Operating Performance Highlights
Gross Written Premium (GWP):
- Q2 FY27 GWP increased 19% YoY to ₹5,275 crore (1/n basis)
- H1 FY27 GWP increased 19% YoY to ₹9,562 crore (1/n basis)
Fresh Retail Health Business:
- Q2 FY27 fresh retail health GWP grew 35% YoY (1/n basis)
- H1 FY27 fresh retail health GWP grew 36% YoY (1/n basis)
- New-to-insurance mix improved to 93% in Q2 from 89% in Q2 FY26
- Number of new-to-insurance policies grew over 10% YoY
- Average sum insured rose 13% YoY
Underwriting Performance:
- Q2 FY27 underwriting result: ₹99 crore profit (vs. ₹40 crore loss in Q2 FY26) - positive swing of ₹139 crore
- H1 FY27 underwriting result: ₹210 crore profit (vs. ₹24 crore loss in H1 FY26) - positive swing of ₹234 crore
- H1 FY27 underwriting result exceeded full-year FY26 underwriting result of ₹198 crore
- Combined Insurance Service Ratio (CISR) improved by 2.9% to 98% in Q2 FY27
- CISR improved by 2.4% to 97.9% for H1 FY27
- Fifth consecutive quarter of improvement in loss ratios and underwriting results
Profitability Metrics:
- Q2 FY27 PAT increased 231% YoY to ₹265 crore (from ₹80 crore in Q2 FY26)
- H1 FY27 PAT increased 57% YoY to ₹815 crore
- Normalized PAT (pegged at normalized annual investment yield of 8%):
- Q2 FY27: ₹390 crore (70% YoY increase)
- H1 FY27: ₹775 crore (56% YoY increase)
- Normalized ROE (annualized) improved from 11.2% in H1 FY26 to 15.1% in H1 FY27
Business and Market Position
Market Share:
- Retail Health market share: 29% for H1 FY27 and 30% for Q2 FY27
- Market share continues to be influenced by share of long-term policies and 1/n reporting
- Estimated new-to-insurance market share closer to 40%
Distribution Channels:
- Proprietary channels (agency and digital D2C) contributed over 90% of retail business
- Agency network: Added 39,000 new agents during H1 FY27, taking total to 8.7 lakh agents
- Agency productivity improved 19% YoY during H1
- Fresh business growth from semi-urban and rural geographies at over 3 times metro/urban growth
- Digital D2C channel grew 137% YoY in H1, with superior combined ratios
- D2C share increased from 8% to 13% of overall business
Customer Metrics:
- Retail claim settlement ratio improved by over 1% to 92.4% for H1 FY27
- Renewal ratio improved by 4% to 102%
- Company-level NPS improved by 4 points to 65 as of September 2026
- Settled 22.5 lakh claims during H1 FY27
- 83% of claims settled on cashless mode (claimed as highest in industry)
Digital and Technology Initiatives
Platform Upgrades:
- Upgraded core customer relationship management platform to Salesforce
- Scaled deployment of AI bots across customer acquisition and service channels
- AI bots processed over 7.5 million minutes of call volume at <20% cost of human deployment
- AI-driven quality assurance analyzed over 10 million minutes of customer interaction across 9 languages
- Service bots autonomously resolved over 1,000 customer interactions per day
- ATOM Pro platform utilized by more than 50% of active agents
Analytics and Fraud Prevention:
- Partnership with Amplify Health went live with automation of FWA (Fraud, Waste, and Abuse) capabilities
- Enhanced detection of fraud across billing, tariff, and medical necessity parameters
Investment Portfolio Strategy
Asset Allocation:
- Equity allocation: slightly less than 14% with cap at 15%
- REITs and InVITs: fully invested within regulatory limit of 3%
- AIF exposure: approximately 2.1-2.2% of funds
- Increased portfolio duration to approximately 4 years given rising G-Sec yields
- No incremental equity purchases in Q2, but may consider if markets become attractive
- Equity investments primarily through index funds/ETFs with sector biases
- Debt portfolio classified as held to maturity (not FVTPL)
Investment Performance:
- ₹59 crore investment-related loss reported (breakdown not provided)
- Equity, ETF, REITs, and InVITs classified as FVTPL under IFRS
Regulatory Developments and Response
IRDAI Consultation Paper (Recalibrating Economics of Insurance Distribution):
- Company has submitted views to authority
- Welcomes direction of proposed reforms and supports intent of better customer outcomes
- Believes framework aligns with Star Health's distribution model built over 2 decades
- Over 90% of retail business sourced through proprietary channels
- Individual agents remain better rewarded under proposed framework
- Internal estimates indicate credible path to proposed expense of management limits
- Committed to maintaining compliance with EOM requirements
- Awaiting final regulations
Public Insurance Registry (PIR):
- Welcomed as digital public infrastructure for insurance
- Expected to reduce information asymmetry, strengthen underwriting controls, simplify claims processing, and strengthen fraud detection
Accounting Treatment Change
Insurance Finance Charges:
- Discontinued practice of recognition of insurance finance charges from current quarter
- Previous periods restated for comparability
- No impact on profitability metrics (PAT and underwriting results)
- Insurance finance expenses will be zero going forward
- Corresponding income was part of insurance revenue which has been restated
Outlook and Strategy
H2 FY27 Outlook:
- Expects moderation in headline growth rates as GST-led growth becomes part of base
- Aspires to maintain 20%+ growth on fresh business consistently
- Underwriting performance anchored in strength of vintage book (80% of portfolio)
- Growing share of multi-year policies provides visibility and stability to earned revenue base
- Focus on expanding market through new-to-insurance customers (over 90% of fresh customers)
Growth Drivers:
- Continued agent addition and distribution network expansion
- Deepening presence in semi-urban and rural markets
- Scaling D2C channel among younger customers and salaried professionals
- Focus on sub-40 consumers through products like Young Star neo
Q&A Session Highlights
Product Pricing:
- Over 35 health insurance plans catering to different segments
- 80% of book repriced in last cycle, remaining 20% being addressed this year
- No immediate plans for price changes awaiting regulatory clarity
Loss Ratio Improvement:
- Improvement driven by retail loss ratios (group makes small portion)
- Renewal book operating at less than 100% combined ratio
- Home healthcare and telemedicine services: over 1 lakh consultations and home care services in Q2
- Contributing to medical frequency management
Multi-Year Policies:
- Approximately 50% of fresh business consists of multi-year policies
- Commission treatment: For certain agents, paid upfront (IGAAP), deferred over policy period (IFRS)
- Awaiting clarification on whether subsequent years will be considered fresh or renewal for distribution regulations
Hospital Negotiations:
- Approximately 80% of claims come from packages
- Ongoing business-as-usual negotiations with hospitals
- Supreme Court verdict on drug pricing not yet notified, impact uncertain
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