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Economic Rationale for Microinsurance The role of the World Bank. Olivier Mahul Program manager Insurance for the Poor World Bank. Insurance for Poor: Historical context. Fatres : Roman burial insurance societies Friendly Societies in the late middle ages
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Economic Rationale for MicroinsuranceThe role of the World Bank Olivier Mahul Program manager Insurance for the Poor World Bank
Insurance for Poor: Historical context • Fatres: Roman burial insurance societies • Friendly Societies in the late middle ages • Non-governmental social insurance arrangements • UK: 5 million people covered by 26,000 friendly societies in the early 20th century • Similar arrangements in Europe and North America
Two steps forward, one step back Trends in household poverty in 35 North Indian Villages (poor households, %) Source: Anirudh Krishna (2004); “Escaping Poverty and Becoming Poor: Who Gains, Who Loses, and Why?”; World Development Vol. 32, No. 1, pp. 121–136, 2004.
Insurance for the poor does not really work as an individual product
Moving towards a public-private partnership • The public sector may not be the best manager of financial services… • …But insurance for the poor is unlikely to be scaled up without government support • Public-private partnership • Delivery of agriculture and health services to the working poor • Premium subsidies to those below the poverty line
Self funded out of current income headache, colds etc Community funded outpatient and secondary care - malaria Catastrophic events – referral hospital – congestive heart disease Is health insurance an oxymoron? Community Based Health Insurance Program in Rwanda
Life insurance • So-called life insurance being issued by some microfinance institutions is Personal Accident • Low probability of payout • Confirmation of death is easy • Profitable for both the MFI and the insurer • Is it a good deal for the insured? • Full life cover can be exposed to extreme adverse selection and fraud • Funeral insurance is a fundamental need for the poor
The WB role in insurance for the poor • Developing business models • Microeconomics of providing insurance and risk related services to the working poor households • Promoting market development programs • Developing market-based risk funding systems that can be scaled up • Threefold approach • Investments in building market infrastructure • Technical assistance in developing new products • Integration into social protection approach
The WB role in insurance for the poor Social protection policy Market models Planners WB-FPDSN Insurance for the Poor Searchers