Chatswood serves the life and health insurance sector in New Zealand with market intelligence, data, and bespoke consulting services. Some of these are provided in conjunction with Quality Product Research Limited - a subsidiary that brings you Quotemonster.
We believe that good decisions are more likely to occur when we have good information about the market environment in which we operate. Intuitive leaps and creative decisions are always required, of course, but the more they are based on a firm foundation of observation, the better they tend to be.
What’s the biggest health claim paid for a procedure?
The health insurance industry has been experiencing a time of rising medical costs, where both volume of claims and inflation have been increasing. We’ve taken a closer look at individual claims values that a few insurers have released recently.
The health insurance industry has been experiencing a time of rising medical costs, where both volume of claims and inflation have been increasing. We’ve taken a closer look at individual claims values that a few insurers have released recently. As you can see from the data below, the costs of individual claims can be astronomical.
nib regularly publish their top 5 health claims by month. RiskinfoNZ has an article collating historical nib’s top health claims by month here.
nib’s top health claims for January 2025
Treatment Cost Gender Age
Spinal surgery $101,000 Male 16
Cardiac surgery $85,000 Male 46
Cardiac surgery $56,000 Male 70
Cardiac surgery $54,000 Female 70
Digestive surgery $53,000 Male 72
nib’s top health claims for December 2024
Treatment Cost Gender Age
Cardiac surgery $103,000 Male 72
Cancer surgery $102,000 Male 77
Cardiac surgery $93,000 Male 80
Cardiac surgery $88,000 Male 76
Spinal surgery $87,000 Male 48
But these do not top the charts of what we are currently aware. Southern Cross’s most expensive surgical claims were $256,165 for a spinal fusion procedure and $127,191 for a breast reconstruction.
While Partners Life don’t release a similar monthly overview of their top claims, their ‘The story behind our claims’ slideshow highlights their largest single payouts since 2011. The most expensive claims paid out were a whopping $1.6 million+ for Total and Permanent Disability or Income cover; $2.9million +for Life cover; $3.2million + for Trauma cover and $982,000+ for Private Medical Cover.
While the majority of claims won’t cost anywhere near as much, what used to be ample caps of some older medical values don’t seem so rosy in light of recent inflation and surging claims costs. Yet we haven’t seen any insurers coming out and indexing claims caps. We think that’s wrong, and we’ll offer a score boost to the first insurer who offers indexed caps.
What types of claims have you heard of and how did they go? We would love to hear more from you, especially if you are a Quotemonster subscriber, through our adviser claims experience tool (check the side menu when you are next logged in).
More news:
mySolutions webinar 'What got you here, won't get you there' 19 March
FSC release latest research report ‘Women and Finance in New Zealand’
The Financial Services Council (FSC) have released their ‘Insights and Trends: Women and finance in New Zealand’ 2025 report. With International Women’s Day being celebrated this month, the report aims to better understand how women and finances interact.
The Financial Services Council (FSC) have released their ‘Insights and Trends: Women and finance in New Zealand’ 2025 report. With International Women’s Day being celebrated this month, the report aims to better understand how women and finances interact. Some of the key findings include:
FSC research from December 2021 found that over 80% of female respondents considered their financial wellbeing as moderate to very low, with just under 64% of respondents reporting they worried about money at least monthly. By 2024, 70% of women were reporting worrying about money on a daily or weekly (in comparison, 51% of men reported worrying about money on a daily or weekly basis in 2024).
Despite reported underconfidence, FSC research has found that women are more financially literate than men overall, with 66% of women answering at least 75% of financial trivia questions correct, compared to 57% of men.
Women (61%) are more likely to be in debt than men (43%).
Women are more likely to be working part-time, have full-time home duties or be unemployed (43%) than the equivalent for men (14%).
58% of women say they are not particularly financially prepared or not financially prepared at all for retirement.
Last Year, Te Ara Ahunga Ora Retirement Commission found that the retirement gap between men and women has not improved, remaining fixed at a 25% difference since 2023. FSC CEO Kirk Hope said
"The current KiwiSaver settings disadvantages those who take career breaks, disproportionately affecting women who pause their earnings to care for or start their families.
It’s encouraging to see the Government make steps to start to address this, with those receiving paid parental leave from July 2024 being able to choose to make KiwiSaver contributions, and Inland Revenue making employer contributions of 3%.”
More news:
nib release their top 5 health claims for January 2025
nib announce nib Balance – a new health tool integrated into the my nib app
Arthur J. Gallagher & Co. has acquired RMA General Limited
Shaw Financial Insurance & Investments is merging with Apex Advice
AMP are looking for a Product Lead to join their Retail team
Munich Re delve into AI’s impact on Healthcare
Munich Re delve into the projected impact of Artificial Intelligence (AI) on healthcare, from disease prevention to diagnosis to treatment as well as the implications for efficiency gains.
As part of Munich Re’s Life Science Report, they have investigated the projected impact of Artificial Intelligence (AI) on healthcare, from disease prevention to diagnosis to treatment as well as the implications for efficiency gains.
While the news is mostly good (improved mortality, better prevention, earlier diagnoses, individualised therapies), it does create some challenges for life and health insurers. With earlier diagnoses and the emergence of new disease classifications, critical illness insurance products will need continuous updating. Claims management and policy development will become more complex, as genetic and molecular diagnosis becomes more routine, requiring a higher level of medical expertise. Overdiagnosis (the detection of diseases that don’t impact on mortality and/or morbidity) and antiselection may become problematic.
AI will also create opportunities for insurers. Insights from accessing and analysing vast datasets including electronic health records, imaging and other biomedical sources will transform the understanding of the root causes of disease and in turn allow underwriting to become more accurate and sophisticated. Wellness interventions will be able to be better targeted and increase in scope and effectiveness.
More news:
Profile of Josh Bronkhorst, CEO of Link Financial Group
Entries for Insurance Business’ annual Top Insurance Employers close 14 March
InvestNow’s Retirement Readiness Index recorded an average confidence level of 50.4%
Kiwibank reports NPAT of $92 million for the six months ending 31 December 2024
New framework moves beyond traditional reliance on BMI as a sole indicator of obesity
nib release 1H25 financial results
nib delivered an underlying operating loss of $10.9 million for 1H25, down considerably on 1H24’s $13 million profit.
nib delivered an underlying operating loss of $10.9 million for 1H25, down considerably on 1H24’s $13 million profit. Revenue for 1H25 was up 12.1% (to $218 million) from the same time last year, but challenging conditions that included incurred claims being up 27.3% (to $159.7 million) on 1H24, and rising costs (claims inflation at 17.6%, service costs up 7.6% and utilisation up 9.3%) led to the loss.
nib NZ Chair, Hanne Janes said
“We know value is crucial for members, now more than ever. In 2H25, we will continue our focus on costs, refocus on innovation and productivity gains, and bring good solutions to health care for members.”
As we write nib is promoting the launch of their new ultimate life and living range of products to advisers. The new suite is aimed specifically at advisers and the launch material incorporates pre-launch ratings of the product. A formal launch date is yet to be confirmed but is expected within the next couple of months. Advisers are currently being invited to training sessions to obtain accreditation.
More news:
INFINZ event 'Key Learnings from the FMA's Monitoring Report' is on 6 March in Auckland
Partners Life to release Quote for Alteration Phase 2
Partners Life new upgrade to their Quote for Alteration (QFA) digital tool is coming soon.
Partners Life new upgrade to their Quote for Alteration (QFA) digital tool is coming soon. There’s a handy tutorial here. The upgrade will provide a fully digital process, where advisers can apply for increases and alterations for existing clients in the same way they do for new clients within QFA. QFA applications will be available on Partners Protection Plan and Business Protection Plan policies; Funeral Plan, Essential, Heritage and Loancare policies cannot be serviced online through QFA.
More news:
AIA extend their 3 months' insurance free offer until 31 March 2025
AIA are introducing digital arrears notifications
AIA increases pricing for some Trauma products
AIA introduce SovLink microlearning
Fidelity Life simplify underwriting process
Partners Life paid out 93% of claims in the year ending March 31, 2024
Government commissions two independent reviews to improve the performance and sustainability of ACC
Chubb Life NZ appoints new Head of Claims
Chubb Life NZ has announced that Reeta Anthony has been appointed as its new Head of Claims, effective immediately.
Chubb Life NZ has announced that Reeta Anthony has been appointed as its new Head of Claims, effective immediately. Anthony will report to Debbie Eyre, Chief Operating Officer, and will be responsible for the strategic delivery of the claims proposition. Anthony has over 25 years of financial services experience and expertise and was most recently Head of Claims at Fidelity Life.
More news:
Kate Jorgensen has been appointed to the Board of Southern Cross Medical Care Society.
ASB's NPAT for the six months to December 2024 was $763 million
Pharmac announces decision to fund medicines for a further five health conditions
Changes to Fidelity Life’s executive leadership team
Fidelity Life have announced some changes to their executive leadership team. They have split the current Chief Insurance Officer into two roles. Seema Bangera will take on the role of Chief Claims Officer and Dave Winspear will take on the role of Chief Operating Officer.
Fidelity Life have announced some changes to their executive leadership team. They have split the current Chief Insurance Officer into two roles. Seema Bangera will take on the role of Chief Claims Officer and Dave Winspear, currently Head of Individual Life, will take on the role of Chief Operating Officer. Both will join the executive leadership team on 24 February. Niall McConville, Chief Insurance Officer is returning to Melbourne but will continue in a consultancy role.
Seema Bangera, Chief Claims Officer
Bangera joins from Asteron Life, where she has been Executive Manager of Claims and Customer Solutions. Bangera has 20 years experience in the industry, having held roles at Kiwibank, Westpac and HSBC.
David Winspear, Chief Operating Officer
Winspear’s responsibilities will include underwriting, new business and service to Fidelity Life’s customers and advisers and strategic partners.
Fidelity Life is currently recruiting for a new Head of Individual Life to fill the gap left by Winspear’s promotion.
Fidelity Life CEO Campbell Mitchell said
“Claims is fundamental to why we exist for our customers – it’s our purpose, to stand beside our customers when they need us most. There is a huge advantage of having a strong claims voice representing customers at the executive table to ensure customers and businesses get the support and experience they deserve during the most challenging times in their lives.”
More news:
FMA believes some FAP's compliance approach is too conservative
Financial Advice NZ Markets Summit 2025 on 19 February
Financial Advice NZ webinar 'Retirement Expenditure Guidelines' 26 February
Poll finds higher rate of life insurance policy cancellations over the past 12 months
nib’s A Healthier Approach Launch events run across February
nib is running nib Ultimate Life & Living insurance and nib Balance launch events from 10 February - 3 March.
nib is running nib Ultimate Life & Living insurance and nib Balance launch events from 10 February - 3 March. The events will explore nib’s latest offerings, unveil comprehensive new nib products and insurance products and will feature a keynote speech from renowned psychologist, author and media personality, Nigel Latta.
Tauranga 10 February
Hamilton 11 February
Auckland 12 February
Wellington 14 February
Christchurch 17 February
Timaru 18 February
Dunedin 19 February
Invercargill 20 February
Queenstown 20 February
Auckland Central 24 February
North Shore 24 February
Nelson 25 February
Palmerston North 26 February
Napier 27 February
Whangarei 28 February
New Plymouth 3 March
Quotemonster team members will be at the following venues:
Auckland 12 February
Auckland Central 24 February
Auckland North Shore 24 February
Hamilton 11 February
We look forward to seeing you there.
More news:
Resolution Life has completed its acquisition of Asteron Life
nib’s 12 months free child health cover promotion ends 28 February
nib release their top 5 health claims for December 2024
Asteron Life paid out 97% of claims
Asteron Life paid out 97% of the Trauma, Life and Income Protection claims it received in the year ended June 30 2024.
Asteron Life paid out 97% of the Trauma, Life and Income Protection claims it received in the year ended June 30 2024. In total, Asteron Life paid out $112 million of claims, with $53.5 million being paid out for Life Insurance, $34.1 million in Trauma policy payments and $24.4 million in Monthly Income Protection cover claims.
Accident or Injury was the leading cause of claims, for both Monthly Income cover and Trauma cover. Mental Health claims duration remains high, with an average duration of 8 - 12 months, compared to other new claims where the average duration was around 6 - 8 months. Executive Manager Claims and Customer Solutions, Seema Bangera, said
“Return to work outcomes are directly related to early intervention and rehabilitation. This means the mental wellbeing of customers needs to be at the forefront for claims specialists and we need to ensure all clients have the necessary support building their personal resilience for their return-to-work journeys.”
More news:
Financial Advice NZ masterclass 'The ethics of client psychology: How clients think' 1 April
The FMA releases Consumer Confidence survey
The Financial Markets Authority (FMA) has released their inaugural Consumer Confidence Survey. The survey combines key questions from previous years’ Investor Confidence Survey and KiwiSaver Statements Survey as well as new questions around key focus areas such as fairness, investment scams and confidence in financial markets
The Financial Markets Authority (FMA) has released their inaugural Consumer Confidence Survey. The survey combines key questions from previous years’ Investor Confidence Survey and KiwiSaver Statements Survey as well as new questions around key focus areas such as fairness, investment scams and confidence in financial markets. Key findings include:
98% of New Zealanders have at least one banking product, with 49% considering at least one banking product in the next 12 months
Savings account ownership is up across all demographics
Credit card ownership has decreased 3% while buy-now-pay-later services are up 5% across all demographics
86% of New Zealanders have at least one insurance product, with the average number of insurance products being 2.5 per person
Younger New Zealanders (18 – 34) generally had fewer insurance products compared to other age groups but were more likely to own pet and health insurance
85% of New Zealanders have at least one investment product, with the average number of different investment products owned being 1.8 per person
KiwiSaver membership is highest amongst Chinese and Pacific ethnicities at 87% and 86% respectively
79% of New Zealanders actively chose their own KiwiSaver fund, with females and those aged 45 – 54 years having lower levels of participation in their choice of fund
KiwiSaver satisfaction levels have improved over the last two years, with 60% of Kiwis being quite/very satisfied
Catalysts for kiwis to consider making changes to their KiwiSaver/other investments include better investment returns from another provider (41%) or if their fees seemed high (39%).
FMA Chief Executive Samantha Barrass said
“The results of this survey provide us with valuable insights into how New Zealanders interact with financial markets and their level of confidence in those markets and in the FMA. It also helps us to see emerging trends that require our regulatory attention, so that we can focus our efforts on how we can better regulate for all New Zealanders.”
Additional reports will be published in early 2025 on several themes that emerged in the survey findings in 2025, including the experiences of women Māori, and other minority groups with financial markets; the relationship between knowledge of financial markets and confidence; investment scams and their link to confidence and consumer behaviour; the enablers of investment practices; comparative findings on fairness.
More news:
nib release their top 5 health claims for September 2024
AIA campaign offering up to three months off premiums extended to 31 March 2025
AIAHub Resource Hub now available to delegated users
The FSC is gathering feedback on life after licensing
O’Hagan Homes Loans & Insurances has merged with Apex Advice