New York and Saint Paul, Minn. – Metropolitan Life Insurance Co. (MetLife) and Travelers Insurance Group Holdings Inc. renewed their agreement to offer Synchrony absence management services.Synchrony combines group disability insurance and the Family Medical Leave Act (FMLA) administration from MetLife with workers compensation insurance and claim administration services from Travelers to deliver one, integrated approach that can help companies better manage employee absences whether due to occupational or non-occupational events and assist employees in returning to work as soon as medically appropriate. First offered by the two companies in 1998, Synchrony programs currently cover more than 180,000 employees.

Bedford, Mass. - As seen just a day earlier, insurers are embracing SOA (see "Survey Says Insurance Carriers Are Embracing SOA"). But new survey results insist that governance is not keeping pace with the adoption of SOAs at most organizations—of which include financial services, banking, government, insurance, healthcare and pharmaceutical.The online survey, conducted by New Rochelle, N.Y.-based ebizQ and sponsored by Bedford, Mass.-based Progress Software Corp., consisted of 313 respondents. While the survey shows that the majority of organizations are actively pursuing SOA, most are relying on manual processes to enforce SOA governance. Less than 6% have automated runtime monitoring of policies, and fewer than 5% automatically check services for policy enforcement before services are checked into a repository.

Needham, Mass. - The insurance industry is rapidly embracing service-oriented architecture (SOA), as well as related Web services and standards, according to TowerGroup research conducted in partnership with ACORD. TowerGroup interviewed senior leadership executives at more than 12 carriers and conducted more than 150 hours of data gathering and analysis across the industry (covering property/casualty, life and annuity, and reinsurance).Key findings of the study, according to Needham, Mass.-based TowerGroup, include:

Hamilton, Bermuda - Big European insurance companies are embracing industrial operating models to cut costs and improve customer service, according to an Accenture survey of senior executives at 30 carriers based in Europe.The survey revealed that 92% of respondents are assigning high priority to "industrialization"--the use of standardized operating and production platforms similar to those used by manufacturers. The rest of the respondents--the other 8%--say they expect industrialization to become a priority in the next three years.

Houston - The insurance industry, where companies face an average of 1,696 lawsuits, spanning product liability and environmental class actions to directors and officers claims, and even coverage fights over hurricanes and terrorist attacks, faces the most litigation when compared to other industries, according to a survey from international law firm Fulbright & Jaworski LLP, headquartered in Houston. Retailers and energy firms reported average caseloads north of 330 per company, which doesn't even come close to the insurance industry.In its third annual survey of corporate litigation trends—pulling data from 422 in-house law departments worldwide—Fulbright found that U.S. companies face an average of 305 pending lawsuits internationally. For large U.S. companies—those with $1 billion or more in annual gross revenue—the number of lawsuits soared to 556 cases, with an average of 50 new disputes emerging each year for close to half of them.

Two celebrated anti-aging experts are joining Humana Inc. in what the company calls a multi-media campaign to turn passive healthcare users into active healthcare consumers.

Jersey City, N.J. - ISO, a Jersey City, N.J., provider of data, analytics and decision-support solutions, is extending its product set and focus to the healthcare industry with its plans to acquire the assets of Urix, a Cheshire, Conn., provider of healthcare analytics and employer reporting solutions. Terms were not disclosed. The Urix product set includes Web-based business solutions that enable health insurers, national brokerage firms and large employers to derive strategies to improve the quality of health care while lowering the cost of delivery. Urix is a developer of Web-based healthcare analytic solutions that are scalable and cost-effective, the companies report. ISO entered the healthcare sector in 2004 with the purchase of Boston-based DxCG, a company widely recognized as a world leader in predictive modeling software solutions. ISO will form a single company containing the Urix and DxCG assets doing business under the Urix brand name. Urix CEO John Farrell will serve as president of the combined entity; Michael Coyne will serve as COO. "With so many synergies between the Urix business intelligence solutions and DxCG predictive modeling capabilities, it makes sense to combine our assets and approach the market with a unified set of solutions," said Michael Coyne, head of DxCG. "Our teams will create new and, in many cases, unique solutions by working together closely," continued Coyne. ISO's chairman, president and chief executive officer, Frank Coyne, cited ISO's plans to combine Urix and ISO's DxCG unit as "an excellent opportunity for ISO to expand its presence in the healthcare business intelligence market by leveraging complementary strengths in both companies' product lines. We expect the new entity to lead the market with a host of solutions designed to improve the quality and efficiency of our nation's healthcare system," said ISO's CEO. Source: ISO

Washington, D.C. – From stepping up with renewable energy projects to incorporating futuristic underwriting models, the insurance industry must do 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.

Mountain View, Calif. - eHealth Inc., the parent company of eHealthInsurance Services Inc., spent $50 million developing an electronic platform to sell health insurance through the Internet. The company’s business model? Serve the growing market of uninsured and underinsured consumers with online tools and ultimate health insurance products. The Mountain View, Calif., company, plans to raise $47.1 million in an initial public offering next week. In its prospectus the market for private health insurance brokering is a mess, stating that except for large companies buying insurance in bulk, finding medical coverage is time-consuming, paper-wasting, complicated and expensive. Most individuals, families and small businesses who buy their own medical coverage find insurers using local agents who serve a single community, offering insurance from a small handful or even a single insurance carrier. 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. That means the company thinks its site, which offers 5,000 health insurance products through 150 insurers, including Aetna and UnitedHealth, can tap into an underserved and fragmented corner of the estimated $658 billion market for private medical insurance. About 17 million Americans, including self-employed people, buy their own medical insurance (as opposed to electing coverage through an employer's plan), and the company said that number is growing. A rising number of small businesses have stopped offering medical benefits to employees, forcing these people to buy their own coverage or risk life without insurance, the company said. The U.S. Census estimates 46 million Americans are uninsured, and the company said many of these people have jobs, make decent salaries and would buy their own coverage if only they could find an affordable plan. That's where eHealth's business model comes in. eHealth's site offers online rate quoting and information, health plan comparisons, and online applications linking consumers with insurers. The variety of policy offerings and efficient brokering process in theory would help consumers find cheaper coverage. As a broker, eHealth offers insurers new market opportunities, access to electronic data about consumers and simplified policy processing, which reduces costs. The company takes a percentage off the insurers' premiums. In 2005, eHealth booked $41.8 million in revenue, almost all from brokerage commissions, compared with $9.3 million in 2001. For the six months ending June 30, 2006, eHealth reported net income of $2.7 million, compared with a net loss of $209,000 for the same period a year ago. The company, led by Chief Executive Gary L. Lauer, has lost money most quarters since its 1997 founding as it sinks money into technology and marketing through direct mail, television and radio. But it hopes that by harnessing the Internet, it can grab a large share of a huge and largely untapped market. The company plans to sell 5 million shares at $10 to $12 apiece, giving the deal a proposed market cap of $271 million, and is reportedly using joint-lead managing underwriters such as Morgan Stanley and Merrill Lynch. The stock will trade on the Nasdaq under the symbol "EHTH." Source: Associated Press, MSN Money, Red Herring

Arlington, Va. - As insurers scramble to minimize risk and make the most of business opportunities related to climate change and other severe weather-related losses, the National Science Board, Arlington, Va., is asking for $300 million in additional funds to help fund a multi-agency effort to improve hurricane science and engineering research. In a draft report released yesterday, "Hurricane Warning: The Critical Need for a National Hurricane Research Initiative (NHRI)'' the report calls for "a determined effort to maximize our understanding of hurricanes and ensure the effective application of science and engineering outcomes for the protection of life and property,'' the report states." And while no individual weather event can be attributed to global warming, a growing body of new scientific data show that rising temperatures are likely increasing the intensity of hurricanes, and other extreme weather events in the U.S. and globally. Hurricane-related losses in the U.S. totaled $168 billion in the last two hurricane seasons, and 1,450 storm-related deaths were reported, according to the report. Analysis performed by the science board found that most hurricane-related funding is focused on short-term forecasting efforts, with less than 2% aimed at improving structural design and engineering for buildings. Annual funding for the government's "focal point'' for storm analysis, the National Oceanic and Atmospheric Administration's Hurricane Research Division, has never exceeded $5.1 million, states the report, and its staff has declined by 30% in the past decade. "Billions of tax dollars have been provided for rescue, recovery, and rebuilding after hurricanes strike," notes the board. "Also important is national investment in the creation of new knowledge, and more effective application of existing knowledge to reduce these enormous public outlays, loss of life, and the associated societal disruption caused by hurricanes." The National Science Board, the governing board of the National Science Foundation (NSF), was established in 1950 to promote the progress of science, advance the national health, prosperity, and welfare, and secure the national defense. One lawmaker, referencing the report, has introduced bipartisan legislation to implement a national research initiative designed to better research, predict and prepare for hurricanes. U.S. Senator Mel Martinez, R-Fla., crafted the proposal working from recommendations presented by the National Science Foundation's new draft report. The bill's original cosponsors include Senators Mary Landrieu, D-La., David Vitter, R-La., and Bill Nelson, D-Fla. "Hurricanes, by far, cause more economic damage to a more widespread area than any other natural disaster. This bill takes sound, scientific recommendations and builds from them a foundation for better, more coordinated research," said Martinez. "Given the enormous cost associated with hurricanes, we ought to better coordinate research and information about hurricane prediction, observation, the vulnerability of structures and how we might develop better evacuation plans." The legislation would place responsibility for implementing and overseeing the NHRI on the National Oceanic and Atmospheric Administration (NOAA) and the National Science Foundation (NSF). The bill sets out specific goals for NHRI research, including predicting hurricane intensification, storm surge, rainfall, and inland flooding, improved observations, assessment of vulnerable infrastructure, interaction of hurricanes with engineered structures, improved computational ability, improved disaster response and recovery, and evacuation planning. The proposal also would establish a National Infrastructure Data Base in order to provide a baseline for developing standards, measuring modification and loss, and establishing public policy to better understand hurricanes and tropical storms. A Science Board task force has studied the issue of nationwide investments in hurricane science and engineering since December 2005. Its report warns that relative to the tremendous damage and suffering caused by hurricanes, the federal investment in hurricane science and engineering is insufficient, and as the board document exclaims, "Time is not on our side." Sources: Sen. Mel Martinez, The National Science Board, and Insurance Networking News Archives

Hartford, Conn. - Aetna announced today the results of its broadest study to date of consumer-directed plans - a review of four years of data to determine the impact of consumer-directed health plans on 1.6 million Aetna members. Aetna is one of many insurers targeting members with improved tools and plans to improve overall performance and management of their members’ health. Included in the latest study were members in an Aetna HealthFund consumer-directed plan, as well as employees within the same employer groups who have chosen other benefits options. Five years after the launch of Aetna HealthFund, consumer-directed plans consistently result in lower medical costs, maintained or improved levels of chronic and preventive care, and increased usage of generic medications and consumer tools and information, the study results noted. The 1.6 million members studied include 134,000 HRA members from 99 employers, 18,000 HSA members from 27 employers, and 1.45 million Aetna members from those same employer groups who have chosen other benefits offerings. These members were compared to a population of 1.4 million Aetna PPO members comprised of all large employer groups. Four years of data was studied for HRA members, two years of data was studied for HSA members, and three years of data was studied for the comparison population. Among the study’s results, Aetna reports that it is receiving favorable reviews on its online tools: its HealthFund members accessed online tools more than twice as often as members of other plans, based on the experiences of five large employer groups. As consumer-driven products shift decision-making responsibility to consumers, other insurers are providing more information to help members make health care decisions. Highmark, Pittsburgh, Pa. contracted with Subimo LLC, a provider of Web-based health care decision support tools. Currently, 75% of Blue Cross Blue Shield plans in the United States use Subimo tools, and nearly 75 million Americans have access through their insurance company or employer. Using Subimo's Healthcare Advisor and Hospital Advisor, members can access health care information in both English and Spanish on hospitals, medical conditions and treatment options. Healthcare Advisor enables consumers to research treatment options, know what to expect prior to surgery and find the appropriate hospital for a certain health need. And Mount Laurel, N.J.-based AmeriHealth New Jersey plans to offer online capabilities through its Web site, www.amerihealthexpress.com, to its group customers and members, starting in 2007. Through a contract with Mount Pleasant, S.C.-based Benefitfocus.com Inc., AmeriHealth New Jersey will improve its self-service Web site by providing new Web tools to create an online resource for health benefit management. Other key findings from the Aetna study point to the ability of Aetna’s members to experience savings and improve their overall health focus: Employers who offered Aetna HealthFund as an option are seeing savings across all products offered. Those who offered an HRA option plan effective in January of 2003 experienced an average medical cost trend of 6.7 percent over a three-year period. Both Aetna HealthFund HRA and Health Savings Account (HSA) members with chronic conditions maintained or improved the level of care they received prior to joining the plan, including a 6% higher usage of inhaled steroids among asthmatics when compared to a similar population. Preventive care was also maintained or improved. For example, first-year HSA members received cervical cancer screenings at a 13.8 percent higher rate than PPO members. Sources: Aetna, Business Wire, Insurance Networking News

"You cannot discover new oceans unless you have the courage to lose sight of the shore."

The stats have arrived- survey results from insurers and researchers have one thing in common: Baby boomers are not prepared for retirement, and therefore insurers could be missing out on business. Some companies are stepping up, using technology to capture this pending market.Allstate's 2006 Retirement Reality Check survey reveals that 40% of Americans admit they are not saving seriously for retirement. One unexpected finding, according to the survey, is that Generation X respondents (those born from 1965 to 1978) are more likely than their elders to describe themselves as financially independent-73% of gen-Xers compared with 67% of baby boomers.

It started with a casual conversation at a CIO luncheon held in conjunction with IASA's annual meeting in Las Vegas in June. Although there were an equal number of men and women at my table, ours was the exception. Most of the other tables were occupied primarily by men. Not surprising in an industry traditionally populated by men, I mused aloud. The discussion between my tablemates that followed became fodder for this month's cover story: a focus on six unique women who embody what it takes to occupy an insurance technology leadership role.No one could argue that there has been a dearth of women occupying such roles. The National Center for Women in Technology (NCWIT), a Boulder, Colo., organization that supports women's participation in professional IT careers, reports that although women represent 46% of the U.S. workforce overall, they held only 32% of computer and information systems management positions from 2004 to 2005 [U.S. Department of Labor (DOL) population survey]. "This is slightly higher than the aggregated average for women's participation among all computer-related occupations (29%) but significantly lower than their participation in professional management positions in general (51%)," a NCWIT spokeswoman told INN.

YOUNG INDEPENDENT AGENTS WANT MORE TECHNOLOGYYoung independent insurance agents identify technology to help them more easily write business and service customers as the second most important thing-after competitive rates-carriers can offer an independent insurance agency. Drive Insurance Group of Mayfield Village, Ohio-based Progressive Casualty Insurance Co. discovered this while conducting a survey of more than 750 young (40 years of age or younger or those who have been in the industry less than 10 years) independent agents. The majority of young independent insurance agents (79%) say technology has been significant in helping them grow their business. Other results from the survey showed 11% have an interactive Web site where customers can quote, buy and contact them. Thirty-four percent have a static Web site where people can learn more about their agency and the services they provide, and 40% don't have a Web site at all.

VOICE SELF-SERVICE AND CUSTOMER INTERACTION MANAGEMENTThe customer interaction management software suite from Genesys Telecommunications Laboratories Inc., headquartered in Daly City, Calif., enables SAP solutions to integrate with voice self-service functionality from Genesys' Voice Platform. The integration of voice self-service with the back and mid-office is designed to simplify access to SAP solutions and make them available to a larger set of users across the organization.

I was speaking with an IT executive recently about service-oriented architectures (SOA), and while he understood the grand vision of what SOA could bring to his company, he claimed it wasn't ready for "prime time." Probing a bit further, he told me it must not be ready because almost every vendor and consultant he spoke with painted a rosy picture of enterprise business value and then immediately did the "old bait and switch" and launched into a discussion of infrastructure "plumbing," with little connection to that vision.SOA promises insurers the ability to weave new systems and legacy applications together to support enterprise business processes across business units, product lines and country borders. Business process management (BPM) tools and business process execution language (BEPL) enable insurers to define business processes composed of Web services from new and legacy applications with minimal programming.

After surveying a cross-industry spectrum of companies, Lori Sechio confirmed what she already suspected: 95% of them had inaccurate information on the number and configuration of their IT assets-a discrepancy that could put these firms at risk of Sarbanes-Oxley (SOX) noncompliance if they were publicly held and did not implement a rigorous IT asset management (ITAM) program."We looked at our client base over the past two years, and 95% of the time the technology assets they had on their books did not match what we actually found," says Sechio, CEO of TekMethods, a Tampa, Fla.-based IT asset management (ITAM) services firm.

In the highly competitive European insurance marketplace, Paris-based Groupama Insurance Co. Ltd. has built a reputation on the personal touch and close relationships it develops and maintains with customers. However, the carrier, which has been in business for more than a century, needed more efficient ways to work with its growing roster of customers. For decades, Groupama relied on customer support and contacts provided through its network of agencies. As business grew, the carrier sought to better capture and provide information in a more consistent and automated fashion, while still retaining the important relationships that had been built between agents and customers.Through business growth and mergers, Groupama became a leading mutual insurance company in France, with eight million customers and annual revenue of close to 13 billion Euros. The company now has more than 26,000 employees across France alone, as well as an additional 4,000 across nine other countries.

Insurance Networking News asked James Bisker, global insurance industry leader, IBM Institute for Business Value, to define knowledge-based, expert and artificial intelligence systems and provide insight into how they can benefit insurance industry operations.INN: There has been some confusion in the marketplace about knowledge-based/expert and artificial intelligence systems. Can you clarify?