Security risk

HARTFORD, Conn., Dec. 11-- Aetna InteliHealth, Aetna's online consumer health information resource, and Aetna Navigator, the company's self-service website for members, have received 2003 eHealthcare Leadership Awards for Health/Healthcare Content and Interactive Site, respectively.

Most consumers admit that purchasing life insurance is not something they relish-mainly because of the issue of their mortality. For life insurers, selling their various products has been difficult as well, but this shortcoming has little to do with consumer resistance.

The insurance industry appears poised to remove the "technology laggard" label. Despite a back-to-basics management philosophy brought on by the two-year economic slump, insurance companies continue to move forward with their Internet strategies.For the third consecutive year, Internet-related categories ranked at the top of Insurance Networking News' "Best of the Newest" survey, a poll of 17 technologies rated by insurance company executives and industry experts. The panel rated each technology based on its impact on carriers' operations and its level of innovation.

The old adage of "What, me worry?" isn't part of the lexicon of CIOs, CTOs and other senior level executives in charge of IT functions at life/health and property/casualty firms, according to a survey completed by Celent Communications Inc. in partnership with Insurance Networking News.Twenty executives from small, medium and large carriers paint a picture of insurance IT organizations in a double bind of diminished resources and increased demand this year and anticipated again in 2004.

As insurance companies develop a blueprint for compliance to the Sarbanes-Oxley Act, an alarming number of U.S. corporations admit they are still uncertain about how they plan to adhere to the mandate.Moreover, industry experts believe that insurers who disregard the role of technology to comply with the Act might be in for a rude awakening.

In the past, insurers could write off fraud expenses with investment income and capital reserves. But those days are over. Reduced investment income and reserves have forced insurers to face such operational bugaboos as fraud and subrogation head on. Fortunately, insurers ahead of the curve have identified technology-based strategies to get to the heart of the matter.

The term "Web service" was coined only three years ago, according to Celent Communications Inc. And, already, U.S. insurers are spending roughly $78 million--or 5% of their integration dollars--on Web services-related initiatives (see "Web Services Spending By Insurers," page 14).What's more, by 2006, more than 40% of insurers' new systems integration spending will involve Web services, the Boston-based research and advisory firm predicts.

Rising somewhat like the Phoenix, an alternative bill that would provide compensation for workers injured by exposure to asbestos clawed its way through Congress in mid-October.Accepting a proposal drafted by Senate Majority Leader William Frist, R-Tenn., and his aides, insurers and defendants accepted a proposal on Oct. 16 to seed a trust fund projected to have enough capacity to settle $115 billion in claims over 27 years.

Forty years ago, mischievous adolescents got their kicks by calling people on the phone and asking them, "Do you have Prince Albert in a can?" Today, they concoct computer viruses and worms designed to knock out the networks of global corporations.

One of the core activities regularly performed by insurers-its telemarketing efforts is about to undergo modifications now that the federal Do Not Call (DNC) list has been given the green light for national enforcement.In October, a federal appeals court ruled that the Do Not Call registry-a list that currently includes about 50 million phone numbers-was within the legal boundaries of the Federal Trade Commission (FTC) and Federal Communications Commission (FCC).

Information technology strategy plays a critical role in the success of American Modern Insurance Group Inc. (AMIG), a wholly owned subsidiary of The Midland Co., Amelia, Ohio.The provider of specialty personal lines insurance products has an average annual premium of just $450 across its book of business. So having information technology in place "so that the business can flow relatively untouched by human hands is critically important to us. There's not enough money in a $450 premium for us to have to fondle each file," says John Hayden, CEO and president of The Midland Co., and president, CEO and chairman of AMIG.

In a California intellectual property lawsuit that could have sweeping implications over the way insurers and vendors approach software licensing agreements, a federal judge in late August granted a preliminary injunction barring San Diego-based Arrowhead General Insurance Agency from using insurance pricing software developed by a La Jolla, Calif.-based software solutions provider.In ruling against Arrowhead, a privately-held managing general agency, Chief Judge Marilyn Huff of the U.S. District Court for the Southern District of California prohibited Arrowhead's unlicensed use of the software in online insurance applications, including its Web-based distribution platforms, Arrowhead Exchange and YouZoom.com.

Privacy advocates will have to pin their hopes on Senate Banking Committee Chairman Richard Shelby, R-Ala., if they want to see national privacy standards enhanced through legislation extending provisions of the federal Fair Credit Reporting Act (FCRA) that expire at the end of this year.The House in September passed its version of FCRA legislation, via the Fair and Accurate Credit Transactions Act, using the measure more as a vehicle to provide citizens with increased protection from, and remediation for, identity theft.

Advocates of the use of credit scores in personal lines underwriting and rating could be excused if they are feeling a bit under siege lately.The industry has been generally pleased with the actions of state legislatures that have supported carriers' use of consumers' credit information for approving policies and setting policy rates.

Insurers long ago developed tools to perform risk modeling for natural disasters such as floods, hurricanes and tornadoes. But Aon Corp. has launched a different kind of venture to help its clients reduce workplace violence.Realizing the great amount of pressure on its corporate clients to understand the dynamics that contribute to workplace aggression, Aon in July aligned itself with the Center for Aggression Management (CAM), a Winter Park, Fla.-based organization dedicated to identifying, measuring and preventing risks related to workplace aggression and violence.

Although the federal government granted the healthcare industry an extra year to comply with the transactions and code set rules mandated under the Health Insurance Portability and Accountability Act (HIPAA), experts say a procedural mess is set to occur on Oct. 16.That's the date for the HIPAA deadline-which originally was set for Oct. 16, 2002-for health plans, providers and clearinghouses to cease processing proprietary transactions and use only standardized transactions that comply with the 1996 law.

In today's tough economic climate, insurers are striving to increase productivity and efficiency while keeping expenses in check. And, due to escalating competition, they are also doing more to retain existing customers.As a result, many employees are overwhelmed by the challenges of finding and delivering the right information to customers when, where and how it is needed.

No one would argue against the fact that the insurance industry has been engulfed in a perfect storm over the past few years. Consolidations, monumental loss experiences, economic turmoil and investment declines have conspired together as never before.Faced with a hard market, staff and training reductions, and stagnant capital and IT budgets, insurers are under greater pressure than ever to work smarter, faster and more efficiently.

Although the Sarbanes-Oxley Act of 2002 is focused primarily on financial reporting and accounting processes, the law is forcing publicly traded companies to assess their IT systems too.Thanks to the transgressions at Enron, WorldCom and other now notorious corporations, all publicly traded companies in the United States-including insurers-are in the throes of trying to determine how to comply with the law that was passed to deter such corporate malfeasance in the future.

Rules-based underwriting systems are designed to reflect the logic of the best and most experienced underwriters. In this way, they can provide agents and customer service representatives with the appropriate questions to ask applicants, and enable the company to more accurately and efficiently assess risk. But what if the data the applicant provides is wrong?"The problem with technologies such as rules-based systems or efforts to streamline information flow to agents is the matter of the quality of the information," says Daniel Finnegan, Ph.D., and president and founder of Quality Planning Corp. (QPC), San Francisco. "You can make all the rules you want, but if you don't get the data right, the outcome is wrong."