The protection gap in Mexico
The Encuesta Nacional de Inclusión Financiera (ENIF, National Financial Inclusion Survey), conducted by INEGI (the national statistics institute) and the CNBV (National Banking and Securities Commission) every three years, is the best snapshot of who has insurance in Mexico. Its 2024 edition was conducted from June 24 to August 16 in 15,263 households and published on March 13, 2025. The headline result for the insurance sector is uncomfortable: 22.9% of the population aged 18 to 70 had some form of insurance, 1.9 points less than in 2015, while ownership of at least one financial product rose to 76.5%.
The gap has a face. Among women, insurance ownership fell from 22.2% in 2015 to 18.3% in 2024; among men it rose slightly, from 27.7% to 28.2%. In localities with fewer than 15,000 inhabitants only 12.0% have insurance, and among speakers of an Indigenous language, 9.4%. By region, the northwest (32.4%), Mexico City (30.0%) and the northeast (29.6%) lead in ownership.
The type of insurance also says a lot: 13.9% of adults have life insurance, 11.5% auto insurance and 7.5% major medical insurance. The largest gap between men and women is in auto insurance, at 7.1 points, which reflects patterns of asset ownership more than need for protection.
| Population group (ages 18 to 70) | With some insurance | With at least one financial product |
|---|---|---|
| National | 22.9% | 76.5% |
| Women | 18.3% | 72.8% |
| Men | 28.2% | 80.9% |
| Localities with fewer than 15,000 inhabitants | 12.0% | 65.5% |
| Indigenous population (self-identified) | 15.9% | 67.8% |
| Speakers of an Indigenous language | 9.4% | 58.2% |
| People with disabilities | 13.0% | 77.4% |
| Afro-descendant population | 22.3% | 78.4% |
What microinsurance is under Mexican regulation
The Ley de Instituciones de Seguros y de Fianzas (LISF, Insurance and Surety Institutions Law) does not define microinsurance; the CNSF's (National Insurance and Surety Commission) Circular Única de Seguros y Fianzas (CUSF) does. Its Provision 1.1.1, section XCI, defines Microseguros (microinsurance) as insurance products in the life, property and casualty, or accident and health lines whose purpose is to promote access to insurance protection for the low-income population through low-cost distribution and operating channels. Excluded are the lines in sections II, XI, XII, XIII and XIV of article 27 of the LISF: social security pensions, credit, caución (performance guarantee), mortgage credit and financial guarantee insurance.
Chapter 4.8 of the CUSF sets the limits and requirements that distinguish microinsurance from ordinary insurance. They are designed so that the product is small, simple and easy to collect.
| Type of microinsurance | Limit (Provision 4.8.1) |
|---|---|
| Life and accident and health, individual | Sum insured of up to 20,000 UDI, regardless of the payment period. |
| Life and accident and health, group | Sum insured per member of up to 15,000 UDI. |
| Property and casualty (general) | Monthly premium for the insured risk of up to 20 UDI. |
| Property damage from earthquake and volcanic eruption, or from hurricane and other hydrometeorological risks | Sum insured of up to 45,000 UDI. |
Adhesion contract and plain language
They are formalized through adhesion contracts, clearly worded, without specialized terms and with simplified conditions. Exclusions must be general and not related to individual risk.
No deductibles or dividends
They cannot pay dividends or set deductibles, coinsurance or franchises, unless technically justified to prevent antiselection when the product is filed.
Payment within five business days
The claims procedure must be simplified and the benefit paid within five business days after a properly completed claim.
Automatic renewal
In life and accident and health, the policy renews automatically and is canceled only on 30 days' notice from the insured or for nonpayment. It may last less than a year when the premium is tied to a loan, to periodic service payments or to government social support programs.
Grace period and proof of contract
There is a grace period of 30 calendar days, adjustable if the term is shorter, and the premium payment receipt serves as proof that the contract was concluded.
Flexible rules in life insurance
The CUSF allows simplified consent, for example between spouses who insure each other or with a beneficiary designation that refers to the succession process.
Standardized basic products and mass insurance
Alongside microinsurance, Mexican regulation has two other vehicles designed to expand coverage. They should not be confused, because each has its own rules.
Standardized basic products (article 208 of the LISF and Chapter 4.7 of the CUSF)
With the express purpose of "strengthening the culture of insurance and extending the benefits of its protection to a larger share of the population," insurers must offer a standardized basic product for each coverage they write: death, personal accident, medical expenses, health and auto liability; the CUSF adds dental health. Contracts follow single templates set by the CNSF so that products are comparable across companies, and rates are updated monthly in CONDUSEF's (the National Commission for the Protection and Defense of Financial Services Users) Registry of Standardized Basic Insurance. Those rates are binding offers: the insurer must honor them for any member of the public who requests them.
Mass insurance (Chapter 4.9 of the CUSF)
These are products that are not underwritten based on the characteristics of each risk. The technical note must justify why there is no individual selection, the homogeneity of risks and sums insured, and the simplified pricing, underwriting, sales and claims schemes, and show that those schemes lower costs. In addition, they cannot include savings or investment components and their term must be one year or less. Chapter 4.9 does not impose the microinsurance UDI limits on them.
Which to choose when designing a product
If the goal is to reach low-income people through a cheap channel and the amount fits within the UDI limits, microinsurance offers clear rules and an explicit regulatory signal. If the product is simple but larger in amount, or sold on a mass basis without selection, the mass insurance vehicle may be the right one. Standardized basic products solve a different problem: comparability for the consumer.
Channels: agents, mobile phones and remittances
In microinsurance the channel is the product. A premium of twenty or thirty pesos a month cannot pay for an agent's visit, a printed policy and a claims adjuster. That is why the regulatory definition speaks of "low-cost distribution and operating channels." The ENIF 2024 shows where people are today: 77.6% of adults used some financial channel in the past year, and of those, 79.2% used ATMs, 62.8% branches and 56.5% banking agents in retail stores. Among those with a formal savings account, use of a mobile app rose from 54.3% in 2021 to 69.1% in 2024.
Shops and retailers
They are the physical channel with the widest reach outside cities. They make it possible to collect premiums in cash and, in some schemes, to issue receipts that, under the CUSF, serve as proof of the contract. The challenge is training store staff and managing claims.
Digital sales and collection
Chapters 4.10 and 4.11 of the CUSF regulate the use of electronic means to contract and sell adhesion insurance. They cut the fixed cost per policy drastically, but require designing for people with little digital experience and verifying identity without excessive friction.
Loans, services and support programs
The CUSF provides for microinsurance whose premium is collected with loan payments, service payments or installment purchases, or from government social support funds. Riding on an existing payment flow is the cheapest way to collect.
A flow with potential
Remittance payout points bring together people with irregular incomes and clear protection needs (life, medical expenses, housing). Using them as an insurance channel depends on agreements with remittance companies and on a design that respects the rules on sales and consent.
Parametric agricultural and climate insurance
Parametric insurance does not indemnify the measured loss but an index: cumulative rainfall at a weather station, soil moisture estimated by satellite, earthquake intensity or a hurricane's central pressure. Because the index does not depend on what the insured does or on the loss adjustment of each plot, the product removes much of the moral hazard and adjustment cost, and it can pay within days. That makes it a natural fit for smallholder farmers, whose policies are too small to justify an inspection. The price of that simplicity is basis risk: the index may not trigger when the farmer did suffer damage, or the other way around.
In Mexico the largest public example is sovereign. The federal government maintains catastrophe bonds with the World Bank and a parametric insurance policy placed through Agroasemex, the national insurance institution with majority federal ownership whose mission is to protect the assets and productive capacity of the rural sector. At the June 2026 renewal, that parametric cover was doubled to 10,000 million pesos for earthquake, volcanic eruption, hurricane and flood. It is not microinsurance (the insured is the government), but it shows that the Mexican market already operates parametric triggers at scale.
For individual farmers, a parametric design is filed under the agricultural and livestock line of article 27 of the LISF and, if aimed at low-income people through a cheap channel, may fit the property and casualty microinsurance vehicle, with its limit of 20 UDI of monthly risk premium or 45,000 UDI of sum insured for property exposed to hurricanes. The international experience in section 09 shows how this has been done for livestock in arid regions.
I is the observed index (for example, cumulative rainfall over the season), K the trigger at which payouts begin, L the exhaustion level for full payout and SA the sum insured. Calibrating K and L with the station's historical series, and estimating how closely I is correlated with farmers' actual losses (basis risk), is the heart of the actuarial work.
Actuarial challenges
Microinsurance forces you to get the basics right with very little information and very little margin. These are the problems that show up in almost every project.
Scarce data
The target population has almost never been insured, so there is no company experience. The starting sources are population tables, health or climate statistics and the experience of similar products in other countries, with explicit adjustments for selection and channel. Documenting those adjustments is as important as the number itself.
Credibility
With low frequencies, thousands of insureds produce few claims. Credibility theory helps decide how much weight to give the company's own experience versus the external benchmark, and avoids overreacting to a good or bad year.
Acquisition expenses
In a low-value product, the fixed cost per policy (issuance, collection, service) can outweigh the risk premium. The same risk can have an expected loss ratio of 30% or 75% depending on the channel, as the example in section 08 shows.
Affordability
The premium is measured against a low and irregular income. Philippine law, for example, defines microinsurance with a daily premium limit of 7.5% of the daily minimum wage. In Mexico the regulatory limit is expressed in UDI rather than as a share of income, so affordability is a design decision.
Value for the customer
A product with a 10% loss ratio is profitable, but gives little back to those who pay for it. The Microinsurance Network's 2024 Landscape of Microinsurance study reports a median loss ratio of 23% across regions and lines, with higher values for agricultural products. Measuring claims paid over premiums, claim acceptance rate and time to payment should be part of the dashboard for any product.
Basis risk and tail risk
In parametric products, a poorly correlated index destroys trust in the first year without a payout. In group life or health, a single community can concentrate claims because of a climate event or an epidemic. Reinsurance and aggregate limits are part of the design, not an add-on.
f is the annual claim frequency per insured, S̄ the mean severity, G the annual fixed expense per policy, g the variable expense loading as a share of the gross premium, u the profit margin and RS the expected loss ratio. The whole expense structure lowers RS: every peso of fixed expense per policy is paid with a markup, because it is divided by 1 - g - u.
Calculator: gross premium, affordability and loss ratio
Gross premium of a microinsurance product
Enter the frequency and severity of the risk, the expense structure and the monthly income of the target household. If you enter the current UDI value (published by the Banco de México), the calculator compares the product with the limit in Chapter 4.8 of the CUSF.
Worked example: the same risk through three channels
An insurer designs an individual life microinsurance product with a sum insured of 25,000 pesos for households with a monthly income of 6,000 pesos. Expected mortality of the target population, adjusted for age and selection, gives a frequency of 5 per thousand per year. The target profit margin is 5% of the gross premium. Compare three channels with different distribution costs. Figures are illustrative.
- Risk premium: 0.005 × 25,000 = 125 pesos per year, the same in all three channels.
- In-person agent channel: fixed expense of 150 pesos per policy and 30% variable expenses. Gross premium (125 + 150) / (1 - 0.30 - 0.05) = 275 / 0.65 = 423.08 pesos per year, 35.26 per month (0.59% of income). Expected loss ratio 125 / 423.08 = 29.5%.
- Banking agent channel or group scheme with a partner: fixed expense of 60 pesos and 25% variable. Gross premium 185 / 0.70 = 264.29 pesos, 22.02 per month (0.37% of income). Expected loss ratio 47.3%.
- Digital channel with collection alongside a utility bill: fixed expense of 15 pesos and 10% variable. Gross premium 140 / 0.85 = 164.71 pesos, 13.73 per month (0.23% of income). Expected loss ratio 75.9%.
- Regulatory requirement: the sum insured of 25,000 pesos must be equal to or less than 20,000 UDI at the UDI value on the contract date. With any UDI value above 1.25 pesos the product complies comfortably, but this must be checked against the current figure from the Banco de México.
International cases
The Microinsurance Network publishes an annual Landscape of Microinsurance study with data reported by insurers themselves. In its 2024 edition, the products reported covered 344 million people in 37 countries, 70% more than three years earlier, with 6,200 million dollars of written premiums in 2023. The same study stresses that 9 out of 10 people worldwide remain unprotected against risks such as climate, health crises and economic shocks. Mexico is one of the Latin American countries included.
A legal definition tied to the minimum wage
The Insurance Code as amended by Republic Act 10607 (2013) defines microinsurance in section 187 as a product serving the poor when the daily contribution does not exceed 7.5% of the daily minimum wage for non-agricultural workers in Metro Manila and the maximum benefit does not exceed one thousand times that daily wage. Section 188 prohibits operating microinsurance without meeting the requirements set by the Insurance Commissioner. It is an example of a limit expressed in terms of affordability rather than fixed monetary units.
Satellite index livestock insurance
The International Livestock Research Institute (ILRI) developed index-based livestock insurance (IBLI) for pastoralists in arid areas: the pilot launched in January 2010 and the first payouts were made in October 2011 in Marsabit district. The government of Kenya scaled it up through the Kenya Livestock Insurance Program (KLIP), which pays according to forage availability measured by satellite; in March 2019 it announced payouts of 87 million shillings to 6,000 pastoralists in eight counties after the drought of the 2018 short rains season.
Specialized intermediaries
ACRE Africa, an insurance intermediary operating in Kenya, Rwanda, Tanzania, Zambia and Nigeria, helps local insurers offer agricultural and climate insurance to smallholder farmers, including IBLI and damage assessment using smartphone photos. Its team includes actuarial science specialists alongside agronomists and veterinarians.
Access to Insurance Initiative (A2ii)
Created in 2009, the A2ii works with insurance supervisors to promote inclusive and responsible insurance. For years it was the IAIS's implementation partner, convened by the German development agency GIZ; since July 2025 it has been convened by CGAP in coordination with the IAIS. Its initiatives include the Inclusive Insurance Declaration and the Innovation Labs.
The actuary's role
The IAA has documented that inclusive insurance markets suffer from a shortage of actuarial services. Its paper "Addressing the Gap in Actuarial Services in Inclusive Insurance Markets" identifies the lack of qualified or experienced professionals, the limited supply of actuarial capacity in microinsurance, poor understanding of what an actuary can contribute and the need to balance supply and demand. Its follow-up, "Assessing Risk and Proportionate Actuarial Services in Inclusive Insurance Markets," the result of a joint project with the IAIS, proposes proportionate actuarial services: identifying the key risks of a product or provider, defining what actuarial advice each one needs and what level of skill is required to provide it.
In Mexico, technical notes for microinsurance, mass insurance and basic products are filed with the CNSF like any other product, under Chapter 4.1 of the CUSF and the actuarial standards of practice in Chapter 4.3, and, under article 201 of the LISF, must be prepared and signed by an actuary holding a cédula profesional (professional license) and current certification from the professional college, or who demonstrates the required knowledge to the CNSF. The actuary's value, however, goes beyond the filing:
How to get involved
Actuaries Without Borders was for years the IAA section that brought together volunteer actuaries to support the development of the profession and of protection systems in countries with little actuarial capacity. The IAA's historical record lists section chairs between 2003 and 2020. Today the IAA lists six sections (AFIR-ERM, ASTIN, IAAHS, IAALS, IACA and PBSS) and Actuaries Without Borders is no longer among them; related work is channeled in other ways. These are the ones we were able to verify:
IAA Inclusive Insurance Virtual Forum
A discussion space among full member associations on inclusive insurance, which identifies opportunities, proposes projects to the Advance committee and serves as a resource group for IAA activities. Participation is through the national association: CONAC (Colegio Nacional de Actuarios) has been a full member of the IAA since 1996.
Supervisor training with the IAA and the A2ii
Since 2017 the IAA, the A2ii and the IAIS have had a partnership to strengthen the use of actuarial skills in supervisory authorities, especially in emerging markets. After the 2025 change, the A2ii Connect platform is managed by the Frankfurt School of Finance & Management, and the IAA continues to organize regional training, such as the one in Casablanca in November 2025 for supervisors from ten French-speaking African countries.
Open data and studies
The Microinsurance Network's landscape study is available in Spanish, and A2ii resources are published on FinDev Gateway. Replicating their indicators for the Mexican market, using public data from the CNSF and the ENIF, is a good thesis or social service project.
In Mexico
Savings and loan cooperatives, producer organizations and local governments need help understanding coverages, evaluating offers or designing a group scheme. Volunteer work must respect the independence and conflict of interest rules of the professional code of conduct.
Common mistakes
Shrinking a traditional product
Reducing the sum insured of a product designed for the middle class does not turn it into microinsurance. The exclusions, documentation requirements and claims process are still those designed for a different customer.
Celebrating a very low loss ratio
A single-digit loss ratio usually indicates that people do not know they are insured, cannot file claims or receive coverages they do not need. In inclusive insurance it is a warning sign.
Ignoring the fixed cost per policy
Pricing with a single percentage loading hides the fact that the cost of issuing and collecting is almost the same for a 200-peso policy as for a 2,000-peso one.
Selling a parametric product without explaining basis risk
If the farmer expects compensation for their loss and the index does not trigger, the product loses credibility across the whole community. Explaining it up front is part of the design.
Frequently asked questions
What is microinsurance under Mexican regulation?
What is the maximum sum insured for life microinsurance?
What is the difference between microinsurance, mass insurance and a standardized basic product?
What percentage of adults in Mexico have insurance?
What is a good loss ratio for a microinsurance product?
Does Actuaries Without Borders still exist?
Go deeper
- INEGI: Encuesta Nacional de Inclusión Financiera 2024, results report (PDF)
- INEGI and CNBV: ENIF 2024, results presentation (PDF)
- Ley de Instituciones de Seguros y de Fianzas, current text (Chamber of Deputies)
- CUSF, Chapter 1.1: definitions (CNSF)
- CUSF, Chapter 4.7: standardized basic insurance products (CNSF)
- CUSF, Chapter 4.8: De los Microseguros (CNSF)
- CUSF, Chapter 4.9: De los Seguros Masivos (CNSF)
- CUSF, Chapter 4.10: use of electronic means for contracting (CNSF)
- CUSF, Chapter 4.11: sale of adhesion insurance through electronic means (CNSF)
- CGAP: Access to Insurance Initiative (A2ii)
- IAA: the IAA and the Access to Insurance Initiative
- IAA: Inclusive Insurance Virtual Forum
- IAA: Addressing the Gap in Actuarial Services in Inclusive Insurance Markets
- IAA: Assessing Risk and Proportionate Actuarial Services in Inclusive Insurance Markets
- IAA: history and chairs of committees and sections (Actuaries Without Borders)
- IAA: current sections
- IAA: full member directory
- Microinsurance Network: The Landscape of Microinsurance 2024
- Microinsurance Network: The Landscape of Microinsurance 2024 (Spanish PDF)
- Philippines: Republic Act 10607, amended Insurance Code (sections 187 and 188)
- ILRI: Index-Based Livestock Insurance, overview
- ILRI: Kenya Livestock Insurance Program payout (March 2019)
- ACRE Africa: Agriculture and Climate Risk Enterprise
- Artemis: Mexico doubles its parametric insurance at the 2026 renewal