JAKARTA - Head of the Communications Department of the Indonesian Life Insurance Association (AAJI) Karin Zulkarnaen said the life insurance industry paid claims and benefits of IDR 38.16 trillion to 3.74 million people from January to March 2025.
He stated that this figure fell 11.1 percent year-on-year (yoy) from the total claims and benefits paid by the life insurance industry in the first quarter of 2024 amounting to Rp42.93 trillion.
"A decrease of 11.1 percent compared to the previous year mainly came from the decline in partial and render claims (in the first quarter of 2025), each recording a value of IDR 3.72 trillion and IDR 19.20 trillion," Karin Zulkarnaen said in a press statement, in Jakarta, quoted by Antara, Thursday, June 5.
He said the data showed the formation of stable customer behavior for insurance in the long term.
He also said that for the first time in two years, the total health insurance claims had decreased by 2.2 percent, to IDR 5.83 trillion from January to March 2025.
"Although recorded declines, we are still monitoring the development of health claims going forward. We hope that health system reform through cross-sectoral collaboration can control inflation in health costs," Karin said.
Meanwhile, regarding the issuance of the Circular Letter of the Financial Services Authority (SEOJK) Number 7/SEOJK.05/2025 concerning the Implementation of Health Insurance Products, he stated that the implementation of these regulations is expected to create a better health insurance ecosystem while still providing optimal protection to the community.
In addition, he said the regulation contained a co-payment obligation, namely that some of the costs needed to be borne by customers as patients when receiving health care, amounting to 10 percent of the total medical expenses.
AAJI noted that the implementation of the co-payment scheme in the domestic and foreign insurance industry is nothing new and the SEOJK only emphasizes the implementation of the scheme.
Karin stated that the scheme has the potential to encourage a decline in premium value and help insurance service actors deal with medical inflation, which according toLA, an insurance broker from the United States, reached 19 percent in Indonesia this year.
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He conveyed that to deal with medical inflation, collaboration from all parties is needed to support the national health insurance ecosystem, including from customers.
"So that when customers undergo medical treatment they can be more critical in determining the treatment that suits their needs. Similar schemes have also been implemented in many countries, both developed and d better countries, "he added.
SEOJK Number 7/SEOJK.05/2025 will take effect January 1, 2026 and all insurance companies must adjust their products no later than December 31, 2026.
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