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

Property and casualty insurance fraud cost carriers about $29 billion last year, according to the New York-based Insurance Information Institute. The trouble is that's just part of the picture. It's safe to say the number would increase when you count fraud from life and health.It's also safe to say insurance fraud has been with us for a long, long time. Has detection improved? Does detection even matter if the perpetrators aren't prosecuted? Are insurers benefiting from fraud detection and prevention? And, how are they going about it?

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.

By early 2004, it was obvious to everyone at the New Mexico Mutual Casualty Co., also known as New Mexico Mutual Group, that the company's green-screen legacy claims system had outlived its usefulness. The company was bringing in a new Web-based policy administration system, and the contrast between it and the tottering claims system was glaring.Navigational and functional problems with the legacy system had cut into claims department productivity at the Albuquerque, N.M.-based carrier. Only one user could work on a claim at a time.

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.

According to a survey conducted by Fierce-Wireless-Bluefire Wireless Security this year, more than 80% of financial services respondents say their organization's use of handheld devices had increased over the past two years. Meanwhile, 87% say they are concerned about the security of e-mail access to corporate server-based accounts and of remote access to corporate networks, and 85% say that access to Web-based e-mail had become a significant security concern.

What do Carriers Need to Increase Market Share?

TOOL HELPS EMPLOYEES MANAGE THEIR BENEFITSPlanAdvisor, a benefits management tool from Milwaukee-based Zywave Inc., features a Plan Selector module to enable employees to review their own health costs. PlanAdvisor generates management reports without carrier data feeds, analyzes the effects of changes in the plan design and calculates projected plan costs, based on trend and claims information. It also offers benchmarking, modeling, and analysis to allow brokers to deliver information based on industry comparison data and actuarial factors, which can help clients make informed decisions.

Insurance Networking News asked John Del Santo, managing director for Accenture's Insurance Practice, to explain why some insurers are replacing core systems and others aren't.INN: Why are some insurers replacing their core systems?

Chinese insurance companies were bracing for an onslaught by global competitors last month when a commitment to the World Trade Organization dictated opening the borders to foreign competition."Almost all insurance business is opening to foreign insurers," says Xiaolin Li, a dean at Beijing-based Central University of Finance and Economics. "The exceptions are group insurance and life insurance, which requires a foreign insurance company to set up a joint venture with a local partner."

CAPITOL SELECTS STG BILLING SYSTEMMiddleton, Wis.-based Capitol Insurance Cos. chose Renaissance Billing Solution from New York-based Systems Task Group International Ltd.'s (STG) to support billing and accounts receivable operations. The system will replace Capitol's existing billing systems and will enable the consolidation, centralization and the streamlining of Capitol's cash management and accounting operations. It will provide Capitol with advanced technology support, flexibility and configurability.

The ability to launch products in record time and manage them over their entire lifecycle gives insurers a decisive advantage over competitors that can translate into increased revenue and above-average growth.So, how do insurers realize those benefits? They can begin by using "best practices" in three areas: organization, process and technology.

Boston - As helpful as technology can be, insurers are not immune to technology glitches. One such case, as reported by The Boston Globe, hit Blue Cross Blue Shield of Massachusetts. The Boston-based insurer found itself sending out automated phone calls to Massachusetts senior citizens with Medicare drug benefits, asking them to repay up to $1,400 because the monthly premium automatic deduction from their Social Security checks failed to work.In March, The Tampa Tribune reported that hundreds of thousands of seniors received inaccurate Social Security payments because of problems with Medicare Part D drug coverage premiums, according to The Boston Globe. Most were overpaid because the premiums were not being deducted. Others received accidental refunds that averaged $215 and were asked to return the money.

Boston - Senior insurance IT executives are increasingly focusing on strategic spending to meet market demands and showing some concern over a softening property/casualty market, according to Celent LLC's new report, "Insurance CIO/CTO Pressures, Priorities, Projects, and Plans for 2007 Survey Results.""There is continued focus on meeting market demands for speed to market and ease of doing business, and on new projects involving core systems, data mastery, and distribution," says Matthew Josefowicz, manager of Celent's insurance group and author of the report. "Budgets and staffs are generally flat or growing modestly, but strategic investments continue. However, there are some indications that large property/casualty insurers may be keeping their powder dry until they can gauge the impact of the softening market."

Hartford, Conn. - Claims effectiveness is fast becoming a differentiating competitive feature among property/casualty companies as new measurement and process controls change the way claims are quantified, according to a new study by Hartford, Conn.-based Conning Research & Consulting Inc.The study, "Property-Casualty Claims Management: Unlocking Value" is based on a survey of senior property/casualty claims executives and on statutory data analysis. It examines changes in the insurance environment, and particularly in claims, including technology, staffing, outsourcing, regulatory and catastrophe issues.

Needham, Mass. - In 2007 and beyond, the global financial services industry will increasingly grapple with three major strategic shifts: reinventing financial services at its core; repurposing financial services relative to the global diversity of a changing customer base; and helping restore confidence in an uncertain world, according to a series of research reports from Needham, Mass.-based TowerGroup.The reports examine the top business drivers, strategic responses and technology priorities that will fuel core sectors of the global financial service industry in 2007.

El Segundo, Calif., - Insurers feel the need to develop original approaches to attracting and retaining customer in various market segments. During a two-day conference hosted by Computer Sciences Corp. (CSC), a few insurers gave examples of these approaches.Panelists at the conference noted that insurance marketing programs must appeal to three distinct generational groups: Generation Y (ages 18-29), Generation X (ages 30-40) and baby boomers (ages 41-59). Each group has distinct demands for service; therefore, insurers must offer different Web-based services that address their consumers' varying levels of comfort with technology.

Blue Bell, Pa. - Almost one in every three of the more than 1,700 senior-level corporate and technology leader respondents in a new international survey do not trust their companies' own abilities to handle private or sensitive information, and that same number are either unsure or don't believe that most of their business partners consider them to be trusted enterprises.These and other findings are part of a broad research project from Blue Bell, Pa.-based Unisys Corp., called the Unisys Trusted Enterprise Index, a survey designed to measure the importance, impact and influence of trust, privacy and security within the corporate world. Conducted in partnership with the Ponemon Institute, an Elk Rapids, Mich.-based privacy research organization, the study also found that despite a growing awareness of risk management and security issues in the corporate world, more than one-third of companies polled do not task senior leaders with protecting the trust that customers, investors and even their own employees have in those companies.

Hartford, Conn. - Aetna Inc. is offering an interactive voice response (IVR) system called Voice2Form to enable members with both Aetna disability and medical insurance to provide consent to participate in the insurer's Integrated Health and Disability (IHD) program. Aetna's integrated informatics studies show that the IHD program may reduce short-term disability durations by as much as 10.7% or 5.6 days per claim.

Orlando - The latest release of ISO HomeValue, a residential replacement cost estimator, now allows personal lines insurers to assess catastrophe risk for individual properties using Boston-based AIR Worldwide Corp.'s (AIR) industry standard catastrophe models. The goal, says the companies, is to provide access to essential catastrophe risk data from a single web-based application, ISO HomeValue enables improved underwriting decisions. "After the large hurricane losses of 2004 and 2005, companies were reminded of the importance of assessing a property's catastrophe risk as part of the underwriting process," says George Davis, vice president at AIR. "However, most personal lines insurers have historically had very limited and inefficient ways to assess the catastrophe risk for individual properties. Now, ISO HomeValue provides residential underwriters with immediate catastrophe risk information at the individual property level in a seamless manner." By accessing AIR's catastrophe models from within ISO HomeValue, underwriters can generate real-time estimates of catastrophe risk, as characterized by the estimated average annual loss. Insurers can use this assessment of the catastrophe risk to automate, for example, simple issue/decline decisions, rating plan selection, and price adjustment under consent-to-rate procedures. ISO HomeValue captures a variety of property characteristics necessary for catastrophe modeling, including location, construction, building type, and year built. Additional property characteristics that may mitigate damage-such as storm shutters for hurricane risk-can also be entered to assess rate credits for such structures. In many cases, basic property data can be automatically pre-filled using the ISO PushPin database. ISO PushPin contains specific and detailed data on key building features for more than 50 million residential properties in the United States. Agents, underwriters, and inspectors can enter additional property information into ISO HomeValue to enhance the completeness of the data. "By employing ISO HomeValue to gather and maintain high quality property data, insurers can obtain more reliable estimates of an individual property's catastrophe loss potential, in addition to its replacement cost," continued Mr. Davis. Source: AIR Worldwide Corp.