Acknowledgements Table of Acronyms Introduction Dart I Principles and practices Part.I Whatis insurance for the poor? (Craig Chaurchill) 1 Defining microinsurance 2 The two faces of microinsurance 3 What a difference three words make 1.2 The demand for microinsurance . ( Monique Cohen and Jennefer Sebstad ) 1 Managing risk 2 The importance Of understanding the demand for microinsurance 3 Current coping strategies: Strengths and weaknesses 4 Opportunitiesfor microinsurance 5 Conclusion 3 The social protection perspective on microinsurance (Chrirtian Jacquier, Gabriele Ramm, Philippe Mavcadentnd ValPrie Schmitt-Diabate) I Introduction 2 What is social security? What is social protectron? 3 Whatis microinsurance! 4 Potential and limitation microinsurance as a social protection mechanism 5 How can microinsurance be used to extend social protection? 6 Conclusion Part 2 Microinsurance products and services 2.1 Challenges and strategies to extend health insurance to the poor (Ralf Radermacher, Iddo Dror and Gerry Noble) 1 Product manufacturing 2 Product sales 3 Productservicing 4 Maintenance of long-term stability 5 Conclusion 2.2 Long-term savings and insurance(James Roth, Denis Garand and Stuart Rutherford) I Providing savings to thepoor 2 Long-term savings and insurance products for the poor 3 Key issues in offering long-term savings and insurance 4 conclusion 2.3 Savings- and credit-linked insurance ( Sven Enarsson, Kjell Wiren and Gloria Almeyda) I I,oan-linked products 2 Savings-linked insurance 3 Product design and delivery issues 4 Conclusions 2.4 Meeting the special needs of women and children (Mosleh Ahmed and Gabriele Ramm) 1 Special risks affecting women and children (girls, and boys) 2 Microinsurance to address the special need's of women and children 3 Policy tasks to improve the strategic situation of women and children 4 Conclusions Part 3 Microinsurance operations 3.I Product design and insurance risk management (John Wipf, Domonic Liber and Craig Churchill) I Market research 2 Eligibility 3 Terms and payment options 4 Benefits 5 Risk managernent and claims controls 6 Conclusions 3.1 Marketing microinsurance (Craig Churchill and Monique Cohen) I Main marketing messlges 2 Marketing techniques 3 After-sales service 4 Marketing and mandatory insurance 5 Conclusion 3.3 Premium collection : Minimizing transaction,costs and; maximizing customer service ( Michael J.McCord, Buczkowski and Priyanka Saksena) I Modes of premium collection 2 Collection frequeney and timing 3 Client considerarions 4 Premium collection controls I Conclusion 3.4 Claims processing (Michael J. McCord and Richard Leftley) I Introduction 2 Claims notification 3 Settlement 4 Controls 5 Claims considerations in product design 6 Conclusions 3.5 Pricing microinsurance products (John Wipf and Denis Garand) I Database design requirements for pricing land sound microinsurance management) 2 Pricing components, key factors and methodology 3 Modelling techniques 4 Conclusions 3.6 Risk and financial management (Denis Garand and John Wipf ) 1 The risks inherent in insurance products 2 Capital requirements 3 Reserves 4 Reinsurance 5 Investment management 6 Profit distribution 7 Conclusion 3.7 Organization development in microinsurance ( Craig Churchill and Richard Leftley) I Organizational structure: Where does microinsurance fit in ? 2 Recruitment: Where to access appropriate expertise 3 Training 4 Compensation I Institutional culcure 6 Conclusions 3.8 Governance(Zahid Qureshi ) 1Governance in microinsurauce 2 Board composition and expertise 3 The foundatian Stone 4 Microinsurance governance in practice 5 Conclusions 3.9 Loss control (Zahid Qureshi and Gerry Noble ) 1 A retrospective look at loss prevention 2 Converging interests 3Pinpointing prevention 4 Practising prevention 5 Minimization: A stitch in time 6 Evaluating the return on investment in prevention 7 Cunclusions 3.10 performance indicators :and bedchmarking (Denis:Garand and John Wipf) 1 Marketing and distribution 2 Financial manngement and viability 3 Efficiency and client value 4 Investment management 5 Conclusions Part4 Institutional:options 4' Cooperatives and insurance: The mutual:advantage (Klaus Fischer and Zahid Qureshi) 1 Introduction 2 Whatis a mutual insurer? 3 The cooperative difference 4 insurance development models and stages 5 Insurance products offered under the cooperative network model 6 Why muruals develop networks and how they work 7 Advantages and disadvantages of the model 8 Conclusion 4.2 The partner-agent model: Challenges and opportunities MichaelJ McCord) 1 Why a partner agent model? 2How the partner-agent model works 3The good and the bad 4 Advantages and disadvantages 5Conclusions 4.3The Community based model : Mutual health organizations in Africa 1 what is a community-based model? 2Why was/is this approach implemented in West Africa 3 What is the target group of the communiry-based model 4 Do MHOs function(Well) and Make a significant impact ? 5 What are the origins of the problems? 6 What is the added value of this model? 7 Conclusion 4.4 Institutional Options for delivering health microinsurance (Ralf Radermacher and Iddo Dror) 1 Institutional options 2 Value, interests and conflicts in the insurance business process 3 Conclusion 4.5Beyond MFIs and community-based models: :Institutional: alternatives (Richard Leftley and James Roth) 1 Risk-carrying alternatives 2dministrative al'ernatives 3Distribution alternatives 4Conclusions 4.6Retailors as microinsurance distribution channels:(Jomes Roth and Doubell Chdmberlain ) 1Why retailers? Which retailers? 2 Microinsurance distribution/Product combinations for retailors 3 Conclusions 4.7 Microinsurance: Opportunities and pitfall for micro finance institutions (Craig Churchill and James Roth) I institutional arrangements 2The type of insurance 3 Conclusions Part 5 The role of other stakehotders 5.1 The role of donors 1 An analytical framework 2Donor requirements to effectively support microinsurance 3 Types of donor support for microinsurance 4 Conclusion 5.2 An enabling regulatory environment for microinsurance (Martina Wiedmaier-Pfister and Arup Chatterjee) 1 Background 2. Barriers in existing r3egulatory framworks 3Country experience - preliminary insights 4 conclusion 5.3The promotional role of governments ( Sabine Trommershauser, Roland Lindenthal and consensus-building 3 Strengtening institutions 4 Providing financial assistance 5 Concluding remarks 5.4 The role of insurers and reinsurers in supporting insurance for the poor (David M. Dror and Thomas wiechers) 1 The value proposition of reinsource 2Involvement of commercial insures and reinsures in microinsurance 3 What part of this value proposition can insurers and reinsurers and deliver ? 4 Recommendations 5 Conclusion 5.5 The provisionof technical assistance( Richard Leftely and Richard Lacasse) 1Why is technical assistancerequired ? 2 What does a TA provider do? 3Who provides microinsurance technical asistance. 4Conclusion : providing quality technical asistance. Part 6 Conclusions 6.1Strategies for sustainability 1 limit benefits 2 Focus on efficiency 3 Diversify income sources 4 Good management 6.2 The future of microinsurance 1 Microinsurance Customers of the future 2 Microinsurance provides of the future 3 The regulatory landscape 4 The environment for microinsurance 5 Embracing the future Appendix I : Description of microinsurance providers Appendix II : About the authors Bibliography Index