NORTH MACEDONIA: For the first-time private health insurance is leading in terms of the number of claims paid

1 September 2022 —
For the first time in the history of the local insurance market, private health insurance took the lead in terms of the number of claims paid. Over 40% of all claims paid are for medical expenses reported by insureds who have private health insurance, the ISA (Insurance Supervision Agency) said.

Non-life insurance companies paid over 45,000 claims, from which the insureds received MKD 2 billion (EUR 32.9 million) in the first six months of the year. Compared to the same period last year, the number of claims paid increased by 28%, while their value was higher by 4%, according to the official data of the ISA.

Over 18,000 claims were paid out by insurance companies to customers for medical expenses covered by private health insurance, which is over 40%. This clearly indicates popularity of this type of voluntary insurance, but at the same time, its excessive use.

On the other hand, as expected, the largest claims were paid for damages covered by motor liability insurance, which is the most widespread. In the first half of the year, all 11 non-life insurance companies paid out total of MKD 1.12 billion (EUR 18.2 million) under 14,820 claims.

During this period, MKD 290.4 million (EUR 4.7 million) were paid for property insurance. At the same time, the number of paid claims decreased by 11.5%, while the amount paid was almost same as a year ago.

MKD 248.2 million (EUR 4 million) were paid for Motor Hull damages, which is 11% more than last year.

The biggest increase in the value of paid damages was observed in travel insurance, where insurers paid MKD 24.5 million (EUR 398,000) or 2.7 times more for damages during trips of the citizens outside the country. At the same time, the number of paid damages exceeded 900 (3 times more y-o-y).