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For most insurers, there's a natural inclination to settle claims swiftly, particularly to satisfy customers who might take their business elsewhere. But as insurers improve claims processing time, ironically, many are paying a high price.To their chagrin, efficiencies surrounding claims settlement can actually produce negative results. Ultimately, many carriers find themselves dispersing dollars that shouldn't have been paid in the first place, due to claims fraud.

As insurance CEOs mull over their IT teams' plans to purchase new technologies, inevitably the decision boils down to this: What's the financial upside? It's an important question to ask, although a clear quantifiable answer is often hard to come by. However, two articles in this issue-fraud detection and financial reporting-offer clear-cut reasons for why insurers should consider implementing these business-supporting technologies.Fighting fraud is a multi-billion-dollar challenge for the insurance industry. Some estimates calculate the total annual cost of fraud across health, life and property/casualty lines is between $85 billion and $120 billion.

With public concern about credits scores far from extinguished, 11 state insurance departments-dubbed "the coalition of the willing"-are planning to conduct their own multi-state study of the effects of credit-based insurance scoring on consumers.The 11 states-Alabama, Indiana, Louisiana, Maryland, Michigan, Missouri, Montana, Nevada, Oregon, Washington and West Virginia-have issued calls to insurance companies for individual policyholder data in order to conduct their research on the effects of scores, which insurers use to price auto and homeowners policies.

Managed care companies across the United States continue to await a ruling on a series of class-action lawsuits alleging that the nation's largest managed care companies violated the Racketeer Influenced Corrupt Organ-izations Act (RICO).Filed in the U.S. District Court Southern District of Florida, the litigation claims that managed care companies violated the RICO Act by conspiring to reduce and delay claims payments to network physicians. One allegation lodged by a plaintiff physician, for instance, claims that managed care companies used billing software to automatically "bundle" several CPT (Current Procedural Terminology) codes and, in turn, failed to reimburse the physician for all services rendered.

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 AgencyPort Insurance Services Inc.

Only five short years ago, insurers were scrambling to get their IT systems ready for Y2K. This year, they're at the cusp of implementing enterprise solutions that leverage component-based software across the organization, saving them significantly in both IT development and maintenance costs."Before 2000, I conducted approximately 100 Y2K risk assessments in the industry," says Deborah Smallwood, insurance practice leader at TowerGroup Inc., Needham, Mass. "The common themes were: What is your vision? What is your strategy? Do you have your arms around your portfolio? And they all failed. In the course of five years, insurers have come a long way."

When it considered the various ways to comply with the security rule included within the Health Insurance Portability and Accountability Act (HIPAA), Chattanooga, Tenn.-based BlueCross BlueShield of Tennessee identified its "incident response" capabilities as a viable compliance strategy.More specifically, the Tennessee Blues plan formed an incident response team (IRT) to respond to information systems incidents that could potentially compromise the security of personal or protected health information of its customers. The Blues plan can now better respond to information systems incidents as a cohesive team and minimize impact of incidents on its business and customers, says a security analyst at the company.

Unlike many states that rely on ISO reporting, Massa-chusetts has a plethora of regulatory bodies that oversee the sale of auto insurance. For example, there's the Massachusetts Registry of Motor Vehicles (RMV), the Uninsured Motorist System (UMS), the Merit Rating Board (MRB), Commonwealth Automobile Reinsurers (CAR) and the Automobile Insurers Bureau Detailed Claims Database.

Like many insurance operations, the Alternative Markets division of Great American Insurance Co. faced a mountain of inefficient workers' compensation claims processing tasks. Simply put, the division needed to selectively apply modern information technology to become more competitive and improve customer service while working within the limitations of its legacy claims system.The claims system, for example, couldn't handle electronic data interchange (EDI) between Alternative Markets and any of its outside vendors. Therefore, routine payments to both medical service providers-doctors, hospitals and physical therapists-and bill review vendors were locked in a time warp of old-fashioned snail mail.

Providence Washington Insurance Cos., Providence, R.I., will cease underwriting new and renewal business, to the extent permitted by law. In addition, the company has entered into an agreement with OneBeacon Insurance Co., Boston, whereby OneBeacon will acquire renewal rights in Providence Washington's small business package policies. Providence Washington plans to continue servicing its existing portfolio of commercial and personal lines business. The company reported statutory net losses of $7 million in 2002 and $35 million in 2003. It reported a net loss of $7 million in the quarter ended March 31, 2004. These losses contributed to the policyholders' surplus dropping from $92 million at year-end 2002 to $59 million at year-end 2003, and to $53 million as of the quarter ending March 31, 2004.

eAutoclaims Inc., an Oldsmar, Calif.-based claims management services company, has executed the final closing of approximately $2.5 million in new financing. Of the $2.5 million, $2.25 million was a sale of equity to multiple investors at $0.28 per share and $250,000 was an 8% convertible debenture from one of the company's directors.Both the equity and convertible debentures include warrant coverage. This represents additional capital of $900,000 from the company's previous announcement on May 5, 2004. Noble International Investments acted as placement agent on a material portion of this raise and will continue to advise the Company as its investment banker.

BOSTON--John Hancock today introduced a new, highly competitive variable universal life policy for small- to mid-sized businesses, called Performance Executive Variable Life (VL). The product focuses on high early cash values and offers strong cash value accumulation. It has an outstanding selection of investment options, and benefits and features that are among the most comprehensive in the industry.

HARTFORD, Conn. -- The process of proofreading 17-digit automobile VIN numbers or lists of property coverages can consume as much unproductive time for an insurance agency as recording account information with a quill pen. New tools are needed to match the insurance business with the competitive needs of a new century. Thanks to one major insurance company, agencies will soon find they have more time to devote to managing customer relationships, time which used to be spent knee-deep in paperwork.

LAS VEGAS, NV--The 12th Annual ACORD Awards ceremony recognizing achievements in ACORD data standards implementations was held at a special luncheon during the ACORD LOMA Insurance Systems Forum in Las Vegas. Beginning with a welcome from ACORD President and CEO Gregory A. Maciag and remarks from ACORD Board Chairman David Findley, Senior Vice President, Commercial Lines/Personal Lines, St. Paul Travelers, the ceremony honored those who excelled at implementing ACORD data standards over the past year.

CHICAGO--Aon Corporation and Computer Sciences Corporation have agreed to negotiate the outsourcing of the majority of Aon's U.S. information technology (IT) infrastructure. The transition to CSC would begin in fall 2004, subject to completing a final contract.

OVERLAND PARK, Kan.-- Sprint announced plans today to launch Sprint Mobile Claims Adjustor, a mobile solution that will allow insurance claims adjustors to process claims on-site using wireless handheld devices.

LAS VEGAS, NEVADA -Sun Microsystems, a leading provider of industrial-strength hardware, software and services, and Brixlogic, a provider of industry-standard Web Services solutions for the financial services industry, today announced that the two companies are partnering to deliver the first integrated solutions for the ACORD messaging standards.

SAN FRANCISCO--Quality Planning Corporation (QPC), the Rating Integrity Solutions Company, today released its annual Premium Rating Error report. The report concludes that premium rating errors lower the overall profits of auto insurance companies. QPC estimates that $15.2 billion of premium revenues were foregone in 2003 due to inaccuracies in rating information. The report can be found online at: http://www.qualityplanning.com/research.html.

BLOOMFIELD, Conn.-- CIGNA HealthCare and WebMD Health today announced a multi-year agreement that will offer help to millions of CIGNA HealthCare members in making vital health care decisions and in understanding and using their health care plan. Under the agreement, CIGNA will integrate WebMD Health's comprehensive suite of online health information and decision support tools into myCIGNA.com, the personal health benefits Web portal for CIGNA HealthCare members.

Uniondale, NY--OnlineBenefits Inc., provider of Internet-based HR solutions, announced that it has signed a Letter of Intent to acquire Captiva Systems, a producer of agency management software for group insurance brokers.