
Health insurers bleed despite premium hikes
Loss ratios
at frontline Indian
health insurers
are continuing to look less flattering as
hospital bills and claims
, fuelled by an estimated 14% inflation in medical-related costs, overshadow multiple increases in coverage premiums. The pace of increases in claims has run ahead of double-digit premium enhancements across government, group, and retail health portfolios.
New India Assurance
saw its incurred claims ratio deteriorate to 109% in Q1 FY26, up from 106% a year ago. The state-owned insurer raised premiums, but the losses only deepened.
With a 10% cap on
premium hikes
for senior citizens and inflation at 14%, there is already a 4% gap, said Girija Subramanian, CMD, New India Assurance. Even after rate hikes, loss ratios have not improved and issue lies with service provider ecosystem, not underwriting, she told investors.
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ICICI Lombard
reported a rise in the loss ratio in its retail health book from 72.5% to 74.3% in Q1. The insurer called it a Q1 phenomenon and expects to end the year in the loss ratio range of 65-70%. "There has been an increase in incidence," said Gopal Balachandran, CFO, ICICI Lombard.
"But even when we started the last year, the Q1 number was 72.5%...ended the year at 67.9%." Star Health's incurred claims ratio climbed to 68.5% from 66.9%, while its overall loss ratio worsened to 69.5% from 68.1%. The health segment continues to dominate general insurance, accounting for 40.2% of industry gross premium income.
"There is a catch as
medical inflation
is not uniform across the board," said Avinash Singh, senior research analyst, Emkay Global. "Each insurer faces a different inflation curve depending on its portfolio mix. PSUs, for example, have older policyholder cohorts in their retail book who require more tertiary care and this pushes their inflation-linked claims much higher than industry averages."
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Niva Bupa has seen loss ratio move up to 68% on retail book. "Broadly, our loss ratio has increased by around 300 basis points," said Krishnan Ramachandran, MD, Niva Bupa. "Key drivers are a shift in business mix-group health or B2B loss ratios are structurally higher than retail-and some uptick in retail losses."
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