At a business breakfast held on March 18, 2025, the Association of Bulgarian Insurers (ABZ) presented to the insurance community a unified template for reporting claims experience under medical insurance contracts, along with the sector-wide policy for its introduction. The event was attended by nearly 50 representatives of leading insurance companies and brokers active in the health insurance field.
The introduction of the unified form aims to achieve greater reliability, structure, and comparability of claims data, thereby supporting objective risk assessment and pricing in medical insurance quotations. The template is designed to provide basic information on expenses incurred by the insurer under a given contract, with additional details supplied depending on client needs. To ensure credibility, the document will be signed with a qualified electronic signature or issued with an outgoing number from the insurer’s records system and signed personally. It will be prepared for groups of over 20 insured persons. All ABZ members operating in health insurance are committed to applying the general policy. The introduction date—April 7, World Health Day—was chosen symbolically.
The event was officially opened by Nikolay Stanchev, ABZ Management Board Chair, and Ivana Dimova, ABZ Management Board Member and Chair of the ABZ Health Insurance Committee. Stanchev emphasized that the challenges facing health insurance development call for joint solutions that optimize market practices and stimulate sustainable growth. The introduction of a unified template for claims experience reporting is such a step—standardizing data, ensuring its credibility, and enabling more predictable and objective pricing. According to Dimova, the initiative originated from the members of the ABZ Health Insurance Committee and was the result of a series of constructive discussions to define an optimal and focused format for presenting claims data.
Irina Peycheva, Health Insurance Director at Generali Insurance, presented the details of the initiative. She explained that recent factors such as the pandemic and inflation had led to a sharp increase in health insurance claims frequency, now comparable to average European levels, while premium income in the sector has been rising at a much slower pace. This calls for stricter underwriting discipline, and the adoption of a standardized reporting policy is a step in that direction. Peycheva highlighted that the goal of the template is to ensure all participants “speak the same language” when presenting claims data—providing transparency, comparability, and trust—while still allowing insurers to compete commercially.
In the ensuing discussion, ABZ member insurers confirmed their strong support for introducing the general policy and their intention to apply it consistently. Insurance brokers and representatives of non-member insurers also welcomed the initiative, stressing that the adoption of a unified template for reporting claims experience would significantly improve the business environment and deliver tangible benefits to all market participants.
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