Two years ago Aviva, formerly Norwich Union, the world’s fifth largest insurer, entered the international medical insurance market. Its International Solutions “pick’n’mix” plan pepped up competition between insurers.
Aviva split the world into six zones for the purpose of premium setting. Most insurers then, and now, opt for a three-way split (Europe; Asia and the rest of the world minus North America; North America). The exception is Bupa International which has eight zones.
The smaller each zone, the more accurately it reflects the cost of medical claims and thus the premium. Pundits forecast that the industry will follow the Bupa-Aviva pattern – shrinking the pool on which overall claims are based, making premiums fairer.
However, Aviva appears to have gone a step farther. Its Zone 1 covers southern and eastern Africa and Zone 5 “Rest of Africa.”
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