Professional Documents
Culture Documents
What is microinsurance?
David M. Dror and David Piesse
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A range of products cover a variety of 1 There are also developments in the catastrophe landscape
where numerous public private partnerships are in place
risk including health, life/funeral, disa- for natural disaster protection. A catastrophe joint venture,
“MICRO”, is underway in Haiti for earthquake cover and
bility, agriculture (crop-based weather the Philippines has set up an earthquake insurance pool
via the Asian Development Bank (ADB).
What is microinsurance? 25
the premium should reflect the fair cost require all persons to be insured, and
of the risk transferred from insured to such mandatory insurance is imple-
insurer, and the calculation should be mented through deductions either
based on the frequency and severity. from income at source, or inseparably
According to theory, insurance offers attached to the most common activities
a trade-off between an unafford- of daily life. Examples include: gainful
able (or large) loss, which is uncer- employment with mandatory insur-
tain, and an affordable loss, which is ance covering several risks like health,
certain (the premium). This theorem unemployment, old-age pension, or
dates back to Friedman and Savage workman’s compensation; owning or
(1948). The net effect of this trade- driving a car with mandatory third-
off is to “smooth” fluctuations in the party liability insurance; and financ-
income of the insured that are caused ing of a house with credit life insur-
by exogenous changes, such as differ- ance of the borrower and earthquake
ent “states of nature”2 rather than by insurance of the house. In low-income
autonomous explanations, such as bad countries, where, on the one hand,
choices of consumption in a given set governments rarely provide compre-
of supply and demand, or bad behav- hensive disaster relief, and, on the
iour in risky situations. The assump- other hand, are often unable to identify
tion underlying this smoothing is that all the population or to apply universal
the insured gains utility from experi-
tax collection or mandatory insurance
encing two years of average consump-
to all, the decision to insure is mostly
tion rather than experiencing one year
voluntary and individual. When affilia-
of starvation plus one year of excessive
tion to insurance is voluntary and indi-
consumption. A common explanation
vidual, the theory suggests that peo-
for the utility gain is that excessive
ple who estimate their risk exposure
consumption does not increase hap-
to be higher than average would be
piness, or what economists call utility,
more likely to insure (adverse selec-
as much as starvation lowers it (Gru-
tion), whilst those estimating their risk
ber 2007, 317).
exposure to be lower than average
would be less likely to insure. The flip
In most high-income countries, where
the public at large could be required side of this phenomenon is when an
to cover the costs of large-scale unin- insurance company agrees to insure
sured events, governments often only those individuals that it estimates
to be exposed to the risk below aver-
2 A finite set of alternatives that might occur, of which only
age (“cherry picking” or “cream skim-
one actually occurs, e.g., real world outcomes like health ming”). Both these phenomena affect
vs. sickness, abundant harvest vs. bad harvest, normal
rainfall vs. drought, etc. the insurance market negatively.
26
(particularly given the general short- and products are typically unavailable
age of facilities in rural areas), unaf- in low-income areas, however — and
fordable (considering the costs of because monetary savings are vulner-
treatment, transportation, bribes, able to inflation — asset build-up and
medicines, waiting, aftercare, and drawn-down are particularly popular
missed work), or of terrible quality means of self-insuring. However, low
(with provider absenteeism, poor staff and volatile incomes (and threats to the
training, corruption, patient abuse, and accumulated assets themselves) make
chronic shortages of equipment, sup- it difficult to amass large enough sums
plies and medicine endemic in health- to adequately militate against shocks.
care facilities which predominantly Other ex-ante strategies include calcu-
serve low-income clients in develop- lated, and often conservative, employ-
ing countries). Social safety nets (like ment, production, and social-familial
national health insurance schemes) strategies, such as
are — due to narrow tax bases, cor-
ruption, inefficiency, and other gov- • diversifying occupations and crops
ernment priorities like indebtedness • working for less, but under more
— commonly weak or non-existent. secure arrangements (such as “tied
Moreover, the low-income people’s labour”) using less effective, but
plentiful and creative array of infor- cheaper combinations of production
mal risk mitigation techniques is often inputs (such as less high-cost ferti-
insufficient, particularly when risks lisers and more low-cost labour)
covary or repeatedly occur over a short • migrating to places with uncorre-
period. lated income patterns, and
• tactically selecting marriage part-
These informal arrangements, which ners, fostering children, and culti-
are classified into self-insurance and vating friends
shared insurance, bear examination
because of their prevalence within Whilst lowering uncertainty, many of
poor communities (Morduch 2003). Of these approaches lead to inefficient
these, self-insurance is the most wide- outcomes through which people sacri-
spread and significant form of infor- fice more profitable, but riskier activi-
mal risk mitigation. It consists of ex- ties and the adaptation of potentially
ante and ex-post approaches, which valuable new technologies to achieve
are implemented before and after the some degree of income with certainty
hazards in question occur. The pre- and “limit exposure only to… shocks
dominant ex-ante approach is savings. that can be handled with the means
Because appropriate savings facilities available” (Morduch 1995, 104). For
What is microinsurance? 33
example, Walker and Ryan estimate families is in any case limited. There-
that households sacrifice up to 25% of fore, borrowing with interest from
their average income to reduce expo- professional lenders and liquidating
sure to shocks in certain parts of India saving are more important coping
(1990, 197). mechanisms than shared insurance
approaches (Morduch 1999, 189; Bin-
In contrast, ex-post approaches nendijk et al. 2012).
include borrowing (though constraints
often exist on the availability and cost Whilst these risk mitigation instru-
of credit), changing consumption pat- ments collectively enable real and sig-
terns (for example, eating less or nificant consumption-smoothing, they
withdrawing children from school) do not provide complete coverage —
and adjusting labour supply (working and ironically prove costly for house-
longer hours or employing children). holds in terms of everything from
Because these strategies are imple- foregone profits to intensified gender
mented reactively by households under problems, since very often women bear
duress, they typically have less favora- the brunt of strategies like migration,
ble terms and prove more exacting on fostering, and strategically-arranged
family finances. marriages. Besides bridging the gap,
microinsurance schemes can be cre-
Shared insurance, on the other hand, ated to complement or crowd out the
includes reciprocal loan- and gift-giv- best and worst of these approaches
ing practices and participation in rotat- whilst enabling low-income people to
ing savings and credit associations pursue more profitable income-gen-
(ROSCAs), through which a group’s erating activities and more gratifying
members regularly contribute equal personal relationships.
sums of money and sequentially
receive the proceeds. Shared insur-
ance schemes are typically organised
amongst families, neighbours, or other
groups of people with the ties neces-
sary to identify and curb moral haz-
ard amongst participants. Informa-
tion asymmetries and enforcement
problems may exist even amongst
close-knit people (Morduch 1999,
189). Moreover, the financial capac-
ity of intra-family lending within poor
34
industry to survive in over 300 years The next stage of this process leads
of trading. Reinsurance is one of the to the stochastic — or actuarial —
risk transfer mechanisms used in the measurement of microinsurance,
industry and is vital to the microinsur- using Dynamic Financial Analysis, or
ance sector as a capital base can be measuring risk mathematically using
offered to primary insurers or, indeed, probability theory, which needs good
direct to communities to handle their historical data to achieve (Piesse, in
risk transfer affairs. Evaluating and preparation). This process will align
measuring the assets identified will the intangible assets to the company
greatly assist the flow of capital from strategy and align to the regulator
reinsurance and capital markets strategy. A key alignment here is that
(alternate risk transfer) to microinsur- of literacy, health care, financial inclu-
ance projects. A very important aspect sion, and risk transfer, thereby liquefy-
is to show that the internal processes ing the intangible assets and appear-
ing on a balance sheet. This includes
that handle claims have a tangible
risk from non-cost effective informa-
value for impact assessments.
tion technology projects whose costs
prohibit microinsurance schemes and
Regulation needs to allow for lower
prevents them from going into pro-
capitalisation as an entry point for
duction. However, impact models and
the microinsurance sector and allow
good data are not sufficient in isolation.
the additional premium assets to be
There is a need for independent risk
included in an impact assessment for
quantification that is capable of bring-
the computation of solvency on micro-
ing stakeholders together for sustain-
insurance schemes. This is especially able risk transfer solutions based on
important as more complex health, the increase in natural disasters and
weather index, and innovative cli- climate change that mostly affect
mate change (linked to food shortage) newly penetrated microinsurance
products are introduced in the mar- bases. This is an important correla-
ket place. There is a need to measure tion of catastrophe risk with market,
the key indicators around the solvency credit, underwriting, macroeconomic,
ratio and the expense ratio, which is and insurance risk combined in one
the cost of distribution and the cost per holistic risk analysis. The develop-
transaction. This, in turn, generates ment of effective catastrophe micro-
a set of official performance standards insurance needs reinsurers, catastro-
established by regulatory authorities phe modelers, insurers, governments
for effective delivery of microinsur- (public private partnerships), regula-
ance and impact analysis. tors, World Bank/United Nations/ADB,
What is microinsurance? 37
Finally, there is infrastructure and Ingram, M. and M. J. McCord. 2011. Defining “Mi-
political will. Without that will and bal- croinsurance”: Thoughts for a journey towards
a common understanding. MicroInsurance Cen-
anced regulation, microinsurance will tre discussion paper presented at Microinsurance
not live up to its full potential. Network member meeting, Königstein. June.
What is microinsurance? 39
Microinsurance Network. 2013. Microinsur- Vaté, M. and D. M. Dror. 2002. To insure or not to
ance. 1 billion covered by 2020. Press Release, insure? Reflections on the limits of insurability.
January 30. In: Social reinsurance: A new approach to sustain-
able community health financing, ed. D. M. Dror
Morduch, J. 1995. Income smoothing and con- and A. S. Preker, 125-152. Washington, D.C.:
sumption smoothing. Journal of Economic Per- World Bank.
spectives 9(3): 103-114.
Walker, T. S. and J. G. Ryan. 1990. Village and
Morduch, J. 1999. Between the market and household economies in India’s semi-arid tropics.
state: Can Informal insurance patch the safety Baltimore, MD: Johns Hopkins University Press.
net? World Bank Research Observer 14(2) (Au-
gust): 187-207. Yeshasvini Trust. 2011. Achieve-
ment since inception of the scheme.
http://yeshasvini.kar.nic.in/achieve.htm