Hong Kong Employee Health Insurance Index
Why an index?
Collaboration with PolyU CPCE
The Indices & Trends
Quarterly Index Update (2025 Q1)
411
Inpatient Plan Premium Index
196
Outpatient Premium Index
283
Overall Premium Index
Behind the Index
Data Collection
This Index was conducted with consent obtained from all participating companies, all of which have appointed GUM as their consultant. Premium data covers employee benefit policies that were effective throughout the year 2024 (from 1st January to 31st December 2024). Claim data was provided by insurance companies and includes complete claim records from the full year prior to policy renewal in 2024.
Index Validation
The index is derived from GUM's corporate client data and does not represent the entire Hong Kong group medical market. Despite this limitation, the Committee conducted an in-depth investigation into the key drivers behind the year-on-year trend shifts. GUM also cross-referenced findings with publicly available data sources, including statistics from the HKFI and medical inflation data published by the Health Bureau. The trends identified were found to be broadly consistent with these aforesaid sources.
Committee Members
Jointly released by PolyU CPCE and employee benefits & MPF consultancy firm GUM, the Hong Kong Employee Health Insurance Index is regularly reviewed by a committee composed of experienced professionals from the medical research and human resources sectors.
Dr. Ben Fong
Professor of Practice (Health Studies)
College of Professional and Continuing Education The Hong Kong Polytechnic University
View Profile
Lawrence Hung
View Profile
Professor Peter Yuen
Professor and Dean
College of Professional and Continuing Education The Hong Kong Polytechnic University
View Profile
Understand the "experience pricing" model of group medical insurance
Group medical insurance premiums in Hong Kong are priced based on past claims data. Therefore, while employers are concerned about the rise in premiums caused by medical inflation, the impact of the utilization rate of insured members is more direct and should not be underestimated.
The mismatch between premiums and medical expenses
The pandemic has caused significant changes in insurance claim patterns and medical expenses; post-pandemic expenses and incidence rates have reached record highs, causing a mismatch between premiums and medical expenses. Over the past few years, group health insurance premiums have increased to keep up with rising medical costs.
Premiums are expected to keep rising
Summarizing the trend analysis of the three major indices, GUM expects premiums to continue to rise. The key drivers are continued medical inflation and rising utilization rates.
Make good use of indices to regularly benchmark with the market
This index will be updated quarterly to provide employers and stakeholders with objective data support to help them choose medical insurance solutions that better meet the needs of employees. This index will not only improve employee well-being, but also help improve corporate cost-effectiveness. Through scientific management, it is expected to break the cycle of "increasing claims → rising premiums → rising costs" and promote long-term collaboration and win-win results among employers, employees, insurance companies and the government.Don't Wait. Act Now!
Talk to us for more details on Employee Health Insurance and Benefits Design!
Copyright © 2025 GUM. All rights reserved.