How Do I Become a Health Underwriter?

The health insurance market refers to the group of consumers who purchase or plan to purchase health insurance products in order to meet their needs for medical expenses or loss of income in the event of illness or accident. It mainly includes the supply and demand sides of various types of health insurance products, that is, various insurance institutions and consumers operating health insurance business, as well as relevant insurance intermediary organizations and health insurance products. Due to the obvious regional differences in China's economic development level, the regional differences in China's health insurance market demand are also very obvious. The more developed the economy, the higher the income level of residents, the stronger the awareness of health insurance, and the stronger the demand for health insurance; on the contrary, in the less developed areas, the lower the level of income of residents, the weaker the awareness of health insurance, and the lower the demand for health insurance.

Health insurance market

Right!

Chinese name: Health insurance market
Elaboration: Consumer groups buying health insurance products

Category: Related
Related: National financial market

According to the characteristics of the insured

Divided into personal health insurance market and group health insurance market

The personal health insurance market is a health insurance market that takes individuals as the ultimate marketing goal. Its main advantages are relatively large market capacity, wide coverage, and many types of businesses. The disadvantages are mainly the relatively scattered market opportunities and large demand differences , Complex risk factors, large sales and underwriting business. The group health insurance market is a health insurance market with various social groups as the ultimate marketing target. Its advantages are small demand differences, unified risk factors, and small sales and underwriting business, but the market capacity is smaller than the personal market, and there are fewer types of businesses that can be carried out. In China, most health insurance products are designed and sold for the personal market, and the development level of the group market is very low, which makes the advantages of the group health insurance market not fully realized. In contrast, the group health insurance market in the United States is better developed. Almost all medical insurance is designed and marketed for the group market, and it has achieved very good results.

Divided by health insurance coverage

Divided into medical insurance market and disability compensation insurance market

Medical insurance and disability compensation insurance are two basic types of health insurance. In the actual operation process, the consumer groups facing these two types of health insurance are usually divided into two markets for operation. The advantages of the medical insurance market are large market opportunities, multiple business types, flexible product design, and high consumer awareness; the disadvantages are higher risks and complex factors, and a large volume of sales, underwriting, and payment services. The advantages of the disability compensation insurance market are that the premium income is relatively stable and the risks are small; the disadvantages are mainly that consumers' awareness is not high, which restricts the development of this part of the market.

Since the reform of China's medical security system has been going on for many years, the importance of consumers to medical insurance has increased, but the awareness of disability compensation insurance is almost zero. Therefore, while the business of China's medical insurance market continues to expand, the development of the disability compensation insurance market is difficult, and there is even a misunderstanding that health insurance is equal to medical insurance. In western developed countries, the continuous premium income of disability compensation insurance has become the basis for the survival and competition of major insurance companies.

Divided according to the duration of the insurance contract

Divided into long-term insurance market and short-term insurance market

The short-term market is the group of consumers who purchase or plan to purchase health insurance products with a term of less than one year. Its main advantages are relatively low risk, relatively simple risk statistics and control, strong timeliness in designing policy terms, and a small insurance premium burden for policyholders, so it is easy to open the market and achieve scale sales. . The disadvantage is that it is difficult to form long-term stable premium income funds, and the renewal of insurance policies after expiry also increases business volume. A long-term market is a group of consumers who purchase or plan to purchase health insurance products for more than one year. Its outstanding advantages are relatively stable premium income. The main disadvantages are that it is difficult to control risks, there are fewer types of products, and it is relatively difficult to sell.

In China, the development of the short-term health insurance market is rapid, while the development of the long-term health insurance market is relatively slow. This is mainly due to the lack of standardization of China's medical and health service industry, which has led to rising and rising medical costs, making it impossible for insurance institutions to make timely and scientific predictions of long-term medical expenses, which has prevented various insurance institutions. Development and investment in the long-term health insurance market. In addition, the low popularity of national health education, the weak awareness of national insurance for a long time, and national policies are also the main reasons for the sluggish development of the long-term health insurance market.

The health insurance market consists of market subjects and market objects.

(A) the main body of the health insurance market

The main bodies of the health insurance market include policyholders, insurers and insurance intermediaries.

1. Policyholder

In the health insurance market, the insured refers to the purchaser or potential purchaser of health insurance products. They directly constitute the main population required by the health insurance market. Its size, income level, insurance awareness, age structure, occupational structure, and culture Structure and ethnic structure will directly affect the demand of the health insurance market, and then affect the development of the entire health insurance market.

2. Insurer

In the health insurance market, an insurer is an insurance institution that provides health insurance products. The provision of health insurance products by the insurer to the insured constitutes the main body of supply in the health insurance market. Its financial strength, industry scale, number and management level will directly affect the supply of the health insurance market, thus affecting the development of the health insurance market. In China, the insurance coverage of the health insurance market is mainly various forms of life insurance companies, property insurance companies and professional health insurance companies, including

The organizational form of the health insurance market is affected by many factors such as the level of economic development, the degree of development of the commodity economy, the level of social medical security, the level of national income, and the cultural level of a country. Therefore, the organizational form of the health insurance market is different in different countries. .

(I) Organizational form of foreign health insurance market

The embryonic form of health insurance has appeared in the end of the 7th century. At that time, the types of health insurance products were limited (limited to simple disease insurance), the protection functions were extremely limited, and the organizational form of the health insurance market was also simple. It was not until the beginning of the 19th century that capitalism was fully developed in Europe, and various basic disciplines and insurance theories were gradually improved. The health insurance market began to develop at a high speed, and the organizational form of the health insurance market became more and more complex.

Generally speaking, the current forms of organization of foreign health insurance markets are: mutual health insurance companies, joint-stock insurance companies, mutual insurance organizations, personal insurance organizations, private health insurance organizations, private health insurance organizations, and industry (group) self-insurance Organization, etc.

1. Mutual health insurance co.

Mutual Health Insurance Company is the earliest form of organization in the modern health insurance market. It appeared in the UK in the late 17th century. Mutual Health Insurance Company is a non-profit company that is jointly owned by policyholders (ie, policyholders). Its members are both insurers and insurers; they can not only obtain protection against risks such as death, disease and disability, but also share business results in the form of "bonus". Its main advantages are: flexible management methods, low sales costs, and easy control of moral hazard. Its disadvantages are: narrow financing range, low efficiency, small total amount, and poor market response.

At present, a large number of international health insurance companies belong to mutual insurance companies, and their scale is huge. Such as

The supply of the health insurance market refers to the number of various types of insurance products that insurance institutions (insurance companies in our country) that are operating health insurance are willing and able to provide to the market at a certain price for a certain period of time. The supply of the health insurance market must meet two conditions: one is the supply desire of insurance institutions; the other is the supply capacity of insurance institutions. Neither of them is dispensable.

(I) Factors affecting the supply of health insurance

The health insurance market is a component of the insurance market, so the factors that affect the supply of the entire insurance market will affect the supply of the health insurance market. Such as total social capital, the number and quality of insurance providers, the management level of insurance providers, the price level of insurance products, insurance costs, the degree of competition in the insurance market, and government policies.

1. Number and quality of health insurance providers

The number and quality of insurance supply entities directly determine the supply of health insurance. The greater the number of supply entities, the greater the number of health insurance products on the market; the higher the quality of the supply entities, the higher the degree to which the products they develop meet the changing needs of policyholders, and the more they can expand health insurance products Effective supply. Conversely, the smaller the number of supply entities, the less the number of health insurance products on the market; the lower the quality of the supply entities, the lower their ability to meet the needs of the policyholders, and the lower the effective supply of health insurance products. .

2. Level of risk management for health insurance providers

In the health insurance market, how to predict the risk of long-term medical expenses changes while the level of medical expenses continues to rise is the foremost problem facing insurance companies. To solve this problem requires insurance providers to have a very high level of risk management, to ensure the successful development of new products that are both profitable and adapt to demand, and to increase the effective supply of the market; conversely, the level of risk management of insurance providers is poor. It will increase the difficulty of product development and ensure profitability, thereby reducing the effective supply of the market.

3 Price levels of health insurance products

If the price level of insurance products is high, it will increase the probability of profit for insurance companies, thereby stimulating insurance suppliers to provide products to the market; on the contrary, if the price of products is lower, the possibility of profit will be less, and Affects the willingness of insurance suppliers to provide products to the market, resulting in reduced market supply.

4 Cost of health insurance products

The cost of health insurance products mainly depends on the level of payout ratio. If the rate of health insurance products is higher, the cost of the product will be increased, and the profit margin of the insurance company will be reduced, thereby reducing the market supply. On the other hand, if the rate of health insurance products is lower, the cost of the product will be reduced, and the insurance company's Profit margins, thereby increasing market supply.

5. government policy

Government policy has a direct and decisive influence on the supply of the health insurance market. For example, since China opened the short-term health insurance market to property and casualty companies in 2003, eight property and casualty companies have added to the health insurance market, which has directly led to an increase in the supply of the health insurance market.

In addition to the above-mentioned influencing factors, the prices of related financial products, the market expectations of insurance companies, and the capital operation and investment of insurance companies will also affect the supply of the health insurance market.

(II) Status of China's Health Insurance Market Supply

1. Product structure is becoming more and more reasonable

At present, the number of products in China's health insurance market has exceeded 300. In addition to traditional expense compensation and hospitalization subsidy products, insurance companies have also begun to enter new areas such as disability income loss insurance and long-term care insurance. Although most of them currently only use disability income loss insurance and long-term care insurance as supplementary insurance (such as Ping An Life Insurance's additional critical illness hospitalization insurance and supplementary hospitalization income insurance, etc.), this attempt will be ignored by the long-term health insurance. The market is included in the business scope, which shows that the product structure of China's health insurance market is developing in the direction of higher profit levels and stronger protection functions.

2. Further increase in market supply

At present, there are 29 life insurance companies and 8 property and casualty insurance companies operating health insurance in China. Among them, China Life, Ping An Life, Pacific Life and the People's Insurance Company of China have a large market share, strong capital and strong competitiveness. Although Xinhua Life and Taikang Life have smaller market shares, they have increased significantly in recent years. At the same time, with the opening up of China's life insurance market and the relaxation of policy restrictions, foreign life insurance companies are bound to enter China's health insurance market with their strong financial strength and high-level management, thereby greatly increasing the supply level of health insurance products.

3 Strengthened foreign capital's ability to control China's health insurance market

By the end of 2003, there were 32 life insurance companies in China, of which, except for Pacific Life Insurance Company, the remaining 31 had foreign investment. The proportion of foreign capital in the total capital of China's life insurance industry has reached 30.97%. This not only strengthens the overall supply capacity of China's health insurance market, but also increases the control and leading role of market supply.

The demand of the health insurance market refers to the number of health insurance products that buyers are willing and able to purchase within a certain period of time. The demand of the health insurance market is determined by two conditions: one is the purchase intention of the purchaser; the other is the actual purchase ability of the purchaser. Neither of them is dispensable.

(I) Factors affecting the demand of the health insurance market

The factors affecting the demand for the health insurance market are more complex, including the national medical security system, prices of health insurance products, prices of related financial products, consumer disposable income levels, and consumer insurance awareness.

1. Risks in the health insurance market

Risks in the health insurance market are a prerequisite for market demand. The wider the scope of health insurance market risk, the higher the degree, the greater the demand; on the contrary, the smaller the scope of health insurance market risk, the lower the level, the smaller the demand.

2. Implementation of the National Medical Security System

The impact of the national medical security system on the demand for the health insurance market is huge and will directly determine the overall structure of a country's health insurance market. The more complete the national medical security system, the lower the residents 'dependence on commercial health insurance products (especially the medical insurance products among them), and the lower the market demand; the more the national medical security system faces the market, and the residents' The higher the degree of dependence, the stronger the market demand.

3 Price of health insurance products

The price factor is the main factor affecting market demand, and the main factor affecting the price of health insurance products is the level of medical service costs. The higher the cost of medical services, the higher the price of health insurance products (especially medical insurance products), the more it will curb consumers' willingness to buy, thereby reducing market demand; the lower the cost of medical services, health insurance products (especially medical The lower the price of insurance products, the more it will stimulate consumer purchases, thereby increasing demand in the health insurance market.

4 Prices of related financial products

Health insurance products have a substitution relationship with some financial products (such as certain types of dividend insurance, investment-type financial products such as stocks and bonds), and they have complementary relationships with other financial products. The demand of the health insurance market will change in the same direction as the prices of alternative products and in the opposite direction to the prices of complementary products.

5. Consumer disposable income level

The higher the level of consumer disposable income, the greater the demand in the health insurance market; on the contrary, the lower the level of consumer disposable income, the smaller the demand in the health insurance market.

6. Consumer insurance awareness

The stronger the consumer's insurance awareness, the greater the demand in the health insurance market; on the contrary, the weaker the consumer's insurance awareness, the smaller the demand in the health insurance market.

7. Changes in interest rates and inflation

Health insurance products are financial products, so their changes in demand are more sensitive to changes in interest rates and inflation. Changes in interest rates and inflation will affect the demand for health insurance by affecting new purchases and surrender rates. As interest rates or inflation rise, insurance demand will fall.

In addition to the above factors, the level of social and economic development, the degree of development of the commodity economy, and demographic factors will all affect the demand for the health insurance market to a certain extent.

(II) Characteristics of China's health insurance market demand

1. The impact of China's social medical security system on the demand for the health insurance market is huge

Under the urban public medical system implemented in China in the 1950s, the demand for the health insurance market is almost zero. With the continuous advancement of reforms, the role of China's social medical security system in driving the demand for the health insurance market has become increasingly apparent. First of all, the coverage of China's social medical insurance is narrow, including only enterprise (state-owned, collective, foreign-funded, private) employees and institutions, institutions, social organizations, private non-enterprise units and their current employees, and retired workers. The employees' families, students, urban migrants, and rural populations are not covered. All of these groups constitute the needs of the health insurance market. Secondly, the establishment of China's social medical insurance starting line and capping line makes insured personnel still bear a heavier burden of medical expenses. In this way, the medical expenses under the threshold and above the cap line plus the proportion of the medical expenses undertaken by the participants themselves have also become a part of the demand for the commercial health insurance market. Finally, China's social medical insurance has imposed strict restrictions on the scope of use of drugs, which will also increase the demand for the commercial health insurance market.

2. The impact of China's medical service market on the health insurance market demand is prominent

The impact of China's medical service market on the demand for the health insurance market is very complex. It may both promote demand growth and cause demand shrinkage. China's medical service market is still a seller's market. Its main feature is that the information on the supply and demand sides of the market is extremely asymmetric. Hospitals have the absolute advantage of all information. Possess prescription rights and monopoly drug rights; laws and regulations regulating medical institutions are not complete, and they cannot control the occurrence of induced services and excessive medical treatment. This will not only cause consumers to realize the importance of health insurance because of the rapid rise in medical service costs, thereby increasing the demand for the health insurance market; it may also force insurance companies to be forced to increase in order to avoid the risk of rapid changes in medical costs. The price of health insurance products has eventually led to a shrinking demand in the health insurance market.

3 The regional characteristics of China's economic development has a significant impact on China's health insurance market demand

Due to the obvious regional differences in China's economic development level, the regional differences in China's health insurance market demand are also very obvious. The more developed the economy, the higher the income level of residents, the stronger the awareness of health insurance, and the stronger the demand for health insurance; on the contrary, in the less developed areas, the lower the level of income of residents, the weaker the awareness of health insurance, and the lower the demand for health insurance. From the perspective of the total life insurance premiums, economically developed regions are 1.65 times to 2.21 times the national average. The central region is roughly the same as the national average, while the economically backward northwest region is less than the national average. 1/3

Commercial health insurance, as an important supplement to social medical insurance, has an unparalleled potential market size. At the same time, the development of health insurance has a very good socio-economic and national policy environment. First of all, as the national economy continues to grow steadily and the per capita income of residents continues to increase, more people will purchase commercial health insurance, and the growth will even exceed the rapid development of life insurance in recent years. Secondly, with the further deepening of the reform of the medical security system, national policies have clearly defined the need to further support the development of commercial health insurance and make it a supplement to social medical insurance. For example, the 14th National Congress of the Party and the 5th Plenary Session of the 14th Central Committee have listed "actively developing commercial insurance and giving play to its supplementary role in social security" as an important part of establishing and improving the entire social security system; The meeting pointed out that "multiple forms of supplementary medical insurance must be explored and developed, such as mutual medical insurance, commercial health insurance, etc."; the decision of the Central Committee of the Communist Party of China and the Central Government Administration on health reform and development also pointed out that the "ninth five-year plan" Even the establishment. We started the urban employee medical insurance system and actively developed various forms of supplementary medical insurance.

Although the commercial health insurance market has the above-mentioned favorable external environment, there are also some obvious disadvantages, including the lack of awareness of mass insurance, the incompleteness of the national legal system, and the excessive consumption of medical services caused by the long-term public medical system. The vicious increase in expenses is also a common problem faced by commercial insurance companies in their operations. Due to the existence of the aforementioned unfavorable factors, the current scale of health insurance operations of various commercial insurance companies is not large, coupled with insufficient awareness of the risks in health insurance operations and poor control, the operating efficiency is not very good. For commercial health insurance to develop healthily, it is necessary to overcome obstacles in the operation of some markets such as F:

1. Laws and regulations regulating commercial health insurance business activities are not complete

As with life insurance, the operation of commercial health insurance also requires professional supervision. Supervisors should control and manage the health insurance rate setting, financial reporting, compensation rate and profit margin indicators of various commercial insurance companies. Because health insurance is greatly affected by medical prices, and controlling the rise in medical prices is a difficult problem in the world, in addition to taking measures to control normal medical expenses, commercial insurance companies must also take measures based on medical consumption levels and Its own operating experience constantly adjusts the insurance premium rate, which is quite different from the life insurance management specifications.

2. Laws and regulations regulating the behavior of medical institutions are not complete

The monopoly pattern of the medical sector, which has been formed for a long time, still exists. In addition, China's large population, the medical sector is always in the "seller market", which has exacerbated the rise in medical service costs and promoted the spread of moral danger. To reduce the operational risks of health insurance, it is necessary to regulate the behavior of providers of medical services, hospitals and doctors. It is necessary for hospitals and doctors to take into account the cost of medical care while formulating medical plans, standardize hospital medical behavior and improve the supervision mechanism. Therefore, to accelerate the development of commercial health insurance and give full play to its important complementary role, we must rationalize the external environment of health insurance operations, and in particular, we must establish and improve laws and regulations that regulate the behavior of medical service institutions as soon as possible. Therefore, the supporting reform of the medical and health system and the reform of the medical security system are two complementary and complementary aspects of the overall strategy of the national health and social security industries in a direction compatible with the development of the market economy. Both are indispensable. Propulsion alone cannot achieve the intended purpose.

3 The Malignant Increase in the Cost of Medical Services

Expense control in health insurance is still a worldwide problem so far? Can commercial insurance companies solve the worldwide problem of cost control? Especially in the transition period when China's healthcare system reform has not yet been completed and contradictions are intertwined, whether it is business Under the unfavorable conditions of the insurance company or the social insurance institution over the control of health service institutions, the lack of market elimination mechanism, and other unfavorable conditions, it is conceivable that the development of Jiankang Insurance is difficult.

4 Impact of the market environment during the transition period

What's more important is that the current market economy system has not been fully established, the difficulties faced by the reform of the medical security system, and some shortcomings of the social medical insurance system itself have actually increased the difficulty of developing and operating the commercial health insurance market. . This is because the commercial health insurance and social medical insurance are complementary and complementary. There are some problems in the implementation of the social medical insurance system, such as unclear coverage and unclear definition of basic medical services. The enthusiasm of the people for commercial health insurance. In addition, since the supporting reform of medical service institutions has just begun, if this reform is not completed well, it will not only cause a serious waste of national health resources, but also cause the transfer of costs between social medical insurance and commercial health insurance, and increase health. Insurance business risk.

Since the 1980s, with the gradual recovery of various types of insurance business, China's insurance industry has made considerable progress, especially the life insurance business1. In recent years, it has maintained a rapid growth momentum. By the end of 2000, the premium income of the whole life insurance business had reached 97.75 billion yuan, and the market players had also evolved from a PICC monopoly to Ping An, CPIC, Taikang, Xinhua, and other foreign and joint venture life insurance companies. The Ji Kang insurance market is still in a relatively untapped state, showing the following characteristics:

(I) Development stage, comparative gap, status

1. The market is in its original state

Although the market potential of China's health insurance is huge, even compared with China's existing life insurance market, the health insurance market is still a market to be developed. In 2000, the health insurance premium income of various commercial insurance companies was 65.5. 100 million yuan, only accounting for 6.6% of life insurance premiums in the same period. The national average is only 5 yuan per person. It can be seen that China's health insurance market is still a primitive market. There are many reasons why China's commercial health insurance has not been developed, mainly due to the lack of experience of insurance companies and specialized risk control technologies. In addition, the inadequate legal environment necessary for the development of health insurance and the unregulated medical service market have also resulted in insufficient market development main reason:

2. Clear gap with developed countries and regions

In recent years, although China's health insurance market has developed to a certain degree, there is still a significant gap between the development of the health insurance market and developed countries. In the United States, where health insurance is more developed, 85% of people currently have health insurance. Of which, commercial health insurance has a 72% share. In 1993, medical insurance companies' medical benefits accounted for 30% of the nation's health care spending, reaching $ 300 billion. Even in Germany, where social insurance is an absolute advantage, there are only 15 million people in the country, and there are more than 50 commercial health insurance companies. Their commercial health insurance also accounts for nearly 10% of the total. In 1996, health insurance premiums reached 30 billion marks. In the same period, China's commercial health insurance premium income was only 1.3 billion yuan. This shows that China's commercial health insurance needs further development.

3 Disproportionate to one's own status

Commercial health insurance has a giant market, but the level of market development is very low, and it has not played a necessary and useful "supplementary" role. Where is the reason? Mainly due to the high risk of health insurance operations and management, which is specifically manifested in the following: high risk of adverse selection and moral hazard in health insurance, high frequency of insurance risks, and uncertainty in the amount of compensation. Health insurance operations and risk control also play a pivotal role. Therefore, commercial health insurance requires professional management. Strict risk control measures must be in operation. The implementation of the measures also requires the active cooperation of medical and health service agencies and the government. Domestic health insurance companies have not been operating health insurance business for long. Lack of corresponding management experience. So although the potential of the Chinese health insurance market is huge, insurance companies are very cautious when entering the market.

At present, the development of the health insurance business of various commercial insurance companies is still slow, on the one hand, because the purpose of the commercial insurance companies is not strong (both financially and technically), and on the other hand, due to the country, society and the general public Insufficient understanding and support of commercial health insurance, commercial insurance companies themselves do not understand their important role and responsibility in improving the entire national medical insurance system. As commercial health insurance is mostly sold in the form of a supplement to life insurance, the existing It is difficult to provide lifelong comprehensive medical insurance to the insured. Therefore, the advantages of commercial health insurance compared to social insurance are not obvious: but our cranial juice, with the continuous development of commercial health insurance, its The advantages of fair rates and less restrictive levels of medical services will be recognized by the general public, and commercial health insurance will certainly play an important role consistent with its status.

(II) Differences in demand, region, level and scope

The market for commercial health insurance in China is huge, and the demand for health insurance products from the general public and various types of enterprises and groups is also very large: At present, the demand for health insurance from the public has certain characteristics, such as the introduction of multiple markets for health insurance Surveys have shown that the most urgently needed health insurance products in the market are inpatient medical insurance, critical illness (high-value) medical insurance, and comprehensive medical insurance including outpatient services. The survey also shows that in addition to requiring insurance companies to pay for the above medical services, In addition to compensation, I also hope to enjoy timely and high-quality medical services. In view of China's current national conditions and the development status of commercial health insurance, the market demand for common injury and disability insurance and old-age care insurance products abroad is not urgent.

In addition, the market demand for health insurance from China and China is uneven, and there are differences in regions, levels, and coverage. This is manifested in the fact that people who enjoy basic medical insurance for urban employees have different needs for commercial freeze insurance than people without any protection, and regions with different geographic locations and economic environments have different needs for health insurance. For example, the demand for commercial health insurance shows There are obvious urban-rural differences. There are also differences between coastal cities and inland regions, and between eastern regions and central and western regions. Households and individuals with different incomes also have significant differences in the consumption level and purchasing power of health insurance. In addition, the quality of medical services itself has multiple levels of characteristics, which has led to different requirements for the scope and degree of protection of health insurance. Therefore, the insurance company as the market supply subject must be targeted when providing products to the market demand subject.

(3) There are fewer providers of health insurance products, and the products are simpler

The purpose is that there are relatively few suppliers in the domestic health insurance market and competition is not fierce. At present, only China Life, Ping An Life Insurance, Pacific Life Insurance and Taikang Life Insurance, etc. are conducting pilot work on health insurance business. The current sales target of commercial health insurance is still limited to some large and medium-sized cities, and the sales targets of health insurance products of various commercial insurance companies are mostly individuals and groups who have already insured life insurance. The sales methods also mostly adopt the method of adding to life insurance, and Does not provide comprehensive and lifelong medical insurance for the insured, but only provides compensation for medical expenses caused by certain specific diseases or accidental injuries, or is limited to compensation for hospital expenses. The insurance premium is paid by the insured individual or group at a rate appropriate to the risk. After the insured person becomes ill, he goes to a medical institution agreed by the insurer or the insurer, and then claims from the hospital with the insurance company's certificate and expense documents.

It can be seen from the above description that the domestic health insurance market has not yet formed a monopoly model, so this is an opportunity for insurance companies to enter the market and seek new business growth points. With China's entry into the World Trade Organization and the further opening of the insurance market, more insurance companies will join the competition for the health insurance market, especiallysome foreign insurance companies with many years of operating history and rich professional experience. It will undoubtedly further intensify the market competition for health insurance business.

(4) The market environment is changing rapidly and the rules are not sound

China's national economy is developing at a high speed, and the market economy system is still being reformed and established. The continuous changes in this market environment have put forward higher requirements for hair health insurance. On the one hand, the market demand for health insurance and the purchasing power of the masses are rapidly expanding, and the health insurance market is becoming more and more people. On the other hand, the rules of the entire health insurance market are being established and improved. These have given the development of commercial health insurance. Set a certain obstacle. For example, the reform of the medical and health service system is still in progress. It is difficult for insurance companies to immediately determine the technical model for controlling the increase in medical expenses. The increase in medical expenses will also cause the variability of health insurance rates, which in turn will affect the public's health insurance. Willingness to buy. In addition, the national law, policy environment, and people's health awareness, insurance awareness, and moral awareness in the entire health insurance market environment are important factors that affect market development. They have a significant impact on the market and must be given sufficient attention.

Although there are many problems at present, the development prospect of China's health insurance market is very optimistic. First, the demand of the health insurance market will further expand. China's overall economic situation is developing well, the gross national product is growing rapidly every year, the disposable income of residents is rising every year, and the people's awareness of health and insurance continues to increase. According to the "2004 China Insurance Industry Development Report" forecast, by 2008, the size of China's health insurance market will reach 300 billion yuan, such a huge market potential will inevitably drive the rapid growth of the health insurance market.

Second, market competition will become more intense, and product supply will further increase. In 2003, except for China Life, Ping An Life and Xinhua Life, which had large market shares, other companies' share was very close and competition was fierce. In addition, the state opened short-term health insurance to property and casualty insurance companies in 2003, and specialized health insurance companies have also emerged in China, and competition in the health insurance market will surely further escalate. The intensification of competition will inevitably increase the quantity and quality of the supply of health insurance products.

In addition, the state pays more and more attention to health insurance, and the policy and legal environment will continue to improve, all of which bodes well for a new stage in which China's health insurance market will become more mature and complete.

How Do I Become a Health Underwriter?

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