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4/17/2014 Proprietary and Confidential 1
ABOUT THE CLIENT
Medilink International provides a
range of medical support services to
corporate clients and their employees,
many of whom operate in austere
terrains and climates.
Medilink provides mainly critical
services such as emergency response,
medical evacuation, mobile clinics to
remote locations, leasing of 4WD
ambulances and medical equipment,
supply of medical consumables and
drugs, medical staffing and topside
support.
Africa MediLink is the biggest
Insurance Player in Kenya
Medilink KENYA’s management team is
staffed by experienced professionals
and doctors. All our managers hold
postgraduate degrees in various
disciplines and have been recruited
from amongst the best in the industry
2Proprietary and Confidential4/17/2014
KENYAN ECOSYSTEM
Most of the
population in
African countries
do not have
insurance
Prime reason is
that they barely
manage to satisfy
their daily
requirements and
hence cannot
afford to pay
premium for
insurance
Most still cannot
afford proper
healthcare
BPL population
are the worst
sufferers
Also, in general,
Africa is an
expensive place
to live in
3Proprietary and Confidential4/17/2014
INSURANCE SECTORS IN KENYA
TOP
LEVEL
NATIONAL LEVEL
MICRO-HEALTH
4Proprietary and Confidential4/17/2014
MICRO-HEALTH
Health Plans for
the population
who cannot
afford such
insurance
Includes
ordinary
farmers, Matatu
conductors &
drivers, labor,
etc.
Tremendously
growing sector
for the
insurance
companies
5Proprietary and Confidential4/17/2014
JAWABU
6Proprietary and Confidential4/17/2014
VISION
MISSION
CORE
VALUES
OBJECTIVE
To be a company of choice in the provision of financial
services for Jua Kali sector in Kenya.
To mobilize funds, provide credit and other financial services
to our Jua Kali members on competitive terms.
Innovation, Integrity, Value, Fairness, Excellence.
To promote the business growth and reduce the vulnerability of poor
informal sector workers in Kenya through improved access to financial
services. The health product is specifically designed for the ordinary
Kenyans, working hard to build this economy.
STAKEHOLDERS IN THE PROJECT
7Proprietary and Confidential4/17/2014
JAWAB U
P ROV I DER
AML XPL I CO
P HARMACCESS
NHI F
NATIONAL HOSPITAL INSURANCE FUND
National Hospital Insurance Fund
is a State Parastatal that was
established in 1966 as a
department under the Ministry
of Health. The original Act of
Parliament that set up this Fund
in 1966 has over the years been
reviewed to accommodate the
changing healthcare needs of the
Kenyan population, employment
and restructuring in the health
sector.
The transformation of NHIF from
a department of the Ministry of
Health to a state of corporation
was aimed at improving
effectiveness and efficiency. The
Fund's core mandate is to
provide medical insurance cover
to all its members and their
declared dependants (spouse
and children). The NHIF
membership is open to all
Kenyans who have attained the
age of 18 years and years and
have a monthly income of more
than Ksh 1000.
NHIF has 31 fully autonomous
branches across the country.
Each of these branches offers all
NHIF services including payment
of benefits to hospitals or
members or employers. Smaller
satellite offices and service points
in district hospitals also serve
these branches.
8Proprietary and Confidential4/17/2014
XLPICO AND PHARMACCESS
9Proprietary and Confidential4/17/2014
XPLICO are a specialist Insurance Company set up to underwrite current challenges
and the ones to come .
XPLICO provides insurance solutions to the SME sector in Kenya and the wider
East African region.
XPLICO challenges convention in our specialist areas to offer market leading
products and services to its customers.
Xplico covers all classes of insurance from hotels, properties, entertainment,
sports and artists risks as well as marine, aviation and industrial risks.
All risks are underwritten from XPLICO new refurbished office situated at Park place
in which we have state of the art technology.
PHARMACCESS
The
PharmAccess
Group is
dedicated to
affordable
access to quality
health care in
Africa, by
stimulating
investments
through
partnerships
with the private
sector and
government
institutions
This group of
non-profit
organizations
has a shared
goal, working
towards
achieving
inclusive health
care for Africa
In doing so, it
contributes to
healthier
populations and
social and
economic
development.
It is technical
assistance
provider to
Jawabu and
does probability
analysis of the
revenue and
other
calculations
10Proprietary and Confidential4/17/2014
How Jawaba Contributes?
Provides insurance at a low cost – just 11520
Kenyan Shillings
Helps the people acquire loan and financing for
the premium amount
Negotiates with providers and keeps them in
check that they refrain from charging
unreasonably
Generally insurance plans do not cover for out-
patients, but Jawabu does
Performs quality checks on hospitals
11Proprietary and Confidential4/17/2014
DISTRIBUTION OF 11520
11520
Total
5600
Health Wallet
5920
Remaining
1920
NHIF
2600
XPLICO
2200
Risk Pooling
400
Out-Patients
1400
Marketing &
Admin
12Proprietary and Confidential4/17/2014
DETAILS
• It is contributed to the ‘health wallet’ which is a medical savings account.
• It covers not just the regular hospital expenses but also pharmacist, optician, doctor
consulting fees, etc.
• Unused amount is refunded back5600
• It is contributed towards the NHIF
• NHIF is optional for informal sector
• Jawabu aims at providing the benefits of the NHIF to the informal sector as well.1920
• It is paid to XPLICO.
• Out of this, 2200 is used for in-patient wherein XPLICO will cover surgery upto 15000.
• Also, it will cover upto 50000 in case of death and funeral costs
• Remaining 400 will cover upto 3500 for out-patients.2600
• 60% goes towards marketing activities
• 40% goes towards administration expenses like managing the project, stakeholders,
etc.1400
13Proprietary and Confidential4/17/2014
THE PROCESS
14Proprietary and Confidential4/17/2014
J A W A B U
P l a n d e t a i l s
FILL
FORMS
ACTIVATION
NHIF
BANK
FINANCING
Sales Agent
The principle member
THE PROCESS CONTD…
15Proprietary and Confidential4/17/2014
The Family principle member
Pay with M PESA
KSHS 11,520
KSHS 2,000 *
Paybill no:
<number>
Ref no:
< Form no >
OR
Various payment option, FULL premium
*Minimum Payment & remaining subject to bank financing
Regional Office Jawabu Admin Office
Data is entered into the AML
system & the forms/ ID doc/
photos are scanned
THE PROCESS CONTD…
16Proprietary and Confidential4/17/2014
Jawabu Admin Office
Insurer
THE PROCESS CONTD…
17Proprietary and Confidential4/17/2014
Jawabu Admin Office
ID card
ID card
MANUAL, FAQ,
Welcome Letter
Regional office
Welcome Pack
Sales Agent
Member
HOW WE HELPED?
Provided the
technical support to
Jawabu to implement
this project
Storing of data of
all applicants
Automating
processes
Faster transactions
and improved
efficiency
Increased security
18Proprietary and Confidential4/17/2014
Thanks
Velociter Solutions Pvt. Ltd.
Website: www.velociters.com
Email ID: sales@velociters.com
4/17/2014 Proprietary and Confidential 19

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Velociter Case Studies (Medilink)

  • 1. 4/17/2014 Proprietary and Confidential 1
  • 2. ABOUT THE CLIENT Medilink International provides a range of medical support services to corporate clients and their employees, many of whom operate in austere terrains and climates. Medilink provides mainly critical services such as emergency response, medical evacuation, mobile clinics to remote locations, leasing of 4WD ambulances and medical equipment, supply of medical consumables and drugs, medical staffing and topside support. Africa MediLink is the biggest Insurance Player in Kenya Medilink KENYA’s management team is staffed by experienced professionals and doctors. All our managers hold postgraduate degrees in various disciplines and have been recruited from amongst the best in the industry 2Proprietary and Confidential4/17/2014
  • 3. KENYAN ECOSYSTEM Most of the population in African countries do not have insurance Prime reason is that they barely manage to satisfy their daily requirements and hence cannot afford to pay premium for insurance Most still cannot afford proper healthcare BPL population are the worst sufferers Also, in general, Africa is an expensive place to live in 3Proprietary and Confidential4/17/2014
  • 4. INSURANCE SECTORS IN KENYA TOP LEVEL NATIONAL LEVEL MICRO-HEALTH 4Proprietary and Confidential4/17/2014
  • 5. MICRO-HEALTH Health Plans for the population who cannot afford such insurance Includes ordinary farmers, Matatu conductors & drivers, labor, etc. Tremendously growing sector for the insurance companies 5Proprietary and Confidential4/17/2014
  • 6. JAWABU 6Proprietary and Confidential4/17/2014 VISION MISSION CORE VALUES OBJECTIVE To be a company of choice in the provision of financial services for Jua Kali sector in Kenya. To mobilize funds, provide credit and other financial services to our Jua Kali members on competitive terms. Innovation, Integrity, Value, Fairness, Excellence. To promote the business growth and reduce the vulnerability of poor informal sector workers in Kenya through improved access to financial services. The health product is specifically designed for the ordinary Kenyans, working hard to build this economy.
  • 7. STAKEHOLDERS IN THE PROJECT 7Proprietary and Confidential4/17/2014 JAWAB U P ROV I DER AML XPL I CO P HARMACCESS NHI F
  • 8. NATIONAL HOSPITAL INSURANCE FUND National Hospital Insurance Fund is a State Parastatal that was established in 1966 as a department under the Ministry of Health. The original Act of Parliament that set up this Fund in 1966 has over the years been reviewed to accommodate the changing healthcare needs of the Kenyan population, employment and restructuring in the health sector. The transformation of NHIF from a department of the Ministry of Health to a state of corporation was aimed at improving effectiveness and efficiency. The Fund's core mandate is to provide medical insurance cover to all its members and their declared dependants (spouse and children). The NHIF membership is open to all Kenyans who have attained the age of 18 years and years and have a monthly income of more than Ksh 1000. NHIF has 31 fully autonomous branches across the country. Each of these branches offers all NHIF services including payment of benefits to hospitals or members or employers. Smaller satellite offices and service points in district hospitals also serve these branches. 8Proprietary and Confidential4/17/2014
  • 9. XLPICO AND PHARMACCESS 9Proprietary and Confidential4/17/2014 XPLICO are a specialist Insurance Company set up to underwrite current challenges and the ones to come . XPLICO provides insurance solutions to the SME sector in Kenya and the wider East African region. XPLICO challenges convention in our specialist areas to offer market leading products and services to its customers. Xplico covers all classes of insurance from hotels, properties, entertainment, sports and artists risks as well as marine, aviation and industrial risks. All risks are underwritten from XPLICO new refurbished office situated at Park place in which we have state of the art technology.
  • 10. PHARMACCESS The PharmAccess Group is dedicated to affordable access to quality health care in Africa, by stimulating investments through partnerships with the private sector and government institutions This group of non-profit organizations has a shared goal, working towards achieving inclusive health care for Africa In doing so, it contributes to healthier populations and social and economic development. It is technical assistance provider to Jawabu and does probability analysis of the revenue and other calculations 10Proprietary and Confidential4/17/2014
  • 11. How Jawaba Contributes? Provides insurance at a low cost – just 11520 Kenyan Shillings Helps the people acquire loan and financing for the premium amount Negotiates with providers and keeps them in check that they refrain from charging unreasonably Generally insurance plans do not cover for out- patients, but Jawabu does Performs quality checks on hospitals 11Proprietary and Confidential4/17/2014
  • 12. DISTRIBUTION OF 11520 11520 Total 5600 Health Wallet 5920 Remaining 1920 NHIF 2600 XPLICO 2200 Risk Pooling 400 Out-Patients 1400 Marketing & Admin 12Proprietary and Confidential4/17/2014
  • 13. DETAILS • It is contributed to the ‘health wallet’ which is a medical savings account. • It covers not just the regular hospital expenses but also pharmacist, optician, doctor consulting fees, etc. • Unused amount is refunded back5600 • It is contributed towards the NHIF • NHIF is optional for informal sector • Jawabu aims at providing the benefits of the NHIF to the informal sector as well.1920 • It is paid to XPLICO. • Out of this, 2200 is used for in-patient wherein XPLICO will cover surgery upto 15000. • Also, it will cover upto 50000 in case of death and funeral costs • Remaining 400 will cover upto 3500 for out-patients.2600 • 60% goes towards marketing activities • 40% goes towards administration expenses like managing the project, stakeholders, etc.1400 13Proprietary and Confidential4/17/2014
  • 14. THE PROCESS 14Proprietary and Confidential4/17/2014 J A W A B U P l a n d e t a i l s FILL FORMS ACTIVATION NHIF BANK FINANCING Sales Agent The principle member
  • 15. THE PROCESS CONTD… 15Proprietary and Confidential4/17/2014 The Family principle member Pay with M PESA KSHS 11,520 KSHS 2,000 * Paybill no: <number> Ref no: < Form no > OR Various payment option, FULL premium *Minimum Payment & remaining subject to bank financing Regional Office Jawabu Admin Office Data is entered into the AML system & the forms/ ID doc/ photos are scanned
  • 16. THE PROCESS CONTD… 16Proprietary and Confidential4/17/2014 Jawabu Admin Office Insurer
  • 17. THE PROCESS CONTD… 17Proprietary and Confidential4/17/2014 Jawabu Admin Office ID card ID card MANUAL, FAQ, Welcome Letter Regional office Welcome Pack Sales Agent Member
  • 18. HOW WE HELPED? Provided the technical support to Jawabu to implement this project Storing of data of all applicants Automating processes Faster transactions and improved efficiency Increased security 18Proprietary and Confidential4/17/2014
  • 19. Thanks Velociter Solutions Pvt. Ltd. Website: www.velociters.com Email ID: sales@velociters.com 4/17/2014 Proprietary and Confidential 19