Digital Platforms

Compromise legislation establishing a federal role in insurance regulation is likely to emerge from the House Financial Services Committee early in May. A hearing in late March yielded strong support for the measure from an industry divided on the issue.At the same time, the principles involved constitute the strongest support yet for greater uniformity in insurance regulation.

The Contracts Update section includes announcements of contracts insurance information technology companies have signed with customers in recent weeks. Contract news can be faxed to Insurance Networking magazine at (312) 913-1366 or by electronic mail to Stephen.Dwyer thomsonmedia.com Computer Sciences Corp.

ST. PAUL, Minn. -- Through aggressive health care fraud investigations and coordination among other states' Blue Cross plans, the Blue Cross Special Investigations Unit (SIU) stopped payment on $8.7 million of suspect claims last year, reducing the impact of fraud on premiums in Minnesota.

MADISON, Wis. -- BlueCross BlueShield of South Carolina, a leading health insurance provider that also administers federal health insurance programs, has addressed its evolving document communication needs by designating two Esker Software solutions as enterprise standards. Esker DeliveryWare Platform and Esker Fax respectively provide BlueCross BlueShield with intelligent multi-channel e-document delivery and automated fax.

Nationwide Financial, Columbus, Ohio, is offering an online marketing tool to help investment professionals grow their businesses and support the long-term investment needs of their clients. Investment Selector is an online quarterly report that recommends investment options and percentage allocations for The BEST of AMERICA variable products. Investment Selector uses research and evaluation methods developed by Morningstar Associates LLC, a registered investment advisor and a wholly owned subsidiary of Morningstar Inc. Investment Selector targets the investments that fulfill five allocation models developed through a collaboration with Ibbotson Associates.

The majority of insurance companies already maintain a rigorous corporate governance model to protect the financial interests of their policyholders and shareholders. So why does the Sarbanes-Oxley act have the industry aflutter? New research from TowerGroup, a Needham, Mass.-based research and consulting firm, finds insurers are realizing that the law can serve as a catalyst for long- term financial systems architecture strategy and process improvements."The globalization of insurance and the current complex regulatory environment necessitate a systematic, integrated approach to risk management," says Cindy Saccocia, senior analyst in the Insurance practice at TowerGroup and author of the report, titled "Sarbanes-Oxley and Insurance: Requirements, Hype, and Opportunity."

Atlanta-based Blue Cross and Blue Shield of Georgia has launched the Clear Claim Connection, an online product and service for its network providers. This product, created by McKesson Corp., enables BCBSGa to share with network providers the auditing rules and clinical rationale which exist in the claims billing and auditing code system used by BCBSGa.John Watts, president and chief executive officer of BCBSGa, says, "This important service will enable network physicians and their office staffs to review our payment methodology online. By providing this service, we hope to make our reimbursement policies more readily accessible and reduce misunderstandings among providers, members and BCBSGa."

Prudential Financial Inc., Newark, N.J., has introduced an automatic, online licensing application for brokers seeking appointment to sell the company’s insurance and annuity products. The electronic data collection tool, called Online Confidential Data Sheet (CDS), was developed by BISYS Education and Licensing Services for Prudential.The Online CDS streamlines the traditional, paper-based appointment process and greatly improves brokers’ speed to market.

Risk Management Solutions Inc. (RMS), a Newark, Calif.-based provider of products and services for catastrophe risk management, has released the findings of an in-depth study that provides workers compensation, life, and health insurers with key benchmarks for the potential risk of human casualties from catastrophic events.Among other findings, the study demonstrates that while many in the insurance industry view the World Trade Center attack as a worst-case event, there are numerous natural and man-made events that could cause significantly higher casualties and associated insured losses.

NEW YORK--The Guardian Life Insurance Co. of America is making an effort to demystify the financial planning process and educate visitors on the role that Guardian's products and financial representatives play in an overall financial planning strategy. The company is doing it with a new Web site, located at www.GuardianLife.com. The new site replaces Guardian's existing Web address at www.glic.com.

In recognition of the HIPAA security rule pre-anniversary deadline that passed this month, Washington, D.C.-based nonprofit URAC released a report examining the state of preparedness in the health care industry in complying with the security rule.

Columbus, Ohio-based Nationwide Financial is using Web technology to make it easier for investment professionals to manage the client review process with a new tool called the Interactive Client Review (ICR).Nationwide's ICR tool simplifies the client review process by providing one-stop, real-time access to client portfolios online. Detailed information is presented in a concise and secure format for investment professionals to access from any remote location. The ICR tool can also provide investment professionals with a quick, easy view of their clients' quarterly statements online. Through its instantly accessible electronic format, ICR aims to help investment professionals manage their clients' accounts in half the time.

HARTFORD, Conn.-- Do automatic teller machines need specialized insurance? They sure do. Recognizing that midsize banks, credit unions, investment firms and insurance companies have a range of specialized insurance needs -- from property coverage for ATMs, foreclosed buildings and repossessed automobiles, to professional liability coverage for banks, investment advisors and insurance carriers--The Hartford Financial Services Group Inc. now offers a tailored package of coverages to address the specific exposures they are most likely to face.

New York-based MetLife has introduced a new online Individual Disability Income (IDI) Broker Portal designed to simplify the policy application and case management process for brokers by providing access to real-time information.Through the IDI Broker Portal, MetAccessIDI.com, brokers can immediately obtain underwriting case status, underwriting requirements and client policy information, including policy status and payment history. In addition, required applications and forms can be downloaded through a link from the site. The portal also features a private message board providing brokers with a convenient channel for communicating with MetLife IDI Underwriters regarding their cases.

Toronto-based Manulife Financial Corp. and John Hancock Financial Services Inc., Boston, including its Canadian subsidiary, The Maritime Life Assurance Co., completed their merger after receiving all necessary regulatory approvals. John Hancock is now a subsidiary of Manulife Financial.John Hancock stock will cease trading on the New York Stock Exchange at the close of markets today, April 28, 2004. The approximately 675,000 John Hancock common shareholders are entitled to receive 1.1853 Manulife common shares for each John Hancock common share. John Hancock shareholders overwhelmingly approved the combination on February 24, 2004, with more than 95 per cent of the votes cast favouring the adoption of the merger agreement.

Homeowners rates that include a severe thunderstorm component based on sophisticated catastrophe modeling have been included as part of a rating plan subject to approval by state regulators in Florida.Florida Farm Bureau's 2003 Homeowners rate filing included a ground-breaking actuarial approach, which develops a distinct base rate for both hurricane and severe thunderstorm perils using hurricane and severe thunderstorm models from AIR Worldwide Corp. (AIR), a subsidiary of Jersey City, N.J.-based ISO. The models were also used extensively in the redefinition of territory lines and development of territory rating factors separately for each catastrophic peril.

AccessAllstate.com, the financial services Web site deployed by Allstate Financial, a business unit of The Allstate Corp., Nortbrook, Ill., is now available to Allstate Financial Institution Divisions' partners. The Web site had previously only been available to financial advisors or Allstate agents who were registered to sell Allstate or Lincoln Benefit Life Company products."AccessAllstate.com is a fantastic tool that helps Allstate effectively streamline how producers do business with us," says Joe Tomalavage, director, Allstate Financial Technology, Allstate Financial. "Now our financial institution partners are able to quickly access client information, obtain real-time policy values, download forms, order marketing materials online, review product and fund information, access sales and marketing ideas 24-hours a day from one central location."

Each year, more insurers appear to be increasing their budgets in implementing sophisticated fraud detection systems; however, the majority of these investments are centered around post-payment fraud detection rather than detecting fraud prior to claims being paid.

Employees of Armonk, N.Y.-based IBM Corp. who are members of the Alliance@IBM, CWA Local 1701, have a sharp message for management to deliver at IBM's annual meeting today. Alliance members are passing out leaflets to shareholders as they arrive and address the meeting on key shareholder proposals. Following the meeting, they are joining members of the Programmers Guild, Jobs with Justice and other union supporters in a rally opposing the offshoring of American jobs by U.S. high tech companies

Los Angeles-based Marshall & Swift / Boeckh (MS/B) will be acquired by MacDonald, Dettwiler and Associates Ltd., Richmond, B.C., Canada.MDA is a global information company providing property-specific information to businesses and governments. Operating through two groups Information Products and Information Systems, MDA is active in data collection, information extraction, and information distribution.

Tufts Health Plan has selected and deployed a software platform for e-billing, e-payment, and online customer care from edocs, Natick, Mass. By enhancing its existing site with the edocs applications, Tufts HP is offering comprehensive functionality for enrollment, billing, reconciliation and payment.

Denver, CO--Valen Technologies, a provider of intelligent predictive analysis and decision enabling software, announced the availability of a premium modification module for its predictive underwriting software, Risk Manager. The new module develops a sophisticated, multivariate pure premium model that underwriters use on a daily basis to surcharge and discount policies more effectively.

The Hartford Financial Services Group has made it easier for agents to obtain a personal lines standard auto quote in minutes -- even as their customers wait for the answers. A major proponent of single entry multiple carrier interface (SEMCI) for personal lines business, The Hartford is one of the first carriers to implement this technology breakthrough that allows agents to connect directly with their carriers through AMS-Rackley's new SETWrite rating platform to obtain an accurate rate.

Corporation's Human Resources & Investor Solutions (HR&IS) business today announced that it has developed a fully integrated Health Savings Account (HSA) solution that will be offered both through alliance relationships with insurance companies and health care plan providers, and to its corporate customers nationwide.

The Hartford Financial Services Group Inc., Hartford, Conn., and AMS Services Inc. have teamed up to enable agents to submit applications for the four key middle market lines of business--property, general liability, auto and workers' compensation--directly to The Hartford from their AMS agency management system."As one of the industry's leading agency management vendors whose system is used by many of our top agents, we're pleased to align with AMS in the use of ACORD XML standards to make it easier for middle market agents to do business with The Hartford," says Gary Thompson, senior vice president of The Hartford's Middle Market and Specialty Practices unit.

Preferred Medical Claim Solutions (PMCS), Scottsdale, Ariz., and Genelco Software Solutions, a division of Greenville, S.C.-based Liberty Insurance Services Corporation (LIS), have formed a strategic partnership that will provide Genelco Group+ users access to the Preferred Data Interchange (PDI) offered through PMCS. Genelco Software Solutions provides administration software and services to life and health insurers."A number of Genelco Group+ users wanted the claim funding and repricing that PMCS provides," says Mike Molinar, vice-president of Genelco Software Solutions. "Knowing that this will save our clients money, we thought it very important to provide a seamless way for them to take advantage of the PMCS network."

Hartford, CT --2004-2003 mergers and acquisitions in the insurance industry reached the highest level since 1998 in dollar terms, even while the total number of transactions continued its long decline since the same year, according to a study by Conning Research & Consulting, Inc.

San Diego, CA--WorldGroup has introduced InsureWorx First Report of Injury (FROI), the latest InsureWorx On Demand Solution (ODS). The new FROI capabilities offer exceptional efficiency and customer service to the First Report of Injury process, enabling efficient and timely intervention - critically important to controlling overall costs of workplace injury claims. The company launched the solution at RIMS Annual Conference & Exhibition.

SAN DIEGO, CA---Assurex Global, the world's largest privately held risk management, commercial insurance and employee benefits broker group, is launching new software to enhance communication and information-sharing among its independent broker partners and commercial clients around the world. The software was introduced here at the Risk and Insurance Management Society's annual conference.

ChoicePoint, Alpharetta, Ga., has entered into a definitive agreement to acquire the assets of Superior Information Services LLC and Charles Jones LLC, Trenton, N.J., for a combined total purchase price of $89 million in cash. The acquisitions are scheduled to close on or before May 1, subject to customary closing conditions and regulatory approval.Superior Information is a provider of public records information for bankruptcies, civil judgments, and federal and state tax liens in the Northeast U.S. and works closely with Charles Jones in sharing data and services. Charles Jones is a leading supplier of title and property lien searches in New Jersey and has provided a variety of public record data services to title insurance companies and real estate markets since 1911. Superior Information and Charles Jones have a combined total of 300 employees.

Specialty Risk Services (SRS), The Hartford Financial Services Group's third party claim administrator, has added SRS COMPWORKS to its arsenal of resources to help clients obtain optimal return-to-work results in workers' compensation. SRS COMPWORKS is a consortium of client tools and national and regional vendors brought together to address the most challenging return-to- work situations and help workers' compensation claims close faster and at a lower cost. "We developed SRS COMPWORKS to handle the small minority of situations that tend to account for the majority of workers' compensation claim dollars and for which the usual rules don't apply," says Nancy Brennan, vice president of Specialty Risk Services. "Using claim and case management best practices developed by SRS, as well as enhanced medical-only practices and online disability tools, SRS is able to obtain industry-leading outcomes for its clients.

Data standardization within the reinsurance industry comes a step closer as London-based ri3k announces a special release of its reinsurance hub. Called InSynch, it enables users to create LMP-compliant slips, and has ACORD certification for contract placement messages covering all treaty types and classes.The LMP Office has approved the ri3k contract structure, which will be used for June renewals onward for tradable electronic slips on ri3k’s system. In accordance with the LMP slip requirements, ri3k has introduced mandatory field names, separated into the correct LMP categories. These categories are risk details, subscription agreement, information and fiscal/regulatory.

Prudential Financial Inc., Newark, N.J., has launched a new online disability claim submission application for employees of group disability clients. The new functionality also lets employees handle many aspects of their claims using a highly secure and confidential online process."Continuing to provide our clients and their employees with the secure tools they need to effectively manage disability issues is of paramount importance to us," says Al Hemond, vice president of disability risk management for Prudential's group insurance business. "Online employee claim submission supports our strategy of providing claims management services that are responsive to the varying needs of claimants."

SunGard Sherwood Systems, an operating unit of SunGard today announced that Wawanesa Mutual Insurance Company, one of the largest property and casualty insurers in Canada, has licensed SunGard's FrontTier solution to replace its existing legacy policy, billing, workflow and claims systems.

Reactivity, a Belmont, Calif.-based XML Web services firm, and Grand Central Communications, a San Francisco-based provider of Integration On Demand, have formed a technology and joint marketing partnership to simplify the deployment of privacy-enhanced enterprise integration. Combining the strengths of Reactivity's XML Firewall and Grand Central's Business Services Network, the two companies will offer a rapid and scalable integration solution with the security enterprises need to ensure they are in compliance with government-regulated privacy and security regulations and their own privacy policies.

COLUMBIA, S.C.-- BlueCross BlueShield of South Carolina will promote two executives to top positions over BlueCross' major group division and Companion HealthCare when a key senior officer retires in June.

Prudential Financial Inc., Newark, N.J., has introduced an automatic, online licensing application for brokers seeking appointment to sell the company’s insurance and annuity products. The electronic data collection tool, called Online Confidential Data Sheet (CDS), was developed by Indianapolis-based BISYS Education and Licensing Services for Prudential. The Online CDS streamlines the traditional, paper-based appointment process and greatly improves brokers’ speed to market."Prudential’s new electronic application is on the cutting edge in several respects," says George Hanley, senior vice president, chief compliance officer. "The Online CDS makes Prudential easier for brokers to do business with, while taking the company to the next generation of appointment processing and online records management. All are important advantages in today’s environment."

IVANS Inc., Old Greenwich, Conn., has added new features to Transformation Station, which make it easier for carriers and agents to communicate in real-time. The features include the ability to send and receive attachments, receive alerts regarding activities such as claim actions or cancellations, streamline endorsement processing and conduct Web site navigation and sign-on. Transformation Station is an Internet-managed data exchange using Web services and ACORD XML to enable real-time transactions between insurance carriers and independent agents and brokers."The Web services based, real-time model allows us to provide our agency, company and vendor partners with new, innovative types of transactions that will have a positive impact on agency-carrier workflows," says Janice Sheffield, divisional vice president for IVANS. Transformation Station is currently growing at a rate of 28% per month in transactions, and growing to the level of what it took 10 years for batch transactions to reach.

Philadelphia-based Aetna has selected The Training Camp to provide IT training for Aetna staff scholars as part of an employee scholarship program."We want to ensure our network performs at its best, while we maintain maximum security for our customers and their data," says David Wetmore, distributed Support manager at Aetna. "We chose The Training Camp because the instructors were experts in their field, but understood our business as well as the particular IT needs within the health industry. Our staff will gain the knowledge and skills to install, configure, support, and troubleshoot Windows-based networks, with the focus on security that we need."

DriveCam Video Systems, a San Diego-based developer of fleet safety technology, has published a white paper titled, "Bringing Down the Cost of Vehicle Crashes: The Impact of the DriveCam Driving Feedback System on Insurance Costs for Commercial Fleets." Intended for insurance executives, risk managers and fleet operators, the white paper analyzes the costs and examines the root causes of motor vehicle crashes, especially as they pertain to commercial fleets.According to the National Highway Traffic Safety Administration, motor vehicle collisions cost the U.S. more than $230 billion each year. For fleets, the costs include both insured and uninsured expenses. In examining these costs, the paper describes the relationship between losses and insurance rates, the effect on worker's compensation costs, and preventative actions taken by fleets. It also includes two case studies involving fleets that use the DriveCam Driving Feedback System to reduce collisions.

Enterprises that purchase Sarbanes-Oxley targeted solutions in 2004 will retire or replace those systems by the end of 2005, according to Gartner Inc., Stamford, Conn."Enterprises that choose one-off solutions for each regulatory challenge that they face will spend 10 times more on compliance projects than their counterparts that take a proactive approach," says French Caldwell, research vice president at Gartner. "Although there are times when adopting a 'quick-and-dirty' solution may be necessary to meet deadlines, enterprises should avoid committing too much time, effort or data to such systems."

S2, a new service offering from CBC National Inc., Saddle River, N.J., and ARI (Automotive Resources International), Mt. Laurel, N.J., was launched as part of a strategic partnership between the two subrogation recovery and salvage/remarketing industry players. According to the companies, the new venture was built on the premise that no company should let money slip through its fingers.Responding to the needs of the insurance industry, the rental car industry, and a variety of other self-insured and government entities, S2 provides clients with aggressive subrogation resale services that are designed to positively impact their bottom line.

SIMSBURY, Conn. -- The Hartford Financial Services Group, Inc. today announced that Internet-based self- service reporting is now available nationwide to its group life and disability insurance customers, providing them immediate online access to standard reports that help them monitor and manage their group benefits plans.

ATLANTA-- Digital Insurance Inc. announced it has signed agreements with five additional employee benefits brokers to enhance the level of day-to-day service and product sales for a portion of their small group benefits business.

Hotel clients of Fireman's Fund Insurance Co, Novato, Calif., can now buy an extended package of online employee safety training that satisfies all OSHA requirements for hospitality industry employees, such as housekeepers, clerks, and bellhops.This service, which includes courses, testing and tracking, is offered by WebFire Training, an e-learning company endorsed by the American Hotel and Lodging Educational Institute. Fireman's Fund negotiated a month of complementary service for hotel clients of its iCustomer Series coverage when they subscribe to a year's safety training for their employees regardless of the customer's property size or employee turnover rate.

Selective Insurance Group Inc., Branchville, N.J., has completed the rollout of its integrated Web-based commercial lines system. "Web-based CLAS" offers policy quote, issue, endorsement and renewal processing for commercial lines products over the Web, directly from independent agencies."Web-based CLAS provides independent agencies with the speed, convenience and cost-effective power of straight-through processing," says Jeff Kamrowski, Selective senior vice president of business services. "In addition, the system automatically reviews business transactions to ensure consistency with our underwriting guidelines."

IVANS Inc., a Greenwich, Conn.-based provider of networking services for the insurance and healthcare industries is offering a new wireless fidelity solution (Wi-Fi) for insurance carriers that can significantly speed their ability to remotely process claims and improve customer service. The new Wi-Fi service is offered through IVANS business partner, AT&T.As the demand for Wi-Fi technology increases, so does the need for low-cost flexible solutions. According to data provided by The Yankee Group, a communications and networking research and consulting firm based in Boston, 14% of U.S. companies plan to implement the technology within the next twelve months, and another 14% plan to follow suit in the next two years. A recent IVANS study of large and mid-sized insurance carriers indicates that only 27.9% are currently using Wi-Fi technology to allow remote access to their systems by employees, highlighting the growth potential for Wi-Fi technology.

Results International Systems (RIS) will provide an end-to-end, Web-enabled policy processing system Partners Mutual Insurance Co.'s personal and commercial lines of business. The RIS solution will deliver a policy processing system with integration to claims, billing, rating and form printing. RIS will provide the hardware, software, systems personnel, systems security, back-up and disaster recovery.

SUNNYVALE, Calif.-- Vitria, a leading provider of business process integration solutions, today announced that Premera Blue Cross, a Blue Cross Blue Shield Association independent licensee for Washington state and Alaska, has selected Vitria's Healthcare Solutions as the integration infrastructure to simplify, streamline and automate its transaction management processes.

As part of its effort to simplify and facilitate the insurance placement process for agents serving the small business sector, Zurich is offering online access to a wide range of policy documents through its eZSB Web site at www.ezsb.com.Key forms, such as declarations pages, schedules, forms listings, signature pages and automobile identification cards, can now be obtained and printed on demand. Documents are available within minutes of issuing the policy online.

Seattle-based Safeco Corp. has launched Safeco Now for property/casualty insurance--an online sales platform that integrates personal and small-commercial insurance product. Safeco Now is a streamlined Web site for independent agents and brokers that gives them access to 90% of their daily online work tools with just one click.The highlight of the system, according to Safeco, is the single-platform sales tool that enables distributors to quote and bind--in just minutes--seven major lines of P&C and surety business: personal auto, homeowners, business owners policy (BOP), commercial auto (fleet and non-fleet), workers' compensation, business umbrella, and surety (notary; license and permit bonds; court bonds; public official bonds).

AMSTERDAM and MILAN--Accenture has signed an agreement to acquire Nomos Sistema, a leading provider of life insurance administration and product management software systems in Italy. Terms of the deal were not disclosed.