Premium development
The premium volume written in the health insurance segment rose by 3.6 per cent year-on-year to € 1,004.9 million (2010: € 970.4 million), thus breaking through the one billion euro barrier for the first time. In Austria, where the UNIQA Group remains the clear leading brand in the health insurance segment, premiums of € 813.8 million were generated, up 2.8 per cent on the previous year (2010: € 791.3 million).
In Western Europe, premiums written increased by 2.1 per cent to € 165.8 million (2010: € 162.4 million). In the countries of Central and Eastern Europe, premiums in the health insurance segment grew by 51.6 per cent in 2011 to reach € 25.2 million (2010: € 16.6: million). Overall, this meant that the international share of health insurance premiums in 2011 was 19.0 per cent (2010: 18.4 per cent).
Premium volume written in health insurance
Figures in € million

In 2011, retained premiums earned in the health insurance segment (in accordance with IFRS) rose by 3.3 per cent to € 997.9 million as at the end of the year (2010: € 966.2 million).
| 
 Health insurance  | 
 2011  | 
 2010  | 
 2009  | 
| 
 Figures in € million  | 
 
  | 
 
  | 
 
  | 
| 
 Premiums written  | 
 1,004.9  | 
 970.4  | 
 937.4  | 
| 
 Share Central and Eastern Europe  | 
 2.5 %  | 
 1.7 %  | 
 1.5 %  | 
| 
 Share Western Europe  | 
 16.5 %  | 
 16.7 %  | 
 16.0 %  | 
| 
 International share  | 
 19.0 %  | 
 18.4 %  | 
 17.5 %  | 
| 
 Premiums earned (net)  | 
 997.9  | 
 966.2  | 
 933.9  | 
| 
 Net investment income  | 
 4.1  | 
 127.5  | 
 94.9  | 
| 
 Insurance benefits (net)  | 
 –853.5  | 
 –839.4  | 
 –811.8  | 
| 
 Benefit and loss ratio (after reinsurance)  | 
 85.5 %  | 
 86.9 %  | 
 86.9 %  | 
| 
 Other operating expenses less reinsurance commission  | 
 –162.5  | 
 –141.4  | 
 –128.5  | 
| 
 Cost ratio (after reinsurance)  | 
 16.3 %  | 
 14.6 %  | 
 13.8 %  | 
| 
 Profit/loss on ordinary activities  | 
 –16.4  | 
 111.9  | 
 85.4  | 
| 
 Net profit/loss  | 
 –13.5  | 
 82.5  | 
 65.3  | 
| 
 Consolidated profit/loss  | 
 –18.3  | 
 37.6  | 
 50.3  | 
Development of insurance benefits
Retained insurance benefits increased marginally in 2011 by 1.7 per cent to € 853.5 million (2010: € 839.4 million). Because premiums earned rose to a greater extent, the benefit and loss ratio after reinsurance fell by 1.4 percentage points year-on-year to 85.5 per cent (2010: 86.9 per cent).
In Austria, insurance benefits rose by 2.3 per cent to € 697.7 million (2010: € 682.1 million). In the Western European markets, on the other hand, insurance benefits declined by 4.9 per cent to € 141.0 million (2010: € 148.2 million). In the Central and Eastern European countries, insurance benefits also increased by 62.6 per cent to € 14.8 million as a result of the sharp rise in premium revenues (2010: € 9.1 million).
Operating expenses
Total operating expenses in the health insurance segment less reinsurance commission and profit shares from reinsurance business ceded rose by 14.9 per cent to € 162.5 million in 2011 (2010: € 141.4 million). This was also attributable to the non-recurring effects in connection with the repositioning of the UNIQA Group. Acquisition costs increased by 5.9 per cent to € 94.5 million (2010: € 89.2 million), while other operating expenses rose by 30.2 per cent to € 68.0 million (2010: € 52.2 million). As a result of this development, the cost ratio in the health insurance segment increased to 16.3 per cent (2010: 14.6 per cent).
In Austria, operating expenses increased by 15.8 per cent to € 121.8 million (2010: € 105.2 million). The figure for the Western European markets rose by 8.3 per cent to € 34.2 million (2010: € 31.6 million). Operating expenses in the CEE region increased by 39.0 per cent to € 6.5 million (2010: € 4.7 million).
Investment result
In 2011, net investment income in the health insurance segment fell by 96.8 per cent to € 4.1 million (2010: 127.5 million). The investment volume in the health insurance segment remained essentially unchanged year-on-year at € 2,651.2 million (2010: € 2,648.2 million).
Profit/loss on ordinary activities, net profit/loss, consolidated profit/loss
The loss on ordinary activities in the health insurance segment amounted to minus € 16.4 million in the year under review (2010: profit of € 111.9 million). In 2011, the net loss amounted to minus € 13.5 million (2010: net profit of € 82.5 million) and the consolidated loss after taxes and minority interests amounted to minus € 18.3 million (2010: consolidated profit of € 37.6 million).
