Lee Chan-jin said, “It is difficult to get insurance money,” as the 40% rejection rate for the number of frequent health insurance sales increases this year is not much different from previous years I’m worried that insurance disputes will increase due to the authorities’ stance to strengthen consumer protection
![[Photo source = Yonhap News]](https://i0.wp.com/wimg.mk.co.kr/news/cms/202509/07/news-p.v1.20250907.64851a35d66b4a86a367e9608fd14692_P1.png?w=696&ssl=1)
The number of non-payment (支給) of insurance money by domestic life insurance companies has increased by more than 40% in a year. Non-payment of insurance payments refers to cases in which a consumer applies for insurance payments but refuses to pay them.
This is due to the fact that consumers’ claims for insurance have become more frequent as life insurers strengthen sales of health insurance instead of savings insurance. Meanwhile, Lee Chan-jin, head of the Financial Supervisory Service, said he would improve his perception that “it is easy to sign up but it is difficult to receive insurance money,” raising concerns in the insurance industry that even a reasonable refusal to pay could be a problem.
According to the five major life insurers of Samsung, Kyobo, Hanwha Life, Shinhan Life, and NH Nonghyup Life on the 7th, 6,694 cases were unpaid in the first half of this year, up 42.8% from 4,687 cases a year earlier. Considering that the growth rate of non-payment was 18% in the first half of last year compared to the same period last year and 3% in the first half of 2023, the non-payment has increased significantly this year.
The frequent non-payment of insurance payments is largely due to changes in the life insurance portfolio. Under the new accounting system IFRS17, introduced in 2023, life insurers will be more supportive in selling health insurance against diseases such as cancer, cerebrovascular, and cardiovascular rather than savings insurance. Under the new accounting system, which converts future profits into present values and reflects them in the ledger, savings insurance is small in profit, but health insurance, which is a guarantee insurance, is reflected in profits. In fact, Samsung Life Insurance’s share of health insurance in the new contract service margin (CSM) rose from 8% in the second quarter of 2023 to 85% in the second quarter of this year.

However, health insurance is characterized by frequent claims for insurance compared to savings insurance or life insurance that life insurers previously sold. Since it is a product that prepares for diseases that often occur in life, insurance claims are made more often. As a result, complaints about insurance payments are also on the rise. The number of complaints filed by the five major life insurers regarding insurance payments in the first half of this year was 2,401, up 8% from 2,226 in the same period last year.
Major insurance companies sympathize with the FSS chief’s remarks that consumer benefits should be increased in insurance payments, but are worried about the possibility that the refusal to pay itself will be defined as an immoral act. Director Lee met with CEOs of large insurance companies earlier this month and said, “The perception that ‘it is easy to sign up but it is difficult to receive insurance money’ has not changed significantly,” signaling an environment in which consumers can receive insurance money more easily. An insurance industry official said, “refusing to pay consumers who do not meet the requirements for receiving insurance money is an essential act to maintain the insurance’s loss ratio and insurance premiums at an appropriate level. It is dangerous that the payment itself is interpreted as immoral.”
Insurance companies are also nervous about the new FSS chief’s expression of his willingness to legislate a “one-sided binding force.” The one-sided binding force, which is also President Lee Jae-myung’s pledge, means that if a civil petitioner accepts the FSS’s dispute settlement plan for a small dispute case, it gives the mediation the effect of “judicial reconciliation” regardless of whether the financial company accepts it or not. Financial companies cannot file a lawsuit against this and must follow the mediation plan. Some have insisted on introducing a system that strengthens consumer protection, but it has not been institutionalized in the face of opposition that it deprives companies of their rights in court. In the past, former FSS chief Yoon Seok-hun also tried to legislate a one-sided binding force but failed.
Non-life insurers point out that acknowledging one-sided binding power not only violates corporate autonomy, but can also be an obstacle to consumer protection. A typical example is auto insurance and other liability insurance. In other products, if a consumer dispute arises between an insurance company and a contracting party, auto insurance is a structure in which the insurance company fights with the car accident partner on behalf of the contracting party. They say that customers’ rights may be violated if insurance companies unconditionally follow the FSS’ dispute settlement plan in the process of arguing with the other car owners over the ratio of negligence. An insurance company official said, “Sophisticated design should be supported.”

Based in New York, Stephen Freeman is a Senior Editor at Trending Insurance News. Previously he has worked for Forbes and The Huffington Post. Steven is a graduate of Risk Management at the University of New York.