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India Insurance: Structural Shifts Ahead

India Insurance: Structural Shifts Ahead

December 2, 2025 9 min read Financials
India Insurance: Structural Shifts Ahead

Q1. Could you start by giving us a brief overview of your professional background, particularly focusing on your expertise in the industry?


I’ve spent a little over 30 years leading and transforming businesses across India’s pharma, health insurance, and life insurance sectors.
My journey has included steering P&Ls, distribution strategy, bancassurance partnerships, large sales networks, and organisation-wide turnarounds for some of the country’s most respected insurers and healthcare-related enterprises.
Today, I work as a Business Consultant supporting MSMEs, fintechs, and emerging organisations in their growth strategies, sales transformations, leadership capability development, and long-term organisational clarity.
Across industries, my core belief remains the same:
Strong people, structured learning, and long-term thinking build institutions that last.

 


Q2. Given your experience across life and health insurance, which structural market shifts do you see defining the next decade—especially in how customers evaluate protection and savings products?


Three fundamental shifts will define the next decade:
1. The shift from “products” to “outcomes.”
Customers are no longer judging insurance by features or fine print.
They’re evaluating certainty, simplicity, transparency, and long-term value. This will completely redefine product design and communication.
2. Personalisation will become the baseline expectation.
We are moving from broad pricing pools to data-driven, individualised risk assessment.
Health data from hospitals and clinics will increasingly flow into unified repositories.
Wearables, behavioural signals, and lifestyle analytics will shape dynamic, personalised pricing.
And the biggest disruptor ahead?
A CIBIL-equivalent for health—a trusted, structured, digital health-risk record that insurers can underwrite accurately.
3. Health–Wealth ecosystems will converge.
Insurance will become part of a unified journey that spans preventive care, chronic disease management, wellness, savings, and retirement.
This shift is especially relevant for middle-income India, which increasingly thinks in terms of “lifecycle risk management.”
The industry will evolve from selling policies to delivering integrated risk solutions.

 


Q3. What role do you see AI and data analytics playing in underwriting, persistency improvement, and risk selection in the next 3–5 years?


AI and analytics will become the engine powering the personalisation wave described earlier.
In the next 3–5 years, three developments will accelerate:
1. Precision underwriting will become mainstream.
AI will combine hospital records, diagnostic results, pharmacy records, and lifestyle indicators to generate highly accurate health risk scores.
This will reduce adverse selection and promote fair pricing.
2. Persistence prediction will become proactive.
Models will identify customers likely to lapse months before they disengage.
This will shift the narrative from “chasing renewals” to orchestrating personalised retention interventions—timely nudges, tailored offers, digital reminders, or advisory conversations.
3. Risk selection will improve dramatically.
Advanced risk stratification will allow insurers to differentiate between low-, medium-, and high-risk cohorts with surgical precision, improving profitability and enabling targeted product design.
AI will not replace underwriters — it will amplify judgment, not substitute it — but it will fundamentally change how decisions are made.

 


Q4. Given your consulting experience with MSMEs, what new opportunities do you see in insurance penetration across small businesses and Tier II–III markets?


Three forces will shape the next leap in MSME and Tier II–III penetration:
1. Embedded insurance will be the strongest growth accelerator.
As MSMEs operate through digital ecosystems — payments, logistics, ERP tools, POS systems — insurance integrated at the point of transaction will see exponential adoption.
2. Regional languages and state-focused products will redefine the market.
We will see more state-specific, sector-specific insurers who understand local risks and cultural nuances.
Vernacular onboarding and regionalised covers will differentiate winners from the rest.
3. Banks, NBFCs, MFIs, and government schemes will drive scale.
Trust is still local in Tier II–III India.
Financial institutions + government-backed programs will remain the backbone of affordable, mass-appeal protection.
The real opportunity lies in creating a hyper-local, trusted, digitally integrated insurance ecosystem.

 


Q5. Which insurers or models do you believe are redefining operational efficiency or sales productivity in the Indian market today?


Three models are clearly shifting the productivity frontier:
1. Insurers investing in next-generation distribution capability.
With composite licensing coming in, agents, direct sales teams, and corporate agencies will soon be able to sell across life, health, and general insurance.
Insurers who are redesigning training, building channel-specific capability, and offering customised learning programs are already seeing better advice quality and higher conversions.
2. Digital-first and ecosystem-led insurers.
Players using AI for underwriting, workflow automation, and risk management are reducing operating costs and improving cycle times.
Those integrating health, wellness, pharmacy, and diagnostics are further strengthening customer stickiness and claims discipline.
3. Insurers leveraging social media and influencer-led acquisition.
Young India discovers products on Instagram, YouTube, and regional creators—not traditional ATL campaigns.
Insurers who are tapping into micro-influencers, short-form content, and regional digital funnels are acquiring customers faster and at far lower costs.
In simple terms, productivity today belongs to insurers who train smarter, digitise deeper, and market where the next generation actually lives.

 


Q6. How do recent IRDAI reforms—on capital requirements, Bima Trinity, commission flexibility—reshape the growth trajectory of the industry?


The recent IRDAI reforms are setting the stage for the most accelerated phase of growth the industry has seen in two decades. I see three shifts becoming particularly transformative:
1. Lower capital requirements will unlock a new generation of specialised insurers.
Reduced entry barriers will encourage state-focused, segment-focused, and digitally native insurers—a shift that mirrors global markets.
This means more innovation, more competition, and products that feel far more relevant to specific customer cohorts.
2. Bima Trinity will expand access and trust.
With Bima Vistar, Bima Vahak, and Bima Sugam, the regulator is pushing the industry towards:
•    simplified products,
•    wider last-mile distribution, and
•    seamless digital fulfilment.
•    This directly supports Tier II–III penetration and strengthens consumer confidence.
3. Commission flexibility will energise distribution.
Instead of product-level caps, insurers can now reward quality, persistency, and productivity, allowing for more sustainable channel economics.
It also encourages insurers to invest meaningfully in training, capability building, and specialised sales models—crucial in a composite-license world.
Together, these reforms shift the industry from compliance-driven growth to innovation-driven, distribution-led, and customer-centric expansion.

 


Q7. If you were an investor looking at companies within the space, what critical question would you pose to their senior management?
 

•    How is the company managing persistency — especially the 61st-month metric — and what does it reveal about customer engagement, product suitability, and long-term servicing quality?
•    How diversified is their distribution mix? (Banca, agency, direct, digital, partnerships) — and how does each channel contribute to growth, cost ratios, and market penetration?
•    What has been the trend in VNB margins, and what long-term levers are they using to strengthen those margins? (product mix, cost efficiency, channel productivity, risk management)
•    What is the quality of growth? Are they balancing top-line expansion with profitability, persistency, and healthy claim/ Key technical Indicators metrics?
•    How well are they managing operational efficiency and cost structures (Opex ratios, productivity per employee/branch, automation, digital adoption)?
•    What is their strategic roadmap for the next 5–7 years? Focus on product innovation, technology investment, distribution scale-up, and regulatory-readiness.


 


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