Ireland

Belgium

The Netherlands

Slovakia

Romania

Bulgaria

GreeceTurkey

Cyprus

Russia

EUREKO EUROPEAN PRESENCE

|

2

TURKEY IS ONE OF OUR 3 CORE COUNTRIES

TURKEY RUSSIAGREECE

• Strong operational results• Top 5 ambition• Growth potential in large,

attractive market

• Strong operational results• Top 5 ambition• Growth potential in large,

attractive market

INTERNATIONAL HUMAN DEVELOPMENT INDEX

Turkey NL

• Population: 75 M 16.6 M

• Expenditure of GDP for Health: 5 % 10 %

• GDP: 13,359 USD 41,000 USD

WHY INTERNATIONAL PRESENCE MATTERS

•Growth

•Risk diversification

•Importing and exporting competences

•Attracting talent

•Strategic flexibility

•Growth

•Risk diversification

•Importing and exporting competences

•Attracting talent

•Strategic flexibility

4

Pre

miu

ms

as

% o

f G

DP

Non-life GWP (denominated in US$)

0

1

2

3

4

5

0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 45,000 50,000

GermanySpain

Netherlands

Poland

Czech Rep

Hungary

Romania

Ukraine

Turkey

55,000

Greece

Ireland

Bulgaria

GDP per capita, US$

Large upside potential in

Turkey

Russia

Non Life regression, 2006

TURKEY HAS A LARGE UPSIDE POTENTIAL

Source: Swiss Re, EIU, McKinsey, Eureko estimatesSource: Swiss Re, EIU, McKinsey, Eureko estimates

6

FIRST AMONG OPERATIONG COMPANIES

• Sound profitability: TL 43 million profit last year – meeting our high expectations

• 5.4% Market Share, Rank 9 – moving toward our goals

• Competence: Number one in bank assurance

• Potential for scale: low insurance penetration (1.3% of GDP vs 11% in the Netherlands)

Eureko Sigorta

38%

Division Europe GWP Non Life

7

EUREKO SIGORTA – 2010 AND BEYOND

• Deepening partnership with Garanti Bank

• More simplicity and trust - with customer focus

• Increase market share to 8% by 2013 and a top 5 position

• Expand in Motor and Health markets

• Accelerating best practice transfer

8

MANAGED COMPETITION ON THREE MARKETS

Providers market

Insurance market

Insured

Health insurer Provider

Patient market

Government

9

Premiums based upon health risks

Insured Health risksDiagnosis

Therapy

Health Care

Transactions

Insurer

Complaints

More effective care

Risk-manage-ment

Process-manage-ment

Feedback

Feedback

PROCESS HEALTH INSURANCE WITH FOCUS ON RISK

Focus on costs

Low quality

Focus on quality

Low costs

11

TURKISH HEALTH MARKET

Healthcare expenditure as % GDP

Private Health Expenditure as % of total

+65%

-4%

Source: WHO

Source: WHO

0

1

2

3

4

5

6

7

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

%

0

5

10

15

20

25

30

35

40

45

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

%

• Turkey has a “Duplicated” Private Health market, meaning that private health insurance is offering an alternative to the already in place social coverage.

• As an alternative, it offers access to high quality private healthcare, with freedom of choice, while avoiding queues.

• Increasing interest and expenditure in healthcare services.

• Low penetration of Private Health Insurance (PHI) in combination with vast population offers large upside potential.

• Young population with increasing awareness in health as an attractive client segment.

• Well established private healthcare sector allows insurance companies to build strong sustainable business models.

• (Future) Healthcare reform measures allow potentially for further growth opportunities.

• Turkey has a “Duplicated” Private Health market, meaning that private health insurance is offering an alternative to the already in place social coverage.

• As an alternative, it offers access to high quality private healthcare, with freedom of choice, while avoiding queues.

• Increasing interest and expenditure in healthcare services.

• Low penetration of Private Health Insurance (PHI) in combination with vast population offers large upside potential.

• Young population with increasing awareness in health as an attractive client segment.

• Well established private healthcare sector allows insurance companies to build strong sustainable business models.

• (Future) Healthcare reform measures allow potentially for further growth opportunities.

12

THE DUTCH MARKET FOR TURKISH PEOPLE

• 25% of the Turkish people in the

Netherlands are insured at Agis. The market

share of Agis and other Achmea labels

together is > 50%

• The Turks do visit their homeland often and

when they do, they need health care

• That’s why Agis has an office in Turkey and

meets the customers in Turkey frequently

Almere 76%

Amersfoort 78%

Amsterdam 88%

Apeldoorn 80%

Hilversum 86%

Nieuwegein 70%

Utrecht 81%

Zeist 79%

Market share urban areas

13

AGIS TURKEY

• Contract with most important health professionals in Turkey

• Guiding towards suitable health care

• Elective care, dialysis, IVF treatments, second opinion etc.

• Personal contact when needed

• Office in Istanbul

• Network all over Turkey

• Call centre - in- and outbound (Dutch, Turkish, English)

• Client does not have to pay immediately

• The costs will be paid directly by Agis Turkey

• Agis is taking care of the quality of healthcare

14

COLLABORATION AGIS AND EUREKO SIGORTA

• The Idea: Dutch – Turkish clients can insure their family members in Turkey through a local (Turkish) insurance product from Eureko Sigorta

• Why: Allows the Dutch – Turkish clients to do something for their relatives in Turkey while enjoying a benefit themselves

• But also: To enhance Agis’ proposition in The Netherlands and offer something new and extra for their client base

• As well as: To enhance Eureko Sigorta’s access to new market segments in Turkey

• But first a pilot:

• Co-operation with one selected broker

• Communication driven by Agis

• Assess win-win situation for clients, Agis and Eureko Sigorta

15

HONORARY CONSULATE-GENERAL TURKEY

• Joost Peters - Director External Relations and Advisor for the Executive Board

• Facilitated by Eureko/Achmea because of:

> Eureko Sigorta and Agis in Turkey

> Half of the Turkish population in the Netherlands is insured for healthcare with Achmea (including Agis)

• Main objective: enhancing the relationship between Turkey and the Netherlands

• The HCG has an extended network within the business field at diplomatic level. It wants to create a business platform for trade with Turkey.

• More information: www.hcgturkije.nl