbesar di Eropa, 30 besar di Dunia b. RBC 481% (per Juni 2010)

2. Registrasi dan Inquiry : Sistem IT yang teruji : Sistem Click a. Policy inquiry : Melihat informasi data peserta aktif b. Claim inquiry : Melihat informasi detail claim status klaim reimbursement/provider c. Billing inquiry : Melihat informasi tagihan/pengembalian premi/ekses klaim d. Form Changes : Penambahan/pengurangan/perubahan Data Peserta

3. Standar kepatuhan : Etika Bisnis, Acuan Perlindungan Data.

4. Jaringan Provider Rawat Inap dan Rawat Jalan dengan teknologi terkini : a. Teknologi swipe card b. Jaringan provider yang sangat luas - 570 Rumah Sakit rawat inap & Klinik rawat jalan

- 24 jam, Worldwide coverage

5. Pengembalian Premi (Profit Sharing) :Minimum Premi Rp. 15,000,000 dan Jumlah karyawan 25 orang

50% (60% Premi – Klaim – 1,500,000), apabila polis diperbarui untuk tahun berikutnya

6. Customer Service : a. 7 x 24 jam : (021) 57933290 b. Emergency Mobile Phone : 081586401117 c. Customer service : (021) 29963737 (Office Hour)

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Thank You

Terima Kasih