Health and wellness

"Life insurance should do more than protect against risk – it should enable healthier, longer lives."

Health and wellness continue to have a powerful influence on life and health insurance. In this interview, Wesley Clay, Managing Director – Life & Health at Hannover Re South Africa, explains how insurers can go beyond traditional risk assessment and claims management to actively support policyholders’ wellbeing throughout the entire policy lifecycle. He highlights how innovative technology, personalised approaches, and strong partnerships are driving better health outcomes and delivering value for all stakeholders.

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How do you explain the terms 'health' and 'wellness' in context of the insurance industry?

Good health is more than just the absence of disease; it is an optimal state of physical, mental, and social wellbeing. When it comes to life and health insurance, a person’s health at the time of application is crucial because it largely determines their risk profile and thus the quantum of their premiums. However, I believe that insurers should do more than take a snapshot at the outset; they should also actively support policyholders in maintaining and improving their health throughout the lifetime of the policy.

Wellness is the broader, more holistic journey towards achieving optimal health, encompassing the physical, mental, and social dimensions. It’s an evolving concept in the booming global wellness economy, a sector which reached USD 6.3 trillion in 2023 and is projected to approach USD 9 trillion by 2028.[1]

Consumers today increasingly rely on data, science, and measurable outcomes rather than following or testing fleeting trends. For insurers, this presents an opportunity to engage policyholders in meaningful health and wellness journeys to the benefit of both parties.

Why is health and wellness such a strategically important topic in insurance?

Non-communicable diseases, such as cancers, heart disease, chronic respiratory conditions, and mental health conditions, are on the rise globally and are largely driven by lifestyle factors. This increase in chronic conditions leads to more frequent and costly insurance claims. By supporting their policyholders' health holistically – addressing diet, stress, and lifestyle – insurers can help people to live longer, healthier lives while managing claims costs and keeping insurance accessible.

Furthermore, we are seeing insurers increasingly acting as health management service providers. Offering wellness programmes can improve persistency and ultimately transform the insurance experience into a proactive partnership centred on promoting health outcomes. This approach shifts the focus from reactive claims processing to preventative care and early intervention, helping insurers and policyholders work together to minimise risk and enhance overall wellbeing.

In what ways can wellness solutions contribute to sustainable claims management?

Wellness solutions help by attracting and retaining healthier lives within an insurer’s portfolio, which improves mortality and morbidity experience over time. Engaged policyholders who participate in wellness programmes tend to make fewer claims and maintain their coverage for longer.

Programmes that incentivise healthy behaviours based on scientifically proven behavioural change techniques have demonstrated substantial clinical evidence of reducing mortality rates and extending lifespan. When engagement is real and sustained, there is measurable risk improvement. In our experience studies, engaged cohorts show both lower claim frequency and severity as well as lower lapse rates.

Wesley, who is Managing Director responsible for Life & Health business at Hannover Re’s subsidiary in South Africa, has been with the company since 2002, starting out in actuarial business development.

A qualified actuary, Wesley was drawn to Hannover Re by the opportunity to forge his own path within the organisation.

"Offering wellness programmes can improve persistency and ultimately transform the insurance experience into a proactive partnership centred on promoting health outcomes."

What role can mental health support play in insurance-led wellness offerings?

Mental health is an integral part of overall wellbeing and can have a significant impact on physical health. Prolonged physical illness or chronic pain can lead to emotional and mental distress, such as anxiety or depression. These conditions can then worsen physical health. Similarly, prolonged stress can impair the immune system and cardiovascular health.

Mental health conditions are among the leading causes of long‑term disability. According to the latest data from the WHO[2], over one billion people live with mental health conditions; addressing these needs measurably improves overall health and claims outcomes.

Wellness programmes that incorporate mental health support take a more holistic approach, recognising the interconnectedness of mental, physical, and social wellbeing. It is essential to tailor support to where each individual is on their wellness journey to make interventions meaningful and effective. Mental wellbeing is a crucial element to the success of any health and wellness plan, and importantly, experience shows that investment in this area can have a significant impact of the health outcomes of policyholders – again benefitting all parties involved.

Can wellness programmes rely on incentives alone, or is more support needed?

Reward-based models use incentives such as discounts or prizes to encourage users to engage in healthy behaviours. While this can be effective, there is a risk that it will be perceived as providing only short-term or superficial motivation.

Support-based models focus on raising awareness and encouraging personalised, sustained action. They provide insights, education, and tailored recommendations to help policyholders understand their health and how they can improve it. For example, some employers partner with specialist providers to give employees and their families rapid access to evidence-based therapy and coaching as part of a broader wellbeing strategy.

The best outcomes are created by combining both approaches – offering rewards while providing meaningful support and guidance.

What challenges do insurers typically encounter when incorporating wellness solutions into their portfolios?

Wellness solutions often require collaboration with multiple providers, such as technology vendors, healthcare services, and fitness companies. Providing a seamless, user-friendly experience that brings all these elements together is complex.

Cost is another consideration: insurers must invest upfront without immediate or easily quantifiable returns, since health benefits and risk reductions may take years to materialise. Data privacy and security is another critical area, since health data is sensitive and requires robust measures to protect policyholders’ information.

Finally, it is difficult to motivate policyholders from diverse demographic groups to become aware of their health risks, take and then sustain action, so this requires personalised and accessible solutions.

What’s needed to make wellness initiatives work?

Two things are essential: awareness and action. Firstly, insurers must provide clear, personalised information to help individuals understand their health risks and status. Next, they need to provide guidance and motivation to encourage policyholders to take meaningful action to improve their health.

Collaboration with external partners is crucial, since insurers are usually unable to deliver all of the required capabilities and services independently. The overall experience should be straightforward, seamless, and tailored to individual needs, with robust data security measures in place.

With a strong interest in actuarial science and biology, Wesley is passionate about improving health outcomes and believes insurers should support policyholders’ health throughout the policy, not just assess it at inception.

Outside of his role at Hannover Re, Wesley enjoys spending time with his family, keeping active through exercise, and following South African rugby – all of which provide a balanced complement to his professional life.

"The greatest opportunities lie in expanding integrated health management services that combine insurance with healthcare, wellness, and behavioural change programmes."

How can we ensure that wellness solutions are about more than just 'tech for tech's sake'?

The answer lies in combining technology with biology, behavioural science, and personalisation. Advanced wearables, for example, now provide near-medical-grade data that can be used to generate personalised insights such as biological age estimation, which is a more precise health indicator than chronological age.

The technology must be geared towards steering actionable health improvements, no longer just transforming data into information. It should empower users with meaningful information and encourage them to make sustainable behavioural changes. Partnering with credible, science-driven providers and focusing on outcomes ensures that wellness programmes provide real value.

Looking across global markets, which success stories and trends stand out to you?

A notable example is Vitality, which was founded in South Africa over 30 years ago and has since become a global benchmark for wellness integration. In South Africa, Discovery’s Vitality programme reports that highly engaged members have a 76% lower mortality rate and an additional 13–21 years of life expectancy compared to the broader insured population.[3] Subsequent analyses continue to show lower death rates for engaged cohorts. This is a clear case of how sustained engagement can deliver meaningful outcomes. Hannover Re is a long-standing partner of Vitality, demonstrating how reinsurance can actively support wellness innovation and long-term impact.

We’re also witnessing innovation in areas such as genetic testing and targeted therapies. Products that link genetic data to insurance benefits for targeted cancer treatment, for example, are opening up new possibilities and showing how personalised health and insurance can go hand in hand.

What opportunities do you see for insurers in health and wellness over the next few years?

The greatest opportunities lie in expanding integrated health management services that combine insurance with healthcare, wellness, and behavioural change programmes. Partnerships between insurers, reinsurers, healthcare providers, and wellness organisations will be essential in order to offer a holistic, personalised approach to health.

Advances in wearables, data analytics, and genetics will enable more accurate risk assessments and targeted interventions, improving outcomes and controlling costs. There is also potential in developing products that respond to new medical treatments and innovations to ensure that insurance remains relevant and valuable.

Finally, what inspires you most about working in this field?

For me, it’s the ability to make a positive difference to people’s lives by not only protecting them financially, but also actively supporting their health and wellbeing. Life insurance should do more than protect against risk – it should enable healthier, longer lives. By combining actuarial science, biology, and technology, we can develop innovative solutions that improve mortality and morbidity outcomes. Helping our clients move from risk transfer to risk transformation through a proactive, value-driven approach with personalised strategies is what makes this work truly rewarding.

Wesley Clay Managing Director – Life & Health Hannover Re South Africa Tel.: +27 11 481-6784 Mail: wesley.clay@hannover-re.co.za

References

  1. Global Wellness Institute. 2024 global wellness economy monitor. 2024. Available from: https://globalwellnessinstitute.org/industry-research/2024-global-wellness-economy-monitor/ (viewed on 15 September 2025).
  2. World Health Organization. World mental health today: latest data. 2 September 2025. Available from: https://www.who.int/publications/i/item/9789240113817 (viewed on 15 September 2025).
  3. Dimmer K. Q&A: Discovery Vitality CEO on psychology of wellness programmes. Available from: https://www.jsemagazine.co.za/jse-supplement/qa/discovery-vitality-ceo-on-psychology-of-wellness-programmes/ (viewed on 15 September 2025)

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