Core systems

New York and Cupertino, Calif. - Last week brought yet another security scare to a health insurer. Empire Blue Cross Blue Shield, a New York-based subsidiary of WellPoint Inc., reported that Magellan Behavioral Health Services located a CD sent via UPS by Health Data Management Solutions (HDMS), a third party vendor to Magellan, an Empire benefit program administrator, that included some members' personal health information. The CD was lost in transit but was located. The insurer reports that although there was no indication that the CD had been stolen, last week Empire sent a letter to inform affected groups and members who may have been impacted.

Chicago - Aon Corp., Chicago, completed its acquisition of Valley Oak Systems, San Ramon, Calif. The terms of the transaction were not disclosed.

New York - Most corporate board members talk the talk about the importance of information technology to their company, but fewer are taking actions to align IT with overall corporate strategy. This is the overarching message coming out of a new survey, "The Board and Information Technology Strategies," by Deloitte Consulting LLP, a subsidiary of Deloitte & Touche USA LLP, a New York professional services provider, and Corporate Board Member magazine. The survey respondents also suggested a distinct and positive correlation between the attention paid to IT and corporate performance. The survey was conducted in the fall of 2006 and involved more than 450 directors of publicly traded companies with revenues of more than $1 billion. Financial services companies represented 19% of the mix, 7% in insurance. The directors responded to questions ranging from how often their boards discuss IT strategy to how they think IT has affected their companies' ability to effectively meet their business objectives. A significant gap does exist between the emphasis the board seems to place on IT and the things they are doing to address it, Larry Danielson, a principal with Deloitte Consulting who focuses primarily on the insurance industry, told Insurance Networking News. "This indicative of an insurance company board's comfort zone," says Danielson. "Boards are seasoned individuals who are asked to apply judgment on many different topics. In this regard, technology is a misnomer, because it's often thought of in the highly technical arena of software and hardware, when it's really about overall strategy, business change and improvement." According to the Deloitte & Touche report, directors and senior executives blame this gap on the number of other things that have been hitting the insurance company board's agenda, namely regulatory compliance and top line growth. "Top line growth varies by segment," says Danielson, "but clearly the life area faces some hurdles. With the influx of Baby Boomers seeking better retirement returns, life insurers are struggling with what to do, because their infrastructures are not designed in similar fashion to a typical investment firm. An investment company's business model is such that they can see every day where they stand financially." Some of the key findings and trends from the survey include: * Boards are not involved to the degree they believe they should be in IT; directors did not indicate a commensurate level of activity with the level of recognition of IT's importance.* Ten percent of boards relegate IT matters to a board committee. * Only 11% of boards discuss IT at every meeting. * Fourteen percent of boards are "completely and actively involved" in IT strategy. * Directors who report a higher level of involvement in IT matters have a better understanding of IT's importance to their business and their performance. * Directors report that effectiveness in executing on IT strategy correlates to better financial performance. Furthermore, the survey found that even though 22% of the respondents blame various aspects of IT strategy for their companies' inability to achieve its goals, 52% say their board will be spending no more time on IT over the next three years than it does now. The findings also indicated that when the CEO leads the discussion, boards are more completely and actively involved in IT. "In the not so distant old days, technology was more of a support system than an actual business strategy. Today technology and IT are key business strategies and typically are accompanied by capital budgets reaching as high as a billion dollars in larger companies," said TK Kerstetter, president and CEO of Corporate Board Member, a Brentwood, Tenn. publisher. "The days of not understanding IT in the boardroom are gone, and I expect we will see more CIOs and CTOs invited to serve as board members in the years ahead." According to Danielson, this may not be the ultimate solution for insurance companies, but it's a start. "It's important to get senior people to talk about technology," he says, "and as an adjunct, board members need to be better educated. They need a better understanding on lead-time for IT project completion, potential technology pitfalls and ultimate benefits. It's really about managing expectations upward." Source: Deloitte & Touche USA LLP

Dublin - Research and Markets, a Dublin research firm, released a new offering, “The Life Insurance Carriers Industry Report,” the company reports. The report includes 2007 and 2008 forecast estimates on the size of the industry (sales, establishments, employment) for the 47 largest world countries. The report also includes industry definition, 5-year historical trends on industry sales, establishments and employment and estimates on up to 10 sub-industries, including fraternal life insurance organizations, mutual association life insurance, and life insurance agents.

New York - A National Association of Insurance Commissioners personal lines working group expressed mixed feelings recently concerning a draft proposal that would authorize insurers to ignore current filed rates and competitively bid on applicants seeking coverage thorough a proposed electronic insurance exchange system. The "Alternative Recommendation for a Pilot Project Testing Pricing Freedom" draft, which was presented via conference call on February 22 to the Personal Lines Market Regulatory Framework Working Group, is based on the use of a technology platform called the "Insurance Exchange," sources at NAIC confirmed. The insurance exchange technology, first publicized by the Council of Insurance Agents and Brokers and reported in Insurance Networking News, March 2007, p. 6), is designed to streamline the underwriting process, says the NAIC draft proposal. The premise of the technology is to enable an insurance producer to complete a single application for a variety of insurance products and to submit that single application to multiple insurers. Insurers respond with a quote if they are interested in the risk. Once the applicant selects the insurer, the producer uses the insurance exchange to inform the insurer and the insurer issues the policy to the applicant. According to the draft proposed to the NAIC Working Group, which functions under the auspices of the NAIC's Speed to Market Committee, "In exchange for providing easy access to multiple quotations, the insurers could be offered pricing freedom through a pilot project that is enabled by interested insurance regulators." The proposal states that participating states use discretionary authority contained in current rating laws to enable a pilot project that: *Applies to personal auto insurance and homeowner insurance coverages (other products could be added); *Authorizes insurers to ignore current filed rates and competitively bid on applicants seeking coverage thorough the electronic insurance exchange system; *Allows an insurance producer selected by the applicant to assist the applicant with completion of a single application that is submitted through the system to all interested insurers; *Requires insurers to disclose coverage terms and conditions to the applicant, through the insurance producer, along with the competitive bid detailing the cost for the coverages requested by the applicant; *Provides insurance regulators with statistical information needed to evaluate whether the pricing freedom is providing applicants with sufficient information and broad selection among a variety of insurers and insurance products; and *Leads to a formal evaluation of the success or failure of the pilot project by participating states. The introduction of the draft, says Working Group chair D. David Parsons, Deputy Commissioner, State of Alabama Department of Insurance, was merely that: a simple introduction to the Working Group of the topic as "floating option" for possible consideration for a larger agenda of "developing a system that would be less intrusive, and that would allow carriers to get their products out to consumers in a more efficient manner." "We didn't have an official vote count or even a quorum," Parsons told INN, "but we did hear a number of states express disapproval [about the pilot], and a few that expressed positive feedback." Parsons attributes the disparate responses to the insurance industry's culture. "In some ways state regulation is cumbersome to the industry," he said. "There are so many diverse opinions. Our working group's charge is to try to improve that... get to the public more efficiently... at less cost to them and with good protection." Parsons admitted that the industry faces several large hurdles, including differences in filing issues, licensing issues and more. "There is a lot to be worked out," he said. "But this is a good group and they are passionate about their positions. We would like to see, at a minimum, flex rating come out of this," he said. Source: National Association of Insurance Commissioners

Kansas City, Mo. - Recent statistics show that while consumer complaints decreased for the third consecutive year, the reasons behind those complaints have remained relatively the same for the past five years: Consumers want faster customer service. According to data collected by the National Association of Insurance Commissioners (NAIC), the top three reasons consumers filed formal complaints against their insurance companies in 2006 were delays, denials of claims and unsatisfactory settlement offers. Rounding out the top five sources of consumer complaints were policy cancellations and premiums/insurance rating issues. The NAIC maintains a centralized electronic Complaint Database System (CDS), through which states voluntarily report “closed” complaints. A closed complaint is a complaint that has been investigated and resolved to the satisfaction of the state or jurisdiction in which it is filed. First established in 1990, the CDS was significantly expanded in 1998 and now houses more than 2 million complaints. A total of 190,572 consumer complaints were reported to CDS in 2006, a 7.8% decrease from the previous year. This information is based on the submission of data to the NAIC from the state insurance departments. The NAIC does not collect all complaint data from all states. Aggregate data compiled from the CDS can be accessed on the NAIC’s Web site through the Consumer Information Source link. By accessing this program, consumers can obtain company–specific complaint ratios (the ratio of the company’s market share of complaints compared to the company’s market share of premiums for a specific policy type), as well as aggregate counts of complaints by state and by type of coverage for specific companies. Below is details the top five types of complaints and the top five complained about insurance coverages for 2006. Included is the total number of complaints (for complaint type and line of coverage), followed by the percentage of overall complaints each type represents. (Example: “Delays” make up 21.9% of all complaints received by the NAIC in 2006.) Top 5 Types of Complaints in 2006: Delays: Total number reported: 41,647; Percentage 21.9% Denial of Claim: Total number reported: 3,601; Percentage 18.7% Unsatisfactory Settlement Offer: Total number reported: 26,556; Percentage 13.9% Cancellation: Total number reported: 12,467; Percentage 6.5% Top 5 Complaints by Type of Coverage in 2006:Auto: Total number reported: 71,302; Percentage 37.4% Accident & Health: Total number reported: 62,954; Percentage 33.0% Homeowners: Total number reported: 24,785; Percentage 13.0% Life & Annuity: Total number reported: 16,939; Percentage 8.9% Commercial Multiperil: Total number reported: 3,521; Percentage 1.9%

Hartford, Conn. - Travelers seems to understand that the term "in sickness and in health" can take on an additional meaning for the more than 3,000 weddings that take place every day in the U.S. with the average cost of wedding now reaching $27,000* the Hartford, Conn. insurer is launching of its Wedding Protector Plan, an insurance policy covering weddings. The company plans to attract this niche market with a special Web site, AgentProtectMyWedding.com. The site is designed to help consumers learn about wedding insurance, and includes a premium calculator and a risk quiz to help consumers determine how much risk surrounds their wedding. Consumers can also use the online agent locator to find a nearby Travelers independent agent to discuss purchasing protection. Coverage can be purchased within 14 days of the event. The Web site also offers an e-newsletter for newlyweds, which covers topics from lifestyle to money management tips, designed to help couples become in-synch with their lives as one. The Wedding Protector Plan provides coverage, with no deductible, for a variety of unfortunate occurrences associated with a wedding event. For example, coverage is provided if a hurricane causes the necessary and unavoidable cancellation or postponement of the event. Other coverage includes postponement for withdrawal of military leave, forfeited and lost deposits, extra expenses associated with special attire, transportation, photographs, and entertainment expenses. The Travelers reports that the top wedding claims and problems typically include damage to wedding attire, mishaps with event photography, cancellation due to illness or bereavement, and no-shows by contracted vendors.** * Conde Nast Bridal Media - American Wedding Study, 2006** MSN.com (UK) Source: The Travelers, a business of The St. Paul Travelers Companies Inc.

Gig Harbor, Wash. - Jon Kaplan, head of financial services, advertising, for Google, Inc. and Roger Dawson, a nationally recognized speaker, negotiator and author, will headline the 2007 annual meeting of the Insurance Marketing Communication Association (IMCA), June 3-6, 2007 in Newport, R.I. In his role, Kaplan sets the overall strategy for Google's national advertising sales team and for enhancing product offerings, and works with regional sales teams on strategic clients. Roger Dawson, a full-time speaker and author, is considered a negotiations expert. A full-time speaker since 1982, Dawson has trained managers and salespeople at top companies and leading associations throughout the United States, Canada and Australia. Jeanne Salavatore, senior vice president, public affairs, Insurance Information Institute, is also scheduled to address the group. She will "grade" the insurance industry on how well it is doing in its communications in her presentation, "Why Insurers Should Care About Communications." Source: Insurance Marketing Communication Association

Warren, N.J. - With businesses of all sizes looking to buy and sell overseas, the Chubb Group of Insurance Cos., Warren, N.J., released an ocean cargo policy and launched CargoPort, an online system that enables customers to view their policies, submit claims and monitor shipping activities.

New York - Insurers are taking enterprise risk management (ERM) seriously, but many companies have begun ERM programs without taking the necessary step of getting management consensus on risk appetite.

Las Vegas - An Allstate executive is among the IT pros who have been named winners of the Pink Elephant Inc. 2007 IT Infrastructure Library Awards.

An insurance trade group has joined a chorus of New York officials in asking Congress to renew the Terrorism Risk Insurance Act, which is set to expire at the end of this year.

Washington - Insurers are urging Congress to preserve a federal anti-trust exemption granted to the industry in 1945. The exemption has come under scrutiny by legislators in the aftermath of Hurricane Katrina, insurance trade associations say.

Chicago - The fortunes of two industries are beginning to intertwine, according to Cards & Payments, a Chicago-based sister publication of Insurance Networking News.

Atlanta - Blue Cross Blue Shield of Georgia Foundation (BCBSGa Foundation), which supports the charitable activities of Blue Cross Blue Shield of Georgia, awarded $80,000 grants to 11 rural hospitals across the state of Georgia have each been awarded for the purchase of a teleradiology system.Teleradiology enables small, rural hospitals to connect with radiologists in larger cities to receive and interpret radiology images. Utilizing digital technology and specialized computer monitors, remote radiologists in Savannah, Atlanta, Macon and other major markets will be able to receive images and provide faster diagnosis and consultations to attending physicians in rural areas.

DIRECT MARKETING TOOL ENHANCEDMelissa Data announced the addition of multi-platform capabilities to the Canadian Address Object, a complementary product to the Rancho Santa Margarita, Calif. company's Data Quality Suite, a direct-marketing tool that verifies and corrects address, phone and contact data.

STRATEGIC GOALS GUIDE IT SPENDINGSenior insurance IT executives are making strategic investments, but budgets and staff size are generally flat or growing only modestly.

INSURER AUTOMATES INTERNAL CONTROLSPhysicians Mutual, based in Omaha, Neb., selected OpenPages FCM for its financial controls management initiatives. OpenPages FCM is an enterprise financial controls management solution designed to reduce time and resource costs associated with ongoing financial reporting regulations. It is expected to reduce Physician Mutual's time and costs associated with efforts to comply with changes to National Association of Insurance Companies financial reporting regulations. "OpenPages allows us to automate our ongoing assessment and monitoring of internal controls and ensure that compliance initiatives align with our business strategy," says Barbara Bergmeier, senior vice president of internal audit, Physicians Mutual.

Waukesha, Wis. - Markel American Insurance Co. launched its new Web site (www.markelinsuresfun.com). The site is designed to provide a single access point to people seeking to insure their recreation. The site enables customers and potential customers to quote and purchase insurance for their motorcycle, boat, personal watercraft and ATV all in one place. In addition, the site will be regularly updated with industry news, stories and trends to provide visitors with the information they are looking for to stay up to date on their favorite activities.

Franklin Lakes, N.J. - Patients are 58% more likely to switch to a lower-cost prescription drug when assisted by an online tool that allows them to compare prices, a new study from pharmacy benefit manager Medco reveals.