Policy adminstration

Since 2000, when the Gramm-Leach-Bliley bill made it possible for banks to enter the insurance business, the selling world has seen an invasion of financial institutions, such as Wachovia and BB&T, who have bought insurance agencies or created their own to sell life, disability and other products.Now, the insurance industry seems to believe that turnabout is fair play. In addition to a number of insurance companies, including MetLife, State Farm and Allstate, that created their own banks several years ago, one firm, InBank, is going so far as to offer insurance companies "private-label banking," which executives say allows insurers to sell banking products without the attendant capital costs and regulatory responsibility.

In this age of Blackberries and instant messaging, insurance carriers and agents alike are focused on finding high-tech solutions to conduct their businesses. Enter: Single Entry Multiple Carrier Interface-also known as SEMCI.The concept of SEMCI technology sounds simple. Vendors create applications that enable independent insurance agents to access one site, hopefully through their own agency management system, enter data once and then communicate with multiple insurance carriers to obtain real-time quotes.

As wildfires scorched California's Los Angeles and Ventura counties in October, thousands of firefighters tried desperately to extinguish the flames that-fanned by dry winds-threatened to spread.Homeowners weren't the only ones following the spiraling fires with concern, as insurers, too, have seen how once seemingly safe urban areas are now vulnerable.

All financial institutions are faced with a basic business question: What is the best use of available funds? Historically, within the insurance industry, this issue of capital allocation has been addressed using some very basic projections of future balance sheets and profit-and-loss statements, with capital projections based on regulatory capital requirements.Global insurers-as well as regulators and rating agencies-are warming to the principle that capital requirements should be based on an assessment of the true underlying risks to the business. Only then can a proper decision be made as to whether one strategic option may be better than another. Without such an analysis, a company might adopt a particular strategy that, over time, eats away at capital and results in a very inefficient use of available funds.

By converting from paper to e-billing, companies can reap appreciable cost savings, achieve significant efficiencies, hasten incoming payments, gain greater accuracy in accounting and invoicing systems, and reduce labor operations.But only a relatively few carriers have thus far converted to e-billing, also known as Electronic Invoice Presentment and Payment (EIPP).

The debate in the industry over an optional federal charter for insurance companies has been brewing for several years. But now, there are some numbers that attest to the value of a single federal regulator-at least for the life insurance sector.More than $250 million, or 55% of all regulatory costs, are directly related to addressing the requirements of multiple regulatory jurisdictions, according to a recent study conducted by the American Council of Life Insurers (ACLI), Washington, D.C., and El Segundo, Calif.-based Computer Sciences Corp. (CSC). A majority of respondents to the ACLI/CSC survey indicated their companies had lost premium (73%) and deferred or shelved products (83%) as a result of delays in the state-by-state approval process. What's more, nearly every aspect of a life insurer's delivery system is affected by regulatory costs-from designing new products to paying claims.

Few P&C carriers are satisfied with their existing policy administration systems. But while most would like to benefit from modern technology solutions, getting there can be a daunting challenge.Developed using now-ancient languages like COBOL and first deployed 15-20 years ago, many insurers' policy administration systems (PAS) lag far behind today's technology. Yet, the PAS is literally the life support system of an insurance carrier's business.

Washington, D. C. - Health insurance plans are advancing information technology (IT) on many fronts, and in the process are achieving impressive results in health care quality, service, cost, and efficiency, according to a report issued by America's Health Insurance Plans (AHIP), a Washington, D.C., national trade association. "Innovations in Health Information Technology" profiles more than 40 innovations in the use of health IT that address a variety of healthcare system needs with effective new solutions.

Kansas City, Mo. - Representatives of the Financial Crimes Enforcement Network (FinCEN) of the United States Department of Treasury will be attending the National Association of Insurance Commissioners (NAIC) Winter National Meeting in Chicago during the Antifraud Task Force meeting on Monday, December 5, to present two final rules that will affect certain insurance companies.

New York - CIGNA Inc. is expanding its on-line pricing data for consumers, the company reports.

In a new report, Celent, a Boston-based research and consulting firm, predicts how new technologies are impacting the future of the insurance industry.

Western United Life Assurance Co. (WULA), a Spokane Valley, Wash., provider of annuity products, has successfully completed conversion of its first block of business from its legacy environment to AdminServer Inc., a Chester, Pa., provider of administrative software and services.

Chicago - The Blue Cross and Blue Shield Association (BCBSA) and Visa USA have agreed to support participating Blue Cross and Blue Shield companies nationwide that are offering their members co-branded debit cards to pay for healthcare related expenses. The Blue-branded Visa debit card will allow customers to pay for qualified medical expenses by providing them with access to their health plan personal savings accounts. The co-branded cards are part of a larger initiative by Blue Cross and Blue Shield to provide consumers with the information and tools they need to make better decisions healthcare for themselves and their families.

Zurich, Switzerland - Swiss Re has agreed to acquire GE Insurance Solutions, the fifth largest reinsurer worldwide, from General Electric Co. (GE) in a $ 6.8 billion (U.S.) transaction.The acquisition is designed to add a strong franchise to Swiss Re, complementing its own strengths. After the closing of the transaction, Swiss Re would have estimated combined revenues of CHF 46 billion (based on 2004 figures) and assets of CHF 265 billion (as of June 2005) and a highly diversified business globally.

Washington, D.C. - The American Insurance Association (AIA) is urging insurance regulators to go slow in considering a national catastrophe insurance program, affirming support for catastrophe modeling technology but discouraging federal and state governments from storming through private sector business practices.

New York, N.Y. - Financial services companies are currently capturing less than one-third of the potential cost savings offered by offshoring operations, according to a study by Deloitte Touche Tohmatsu (DTT).

New Orleans - McGlinchey Stafford PLLC, a law firm based in the Gulf Coast region, has developed a weblog for companies with business interests in hurricane-affected areas. The blog, found at www.hurricanelawblog.com, features up-to-date information about post-hurricane legal issues, including insurance, real estate, healthcare, environmental, finance and litigation.The blog, which was created in response to client needs, offers businesses a single location to find information regarding legislation, litigation, and regulatory issues in and affecting Louisiana, Mississippi, Texas and Alabama. McGlinchey Stafford's hurricane blog will serve as a central repository for relevant information from both federal and state organizations, legislative bodies and courts.

Kansas City, Mo. - The National Association of Insurance Commissioners (NAIC) has selected CooperKatz & Co. to promote a major national public education program focused on teaching consumers how to select the right type of insurance coverage to fit their needs and how to protect themselves from buying worthless policies from fake insurance companies."We chose CooperKatz for their broad knowledge of insurance issues and deep experience in consumer public relations," says Catherine J. Weatherford, NAIC executive vice president and CEO. "They demonstrated a combination of solid strategic thinking, outstanding creativity and great enthusiasm to help us achieve our goals."

Pittsburgh - Highmark Inc., an association of independent Blue Cross and Blue Shield plans, is contributing $26.5 million to The Pittsburgh Foundation, which will use the funds for an electronic prescribing (ePrescribing) initiative.The foundation has created the Highmark eHealth Collaborative to encourage the adoption of health information technology used in patient care in order to improve patient safety and quality while increasing cost efficiency.

Horsham, Pa. - NextGen Healthcare Information Systems Inc., a subsidiary of Quality Systems Inc. has completed a pilot project with Empire Medicare Services, a fee-for-service Medicare contractor, and the Workgroup for Electronic Data Interchange (WEDI) Foundation to facilitate the use of electronic attachments between a health plan and its providers.The pilot program, which was funded for Empire Medicare Services and WEDI by the Centers for Medicare & Medicaid Services (CMS), tested the use of electronic claims attachments in accordance with HIPAA's transaction code sets, including ANSI 275 and 277.