Merger of Sanitas and Wincare

Information as at October 2016

Effective as of 1 January 2017, the basic and supplementary insurance businesses of the Sanitas and Wincare insurance companies are to be merged and managed under the name Sanitas. Compact Grundversicherungen AG is not affected by the merger.

 

The Federal Office of Public Health has expressed no reservations regarding the planned merger. The Swiss Financial Market Supervisory Authority (FINMA) approved the move on 5 July 2016.

As of 1 January 2017, the Sanitas Group will comprise the following insurance companies:

  • Sanitas Grundversicherungen AG
  • Compact Grundversicherungen AG
  • Sanitas Privatversicherungen AG

 

Same insurance cover, same contacts

Insurance cover, benefits, services and contacts will remain the same for all insureds.

 

Active customer information

Sanitas and Wincare customers will receive information on the merger when the new policies for 1 January 2017 are sent out.

The factsheet can also be downloaded here:

Why are Sanitas and Wincare merging?

As Wincare Versicherungen AG and Wincare Zusatzversicherungen AG are both already part of the Sanitas Group, this merger marks a further milestone in a shared future. The aim is to streamline structures, maximise synergies and simplify processes, such as administration vis-à-vis supervisory authorities, sending out insurance cards and technical system adjustments.

Why did the merger not take place sooner?

The merger of the insurance companies is the final step in the fusion of Sanitas and Wincare in 2006. The long-term plan back then was to gradually reconcile the various processes and workflows, with the aim of utilising the best parts of the two companies and philosophies. By combining the two companies now, the same is to be done with regard to premiums.

How will the merger affect insureds with basic insurance (mandatory basic health insurance)?

In future, customers from both Sanitas and Wincare will be insured under Sanitas Grundversicherungen AG. Customers will not be affected. Their insurance cover, contact points and contacts will remain the same. Only the name of the insurance company will change for Wincare customers – to Sanitas Grundversicherungen AG.

How will the merger affect insureds with daily benefits insurance pursuant to the Swiss Federal Health Insurance Act?

Minor adjustments are planned for the daily benefits insurance pursuant to the Swiss Federal Health Insurance Act (KVG/LAMal). However, insurance cover and benefits will remain the same or, in some cases, even improve.

  • For example, customers currently insured under the Sanitas daily benefits plan will benefit from a wider selection of waiting periods and an extension to the benefit period of up to 10 days (to 730 days).
  • Compared to the existing Wincare daily benefits solution, there will be no reduction in daily benefits and/or waiting periods when insureds reach the age of 65 or 70. The name of the insurance company will change – to Sanitas Grundversicherungen AG.

Customers with daily benefits insurance pursuant to the Swiss Federal Health Insurance Act (KVG/LAMal) will be informed separately in writing and will be sent the new general terms of insurance at the same time.

How will the merger affect insureds with supplementary insurance?

The insurance plans, insurance cover and contacts will remain the same. For Wincare insureds with supplementary insurance, only the name of the insurance carrier will change – to Sanitas Privatversicherungen AG. The name Wincare will no longer be used as an insurance company. However, in individual cases the name will still be used with reference to the Wincare line of products.

Do customers have to actively transfer to the new insurance carrier?

The merger means that the two insurance companies will be managed as a single company under the name Sanitas. The insurance company Wincare will no longer exist as of 1 January 2017. Insureds will automatically be insured under Sanitas Grundversicherungen AG and/or Sanitas Privatversicherungen AG. Customers do not have to transfer to the new company or take any administrative action.

All payment orders – standing orders/direct debits/eBilling processes – run via Sanitas. Seamless transition is therefore ensured.

Will the existing insurance cards remain valid?

As the name of the legal entity will change for Wincare insureds, all Wincare customers will automatically be sent a new insurance card that will be valid from 1 January 2017. The name of the insurance company is noted on the back of the card. The insurance cards are due to be sent out in December 2016. Existing insurance cards will remain valid until 31 December 2016.

The merger will not affect the insurance cards of Sanitas and Compact customers.

Does the merger trigger the right to extraordinary termination?

No, the merger does not trigger the right to extraordinary termination. The standard notices of termination apply as set out in the general terms of insurance or supplementary terms.

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