This case study focuses on the evolution of VimoSEWA since the development of the business plan. Following the earthquake, the number of insured increased dramatically from 30,000 to 92,000. The business plan assumed that VimoSEWA had found an effective means of reaching members and could scale up to 300,000 insured within 7 years to reach viability. By January 2005, however, membership was below targets and viability remained 7 years away, with low renewal rates as...