Digital Platforms

  • Armonk, N.Y. - Framing it as flexible roadmap for insurance companies, governmental regulatory agencies and other healthcare related organizations and researchers, IBM unveiled its technology foundation for the Nationwide Health Information Network (NHIN) yesterday. The technology is designed to enable secure access to healthcare data and real time information sharing and exchange of healthcare data among physicians, patients, hospitals, laboratories and pharmacies, and other stakeholders, regardless of where the medical data is located. As reported in INN in December, two such stakeholders, America's Health Insurance Plans (AHIP) and the Blue Cross and Blue Shield Association, have agreed to support a common set of standards for the network, according to published reports. Under contract to the U.S. Department of Health and Human Services (HHS), Office of the National Coordinator for Health Information Technology (ONC), IBM developed a standards-based system, based on a service oriented architecture (SOA) to connect information that allows for a secure nationwide healthcare information exchange across widely dispersed healthcare communities. The IBM solution will bring patients and clinicians one step closer to electronic medical records and a more efficient, flexible and cost effective healthcare delivery system, says the Armonk, N.Y. company. IBM's NHIN prototype is installed and operational in three healthcare marketplaces and allows seven hospitals and 24 physicians located in Research Triangle/Pinehurst, N.C.; Guilford and Rockingham Counties, N.C./Danville, Va. and Mid-Hudson Valley, New York to securely access and exchange medical and personal health data, regardless of underlying applications and locations of data. Central to the IBM NHIN prototype effort is the use of important interoperability standards for healthcare published by the Health Information Technology Standards Panel (HITSP), key SOA interoperability principles and advanced data management algorithms developed by IBM scientists. In addition, IBM software and IBM's Health Information Exchange, used to collect and share health data electronically from an exchange platform, will help physicians access and view a patient's electronic medical records even if those records originate from disparate systems in multiple locations, reports the company. Also, the use of the IHE Framework (Integrating the Healthcare Enterprise) sponsored by the Electronic Records Vendors Association and the Health Information Management Systems Society (HIMSS) played a major factor in allowing participants to support this initiative. IBM will demonstrate its prototype NHIN Architecture during The Third Nationwide Health Information Network forum to be held Jan. 25 - 26 in Washington D.C. Sources: IBM, INN archives

    January 24
  • New York - European and Asian life insurers are outpacing their North American counterparts at streamlining and centralizing their policy administration systems--the core systems that support and deliver insurance products for their customers, according to a global survey of more than 100 insurance technology professionals, which was commissioned by Bermuda-based Accenture.

    January 23
  • Austin, Texas - CastleBay Consulting Corp., a consulting services firm to the P&C insurance market, has launched and will facilitate the P&C technology blog to offer the industry an open forum for opinion, conversation and experience-sharing. Sponsored by Guidewire Software, a San Mateo, Calif., provider of insurance technology and services, the P&C technology blog is intended to coalesce and share perspectives from a broad group of technology minds in insurance for the benefit of the entire industry. The objective of the blog is to facilitate ongoing discussion, debate, and unbiased information-sharing on a broad range of insurance technology topics. “It has been a long-standing challenge in our industry for insurance technology professionals to find in-depth and unbiased technical and market expertise – expertise that is needed by virtually every insurer to make the most informed IT decisions,” says Castle Bay CEO George Grieve. “This challenge is the driving force behind establishing the P&C technology blog and making it available to the industry wide technology community.” Grieve will provide his technology insights and experience on the blog while encouraging other authors to share their unique voices and to weigh in on insurance technology relevant topics. In addition to the blog, the site will also offer a wide range of current and frequently updated insurance technology related content and links. Users can access the blog at http://insurancetechnology.typepad.com. Source: CastleBay Consulting and Guidewire

    January 23
  • Dayton, Ohio - Anthem Blue Cross and Blue Shield launched a pilot e-prescribing program in two Ohio communities in an effort to reduce medication errors and the time physicians spend managing prescriptions.Currently, less than 22% of physicians nationwide use the basic capabilities of e-prescribing, according to the Center for Medicare and Medicaid Services (CMS), Baltimore, Md. CMS estimates that the use of such technology could eliminate as many as two million harmful drug events each year.

    January 22
  • Atlanta - LOMA has released a new edition of Life and Health Insurance Underwriting, for the first time in downloadable PDF format, the life research and education association reports. The revised textbook introduces risk assessment principles applied to underwriting individual and group life and health insurance and provides a thorough introduction to underwriting terminology and concepts. The text is assigned reading for LOMA’s underwriting course, UND 386.

    January 19
  • Indianapolis - In the latest move by the insurance industry to participate in reducing the effects of global warming, the National Association of Mutual Insurance Companies (NAMIC) unveiled a new Web site this week: www.climateandinsurance.org. The site is designed to help address the increasing concerns about climate change and its impact on the property/casualty insurance industry. "There has been considerable discussion of climate change and the insurance industry taking place within state, federal and international policy venues. Increasingly, climate change is discussed in the context of public policy in the areas of flood and other natural disaster insurance, emergency preparedness and response, and reinsurance, among others," explained Chuck Chamness, president and CEO of the Indianapolis-based organization. Chamness said the site will not advocate a position on the scientific controversy of the causes of the increase in natural disasters around the world. "Instead, it contains information and leading thought about how climate change impacts the insurance industry, and what insurers and reinsurers in the U. S. and Europe are doing with this issue," Chamness added. David Reddick, NAMIC's associate director of public policy and editor of the Web site, said podcasts, blogs, videocasts and other interactive features will be added to the site, depending on the needs of its users. Reddick said the site will also report on the status of the National Association of Insurance Commissioners (NAIC) Climate Change and Global Warming (EX) Task Force and other regulatory or legislative efforts. NAIC has long been active in promoting education for natural catastrophe and associated risk management. "As public policy begins to develop more fully on climate change, the industry's response will be a key feature of the site," Reddick said. "We're anxious to get feedback to help us make this a significant resource for those in the industry as well as other interested and involved parties, including other information sources, policymakers, the media and consumers." Insurance Networking News (INN) further reported on the industry's response in August 2006, citing several carriers that are stepping up their efforts to more fully engage the global warming topic. For example, Firemen's Fund Insurance is launching a first-of-its-kind 'green' coverage, including rate credits and other incentives, for commercial building owners who re-build damaged properties using green and LEED-certified (Leadership in Energy and Environmental Design) building practices. California-based Firemen's Fund will begin seeking state regulatory approvals this month so that the products can be offered in states around the country this fall. Marsh, the world's largest insurance broker, and AIG, the world's largest insurer, launched carbon emissions credit guarantees and other new renewable energy-related insurance products that are allowing more companies to participate in carbon offset projects and growing carbon emissions trading markets. The carbon trading market in the European Union alone is expected to hit $30 billion by the end of 2006. And Japanese insurer, Tokio Marine & Nichido Life, reforested more than 7,500 acres of angroves in Indonesia, Thailand and several other countries to minimize losses from rising cyclone-related risks. Yet for all the industry's efforts, it must do even more to address the growing impact of climate change-induced damages, according to a new report by World Wildlife Fund (WWF) and Munich-based global insurer Allianz Group. In October 2006 INN described a report, Climate Change and Insurance: An Agenda for Action in the United States, which examined the latest scientific findings about climate change, including the impacts of forest fires, storms and floods, and the potential impact on the insurance industry and its customers. According to the report, climate change has the potential to significantly alter and intensify destructive weather patterns in the United States, leading to increased flooding, forest fires and storm damage. The most direct risk to the U.S. will likely come from hurricanes, which are expected to become more frequent and powerful. Additionally, rising sea levels over the coming decades could inundate many US coastal cities and portions of some coastal states. Forest fires could become even more frequent and larger. These changes could make insurance unaffordable for customers in high-risk areas. In fact, insurance premiums in states vulnerable to hurricanes are already increasing, and in some cases, insurers are exiting these markets altogether. Allianz and Washington-based WWF intend to engage the insurance industry, governments, regulators and others to better manage the risks associated with climate change, said the organizations. Sources: NAMIC, Insurance Networking News Archives

    January 18
  • Boston - A new report recognizes 39 insurance companies as “Model Carriers” for “doing everything right” in technology initiatives. The companies, which were cited in a report by Boston-based Celent LLC, were invited to a Model Carrier Summit, which began today in New York.

    January 17
  • Washington - A coalition of insurers, technology companies and health care organizations is working to provide free electronic prescribing to every physician in America.

    January 16
  • Kansas City, Mo. - The National Association of Insurance Commissioners' (NAIC), a voluntary organization of the chief insurance regulatory officials of the 50 states, the District of Columbia and the five U.S. territories, reports that its Web site received more than 1 million visits in 2006, doubling the previous year's total. The domain, www.naic.org, logged a total of 1,150,632 visits from January through December 2006, marking a drastic increase from the 480,675 visits received in 2005. In addition to the rising number of Web visits, a 2006 analysis of the NAIC Web site showed the domain averaged 3,152 visits per day in 2006, up from 1,316 in 2005. The average visit to www.naic.org in 2006 lasted more than 18 minutes, a six-minute increase from 2005. A "visit" is tallied each time someone logs on to any page within the NAIC Web domain. NAIC Executive Vice President and CEO Catherine Weatherford attributed the increased Web activity to an "improved user experience" throughout the site, making it easier for visitors to navigate from page to page. "There have been a considerable amount of improvements made to the accessibility and organization of information within the NAIC site," Weatherford said. "The tools and options made available to our members, the insurance industry and consumers are second to none. The site is an all-encompassing, multi-media instrument that offers on-demand access to important NAIC data and information." Another reason for the spike in Web visits was the increased consumer awareness generated from Insure U, the NAIC's education-based consumer Web site. This effort included a series of public service announcements, which guided consumers to the NAIC Web site to learn more about their insurance needs. The NAIC site, which is updated daily, features an extensive amount of background on the association, including committee documents and updates, white papers, news releases, NAIC publications, consumer-oriented material, extensive databases, industry-based links, individual Web pages for the wide-range of systems available to NAIC members, links to the many divisions within the NAIC, and updated information on past and upcoming NAIC national meetings. "The NAIC is dedicated to offering a vast amount of regulatory information through its Web site," Weatherford said. "To have so many people interested in what our expansive site has to offer is a testament to the NAIC's mission of promoting the public interest and continuing to support and improve state-based insurance regulation." Source: The National Association of Insurance Commissioners

    January 15
  • San Francisco - Advances in medical technology are a main factor driving the trend of increasing health-care costs, and industry stakeholders, insurance companies fundamentally among them, agree that improved evaluation methods are needed to better measure the benefits and risks of new technologies and procedures in order to avoid misallocation of health-care dollars. A wide range of health care industry stakeholders--from medical institutions and insurance companies to Medicare and other administrative agencies--agree on the need for a new review system, says Rita Redberg, MD, MSc, director of Women's Cardiovascular Services at UCSF Medical Center and professor of clinical medicine in the UCSF School of Medicine, San Francisco. Redbert examines this subject in the January/February 2007 edition of the health policy journal Health Affairs, which devotes the full issue to cardiovascular medicine.

    January 12
  • Toronto - Sun Life Financial, a provider of protection and wealth accumulation products and services to individuals and corporate customers, announced it has acquired Genworth Financial's U.S. Group Benefits Business for $650 million. The acquisition, which includes Genworth's group life, short- and long-term disability, stop-loss and dental insurance, complements Sun Life's existing Group Insurance business unit and makes Sun Life a top 10 player in the U.S. group insurance market, reports the company. The new unit will be headed by Michael Shunney, who currently heads Sun Life's U.S. Group Insurance business unit from Sun Life's U.S. headquarters in Wellesley, Mass. Source: Sun Life Financial

    January 11
  • Geneva, Switzerland - There is a growing disconnect between the power of global risk to cause major systemic disruption and our ability to mitigate it. This is one of the main conclusions released today in the annual Global Risks report, published by the World Economic Forum in cooperation with Citigroup, Marsh & McLennan Companies, Swiss Re and the Wharton School Risk Center. The Global Risks 2007 report identifies 23 core global risks (see below), and suggests that many of these risks have worsened over the last 12 months, despite growing awareness of their potential impacts. The 23 Core Risks identified by the Global Risk Network include:* Technological: breakdown of critical information infrastructure; emergency of risks associated with nanotechnology.* Societal: pandemics; infection diseases in the developing world; chronic disease in the developed world, and liability regimes.* Geopolitical: international terrorism; proliferation of weapons of mass destruction; interstate and civil wars; failed and failing states; transnational crime; retrenchment from globalization; Middle East instability.* Environmental: climate change; loss of freshwater services; national catastrophes (tropical storms, earthquakes and inland flooding).* Economic: oil price shock/energy supply interruptions; U.S. current account deficit/fall in US$; Chinese economic hard landing; fiscal crises caused by demographic shift, and blow up in asset prices/excessive indebtedness. In addition to specific risk mitigation measures, which would require the utmost in global support, communication and technologies, the report suggests that institutional innovations may be needed to create effective responses to a complex risk landscape. The report identifies two such innovations: first, the appointment of Country Risk Officers - an analogy to chief risk officers in the corporate world -- that could provide a focal point in government for mitigating global risks across departments, learning from private-sector approaches and escaping a 'silo-based' approach. “Risks are often still viewed and dealt with in isolation,” says Jacques Aigrain, Chief Executive Officer of Swiss Re. “However, in today's world, global risks are tightly interwoven. To address our contemporary risk landscape, governments and enterprises need to take a holistic approach to overcome silo thinking and acting. We need to prioritize risks effectively, improve preparedness and strengthen public-private partnerships to mitigate risks and to finance economic losses. Finally, we propose to coordinate global risk mitigation efforts by creating the function of Country Risk Officers at governmental level who regularly meet on an international level." The second innovation would be the creation of flexible “coalitions of the willing" around specific global risk issues that can provide momentum to mitigation efforts. This would allow mitigation strategies to emerge from dynamic interplay between governments and business, achieving a balance between inclusiveness and decisiveness, says the report. In addition, the report recommends a number of key needs for addressing specific global risks, including: * Linking energy security with considerations on climate change * Urgently beginning work on a successor to the Kyoto agreement with three central principles: * Involvement of the United States and major developing countries (particularly China and India); * Differential responsibilities for future emissions' reduction dependent upon past emissions and stage of economic development; and, * Common overall responsibility for climate change * Renewing terrorism insurance schemes scheduled to sunset in 2007 in some form; improve framework for public-private arrangements in other countries, and * In order to prepare for a pandemic, governments should increase research into the identification of critical choke-points in the supply/value chain where skill sets are rare, interdependencies are greatest and the risk of triggering systemic failure is highest. "While risk mitigation is set to be a key theme at this year's meeting in Davos, there is continued evidence of a disconnect between risk and mitigation," said Mike Cherkasky, President and CEO of Marsh & McLennan Companies (MMC). "The focus of government and corporations must not only be on reacting to events but on utilizing effective enterprise risk management to set priorities, increase business focus, allocate resources and maximize efficiency. Catastrophic natural disasters in recent years have demonstrated that our ability to confront emerging risks depends more on the choices we make before a disruption than the actions we take during a crisis. Only a systematic planning approach will ensure that countries and companies are prepared for the risk environment we presently face." The topics identified in the report will be at the core of the agenda for the annual meeting of the World Economic Forum taking place later this month in Davos, Switzerland. "While opinion suggests that levels of risk are rising in almost all of the 23 risks on which the Global Risk Network has been focused over the last year, the mechanisms in place to manage and mitigate these risks are inadequate; world leaders must act now," says Thierry Malleret, Director, Head of Global Challenges Team of the World Economic Forum. "While the global economy has been expanding faster than at any time in history, it remains vulnerable." Compiled by the Global Risk Network of the World Economic Forum, Global Risks 2007 draws insights from leading domain experts engaged throughout 2006 and from partnership with Citigroup, Marsh & McLennan Companies (MMC), Swiss Re and the Wharton School Risk Center. In 2007, the Global Risk Network will build on this report in extending its global work. Sources: WebWire, World Economic Forum

    January 10
  • Newark, Calif. - Risk Management Solutions (RMS) a provider of products and services for the quantification and management of catastrophe risks, scrambled to respond to charges leveled by the Tampa Tribune that its CAT models rely on "faulty science," and that insurance companies are using the models to justify huge rate increases in coastal areas. In a letter to Insurance Networking News, Dr. Robert Muir-Wood, chief research officer of RMS, Newark, Calif., disputed the January 7 article entitled "Insurance Risk Forecast Called Faulty," stating, "We at RMS were stunned by the article's inaccuracies and one-sidedness." Contributing to the dispute is a change made in March 2006 to the RMS model that takes a 'medium-term' (five-year) forward-looking view of risk for estimating potential catastrophe losses. To date, catastrophe model results have typically been based on a long-term historical average baseline. Jim Elsner, a professor of geography at Florida State University and one of four experts on a panel that provided input to the model's development, criticized the results, telling the Tampa Tribune that it contains assumptions that are "actually unscientific." In response, RMS confirmed convening two separate meetings one with Elsner and one in which Elsner, citing an affiliation with an RMS competitor, was absent. In the October 2005 meeting, RMS hosted a meeting of four hurricane climatologists to develop a consensus forecast of the overall level of U.S. hurricane activity expected over the next five years. "The consensus involved weighing the opinions of the four experts, having first provided them with detailed statistics on historical hurricane activity and landfalls. All four scientists, including Professor Elsner, gave their sign-off on the outcome of this process. RMS then took the results of this forecast and implemented them in its hurricane catastrophe model," Muir-Wood told INN. "RMS climatologists took responsibility for determining where the extra hurricanes would be expected to form, while preserving the overall target activity rates established by the expert panel," he said. "A press release and white paper were issued describing this work in detail. Again, all four experts were asked to review and approve both documents, to ensure that their involvement was appropriately represented. The RMS regional landfall rates were not challenged by any of the panelists. While it is now recognized that Professor Elsner has developed his own theories on how hurricane activity translates to regional landfall rates, he did not challenge the RMS landfall rates developed after the 2005 expert elicitation." As reported on March 23, 2006 in Insurance Networking News, RMS justified its updated five-year model, which predicted an increase in modeled annualized insurance losses by 40% on average across the Gulf Coast, Florida and the Southeast. Modeled annualized insurance losses in the Mid-Atlantic and Northeast coastal regions will increase by 25% to 30%, relative to those derived using long-term 1900-2005 historical average hurricane frequencies, INN reported. "This new view of risk is driven by an increase of more than 30% in the modele frequency of major (Saffir-Simpson Category 3-5) hurricanes making landfall in the U.S. to account for current elevated levels of hurricane activity in the Atlantic basin, which are expected to persist for at least the next five years. When compared with a pre-2004 historical baseline, as has been previously employed for quantifying insurance risk, the increases in modeled annualized losses are closer to 50% in the Gulf, Florida, and the Southeast," reported INN. Taking into account that eight storms have hit the area in the last two years, RMS stated that the increased frequency and intensity of hurricane activity in the Atlantic Ocean Basin, as observed since 1995, is driven by higher sea surface temperatures in the tropical North Atlantic and by associated changes in atmospheric circulation. These warmer temperatures are expected to translate into a continuation of high activity in the basin, leading to a greater potential for hurricanes to make landfall at higher intensities over the next five years. "Hurricane activity in the Atlantic basin has been running far above the historical average in 9 of 12 years since 1995," Muir-Wood told INN. "As one metric, the annual number of the most intense storms (Category 3-5) has been more than twice that of the average annual number between 1970 and 1995." In October 2006 RMS organized the second of these annual expert meetings on hurricane activity rates, inviting all four of the scientists involved in the first meeting, reports RMS. "Only Professor Elsner declined, citing that he was under contract with a company affiliated with our main competitor," Muir-Wood told INN. The second meeting involved a total of seven climatologists, and went into greater depth than the first meeting, employing the results of 20 different statistical and climatological forecasting methods, said Muir-Wood. "The activity rate forecast for the next five years that came out of this meeting was almost identical - within 1-2% - of the projection of the first year's meeting," Muir-Wood stated. Despite the charges leveled by Elsner, RMS will continue to run an annual hurricane climatology expert elicitation procedure to ensure that RMS hurricane models reflect the most current view of hurricane risk, said Muir-Wood. "The five year perspective, may in future years, be decreased if this is suggested by the best scientific and statistical evidence available at that time," he added. Since the January 7 Tampa Tribune article appeared, further coverage in the popular press has linked questions about the catastrophe models to the rate increases being employed by insurance companies. Yesterday, two Florida Cabinet officers asked for more information about "a dramatic change in hurricane damage forecasting used by the insurance industry." In the Tampa Tribune's January 9 edition, Gov. Charlie Crist and Chief Financial Officer Alex Sink challenged RMS to provide the background for their model creation. "All of the material produced at these [annual expert] meetings, as well as the details of how activity rates were implemented, have been documented and are in the process of being published in peer-reviewed scientific literature," Muir-Wood told INN. RMS is the official model for the Florida Hurricane Catastrophe Fund, which was created after Hurricane Andrew hit in 1993. The fund provides backup coverage for private insurance companies. "RMS has built its reputation on the principles of providing neutral and unbiased information on risk," concluded Muir-Wood. Sources: Tampa Tribune, The Kansas City Star, Risk Management Solutions, Insurance Networking News archives.

    January 10
  • Washington – Insurance organizations quickly responded to charges of consumer gouging, leveled yesterday by the Consumer Federation of America (CFA), a Washington nonprofit group representing 300 consumer groups.The charges were given voice by J. Robert Hunter, CFA’s director of insurance. Hunter, an actuary, former state insurance commissioner, and former federal insurance administrator, authored a study that concluded that the P&C industry dramatically increased profits and surplus in recent years.

    January 9
  • New York – It’s understood that the actuarial department has vast computing needs and a heavy reliance on actuarial modeling, valuation and supporting technology. But stochastic modeling requirements for financial reporting, pricing and risk management are causing a growing desire to benefit from the move toward high performance computing. This, coupled with the need to pull actuarial executives out of the data preparation and calculation mire so they can focus on financial analysis and business decision support, is creating a significant push toward greater actuarial/IT alignment. These were but some of the insights that came from a recent Actuarial Transformation Roundtable, released by the Insurance and Actuarial Advisory Services (IAAS) practice of Ernst & Young LLP yesterday. The group, which brought together senior actuaries and IT professionals, focused on ways to better align the two departments in order to meet the heightened business/management demands created by competition as well as increasingly complex products, extensive Sarbanes-Oxley (SOX) compliance requirements, the shift from rules-based to principles-based valuation and the growing volume of data in general that must be integrated and managed.

    January 9
  • Indianapolis - WellPoint, Inc. is the latest benefits provider to unveil a plan to help address the growing ranks of the uninsured. The WellPoint plan is a blend of public and private initiatives aimed at ensuring universal coverage for children and providing new and more attractive options for the working uninsured. The plan is a part of a mission to improve the lives of the people it serves and the health of its communities, says the company. Insurance Networking News reported in October 2006 that eHealth Inc., the parent company of Mountain View, Calif.-based eHealthInsurance Services Inc., planned to serve the growing market of uninsured and underinsured consumers with online tools and ultimate health insurance products. The company, which planned to raise $47.1 million in an initial public offering, said in its prospectus that, except for large companies buying insurance in bulk, finding medical coverage is time-consuming, paper-wasting, complicated and expensive. Through its Web site, eHealth has sold health insurance electronically to 325,000 consumers, and points to this statistic: More than 40% of those customers were uninsured before finding the site. At WellPoint, an independent licensee of the Blue Cross and Blue Shield Association, the mission is similar: "A core focus of our company's strategy is to reduce the rate of the uninsured and under-served," said Larry Glasscock, WellPoint's chairman, president and CEO. "The plan we've developed will broaden the reach of our health care system to include those who need it most." According to WellPoint, more than 46 million Americans under the age of 65 did not have health insurance in 2005. Approximately 45% of these individuals are either eligible for public programs and are not enrolled or voluntarily choose not to purchase coverage, while the remaining 55% simply cannot afford private insurance. Although WellPoint was received national recognition in 2006 for its health care Web sites, the company's plan may not have a robust technology focus (similar to eHealth's). Rather, its focus is to support the expansion of state health care programs to cover more of the 9 million American children who went without coverage last year. Specifically, WellPoint urges states to expand their programs to cover children in families that earn up to 300% of the federal poverty level (FPL), which means that for a family of four, they can earn up to $60,000. The plan also includes a call for improved outreach to enroll the majority of uninsured children -- up to 70%-- who are already eligible for public programs. WellPoint also calls for the expansion of state health care programs to include parents in families that earn up to 200% of FPL (a family of four could earn up to $40,000) and for childless adults who earn up to 100% of FPL ($9,800 for a single adult). If adopted by all states, the proposed expansion of public programs, coupled with a successful outreach campaign, could provide coverage to 25 million people who are currently uninsured, claims WellPoint. To help pay for the changes to these programs, WellPoint will support an increase in tobacco taxes. WellPoint's plan also includes a financial commitment from the company's charitable foundation of at least $30 million over the next three years to support community and state-based programs related to the company's uninsured initiatives across the country that are helping to provide access to care.Sources: PRNewswire, Insurance Networking News' Archives, WellPoint

    January 8
  • Carmel, Ind. - W. Mark Johnson joined the Conseco Inc. as senior vice president and chief compliance officer. Johnson will direct compliance functions at all Conseco locations, overseeing activities at Conseco Insurance Group, Bankers Life and Casualty Co., and Colonial Penn Life Insurance Co. His responsibilities include compliance training; distribution monitoring and enforcement; company licensing; Health Insurance Portability and Accountability Act, Gramm-Leach-Bliley and state privacy regulations; market conduct audits and state examinations; and review of certain sales/advertising materials.

    January 5
  • Rochester, N.Y. - Corporate executives worry most about data security and terrorism, according to survey results from Rochester, N.Y.-based Harris Interactive Inc. Harris Interactive asked senior executives of large corporations ($1 billion plus revenue) to share their worries about typical crisis situations. And 61% named compromise of corporate information system one of their biggest worries.Data breaches drew a number of headlines in 2006. Security experts report that high-profile data breaches, growing sophistication among cyber criminals, increased media attention and unprecedented legislative activity have changed perceptions and practices around identity theft in 2006.

    January 5
  • Atlanta - Although the life insurance industry is predicted to experience flat to modest growth in 2007, insurance carriers may do well to consider technological tools that will help them prepare for the imminent retirement of many Baby Boomers, according to Atlanta-based LOMA, an international insurance association.The prediction comes from LOMA’s Resource magazine, which published its annual forecast by the LOMA board of directors. The LOMA board of directors is composed of chairmen, presidents, CEOs and other top executives of leading insurance and financial services companies in the United States, Canada and internationally.

    January 5
  • Dublin, Ireland – Many of the services required by businesses including human resources, billing and transactional processing, may be entirely peripheral to its core competencies, according to research from Dublin, Ireland-based Research and Markets. Using a business process outsourcing (BPO) provider can help reduce costs while at the same time allowing the enterprise to focus on its core business.

    January 4
  • Philadelphia - CIGNA Corp. redesigned its flagship public Web site to be easier for users to navigate and offer users extensive health information and online resources in a newly added Health & Money section.

    January 3
  • Des Plaines, Ill. - Regulatory modernization, a long-term terrorism insurance solution and the Florida property market are top-of-mind issues the insurance industry will address in 2007, according to the Property Casualty Insurers Association of America (PCI).

    January 2
  • INSURER ENHANCES ONLINE DATAThe Empire Life Insurance Company (Empire Life) enhanced Trilogy, its universal life product that continues to evolve to meet the changing financial and wealth management needs of Canadians. The enhancements represent the largest number of revisions to the product since Trilogy Universal Life was introduced in September 2000. Better delivery of information is achieved through a completely revised client statement and with new online investment information.

    January 1
  • RECORDING SOFTWAREWitness Systems Inc., a Roswell, Ga.-based global provider of workforce optimization software and services, enhanced its Impact 360 IP Recording solution, featuring tripled channel capacity, unified recording management and a centralized administration tool. Designed for interactions in enterprise and contact center environments, Impact 360 now features TDM and IP recording under a single management tool. The software operates across IP, TDM and mixed telephony networks, designed to help customers ensure all their calls are recorded, whether for compliance and liability, sales verification or quality assurance purposes. Impact 360 IP Recording allows the recording of SIP-based calls. Also new to Impact 360 IP Recording is tripled channel capacity, which results in fewer servers. The solution introduces centralized administration capabilities, which provide access to all the vital Impact 360 IP Recording configuration settings, enabling customers to centrally manage all of their Impact 360 recorders regardless of location.

    January 1
  • It's the same old adage: a penny saved is a penny earned. For many insurers, that means a boost in 2007 outsourced services. But for an up-and-coming group of carriers, that penny translates to a one-pence, kroner, deutsche mark or Euro.Across the globe, interest in business process outsourcing (BPO) services continues to increase, chiefly because insurers must continue to seek ways to achieve operational efficiencies and take advantage of growth opportunities.

    January 1
  • How will changes in federal rules on e-discovery affect insurers? To find out, Insurance Networking News talked with Jon Neiditz, an attorney with Lord, Bissell & Brook. Neiditz has helped more than thirty insurers and reinsurers adjust to the amended rules.INN: How will the Federal Rules of Civil Procedure (FRCP) alter the way companies manage information?

    January 1
  • GRAIN DEALERS UPGRADE POLICY ADMIN CAPABILITIESGrain Dealers Mutual Insurance Co. upgraded its policy administration capabilities with Policy Decisions from Insurity, a Hartford, Conn.-based ChoicePoint company. Policy Decisions is designed to incorporate complete policy-lifecycle administration services-from application intake to rating and underwriting, from policy issuance to renewal and reinsurance-on a single Web services platform. Grain Dealers looked at competing systems that promised improved access, says David Patterson, assistant vice president and director of Information Services for the Indianapolis-based property-casualty insurer, but Insurity had several advantages that clinched the deal. At first, agents will access it to do their own quoting for commercial policies. The longer-term plan is to provide self-service access to agents for policy maintenance.

    January 1
  • Washington - Two conservative Fox News commentators, Bill O’Reilly and Morton Kondracke, are slated to speak at insurance industry conferences in the coming year.

    December 29
  • Washington - A third conference in the movement to start a standards-based nationwide health information network (NHIN) is expected to include demonstrations of health information exchange prototypes and discussion of business models.

    December 28
  • NASHVILLE, Tenn. – The nation may remember 2006 as the year the Democrats won the mid-term elections, Gerald Ford and James Brown died, and data breaches made an indelible mark on American business in general and the insurance industry in particular.

    December 27
  • Thousand Oaks, Calif. - To promote health in the Latino community, Blue Cross of California (BCC) has started a Web site called NuestroBien, which is Spanish for ”our well being." The site, located at www.nuestrobien.com, presents articles in English and Spanish on prevention, nutrition and early detection of health problems.

    December 26
  • Harrisburg, Pa. - Pennsylvania National Mutual Casualty Insurance Co. enhanced its online quoting and application system for personal lines products, as part of its strategy to jump-start profitable personal lines growth.Some of the technology enhancements include quick-hit automation and workflow improvements, including automatically ordering Insurance Bureau Score reports, automatically assigning plan tiering and simplifying and streamlining the application process by eliminating duplication. In addition, product enhancements include streamlining auto and homeowner underwriting guidelines to make them easier to use and less cumbersome, and revising underwriting guidelines to broaden underwriting appetite for selected risks to be more competitive.

    December 22
  • Chicago - Chicago-based insurance broker Aon yesterday became the latest in a series of companies to participate in technology mergers as it announced its intent to acquire Valley Oak Systems (VOS), a San Ramon, Calif., provider of claims management software, services and support for the insurance industry. The acquisition reflects Aon’s desire to supplement its risk management portfolio. Valley Oak, winner of the IASA 2006 Technology Achievement Award, is best known for its iVOS system, which includes medical bill review, policy underwriting, case management, billing and event management capabilities. "Aon's acquisition of Valley Oak Systems continues Celent's predicted roll-up of the insurance software industry,” says Donald Light, senior analyst with Boston-based Celent, LLC. “While most acquisitions of independent insurance software vendors have been by larger software vendors, such as Milwaukee-based Fiserv buying Insureworx, Oakland, Calif., this time it is a major broker doing the deal.” The purchase InsureWorx, a policy and claims administration technology provider, gives Fiserv an end-to-end policy and claims administration offering for workers compensation. Other recent mergers in the insurance technology space include the San Diego-based Websense Inc., acquisition of PortAuthority Technologies, Inc., Palo Alto, Calif., and Ra'anana, Israel, for approximately $90 million in cash. PortAuthority will combine its information leak prevention technology with the "ThreatSeeker" malicious content identification and categorization technology from Websense. The deal will create a single source for companies looking to prevent the unauthorized use or disclosure of confidential data while simultaneously protecting users and data from external malicious threats. The Aon-VOS merger will benefit Aon’s unique position as a large brokerage firm. By integrating and sharing data with RiskConsole, Aon’s RMIX offering, the Aon-VOS deal enables the Chicago broker to create what the companies claim to be the only end-to-end browser-based offering in the marketplace. The acquisition of VOS follows a similar deal cut in 2004 by Aon’s with Risk Laboratories, LLC (RiskLabs), Marietta, Ga. Aon expects to consummate the VOS deal by January 31, 2007. Light believes that, from a marketing and sales perspective, the acquisition makes sense. “Valley Oak's customer base includes a great many risk management units in large employers who self-insure workers' compensation,” he says. “Aon's brokerage business targets that same group of risk managers. Aon's challenge will be to give Valley Oak the resources and freedom to keep its offering fresh and valuable to self-insured employers, as well as other customers such as insurers and third party administrators." Sources: Aon, Celent, INN archives

    December 21
  • Dallas – Boston-based Blue Cross Blue Shield of Massachusetts (BCBSMA) has decided to use Premium Payor Services from Zix Corp. (ZixCorp). ZixCorp's Premium Payor Services provide access to future value-added services and deliver enhanced reporting for both payors and providers, aiding in analysis for incentive program initiatives.The Premium Payor Services funding model, which is in addition to the annual subscription fee per prescriber, is typically one dollar per qualified script processed or, as in this case, a flat fee license based on historical usage patterns calibrated to yield a similar amount.

    December 20
  • Indianapolis - WellPoint Inc. received three eHealthcare Leadership Awards for two of its branded product Web sites.WellPoint, based in Indianapolis, received a Platinum award in the Best Overall Internet Site category for www.bluecrossca.com, a Silver award in the Best eBusiness Site category for www.anthem.com and a Distinction award in the Best Health/Healthcare Content category for www.anthem.com. The company's Web sites were selected from more than 1,100 award entries.

    December 19
  • New York - Eliot Spitzer of New York nominated Eric Dinallo, General Counsel of Willis Group Holdings, to serve as New York State Insurance Superintendent in the new administration.Dinallo, 43, will replace Howard Mills, who was appointed in 2004 by Republican Governor George Pataki. In 2003 Dinallo resigned as chief of Spitzer's Investment Protection Bureau to become head of regulatory matters for Morgan Stanley, and was hired as general counsel for insurance broker Willis Group Holdings Ltd. in March.

    December 18
  • Harleysville, Pa. – Harleysville Insurance Inc. has appointed Jonathan Griggs as vice president of insurance management systems, and named Brahm Sharma as vice president of resource management.

    December 15
  • Washington - America's Health Insurance Plans (AHIP) and the Blue Cross and Blue Shield Association (BCBSA) are working together to grant consumers their wish for portable personal health records (PHRs).

    December 15
  • Naperville, Ill. - The thieves who made off with computer tapes containing the names and Social Security numbers of 130,000 Aetna Inc. customers appear unlikely to exploit the information, the Hartford, Conn.-based health insurer says. "There is no indication that data theft was targeted," Aetna says. Aetna announced yesterday that a lockbox containing the computer back-up tapes was stolen in late October from the Naperville, Ill., satellite office of a vendor, Addison, Texas-based Concentra Preferred Systems. Concentra audits medical clams and performs other cost containment services for insurers, and the tapes contained information on customers of "several" other undisclosed carriers, according to published reports. Information on an undetermined number of WellPoint Inc. customers may have been stolen in the burglary, reports say. "We believe the total number is an extremely small percentage of our membership," a spokesman for Indianapolis-based WellPoint says. In a report on the incident, Aetna quotes law enforcement officials who say the burglars also stole cash, pharmaceuticals, DVDs and movie passes, and did not appear to be looking for information to use in fraudulent schemes. The law enforcement agency characterized the perpetrators as "common thieves" looking for cash and other property to pawn. The thieves forced their way into the space occupied by Concentra, as well as the offices of five other businesses in the suburban Chicago building, Aetna says. Property was taken from all the tenants. Concentra officials, who notified Aetna of the loss on Nov. 3, say retrieving the data from the tapes would require a complex combination of commercial equipment and specialized software. The data was stored in unlabeled, difficult-to-understand formats, Concentra says. "These tapes cannot be used on a standard PC," Concetra officials say. Concentra reconstructed the data on the tapes and turned it over to Aetna on Nov. 10. Aetna's IT team worked around the clock to determine what information was stolen. They found the data included member names, hospital codes and either Social Security numbers or Aetna ID numbers for about 130,000 people. The names and Social Security numbers of about 750 medical workers were also on the tapes. Aetna is apologizing and notifying members and providers whose personal information was on the tapes. The insurer also is arranging free credit monitoring to help detect any misuse of the information. Concentra is offering a $10,000 reward in connection with the theft, according to published reports. Source: Aetna Inc.

    December 14
  • New York - Ameriprise Financial Inc. has promised to hire a consultant to review company laptop policies as part of an agreement with Massachusetts securities regulators. A year ago, the theft of one of Ameriprise’s computers exposed the personal data of more than 150,000 clients.

    December 13
  • The National Association of Insurance Commissioners (NAIC) is urging Congress to create a Natural Catastrophe Commission that could establish a disaster fund, strengthen and enforce building codes, and provide community support.

    December 13
  • Kansas City, Mo. - The National Association of Insurance Commissioners (NAIC), the trade group for state insurance officials, has established a Web site to provide motorists with tips on purchasing auto insurance.

    December 12
  • Chattanooga, Tenn. - An insurance company was among the four winners of the 2006 Process Innovation Awards. UnumProvident Corp., a Chattanooga, Tenn., disability insurer, received the honor for work in Sarbanes-Oxley solution compliance.

    December 11
  • Washington – If lawmakers such as Sen. Trent Lott, R-Miss., and Rep. Cliff Stearns, R-Fla., as well as the National Automobile Dealers Association (NADA) get their way, insurance companies will be forced to disclose total-loss vehicle claims information to the general public. Thanks to catastrophic storms such as Katrina and the recent flooding in the Pacific Northwest, the public is more aware of the problem of flooded and totaled vehicles being resold to unsuspecting buyers. Lawmakers believe that a rule mandating disclosure of total-loss vehicles is one way to manage the problem. In the 109th Congress, Lott and a bipartisan list of colleagues sponsored S.3707, the Passenger Vehicle Loss Disclosure Act, to require that insurance companies permanently red-flag totaled, flooded or stolen vehicles. Rep. Stearns introduced a similar bill, H.R. 6093, in the House of Representatives. Seattle-based PEMCO Insurance last month announced that it voluntarily reports cars totaled with flood damage to CARFAX, an auto database available to consumers. Other insurance companies are expected to evaluate their reporting procedures. Sen. Lott also affirmed his plans to reintroduce legislation in the 110th Congress to reduce title fraud and title washing of insurance-totaled vehicles. According to lawmakers, although an insurance company may declare a vehicle a “total loss” due to water damage, severe accident, theft, etc., these vehicles often are sold at salvage auctions. They are then rebuilt and re-enter the market with clean titles, so consumers, wholesale auto auctions and dealers may have no way to learn about the total loss. The bill would require insurance companies to reveal the reason for the total loss (flood, collision, stolen, etc.), the date of total loss, the odometer reading on that date, and whether or not the airbag deployed. The NADA-supported effort by lawmakers would permanently red-flag these vehicles, reducing the likelihood that the “total loss” vehicles will end up back on the street. This federal legislation would not preempt state titling laws or require changes in state laws. “With more than five million vehicles totaled by insurance companies just last year -- more than half a million of them coming from the Gulf Hurricanes of 2005 -- something has to be done to permanently notify consumers about these severely damaged vehicles," said David Regan, Vice President of Legislative Affairs for NADA, McLean, Va., was quoted as saying. Sources: PR Newswire, Yahoo News, The National Automobile Dealers Association

    December 8
  • New York - American consumers want electronic copies of their medical records and believe that having greater access to their information will reduce medical mistakes and costly repeat procedures, according to a new survey commissioned by the Markle Foundation, a New York research organization. But eight in 10 Americans are very concerned about identity theft or fraud and the possibility of their data being used by marketers without their permission - with three-quarters of those surveyed saying the government has a role in establishing privacy and confidentiality protections for electronic health information. For one of the custodians of consumer health care, health insurers, a cost/benefit analysis may involve deciding which is worse: the legal and potential business-loss ramifications incurred if a health insurance policyholder's private information is lost, or a potential regulatory chokehold on the management and transmission of a policyholder's data. In either case, as health insurers face increased scrutiny as one of the many "gatekeepers" of private consumer information, they also understand the importance of "big picture" thinking when it comes to doing whatever is possible to promote patient health. Companies such as Harvard Pilgrim Healthcare (HPHC), a 25-year old provider of health insurance products to more than one million members, has taken painstaking efforts to protect its customers information while making certain data is securely available to policyholders' caregivers. The Wellesley, Mass., not-for-profit company's mission statement--to be the most trusted name in healthcare-means the company must provide secure data access to HPHC's internal work force of 2,200 users as well as to a growing number of constituents, including 130 hospitals and 22,000 physicians. "Americans understand that quality of care could improve and costs decrease when their health information is available over the Internet to them and those who care for them," said Zoë Baird, president of the Markle Foundation, which funded the research. "And they are clearly ready to do their part to improve our health care system. But consumers also have significant privacy concerns, which must be addressed if we are to have sufficient consumer confidence to support a national commitment to electronic health records. People expect the federal government to establish rules that protect electronic personal health information from being used inappropriately." The survey, conducted by bipartisan polling firms Lake Research Partners and American Viewpoint, shows that: *97 % think it's important for their doctors to be able to access all of their medical records in order to provide the best care; *96 % think it's important for individuals to be able to access all of their own medical records to manage their own health; *Two in three Americans (65 %) would like to access all of their own medical information across an electronic network. This interest spans demographic groups - with a majority (53 %) of Americans 60 and older and high proportions of minority groups expressing interest; *When given the scenario of changing doctors or moving to a different city, an even greater majority - 84 % - said it would be important for them to have electronic copies of their medical records that they keep and control; and *Three-quarters of Americans are willing to share their personal information to help public officials look for disease outbreaks and research ways to improve the quality of health care if they have safeguards to protect their identity. The survey shows that large majorities of Americans see a number of benefits from accessing their medical information online. Consumers say they want access to their medical information in order to ensure that it's accurate, to improve doctor-patient communications and to help prevent medical errors. *91 % say it's important to review what their doctors write in their chart; *88 % say online records would be important in reducing the number of unnecessary or repeated tests and procedures they undergo; *82 % want to review test results online; and *84 % would like to check for errors in their medical record. Americans also see ways in which they could gain more control over their health care by making use of personal health records: *90 % say it would be important to track their symptoms or changes in their health online; *83 % of parents would be interested in using a network to track their child's health, such as tracking dates for immunizations; and *68 % say having their information available online will give them more control over their own health care. "It is encouraging to see that so many Americans recognize the opportunity to improve their health care - and their own health - by accessing and using their health information," said Carol Diamond, M.D., managing director of the Markle Foundation Health Program. "People not only want to see their medical records, they want to use the information to communicate with their doctors and be more involved in managing their care." While the survey notes high recognition of the benefits made possible by accessing personal heath information electronically, most respondents express concern that their medical information could be misused: *80 % say they are very concerned about identify theft or fraud; *77 % report being very concerned about their medical information being used for marketing purposes; *75 % say the government has a role in establishing rules to protect the privacy and confidentiality of online health information; *66 % say the government has a role in establishing rules by which businesses and other third parties can have access to personal health information; and *69 % say the government has a role in encouraging doctors and hospitals to make their personal health information available over the Internet in a secure way. "Despite the overwhelming interest in being more active participants in their own health care, and having their medical information available online to themselves and their physicians, Americans have very serious concerns about the privacy and security of their medical information," said David Lansky, Ph.D., senior director of the health program at the Markle Foundation. "People want to have control over whether their data are used for non-medical purposes and expect the government to establish rules that will protect them." Connecting for Health, a Markle-operated collaborative group of more than 100 organizations, released a new white paper to stimulate national discussion on the use of information technology to meet the critical needs of consumers, patients, and their families. The report describes a networked health information environment in which consumers could establish secure connections with multiple entities that hold personal health information about them. "It is difficult for a consumer to manage her personal health information since it is scattered among various organizations such as insurance companies, pharmacies, hospitals, etc.," Lansky said. "Several projects are currently underway to deploy personal health records, which are designed to help individuals manage their electronic personal health information. But because our health care system is so fragmented, and your health information is typically held by many unconnected entities, these electronic applications today struggle to provide a convenient way for consumers to access all of their data." The paper begins with a brief discussion of how consumer participation in networked environments has transformed other sectors, such as travel and finance. It contends that the health care sector would benefit greatly from a properly designed secure network that enables consumer participation. For more information, go to www.markle.org. Source: The Markle Foundation, INN archives

    December 8
  • London - In order to better manage risk in an insurance business cycle fraught with uncertainty over market conditions and pricing, carriers in the U.S. and abroad should invest in the latest risk management tools, says a new report from Lloyd's, "Managing the Insurance Cycle." Lloyd's, which provides specialist commercial insurance coverage to customers in more than 200 countries and territories, published the report as part of its 360 Risk Project, an initiative to generate discussion on how best to manage risk in today's business environment. The report warns of "considerable uncertainty remains over prices and conditions in the commercial insurance market following last year's record hurricane season." Among other suggestions, it cautions underwriters to beware of the tendency to follow on market trends, and reminds them that "disciplined insurers... are prepared to walk away from markets when prices fall below a prudent risk-based minimum." Investing in state-of-the-art risk management and measurement tools, says Lloyd's, will support insurers' ability to create the best possible pricing models, as well as their ability to update them regularly to reflect the latest scientific evidence. "The models should more easily permit sensitivity analysis to show the impact of the many assumptions that are being made by the modellers on the insurer's behalf," notes the report. Lloyd's report cites "seven key steps for ensuring that the industry becomes less unpredictable and underwrites on a sustainable basis for the benefit of both policyholders and insurers," including: -- Don't follow the herd. -- Invest in the latest risk management tools. -- Don't let surplus capital dictate your underwriting. -- Don't be dazzled by higher investment returns. -- Don't rely on 'the big one' to push prices upwards. -- Redeploy capital from lines where margins are unsustainable. -- Get smarter with underwriter and manager incentives. More information onLloyd's report is available at www.lloyds.com/360. Source: Lloyd's

    December 7
  • New York - Driven in part by increased demands from regulatory and rating agencies, enterprise risk management (ERM) has become integral to insurers' business processes around the world. Sixty percent of survey respondents explicitly factor risk management considerations into their decision-making, according to the fourth biennial survey of risk and capital management practices among insurers worldwide by the Tillinghast business of Towers Perrin. Conducted in summer 2006, the study of executives from more than 200 insurance and reinsurance companies around the world focuses on a number of issues, including risk measurement, quantification competencies, how companies calculate and use economic capital (EC), risk reporting and areas where the global insurance community is seeking to improve their risk management capabilities. In addition, a special section has been included that focuses on the impact of Solvency II on the European community. Key findings from the study: * External pressures are raising the bar for risk management globally. While most companies globally (78%) cite "good business practice" as the principal driver for their current risk management efforts, rating agency considerations are a significant factor for North Americans (72%) whereas changes in insurance solvency regulations are a major driver for European Union insurers. * Two-thirds of the insurance industry globally uses EC as a risk quantification tool. This is a significant increase over 2004 where only half of the respondents indicated they were using EC. * A further 19% of the participants indicated they are considering the use of EC. * Insurers are using a diverse set of risk metrics. Insurers assess the impact of risk on their capital, value and earnings in a variety of ways, with 63% using at least three differing measures. The most common are statutory or regulatory capital and surplus (56%), economic value (42%) and GAAP or IAS measures (38%). "Companies are clearly more disciplined in their use of ERM today than ever before, as catastrophic events, capital efficiencies and competitive pressures have driven companies to adopt less of a 'seat-of-the-pants' approach to risk issues," said managing director Tricia Guinn, who oversees both the Tillinghast and Reinsurance businesses of Towers Perrin. Risk Management Raises Its Profile "As risk issues have gained importance, so has the role of the chief risk officer," said Prakash Shimpi, Practice Leader with global responsibility for ERM. "Insurers are not only examining risk more closely, but they are also holding executives more accountable for the results." Almost half of the respondents (43%) report having a chief risk officer (CRO) with primary responsibility for risk management, up from 39% in 2004 and only 19% in 2002. The study also indicates that risk management is gaining importance in board rooms, with nearly all respondents (92%) reporting on risk to their board of directors at least annually, up from 84% in the 2004 survey. 53% of all respondents report at least quarterly to their board. Risk reports to senior management have become a common practice, with 39% reporting monthly and another 35% reporting quarterly. Risk reporting varies regionally: * Bermudian (89%) and Canadian (82%) insurers are more likely than U.S. or Asia/Pacific companies (53% respectively) to report quarterly on risk to their boards. * European life insurers (65%) and p/c insurers (60%) are twice as likely to report to senior management monthly as their North American counterparts (31% respectively). Solvency II Shapes Risk Management European insurers generally agree that the new Solvency II regime will require significant improvements to their risk management capabilities, including enhancements to risk quantification capabilities (63%) and enhancements to actuarial and accounting tools (59%). However, there are markedly different results between continental Europe and the U.K. in their approaches to Solvency II which is not surprising given the U.K.'s ICAS regime: * Enhance risk quantification capabilities (76% continental Europe, 41% U.K.) * Enhance risk governance and organization (61% continental Europe, 19% U.K.) * Improve risk identification capabilities (52% continental Europe, 15% U.K.) "U.K. insurers clearly feel better placed as a result of regulatory changes introduced by the FSA in advance of Solvency II. Their focus is now on developing the right tools to suit the new environment," said Ian Farr, principal. "The increased risk sensitivity and flexibility of Solvency II provides will trigger greater product innovation, more innovative capital management, capital raising and financing structures." Room for Improvement While ERM has made significant progress in recent years, there are still growing pains: * Most respondents (77%) are highly focused on improving risk measurement and quantification processes to enhance their overall ERM efforts, particularly in the U.K. (97%) and Japan (95%). * Respondents are generally not satisfied with their current capabilities in many of the risk management areas they see as important. They are significantly dissatisfied with their ability to quantify operational risks and their ability to reflect risk in performance measures. "Insurers now recognize the potential impact a single event like a security breach or systems failure can have on their operations, as well as on their financials. Operational risks can be complicated and difficult to quantify, so many are turning to scenario analysis to achieve meaningful results," said Shimpi. "We expect operational risk modeling and management practices to steadily improve over the next few years." Economic Capital as a Key ERM Tool The survey also found that many insurers are moving toward the use of economic capital (EC) as a risk management tool. As stated previously, nearly two-thirds (65%) of all respondents calculate EC and an additional 19% said they are considering calculating EC, implying that it may soon be a universal tool. EC use is already at 99% in the U.K., where the FSA requires companies to perform an Individual Capital Assessment. Almost all respondents (89%) are planning to make further improvements to their EC modeling capabilities. More information is available at www.towersperrin.com/tillinghast Source: Towers Perrin

    December 6
  • Ipswich, Mass. - The life insurance industry achieved the dubious distinction of having the highest percentage of companies failing to adequately respect the online user. Such are the findings from a survey conducted by The Customer Respect Group, an Ipswich, Mass., research and consulting firm that focuses on how corporations treat their online customers.

    December 5
  • Fairfax, Va. - The Public Entity Risk Institute (PERI), a Fairfax, Va., nonprofit risk management training and educational organization, has released a resource guide for controlling workers' compensations costs that focuses on using telephonic nurse injury reporting and triage as important early intervention. The PERI Day of Injury Resource Manual outlines an effective strategy lays out a proactive approach for addressing rising costs of workers' compensation by establishing processes for responding to employee injuries starting right on the day of injury, says Gerard J. Hoetmer, executive director of PERI. "Our research presents compelling evidence that employer actions on the day of injury have a profound impact on the overall cost of workers' comp claims." The PERI Day of Injury Resource Manual builds on the findings of a study PERI jointly sponsored with the Schools Insurance Authority (SIA), a joint powers authority based in Sacramento, California. In partnership with SIA, the PERI Day of Injury study assessed the relationship between employer actions on the day an employee was injured and workers' compensation costs. The study focused on injury reporting, directing medical care, and early return to work initiatives. A major component of the research focused on SIA's use of telephonic nurse injury reporting/triage. The study demonstrated that the nature, duration, cost and eventual outcome of a claim can be largely shaped and controlled by the employer's response on the day of injury. Based on the study, the manual details injury-reporting processes for organizations to put in place as part of an overall early intervention strategy. This how-to manual also highlights best practices for building a structured return-to-work program and provides organizations with sample forms, checklists, and training materials. For more information, go to www.riskinstitute.org. Source: The Public Entity Risk Institute

    December 4
  • Alexandria, Va. - The Independent Insurance Agents & Brokers of America (the Big "I") disagrees with, and is disappointed by, New York Attorney General Eliot Spitzer's decision that four leading companies can no longer offer incentive compensation to agents and brokers selling their products. Spitzer announced on Nov. 30 that he has notified ACE, AIG, St. Paul Travelers and Zurich that, under agreements reached with his office earlier this year, they may no longer offer this form of compensation because they have crossed the 65% "tipping point" in those agreements as to homeowners', personal auto, boiler and machinery and financial guaranty insurance. Those agreements bar carriers from paying incentive compensation to their sales forces when more than 65% of that line of insurance is sold by companies that do not pay incentive compensation. "The independent agent and broker community is greatly distressed by this development," says Big "I" CEO Robert Rusbuldt. "These carriers are now unable to use what otherwise is a perfectly legal way to compensate their sales forces, just as is done in virtually all industries across America. It is ironic that the illegal activities uncovered by Mr. Spitzer occurred in commercial lines, not personal lines, and yet, it is largely in personal lines that the fallout is being felt today. The solution imposed on carriers and agents of banning incentive compensation is totally misplaced and directed at business that was never a problem to begin with." The Big "I" continues to defend incentive compensation as a legal, legitimate form of compensation that is employed in all sales-based industries. Any compensation system can be abused, but the problem lies with those few who abuse it, not the system itself. "There is no doubt that a few bad actors in the commercial lines area abused the system, and we have always agreed that those who break the law should be punished to the fullest extent possible," Rusbuldt says. "But it is absolutely wrong and indefensible to penalize the innocent majority for the misdeeds of a handful of people. This decision will impact thousands of agencies across the country as they face reductions in compensation that will hamper their ability to create jobs in their communities, train staff, invest in their agencies, and provide consumers access to insurance. On behalf of the hundreds of thousands of agents and brokers across America who had no part in the dishonest activity of a few, we will continue to fight to preserve the right of companies to pay legal incentive compensation." Founded in 1896, IIABA (the Big "I") claims to be the nation's oldest and largest national association of independent insurance agents and brokers, representing a network of more than 300,000 agents, brokers and their employees nationally. Its members are businesses that offer customers a choice of policies from a variety of insurance companies. Independent agents and brokers offer all lines of insurance-property, casualty, life, and health-as well as employee benefit plans and retirement products. Source: The Independent Insurance Agents & Brokers of America

    December 1
  • Its negative connotation is deserved. For insurance companies, a data breach spells instant trouble-the least of which is potential loss of reputation, brand and revenue. If a court of law rules the insurance company is negligent, a data breach has the potential of ultimately shutting the carrier's doors.Recent research by the Chief Marketing Officer Council, Palo Alto, Calif., revealed that a company loses, on average, from 0.63% to 2.10% value in stock price when a breach is reported-equivalent to a loss in market capitalization of $860 million to $1.65 billion per incident.

    December 1
  • We've been lucky this year - after being told to brace for another catastrophic hurricane season, we felt the ocean breezes grow calm and saw storm-related losses remain at a minimum.The insurance industry dealt with an estimated $61.8 billion in losses from Katrina and other storms in 2004-05. Yet surprisingly, many companies have rallied with record earnings. How? Some carriers asked for record-setting rate increases to offset what they believed would be more dire catastrophe-related losses for 2006. Many insurers reacted by shrugging off new business along the coasts. Some attributed their good fortune to technology that reduces claims leakage, some pointed to "underwriting discipline," some to expert predictive modeling systems that support improved rating. Some said it's simply a matter of expert reserve management.

    December 1