NIVABUPANSEJuly 31, 2025

Niva Bupa Health Insurance Company Limited

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Key numbers — 40 extracted
9%
nce amidst global trade tensions and economic uncertainty. The General insurance sector reported a 9% growth in GDP, reaching ₹ 79,301 crore, which is lower compared to the same quarter last year (~13%
₹ 79,301 crore
sions and economic uncertainty. The General insurance sector reported a 9% growth in GDP, reaching ₹ 79,301 crore, which is lower compared to the same quarter last year (~13%) mainly due to change in accounting o
13%
9% growth in GDP, reaching ₹ 79,301 crore, which is lower compared to the same quarter last year (~13%) mainly due to change in accounting of long term products. Health segment (including PA) was the l
10%
ng term products. Health segment (including PA) was the largest contributor to this growth, with a 10% increase over the same period. Niva Bupa’s Q1’FY26 performance was encouraging, with a growth of 2
28%
% increase over the same period. Niva Bupa’s Q1’FY26 performance was encouraging, with a growth of 28% y-o-y reaching ₹ 1,875 crore (without 1/n) and ₹ 1,632 crore (with 1/n) growing at 11%. IFRS PAT f
₹ 1,875 crore
same period. Niva Bupa’s Q1’FY26 performance was encouraging, with a growth of 28% y-o-y reaching ₹ 1,875 crore (without 1/n) and ₹ 1,632 crore (with 1/n) growing at 11%. IFRS PAT for Q1’FY26 was ₹ 70 crore com
₹ 1,632 crore
26 performance was encouraging, with a growth of 28% y-o-y reaching ₹ 1,875 crore (without 1/n) and ₹ 1,632 crore (with 1/n) growing at 11%. IFRS PAT for Q1’FY26 was ₹ 70 crore compared to ₹ 36 crore in Q1’FY25.
11%
a growth of 28% y-o-y reaching ₹ 1,875 crore (without 1/n) and ₹ 1,632 crore (with 1/n) growing at 11%. IFRS PAT for Q1’FY26 was ₹ 70 crore compared to ₹ 36 crore in Q1’FY25. Combined insurance service
₹ 70 crore
₹ 1,875 crore (without 1/n) and ₹ 1,632 crore (with 1/n) growing at 11%. IFRS PAT for Q1’FY26 was ₹ 70 crore compared to ₹ 36 crore in Q1’FY25. Combined insurance service ratio (CISR) for the quarter was 103
₹ 36 crore
1/n) and ₹ 1,632 crore (with 1/n) growing at 11%. IFRS PAT for Q1’FY26 was ₹ 70 crore compared to ₹ 36 crore in Q1’FY25. Combined insurance service ratio (CISR) for the quarter was 103.2% compared to 103.9%
103.2%
ore compared to ₹ 36 crore in Q1’FY25. Combined insurance service ratio (CISR) for the quarter was 103.2% compared to 103.9% in Q1’FY25. Our market share improved to 10.0% in Q1’FY26 from 9.9% in Q1’FY25
103.9%
6 crore in Q1’FY25. Combined insurance service ratio (CISR) for the quarter was 103.2% compared to 103.9% in Q1’FY25. Our market share improved to 10.0% in Q1’FY26 from 9.9% in Q1’FY25 in the retail healt
Guidance — 6 items
Notes
opening
3 MD & CEO Commentary on Q1’FY26 Performance The Indian economy has demonstrated resilience amidst global trade tensions and economic uncertainty.
Notes
opening
Niva Bupa’s Q1’FY26 performance was encouraging, with a growth of 28% y-o-y reaching ₹ 1,875 crore (without 1/n) and ₹ 1,632 crore (with 1/n) growing at 11%.
Notes
opening
IFRS PAT for Q1’FY26 was ₹ 70 crore compared to ₹ 36 crore in Q1’FY25.
Notes
opening
Combined insurance service ratio (CISR) for the quarter was 103.2% compared to 103.9% in Q1’FY25.
Notes
opening
Our market share improved to 10.0% in Q1’FY26 from 9.9% in Q1’FY25 in the retail health segment.
Notes
opening
Our Weighted Episodal NPS for Q1’FY26 was 57, showing an improvement of 5 points over Q1’FY25, reflecting our continued commitment to excellent customer service.
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Speaking time
Notes
2
Note
2
PROVIDER CREATES CLAIMS
1
PAYABILITY CHECK
1
TARIFF APPLICATION
1
Opening remarks
Notes
3 MD & CEO Commentary on Q1’FY26 Performance The Indian economy has demonstrated resilience amidst global trade tensions and economic uncertainty. The General insurance sector reported a 9% growth in GDP, reaching ₹ 79,301 crore, which is lower compared to the same quarter last year (~13%) mainly due to change in accounting of long term products. Health segment (including PA) was the largest contributor to this growth, with a 10% increase over the same period. Niva Bupa’s Q1’FY26 performance was encouraging, with a growth of 28% y-o-y reaching ₹ 1,875 crore (without 1/n) and ₹ 1,632 crore (with 1/n) growing at 11%. IFRS PAT for Q1’FY26 was ₹ 70 crore compared to ₹ 36 crore in Q1’FY25. Combined insurance service ratio (CISR) for the quarter was 103.2% compared to 103.9% in Q1’FY25. Our market share improved to 10.0% in Q1’FY26 from 9.9% in Q1’FY25 in the retail health segment. Niva Bupa was included in the Top 100 India’s Best Companies to Work’ 2025 for the second year, ranking 67th. T
Note
1. NPS score of few critical touch points (claims discharge, service, policy issuance, renewal etc.) is combined into a single, weighted NPS score, calculated as weighted average by response method, for the organisation 14 3 Multi-Channel & Diversified Distribution with Emphasis on Digital Sales Diversified Channel Mix with Strong Focus on Growing High Value Channels Pan-India Presence Q1'FY2026 (%) Individual Agents Corporate Agent - Banks Corporate Agent - Others Brokers (1) Direct Business Others (2) 0.7% 11.3% 29.7% 213 Branches (+1 in Q1’FY26) 193,555 Individual Agents (+13K in Q1’FY26) 28.8% 99 Banca & Other Corporate Agency Partners 19.4% 10.1% 544 Brokers (+4 in Q1’FY26) 9,260 Employees(3) (+324 in Q1’FY26) Metrics as of Q1'FY2026
Notes
1. Brokers include PB Fintech (Policybazaar) 2. Others include Web Aggregators,, Insurance Marketing Firms, Point of Sales and Common Service Centers 3. On-roll employees 15 4 Our Technology Enables us to Serve Customers Anywhere, Anytime Digital Self-Serve Capabilities Insta Assist and Cia Chatbot Claim Submission One-Click Renewal Support Submit Claim Submit Claim Renew policy ABC 99.9% new policies applied via website and mobile apps 91.6% renewals completed without human intervention 76.5% cashless claims processed in <30 mins 91.2% claims submitted digitally Note: Metrics for Q1'FY2026 16 4 Our Value Chain is Significantly Automated with Analytics Embedded into Operations Partner Onboarding Customer Sourcing Underwriting Claims Management Policy Renewal Modular API based partner integration New policies applied digitally Rule based automated decisioning Digital claims submission Policy renewal without human intervention 99.9% 91.2% 91.6% Digital Dukaan and Niva Bupa UNO mobile app
TARIFF APPLICATION
APPROVED AMOUNT ALL RULES CHECKED BY SYSTEM 150 153 141 123 128 130 100 101 FY2019 FY2020 FY2021 FY2022 FY2023 FY2024 FY2025 Q1'FY2026 From ~30 mins to less than couple of minutes Reduction in processing time for pre-authorization of cashless claims through manual processing vs auto-adjudication claims system Enables faster processing of retail cashless claims, reduces errors and promotes cost-savings Retail Health Claim Cost Index reflects Niva Bupa YOY average claim size with FY2019 as base year. The change in index is on account of medical cost 4 inflation, change in disease mix, medical advancement etc. Note: 1. All indemnity claims excl. covid claims, 2. CAGR Period - FY2019 to Q1'FY2026 21 6 Focus on Talent Management & Execution 2021 2022 2023 2024 2025 Ranked 67th among Top 100 India’s Best WorkplacesTM 2025 Top 25 India’s Best WorkplacesTM in BFSI 2025 22 Agenda Our Strategy Financial Performance Financial Performance Gross Written Premium (GWP) Combined Ratio (₹ in Crores) 6,
Note
1. Investment yield is on annualized basis for Q1’FY2026 27 Appendix PA - Personal Accident PAT - Profit After Tax PB - Policy Bazaar PBT - Profit Before Tax PPN - Preferred Partner Network RBI - Reserve Bank of India RI - Reinsurance ROAE - Return on Average Equity ₹ - Indian Rupees Glossary API - Application Programming Interface App - Application AUM - Assets under Management Avg - Average BMI - Body Mass Index CAGR - Compounded Annual Growth Rate DII - Domestic Institutional Investor EOM - Expense of Management Excl - Excluding FII - Foreign Institutional Investors FY - Financial Year GDPI - Gross Direct Premium Income GWP - Gross Written Premium HNI - High Net worth Individuals IFRS - International Financial Reporting Standards I-GAAP -Indian Generally Accepted Accounting Principles LTV - Life Time Value MAU - Monthly Active Users Mn - Million NBFC - Non-Banking Financial Company NWP - Net Written Premium NEP - Net Earned Premium NPS - Net Promoter Score 29 Thank You
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