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The effect of perceived costs and benefits on

churn intention and actual churn

The Dutch health insurance market

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Introduction (1)

 Accountability of marketing department decreases

Improving customer relationships or gaining competitive advantage

 Importance of churn management

Gain insights in churn probabilities

 New legislation Health Insurance Act (HIA) in 2006

Increase in competition

 Churn in the Dutch health insurance industry

Churn rate last year is 6.4%

 Limited research effect of churn intention

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Introduction (2)

Research question:

To what extent do perceived costs and benefits influence churn intention and churn

behavior for different groups of people in the Dutch Health insurance market?

Sub questions:

• What are the perceived switching benefits and perceived costs?

• How do the perceived costs and benefits influence churn intention?

• To what extent does churn intention lead to actual churn?

• To what extent does churn intention acts as a mediator between the perceived costs and benefits

and actual churn?

• What are important segmentation dimensions?

• How do the relevant segments look like?

• To what extent do the different segments influence (moderate) the relationship between the

perceived cost and benefits and churn intention?

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Methodology

 Datasets with health insurance data in 2013

Merged five datasets into one dataset with 6445 households

 Factor analysis

Principal component analysis (PCA)

 Logistic regression analysis

Binary variables for churn intention and actual churn

 Mediation analysis Baron and Kenny (1986)

Four steps to indicate partial, perfect or no mediation

 Latent Class Analysis (LCA)

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Results (1)

 Five segments from LCA

- Retirees

- Middle class

- Upcoming starters

- Wealthy elderies

- High educated youngsters

 PCA two components

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Results (2)

Hypothesis Hypothesis

H1a: Churn is expected to be heavily influenced by the intention to churn. Accepted

H1b: Churn intention acts as a mediator on the relationship between the perceived benefits/costs and actual churn Accepted (Mediation) H2a: The premium of other insurance companies is the most important perceived price benefit that drives churn intention. Accepted

H2b: The premium of other insurance companies is overall the most important perceived benefit that drives churn intention. Rejected H3: The perceived benefit service quality positively affects churn intention. Accepted H4a: The perceived benefit (better) coverage at other insurance companies positively influences churn intention. Accepted H4b: The positive effect of supplementary insurance on churn intention is stronger than the effect of coverage. **

H5: The higher the overall perceived switch costs, the lower customers’ intention to switch ** H6: Procedural losses negatively affects churn intention. The higher the lossescustomers’ experience, to lower the intention to churn. ** H7: Financial losses are the most important costs that negatively drive churn intention. ** H8: Relational losses are the least important perceived costs that negatively affect churn intention. **

H9a: Age is the most important segmentation dimension that influences churn intention Accepted H9b: Income is the most important segmentation dimensions that influences actual churn Rejected H9c: Segments including young high educated customers are more likely to churn. Accepted H9d: Segments including young high educated customers have a higher churn intention. Accepted H10a: The level of churn intention is higher in urban areas than rural areas. Accepted H10b: Segments including customers living in an urban area are more likely to churn. Accepted H10c: The region (nat. vs. reg.) a customer lives in determines the type of insurer Accepted H10d: Customers living in the western part of the Netherlands are more likely to churn Rejected H11a: Customers that search online are better informed and experience a high churn intention. **

H11b: Customers that use online channels to gather information are less likely to churn. **

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Conclusion (1)

 Churn heavily influenced by churn intention

 Premium most important price benfit and coverage overall most

important driver for churn intention

 Age is most important segmentation dimension

Largest effect on churn intention and actual churn

 Customers in urban areas express high churn intentions and are

most likely to churn

 Churn intention and actual churn differs per segment

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Conclusion (2)

 Churn intention mediates between perceived benefits and churn

Variable

Mediation

Premium of current insurance is to high

Partial mediation

Premium increases (too) much in 2014

No mediation

Lower premium at different insurer

Partial mediation

Dissatisfied with coverage/compensation

Perfect mediation

Better coverage at different insurer

Partial mediation

Attractive collective discount

Partial mediation

Interesting offer a different insurer

Partial mediation

Difficulties in paying current insurance

No mediation

Dissatisfied with less contracted health care

Perfect mediation

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Managerial implications

 Anticipate in an early stage to high intention

Influence behavior and prevent churn

 Insights in important drivers for churn intention

Focus on coverage and a well balanced price quality ratio

 Take heterogeneity of customers into account

Different groups of customers express different behavior

 Supports in targeting retention campaigns

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