Our reporter Leng Cuihua

　　"Internet celebrities" Huiminbao is rapidly covering more groups. According to the latest introduction of the China Banking and Insurance Regulatory Commission, as of now, more than 70 million people across the country have participated in Huiminbao, and Huiminbao plays an important role in promoting common prosperity in some places.

　　Judging from the actual situation, there is a large gap between Huimin Insurance's participation rate and loss ratio in various regions, and there are also disputes in the industry about the level of Huimin Insurance's loss ratio.

On the whole, Huiminbao will maintain a relatively rapid development speed, but it is still in the exploratory stage. Underwriting agencies in various regions will continue to explore the balance between commercial value and social benefits.

　　Huiminbao on the tuyere

　　Standing at the vent, Huiminbao has grown rapidly and has even become a phenomenon-level product.

For example, "Huhuibao" attracted 7.39 million people to participate in the insurance in more than two months, and its popularity is evident.

　　“At present, 58 insurance institutions have participated in customized medical insurance projects in more than 100 cities in 27 provinces, and the total number of participants has exceeded 70 million.” Ye Yanfei, head of the Policy Research Bureau of the China Banking and Insurance Regulatory Commission, recently presented at the press conference of the State Council Information Office. introduce.

　　Urban customized medical insurance, commonly known as Huiminbao in the industry, was first piloted in Shenzhen in 2015, but its large-scale promotion was in 2020. This year, it is also called the first year of Huiminbao by the industry. More than 70 million people have participated in the insurance, and the speed of its development is evident.

　　The industry has many analyses on the popularity of Huiminbao. In general, there are three main reasons: First, from the government's point of view, Huiminbao can improve citizen medical insurance benefits without increasing or reducing additional fiscal expenditures. Second, from the perspective of insurance companies, Huiminbao is essentially commercial insurance. With government support, it will be of great benefit to product sales, customer expansion, or the promotion of corporate branding; third, From the perspective of consumers, Huimin Insurance has the characteristics of low insurance threshold and high cost-effectiveness, and it is also a good choice to increase protection, especially for some non-standard entities.

　　In many places, Huiminbao is becoming an important starting point to consolidate the results of poverty alleviation, prevent poverty due to illness or return to poverty due to illness, and promote common prosperity.

For example, the "Notice on Further Promoting the Development of Commercial Supplementary Medical Insurance and Promoting the Construction of a Demonstration Zone for Common Prosperity" recently issued by the Zhejiang Medical Insurance Bureau and the Zhejiang Banking and Insurance Regulatory Bureau clearly stated that the political position should be further improved and commercial supplementary medical insurance should be regarded as common prosperity. The construction of major reform projects in the demonstration zone will be promoted.

At the same time, according to the statistics of Zhongtuobang company, more than 40 cities have liberalized personal medical insurance account funds to pay Huimin insurance premiums.

Longge, the co-founder and general manager of Zhongtuobang, told a reporter from Securities Daily that the support of the policy has further enhanced consumers' enthusiasm for insurance and promoted the growth of Huiminbao.

　　So far, what is the actual operation of Huiminbao?

According to Ye Yanfei, from the point of view of insurance, affected by a variety of factors, the insurance rate of projects in various regions varies greatly, and some have reached more than 50%.

At the same time, the reporter learned during the interview that a variety of Huiminbao has appeared in some areas, and there are some vicious competitions. Some products are hot spots. Although they are promoted in the name of Huiminbao, they have not been well reflected. "City customization" and other features.

　　Huiminbao on the top of the wave

　　With the rapid expansion of scale and the further improvement of reputation, the industry has more and more controversial voices about Huiminbao, which puts it on the "top of the wave".

　　Among them, the most controversial issue is whether Huiminbao's loss rate is high or low, and whether it is sustainable.

Judging from specific cases, the differentiation characteristics are more obvious.

　　For example, in the first two months after the "Huhuibao" took effect, it paid out 128 million yuan, reaching 15% of the premium income. With the subsequent loss ratio unchanged, it is initially estimated that the maturity loss ratio will reach 90. %, plus operating services and promotion costs, the industry has greater concerns about its operating losses and sustainability.

Contrary to this, Huiminbao in some places has "cannot be compensated".

Take "Xihu Yi Lianbao" as an example. On September 1, the project issued an optimized claims announcement and added new insurance responsibilities, including self-paid diagnosis and treatment items and medical materials required for reasonable treatment during hospitalization. The "Xihu Yi Lianbao" totaled Baosteel also reimburses eligible medical expenses for reimbursement.

"Under normal circumstances, medical insurance products will adjust their plans after the end of a coverage period according to the situation.'Xihu Yilianbao' relaxes the claim conditions during the coverage period, indicating that its previous loss rate is not high. After the adjustment, it will benefit the people. 'Features are more obvious.” Longge said, because most Huiminbao products have limited liability scope and set higher deductibles, in addition to the risk of insufficient pricing for individual items, the industry as a whole will "compensate" the risk. It's not high.

　　On the whole, there is a large gap in the compensation rate of Huiminbao.

In this regard, Zhou Jin, a partner of PwC China’s financial industry management consulting, told a reporter from the Securities Daily that Huiminbao is still in the stage of exploration and trial and error. The characteristics of people in different regions, the scope of coverage, and deductibles Differences in standards and pricing strategies have led to differences in actual loss rates across regions.

From the perspective of continuous operation, the insurance company will consider adjusting the corresponding insurance clauses, insurance conditions and product pricing in the following year to meet the expectations and requirements of many parties for benefiting the people.

When the actual compensation in certain areas exceeds expectations and may incur underwriting losses, insurance companies must consider reducing the compensation liability or increasing the risk consideration. The specific strategy to choose depends on the local customers' expectations of the coverage and the sensitivity of the product price.

Conversely, if the loss rate is too low, Huimin Insurance needs to reduce premiums or increase protection to better reflect the characteristics of "benefits".

　　Industry insiders said that under the background of government leadership or guidance, the results of the Huiminbao project in the later stage of operation will gradually move closer to the goal of "guarantee meager profits".

For example, the Zhejiang Medical Insurance Bureau and the Zhejiang Banking and Insurance Regulatory Bureau require the municipal medical insurance bureaus to promptly guide commercial insurance undertaking companies to adjust the payment responsibilities and deductible lines of commercial supplementary medical insurance according to factors such as the insurance rate, payment progress, and agreed payment ratio. The capital compensation shall reach the agreed compensation rate of more than 90%.”

At the same time, it is required that “in the process of adjustment, we must give full play to the role of medical insurance big data, make accurate calculations and judgments, not only to prevent excessive accumulation of insurance funds, but also to prevent major losses.”

　　According to Ye Yanfei, most of the benefits for people’s insurance projects are still in the start-up stage and have not yet experienced a complete insurance period. The business loss rate is greatly affected by the project’s payment conditions, the local basic medical insurance policy and the participation rate. The current payment risk exposure is still Insufficiency, it is not ruled out that some areas may still suffer losses in the future. This is a process of exploration.

　　Zhou Jin believes that in order for Huiminbao to achieve "high security" and "good management", it needs to balance and consider a variety of factors.

First of all, Huimin Insurance should mainly cover the payment of serious illnesses other than basic medical insurance, and reduce the risk of "poverty due to illness" and "return to poverty due to illness". Therefore, it is reasonable and necessary to set an appropriate deductible, and cannot be one-sidedly emphasized. The guarantee is high".

Second, "good business" needs to take into account the interests of consumers, local governments and insurance companies. Consumers want to maximize and sustainably benefit the people. The local government needs to supervise the services of insurance companies and protect the rights and interests of consumers. To avoid excessive endorsement and improper intervention, insurance companies must find a sustainable balance between commercial value and social benefits.

(Securities Daily)