Ken Leibow

Digital point of sales solutions for life insurance continue to become more innovative. I am trying to keep up. The auto-fulfillment process for applying for life insurance is all about data and getting an instant underwriting decision. While we all want instant underwriting decisions, the impaired risk business is not going away. There are new enhancements regarding Electronic Health Records (EHR), and lab testing for COVID. The Internet of Things (IOT) is now playing a role in personal wellness that will affect underwriting in the future.

Point-of-Sale Instant Underwriting Decisions and Data Prefill
SCOR’s Velogica^® helps protect families by facilitating easily acquired life insurance at affordable prices while digitally integrating the most advanced evidence sources. Using a patented process to deliver instant underwriting decisions, the Velogica algorithm helps major clients drive new models of efficient distribution through predictive risk assessment and point-of-sale policyholder capture by correlating information from the life insurance application, motor vehicle reports, MIB reports and prescription drug history and other data sources. Velogica is designed with flexibility to incorporate new data sources as they become available.

The most recent release of Velogica integrates SCOR’s predictive analytics capabilities and electronic health records scores and offers powerful data visualization and analytics functions that allow for strong case management and tracking. With more than four million life insurance applications processed, this proven platform has a record of achievement that is unmatched in the industry.

Ash Brokerage, Ameritas and SCOR recently announced a new next-generation term life insurance product, Ash Instant term issued by Ameritas Life Insurance Corp. Ash Instant term is an example of how Velogica’s solution for point-of-sale life insurance combines reinsurance and product development. Ash developed the frontend journey for Ash Instant term and Velogica is the underwriting engine that supports it. This innovative digital product is available to Ash advisors through the Ash Term Express platform.

“We were excited to partner with ASH Brokerage and Ameritas to assist in the development of Ash Instant term. This digital product offers one of the best automation rates in the market while it maintains very competitive prices,” explains Richard De Sousa, senior vice president, deputy head of Growth and Development at SCOR. “Qualified applicants can confirm receipt of coverage within 15 minutes in either an agent-assisted or self-serve fully digital environment.”

LexisNexis^® Life Data Prefill is an interactive single-inquiry solution that streamlines the insurance process at the point of application, reducing the time and cost of capturing data to evaluate applicants. With just a name, address and date of birth, Life Data Prefill can help prefill other important application data in near real-time. This solution reduces the number of questions that need to be asked, minimizes mis-keys and enhances the overall customer experience. Life Data Prefill can help easily reduce Not in Good Order rates, minimize errors and prefill information that is often incorrectly entered. Completing the application more accurately the first time helps reduce customer follow-up so that agents can better place policies in a more efficient manner, carriers can speed up the application process and underwriters can better evaluate risk.

LexisNexis^® Risk Solutions also just released four new enhancements to Life Data Prefill that add additional value at the point of sale by providing an even more improved experience for the insurer and agency/broker. The four optional enhancements to Life Data Prefill include:

• Criminal and Bankruptcy Flags, which can be used by insurers to reduce critical application omissions related to criminal and/or bankruptcy records, determining a more appropriate applicant path.
• A Persistency Indicator, used by insurers and agents to identify the potential for early lapse and increase consumer satisfaction.
• A Family History Flag, used by insurers and agents to reduce application omissions related to premature family deaths and determine a more appropriate path for the applicant.
• An Accelerated Indicator, designed for agents, to provide a likelihood that the applicant will progress through accelerated underwriting programs.

All of these new Life Data Prefill enhancements provide point-of-sale data points that enable carriers and agents to approach the underwriting process with more confidence, while simultaneously increasing placement and retention ratios.

EHR, Latest on Labs for COVID, and Personal Health Scoring
I followed up with vendors to find out what they were doing and found that Human API had evolved their solution into a Health Intelligence Platform that connects carriers and distributors and converts health data into actionable information that drives faster underwriting decisioning. All of this is of course aimed at ultimately improving the consumer buying experience and increasing placement rates.

Human API’s new platform has different layers of capabilities designed to make it easy for carriers and distributors to get started with using EHR data. It’s powered by a data network which is a source of raw health data that feeds the platform that converts data into meaningful information. The reporting capabilities then transform this information into contextual knowledge that underwriters can leverage to make their decisions faster. Finally, the analytics layer provides insights to continuously optimize the performance and impact of the Health Intelligence Platform.

Human API is now connected to all electronic health records (EHR) data sources via direct EHR networks (Epic Chart Gateway and Veradigm), public networks like CommonWell Health Alliance, regional health information exchanges (HIEs), and their proprietary patient portal network, in addition to traditional APS vendor partners. It’s now possible to get health data through their platform via a HIPAA authorization or with patient portal credentials. They informed me that these new data integrations along with their Smart Orchestration capabilities which automatically order medical evidence from the best available data source are consistently powering hit rates above 50 percent for their carrier customers (a milestone for our industry). This is a signal that life insurance is really starting to make the transition on the digital transformation journey since there are platforms like Human API that are enabling health data access and useability.

Their new Health Intelligence Platform brings full stack data capabilities under one solution, from access to normalization to customer reporting and analytics. Historically a lot of these data capabilities had to be purchased from different vendors and stitched together, so they designed their platform to make it easy to both retrieve and use health data and expand the utility of EHRs beyond an APS replacement. All the data on Human API’s platform is normalized and feeds a custom reporting engine that creates unique reports tailored to underwriting needs. For example, carriers can triage blind spots with a report that screens for key conditions, or avoid labs and exams with a “Health Check” report. This makes the information within EHRs useful and customizable, reducing the need to manually review all the pages in the records. With the launch of their new platform, they’re making the APS an exception rather than the norm for a lot of their customers.

Additionally, the platform enables distributors and carriers to easily share records with one another for more transparency. Distributors are able to keep their applicants updated on the status of their cases as it moves through underwriting. This single view into the process is not only creating a better experience for customers but also enabling better collaboration between carriers and distributors.

While we looked at medical records, let’s now pivot to labs and the latest in COVID testing. In addition to initial COVID-19 strains, variants such as Alpha, Beta, Gamma, and Delta, are now creating concerns of resurgence in the U.S. According to a New York Times report, overall deaths from COVID remain around 1.6 percent, which the CDC indicates is a staggering 100 times that of the combined total of influenza and pneumonia.

While even vaccinated individuals are being infected, the CDC indicates that breakthrough infection rates, as well as hospitalization rates for breakthrough infections, are 1/10th that of the infection and hospitalization rate among unvaccinated individuals. This is good news for the vaccinated; however, not all vaccines are created equally, and none are 100 percent effective.

In fact, effectiveness rates among the top three vaccines range from 66 percent to 94.1 percent. This means as many as three out of every 10 vaccinated individuals will not develop the antibodies capable of neutralizing the COVID-19 virus. The only way to really know if a vaccination is effective is to get a test that identifies neutralizing antibodies post vaccination, such as the ImmunoRank Neutralization Assay offered by MediPro Direct.

MediPro Direct also offers a COVID-19 Titer test three to six months post-vaccination, which will identify the number of neutralizing antibodies remaining in an individual’s body. This result indicates whether a booster shot for COVID-19 is necessary for that individual. Results from these tests help individuals and organizations manage risk and better account for mortality rates by identifying the “truly” vaccinated.

I have an Apple Watch, iPhone, Withings Digital Blood Pressure Kit and Scale, plus health and workout Apps. These are all IOT devices capturing health and wellness data. I discovered a White Paper by dacadoo called “Health Scoring and The Personalization of Risk.” It had been developed in conjunction with a Data Science team to bring to life the tangible outcomes of Health Scoring technology. The results can be significant for healthcare expenditure savings. They also explore how new personalization efforts in life or health insurance can combine new technologies and correlative analysis techniques that leverage Big Data to deliver real-time customization of offerings, content, and customer experience at an individual level. There are a lot of important statistics in the report. A simple example is how adding an additional 1,850 steps to your daily activity can translate into hundreds of dollars of healthcare savings, which is especially beneficial today with the spiraling costs of healthcare. The Digital Health Engagement Platform from dacadoo is a mobile app. The platform includes its Health Score and Risk Engine for Life and Health Carriers globally. Click here to download the free White Paper.

It seems in 2021 that every couple of months I learn about a software solution, new process, or new service that innovates, enhances, and accelerates life insurance underwriting. There are now platforms for engaging the life agent, and outsourcing the BGA underwriting tasks that helps accelerate the informal process. Solution providers have created for carriers new innovative outsource underwriting services that result in reduced costs and more efficiencies. And yes I continue to share new information on APIs, specifically impacting the whole underwriting experience from digital point-of-sale to a carrier’s back office.

Automating and Accelerating the Informal Process for Impaired Risk Cases
You don’t often see a fully automated platform for agents for tracking underwriting quotes. BackNine Insurance, a leading BGA, has a software solution called Back Office Support System (BOSS), which helps independent agents and larger agencies alike in cultivating new opportunities while keeping everyone informed 24/7 on current quotes, requests, and case updates. The BOSS platform supports anyone selling life insurance by providing structure to write the type of business that best suits the needs of respective clients—from start to finish. BOSS essentially provides instant access to managing the lifecycle of all agents’ policies. Policy status, values, and beneficiaries for multiple carriers are housed in one location, allowing agents to efficiently service their clients. Agents are also able to optimize all elements of their business as the platform also allows them to view appointments, cases, commissions, quotes, and reporting, and it creates a digital hierarchy for commissions within an agency. And, it integrates seamlessly with the Quote & Apply e-application and quoting system.

Ian Ryan, brokerage director at BackNine Insurance, explained, “Impaired risk quotes (also known as quick quotes) are able to be tracked within the BOSS platform. If an application is submitted and the case isn’t approved, the reasons for the decline are sent, or other quotes are provided that the client was approved for with other carriers. This response time is quite efficient, typically within 24-48 hours. At that point we run quotes for the agent, then input all this information into our BOSS system. The client’s name and information won’t be sent to the carrier—they just require the client’s gender, age, and basic information—and it’s all anonymous. They won’t review documents or attachments at this point; we provide a brief synopsis of the client’s situation and any medical issues. It’s important to note that these are tentative offers based strictly upon the information provided. Once the response is received, we’ll include the impaired risk quote before sending a formal application.”

“These impaired risk quotes are typically used when an agent has a client with various health issues—so why waste their time on a formal application if the carrier isn’t going to be in a rate class they can afford. That being said, if the client has one or more health issues that are identified in the MIB or with prescriptions, the quote can change. It’s not a guaranteed offer; it’s tentative based upon the information we give for review. All of these responses and information are saved, and agents can go back into BOSS wherein they can view the carriers that have and haven’t responded. There’s also an easily accessible impaired risk quote section within BOSS where agents can find their client’s name, see exactly what information was sent to carriers, and what responses have been received.”

Outsource Underwriting Services for Distributors and Carriers
Employee Pooling (EP) is renowned for helping customers transform software platforms into software systems, finding the perfect integration of software and expert human capital to deliver solutions that increase efficiencies. For 10 years, EP has partnered with hundreds of distributors, financial institutions, and software companies to make the shift to working smarter by removing obstacles getting in the way of increasing profits and enhancing the customer experience. EP provides straight through processing solutions from sales support and agent appointments to case management and underwriting through commissions and policy services, and countless other tasks that are guaranteed to increase connectivity with your customers and increase profits.

You can finally stop putting your clients through a blind and seemingly endless, expensive, relationship-killing journey that is the traditional informal process. EP Accelerated Informal (AI) will take a case from darkness to light with just $50, an authorization and 24 hours. EP’s in-house underwriters use a rich medical data retrieval platform that delivers a comprehensive applicant profile using prescription drug and clinical lab history, and prescribing physician and actuarial data. In just one day, you have a professional risk summary that points you in the right direction for shopping a case.

Management Research Services, Inc. (MRS) has introduced its newest capability: Outsource Underwriting Services for insurance carriers. With over 30 years of life and health insurance experience, MRS is adding to its robust insurance automation capabilities by building on its proprietary technology platforms. The benefits gained through MRS’ turn-key underwriting services will provide agencies quicker processing as well as time and money savings. MRS and its insurance automation technologies keep carriers at the vanguard of an auto-code movement, allowing them to take advantage of an evolving insurance industry going through a significant digital transformation. MRS’ Outsource Underwriting Services will provide a variety of opportunities, including platform underwriting referrals, fulfillment of the chief underwriting role, audits, APS review/summary by the underwriter, MIB maintenance, MRS AutoCode model inclusion and contestable claim review.

MRS assists with insurance cases referred to underwriting for a decision in which the automated platforms could not make a determination or when additional information is required with intervention by an underwriter. MRS can provide a complete underwriting review and interpretation of attending physician records in conjunction with client acceptance guidelines as well as do periodic audits to remain compliant. For carriers that require underwriters to assist with short-term overflow, handle unanticipated fluctuations in business volumes, or are looking for a strategic outsourcing underwriting partner to support on a long-term basis.

Standardizing Part 2 Medical Questions for Speed-to-Market
The fulfillment process behind the scenes takes quite a bit of money, time and effort to implement from Part 1 questions and forms in a drop ticket, to Part 2 reflexive questions for a call center or digital Paramed. ApplicInt has just launched their “FAST Complete Suite.” It’s a low code, user customizable at a low cost which only takes two to three weeks to implement. The secret sauce is in the best of breed reflexive questions for impairments or positive responses. “FAST U*Complete” is the consumer facing quoting and eApp; “FAST CallComplete” is the reflexive scripted interviews for call centers; and “FAST ExamComplete” is reflexive interview for examiners to accurately collect carrier compliant questions. Top level Part 1 questions are easily customizable and mapped to state-filed forms; and data flows seamlessly from the consumer, call center, paramedical provider to the carrier.

APIs Supporting Underwriting for Carrier Policy Admin Systems
Everyone is building new technology based on APIs. I reached out to EIS whose platform is considered cutting edge. EIS is a global insurance software company and industry leader for carrier policy administration. Their EIS SuiteTM is an open, flexible platform of core systems and digital solutions that liberate carriers to accelerate and scale innovation, launch products faster, deliver new revenue channels, and create powerful customer experiences. Digital point of sales solutions, call centers for life insurance fulfillment, and other third party trading partners can create a personalized underwriting experience at the individual consumer level as well as at the product level through APIs from a carrier policy admin system and underwriting workbench. A flexible-configurable platform that uses cloud-based technology is able to trigger the API calls that are necessary through a solid rules engine and the right reflexive questioning. This is ideal for the industry for multiple reasons. 1) It allows carriers to reduce underwriting costs per applicant by only calling out to the additional data that is needed based on individual rules; 2) It speeds up the underwriting process, regardless of being fully underwritten or straight-through processing (STP); and, 3) It provides customers with a personalized experience based on who they are, the products they are applying for, and their own health rather than having a one-size-fits-all approach.

EIS’ Cloud-native, microservices, API-based platform gives carriers the ability to be underwriting agnostic. To personalize underwriting at the individual and product levels. Through its extensive API library it enables quick and easy integrations with not only established third-party sources that support underwriting such as Aura, Magnum, MIB, Milliman, ExamOne, etc., but also those third party sources. In addition, the Underwriting Workbench provides all of the collected information in one, easy-to-use system rather than having to go out to multiple systems (such as internal legacy solutions or external web-based applications) to pull in information for human-based underwriting. It keeps all of the external third-party data within the policy admin solution so that data is never lost and can be used down the line for claims.

The EIS Suite sends real-time notifications and updates to the distributor and agent keeping them informed through the underwriting process. At any time, an agent/broker can monitor the status of their clients, see where they are in the process, and get notifications from the underwriter (or third-party call center) if additional information is needed. It can trigger the agent into action to reach out to the applicant to ask for more info or to give them a nudge if they are taking too long to get their APS documentation or paramedical exam. With the EIS Suite persona-based applications, agents are kept in the loop at every stage in the policy lifecycle, from underwriting and service to claims.
Is it advances in technology, COVID, or just coincidence that we have recently seen a flood of innovations in the life insurance underwriting process? Whichever way, from Electronic Health Records (EHR), Artificial Intelligence (AI), to Application Programming Interfaces (APIs) and Predictive Analytics, underwriting automation continues to flourish. Don’t be surprised that I make more discoveries and share them in a future Tech-Tock article.

Automated Underwriting is the hot technology trend this year. There have been advancements since COVID-19 in 2020 from the growth in adoption of Electronic Health Records to AI in digital point of sales automated underwriting decisions. Data Analytics for predictive modeling is not some experimental outlier anymore. It is being used in mainstream underwriting today by life carriers and reinsurers. As we continue to keep you updated on the latest innovations in automated underwriting, it is also important to recognize the automation in the life insurance fulfillment process—like digital parameds and electronic lab slips. New software platforms relating to health and wellness are sprouting up in the market for carriers to offer to their policyholders. We are going to introduce in this article more details around Consumer Digital Health Engagement.

Automated Underwriting is Driven by Data and AI
SCOR is a global reinsurance company providing its clients with a broad range of innovative solutions. They have been on the cutting-edge doing studies, research, and development in automated underwriting (AUW). SCOR’s experts in underwriting have published on their website several articles on the future of life insurance underwriting. What they forecasted last year and in 2019 is being realized today.

I met with SCOR and they directed me to these articles, so here are some important facts: “Most companies agree the future of underwriting will be data driven. Data is one of the most valuable resources available to companies today, with new layers being added continuously. Computing capability is increasing and development of predictive models using machine learning techniques provide the ability to become much smarter in our assessment of risks. What does this mean for the future of underwriting? Underwriting assessments will be predominantly digital, will be unique to the individual risks and will require transparency.”

“Predictive models are an incredibly powerful tool with the potential to drive the life insurance industry forward in ways that are good for both consumers (improving their purchasing experience by removing intrusive requirements and long delays) and carriers (increasing taken rates and persistency and increasing the accuracy of mortality assessments). Traditional rules-based approaches start with assumptions and predict outcomes, while a predictive-model based strategy starts with outcomes and uses modelling techniques to identify data characteristics most likely to produce those outcomes. The predictive power of a model should be supported by a rules-based safety net. This predictive power coupled with the continued emergence of new underwriting data sources, puts us on the cusp of a sea change in what it means to underwrite.“

Velogica is SCOR’s automated underwriting platform designed to make instant underwriting decisions. It is integrated into the life insurance point-of-sales process. Velogica is helping major clients drive new models of efficient distribution through predictive risk assessment and point-of-sale policyholder capture. The Velogica algorithm correlates information from the life insurance application, motor vehicle reports, MIB reports and prescription drug history, and, in some states, criminal history. Clinical lab histories and credit-based mortality scores are on the horizon.

The Challenge of Automated Underwriting of Foreign Nationals
Global Insurance Solutions Group (Global SG) is not your typical life BGA because their niche business is providing life insurance to foreign nationals. They are experts at underwriting proposed insureds who travel to, reside and/or are citizens of other countries. Global SG works with specific carriers and life products that are available for this target market. I contacted Rita Northen, director of operations at Global SG and I asked her, “Does the progress we have made in automated underwriting work for this market?”

Rita explained, “Automated underwriting within the U.S. has expanded dramatically over the last several years. U.S. insurance carriers can collect an enormous amount of data on their insureds during the underwriting process. We are all aware of these data examples, i.e. MVR, script checks, MIB, and EHR. Our business focus at Global Insurance Solutions Group is in the high-net-worth foreign national market. The majority of our insureds reside outside of the U.S. and the automated underwriting processes frequently are not approved for our clients. Most carriers do not have the capabilities to access medical and financial data in other countries (or are not interested in trying).” I would like to clarify that automated underwriting does exist in other countries and medical data is available, however access to this data has either limited or restricted from companies outside of specific countries. Also U.S. life carriers have specific guidelines for underwriting foreign nationals, which a lot of its process involves paper and an underwriter to make a decision.

There is hope in making progress in getting access to some data. Rita wanted to emphasize the following: “One notable exception is Prudential, who we find takes a deeper dive into the data available on the internet. On our HNW foreign nationals, Prudential runs what it calls a DVR (Data Verification Report). These reports usually take a few days to complete and, although they are not always fully accurate or complete, typically give the carrier some independent information on the insured. The process definitely helps us in completing our cases quicker without having to get “the paper requirements” that, in this day and age, we all try to avoid.”

Consumer Digital Health Engagement
There is another new innovative trend in Insurtech. This new category is “Customer Engagement/Retention.” These are consumer mobile apps designed for carriers to offer to their policyholders to encourage healthy life choices, which in turn helps keep the business on the books.

Why Digital Health Engagement for Insurers? For life insurers, the value proposition is pretty obvious–healthy people are more likely to live longer. Yet, the majority of carriers do not engage with their members around their health (other than the initial exam, which is not exactly helpful). There are many benefits for insurers to implement an ongoing digital engagement strategy centered around health that delights users and provides benefits back to the issuer. Improving and helping to maintain overall health and wellbeing is the foundation. From there, a digital health engagement strategy can be used to differentiate your brand from competitors. With a custom branded white label app, members see your brand on a daily basis while they manage their lifestyle and positively associate it with helping them live better lives. This is very different from the relationship a traditional insurer has with their inforce policy holders. Once members are tracking their health and engaging with the branded platform, new personalized opportunities for cross- and up-sell are created. Rewards can increase use and retention, increase brand loyalty, and provide an attractive selling feature. dacadoo offers a robust health engagement platform, available as fully branded white label solutions, to provide these benefits and more to insurers around the world.

What’s your Health Score? Individuals have more health data than ever before available at their fingertips from trackers, wearables, and smartphone apps. It can be difficult to make sense of the volume of data and understand what truly affects your health. dacadoo’s mission is to make health measurable and understandable. One way it does so is by the Health Score, a real-time number from 1-1,000 based on 300 million person-years of clinical data, which has been patented and validated. dacadoo also offers the Risk Engine for Health quantification, based on the same underlying science as the Health Score, which can be accessed by API.

How can insurers use this data? Most insurers are not taking advantage of the recent advances in health tracking technology. By taking in these new data sources, such as steps and other health data, they can better estimate probabilities for mortality and morbidity. dacadoo’s Risk Engine was created to meet this need and augment existing underwriting. By providing a more complete health data set and imputing missing data points, insurers can strengthen accelerated underwriting, underwriting automation, and pricing engines. Some innovative insurers are creating new products to incentivize healthy behavior and offer premium discounts. Another use case is to recognize what behaviors have the biggest benefit, for instance increasing daily steps and activity, and offer programs for members to maintain or improve these areas. When people are healthier it’s a win-win—the individuals live better lives and it’s better for insurers.

Automating the Life Fulfillment Process
APPS electronic lab slip, in partnership with CRL, provides a fully digital solution. This automated process called eSlip, enables examiners to securely capture applicants’ biometric data and have the applicant sign the consent form via a tablet. Upon completion, the data is transmitted securely to CRL.

This process provides an electronic chain of custody that parallels the physical chain of custody of the specimen. It closes several gaps in the traditional process and ensures the data integrity throughout the process, eliminating the potential for unmatched results upon submission to the carrier. eSlip also reduces the risk associated with potential lost PHI during transit and the resultant consumer friction. It only makes sense that with today’s eApplication processes, the consumer experience continues through an end-to-end digital process. Bye bye paper!

We are hearing new terms like eBGAs and eRetailers for the sale of insurance products. Putting the research, education, quoting, and electronic insurance application submission process in the hands of the consumer while maintaining the agent ecosystem is the new model for marketing and selling insurance. This insurance sales model is growing in popularity. The type of insurance products on the direct-to-consumer platforms include: Simplified term insurance, final expense, guaranteed income, HMA, disability insurance, critical illness, and, yes, even cross-selling to property and casualty. More product types continue to be simplified for this sales model like guaranteed universal life, long term care insurance, and Medicare supplemental insurance. Why is this model growing significantly in 2021? There are three reasons: Social media, Millennials, and COVID-19.

In the U.S.A, the average time spent on social media is two hours and 25 minutes daily. The most effective medium for marketing today is through social media platforms like Facebook, YouTube, LinkedIn, and others. Americans also spend about 5.3 hours daily on their mobile devices. This is an indicator that the platforms you use for quoting insurance and marketing should either be a native mobile app, hybrid mobile app, or mobile browser optimized Web App. Millennials, ages 25-40 born between 1981 and 1996, grew up with access to technology, online retail, and the sharing economy; therefore, they exhibit a discernable preference for experiences over product when spending time and money. Eighty percent of Millennials read reviews and do their own research before making a purchasing decision. They will ask for help when needed after they already have attempted the research. The target market of Millennials make up 72.1 million Americans. Yes, Millennials spend about 5.7 hours daily on their smartphones.

Since COVID-19 hit in 2020, the traditional method of selling insurance has relegated consumers to stay home and life agents to sell remotely. This has resulted in the acceleration of virtual tools, Artificial Intelligence (AI) for automated underwriting, and building out an easy consumer experience while still having an insurance advisor available for assistance when needed. Insurance advisors are given the software solutions and websites for marketing direct to consumers by a wholesaler like a BGA, IMO or GA at little or no cost. These direct-to-consumer tools are used to educate, quote, and have the consumer submit an insurance application direct while the agent and his/her upline receive commissions from the carrier. The consumer has easy access to an insurance advisor or call center for assistance during every step of the process from pre-sales to completing the insurance application. If a life insurance distributor did not develop these consumer tools in-house, then they are using a solution provider. The distributor or carrier purchases a license to use the consumer-direct software solutions, which can be used as a recruiting tool for agents. The huge advantage is that this enables multi-channel penetration like property and casualty shops, banks, health agents, and life insurance direct marketers. The formula for success is all about the consumer experience!

Consumer Engaging Solutions
Covr Financial Technologies’ digital, white-labeled platforms integrate seamlessly with financial brands to provide life, long term care, disability, and supplemental health solutions from top carriers to their clients in a simple, turnkey way. AI-driven tools, a digital advice model and omni-channel sales support seamlessly blend high-tech and high-touch. Covr is dedicated to transforming the insurance purchase process from something that was previously slow and paper-based to an experience that is fast, simple and digital. Covr currently serves over 25,000 financial advisors and over 20 million customers across over 30 financial institutions.

Among its new product launches are Covr’s multi-carrier term life insurance platform, which includes a growing number of instant-purchase journeys, and the proprietary LoanMatch Protector product. With Covr’s multi-carrier term insurance platform customers can apply for life insurance online in minutes, with real-time quotes available from the leading insurance carriers. Leading the way in the journey are product offerings from Bestow, Haven Life, Banner Life and Americo, which all offer fully digital, instant-decision capability and Covr’s technology to help clients find the product that fits best for them.

LoanMatch Protector mirrors the remainder of an existing mortgage, small business loan or other debt. The coverage adjusts to the client’s precise need, saving consumers up to 30 percent and offering the market-leading ability to complete the entire process in 15 minutes. Covr’s industry-leading digital life insurance platform integrates seamlessly into a financial institution’s existing website or other distribution model. This allows these financial institutions to offer a broad range of life insurance products from the leading insurance carriers to their customers. Today’s consumers expect choice, simplicity and speed when purchasing life insurance, and Covr’s technology is tailored to those demands.

Sureify’s Lifetime Platform is made up of three solutions: LifetimeAcquire, LifetimeService, and LifetimeEngage. LifetimeAcquire powers omnichannel sales capabilities that drive increased placement rates via quoting, e-application and automated underwriting. LifetimeService enables insurers to deploy a comprehensive digital self-service solution for their inforce business. And lastly, LifetimeEngage creates insights to foster a lifelong digital relationship with policyholders through multiple forms of engagement and analytics, leading to greater value for each policyholder. Sureify’s LifetimeEngage can help BGAs connect with policyholders in a meaningful, personalized, cost-effective way and engage with every customer in a way that helps ensure protection and maximize lifetime value. Rather than only having access to standard policy transaction data, Sureify’s LifetimeEngage platform delivers real time, actionable insights based on life events, interests, and personalized needs creating an organic source of cross-selling and upselling opportunities that strengthen the customer and agent relationship.

Other Consumer eApp Models
Consumers watch over 500 million hours of video daily. Imagine engaging with your clients with a Virtual Video Quoter. Well Employee Pooling (EP) has created Consumer Direct Insurance Tools (CDIT). An agent or carrier can create personalized videos about their products and educate the consumer on the importance of life insurance. CDIT is white labeled with options for you to select color and design. The videos can walk the consumer through an instant quote and an eApp. This is a great recruiting tool for BGAs. It can be co-branded for property and casualty shops, banks, and health agents. Of course, it is used by advisors for lead generation.

ApplicInt has an eApp solution called U*Complete. The power of this platform is the flexibility of the workflow model. An agent can run a quote, start a life insurance application, and then hand it off to a client to complete. U*Complete can also be integrated into a carrier’s website in a consumer direct model. ApplicInt is well known for fulfillment process software solutions like CallComplete, used at a carrier or paramed provider’s call center. They also have a digital paramed used by top providers like APPS. U*Complete is seamlessly plugged into the end-to-end life insurance electronic application process.

The Power of APIs
Solution providers are investing their research and development money into Application Programming Interface (API), which is a software intermediary that allows two applications to talk to each other. Equisoft/apply is an easy to use, sales flow oriented eApp wizard for electronic insurance applications resulting in fast and seamless policy approvals used by insurance advisors. Equisoft is the king of APIs, first building their eApp to easily integrate with a carrier’s back-office policy admin system using an API. They also have an agent and client portal platform that has an API that makes it seamless to plug in third-party applications and data. The eApp engine of products rules, mapping data to the life insurance application forms and sending data and forms to the carrier can be accessed by a user interface (UI) whereby a carrier or distributor can build a consumer facing experience for eApp.

No Code eApp is a self-service model. Management Research Services (mrs) for example has created an administration tool that makes it quick and easy to set up mapping the eApp questions to the life application forms and configure all the product rules without having the vendor to program it for you. The mrs API makes it extremely easy for you to build the UI frontend on your website. This is a low cost and speed-to-market life eApp solution.

The industry has recognized the importance of APIs. The Life Distribution Technology Committee (LDTC) kicked off a project in 2021 to standardize APIs for life insurance.

Tying it all together with Mobile and Social Media
I provided some powerful statistics about how many Americans and how much time is spent daily using their mobile devices and specifically for the purpose of social media. The vendors of these consumer tools for insurance understand that their design needs to work on all devices and have optimization for the best experience possible on a smartphone or tablet like an iPad. The power of the API for eApp is that the user interface can be developed on a mobile app and a web app. An agent, for example, creates a marketing campaign targeting a specific demographic on Facebook, and then there is a link to the consumer insurance tool. The consumer runs a quote and applies for insurance in one seamless experience. The agent and his/her upline get paid their commissions.

COVID-19 has forced independent distribution into e-Engagement for life insurance and health related insurance products. Some technology vendors in the life insurance space have enhanced, configured, and marketed their solution platforms to support health products like Medicare supplemental insurance, long term care insurance, critical illness, and disability income insurance.

Medicare is now the fastest-growing segment of the health insurance market, with 10,000 baby boomers aging into the program every day. Medicare enrollment is expected to soar between 2021 and 2029, reaching 77 million enrollees by the end of the decade. That’s an increase of 1.5 million new enrollees each year. With that said, many have to make the decision of what plan they choose: Traditional Medicare and a supplemental insurance policy, often referred to as Medigap, which sees about 60 percent of the market share, or a Medicare Advantage Plan at about 40 percent. Regardless, open enrollment season is a busy one!

Digitizing Paper MedSup Insurance Applications
PaperClip Mojo is a collection of the best of technologies paired with human validation to achieve 99.9 percent accuracy at unimaginable speed. A perfect solution for the onboarding of Medicare supplement (MedSup) new business, Mojo4Medicare, the tailored version, makes the open enrollment period the same as any other day. Mojo4Medicare is designed to process unlimited Medicare application packets for a consistent turnaround time. By collapsing the cycle time, you avoid backlogs and deliver faster commission payout. Mojo4Medicare is an e-app alternative.

“There is no longer a need to increase resources, both infrastructure and labor, only to decrease those after the enrollment period,” states Suzy Tuck, vice president of sales. “With Mojo4Medicare you will enjoy the ability to maintain the processing of new business as received, increase your focus on case management without additional resources and have no adoption challenge. Staff will love it and realize that the enrollment period is like any other day!”

No-Code eApp for MedSup Insurance
Management Research Services (MRS) is an industry leader in developing customized digital and automation solutions for clients and partners. Recently, MRS led efforts to develop and help a New York brokerage firm struggling to collect In Good Order (IGO) applications from Medicare supplemental insurance (MedSup) clients in a timely manner. The main driver of these issues was that the current processes relied on legacy workflows and technologies that were unable to electronically ingest and automate the large number of handwritten applications they received. This resulted in the reliance of manual entry which consumed a large amount of time, energy, and resources. As issues and delays began to pile up, it became obvious that a new process would have to be developed to fit the needs of their operating systems and clients. MRS was identified as a potential solution to this problem and, upon understanding the challenges, MRS leveraged its no-code platform to quickly create a customized e-App to better automate the workflow. The MRS e-App was able to dramatically improve the workflows in the following areas:

• Collection of the applications 100 percent In Good Order (IGO).
• Substantial increases in policy processing and acceptance.
• A better way to follow-up on missing applicant data by sending a personal URL directly to the applicant so they could easily provide the missing data needed.

The immediate results seen were improvement of time to issuance, an increase in the number of applications completed IGO, and the streamlining of back office operational efficiencies that saved time, energy, and resources. Additional opportunities around customized reporting dashboards and better real-time data analysis were identified as ways to better serve agents in the field.

One of MRS’s core business principles is that once it onboards a new client into production, the work has just begun. MRS is constantly developing new features and capabilities and since customers are always on the most updated version of the platform, these innovations are immediately available to clients. For instance, MRS has identified new integration partners that will enable compliant video communication capabilities that better enable the remote sales processes critical in times like the COVID-19 crisis. MRS will continue to innovate and lead the charge in the future of no-code platforms that advance insurance automation and support stronger sales and operational efficiencies.

Life AMS Supports Health Products
Agency management systems (AMS) for life insurance have been retrofitted to support health products. I spoke with Equisoft, who has the number one agency management system in Canada, “Centralize,” which is now available in the USA. In Canada health products like critical illness and disability income insurance have been processed by MGAs on Centralize. In order to get a perspective of the problems solved for life distributors processing new business and commissions for multi-lines of business, Equisoft answered a series of questions about their AMS.

What key challenges do distributors face today? Distributors and National Accounts are data driven businesses, but they operate in an environment that has not fully digitally transformed. They take in massive amounts of data that must be processed, analyzed and acted upon, but in many cases the workflows still involve a great many manual steps. Paper apps are still being mailed to their offices. They have to be manually entered, then sent on for processing and approval. Tasks arising from the new business intake process (like follow-ups on paramedical issues) are not automated. In many cases commission payments, claims resolution and customer service are still not as fast, seamless and user-friendly as they could be. Related to those data issues, all distributors and national accounts are seeking to attract and retain more advisors. With the advent of new distribution models, such as robo-advisors, the distributors role in policy fulfillment is lessening, decreasing the advisors’ need for that part of the traditional distributor value proposition. Instead, distributors must find new ways to add value to advisor businesses as part of an emerging new value proposition that serves the digitally transformed insurance landscape. In the new world, advisors place more value on partnerships with those organizations that can help them grow their business.

How are Application Processes Automated? Distributors and national accounts need to be able to process new business from advisors on a daily basis. Our advanced case management workflow speeds up the underwriting process for distributors. Equisoft/Centralize allows them to enter policy applications either manually or through a feed from the carriers. They can send those policies through to the carrier and get them approved and in- force—giving distributors the ability to push the process from beginning to end. In a nutshell, distributors who use Equisoft/Centralize find there is less manual intervention needed from the distributors to see the policy through to in-force status. Our automations and case management workflow are unparalleled, ensuring our distributors’ clients can confidently and accurately process cases all the while providing excellent service to their clients—the advisors.

How is the platform improving back-office efficiencies? The ease-of-use of Equisoft/Centralize is a huge benefit for distributors. Many distributors, even today, are still getting paper applications—advisors are actually mailing them in. Then the distributor has to manually enter them. Equisoft/Centralize greatly automates this process, which creates efficiencies for distributors and makes for a better advisor experience. How does Equisoft contribute to the digital transformation of the independent insurance channel? Equisoft/Centralize is a very modern, rules-based solution. It is also central to the emerging digital value proposition for distributors—enabling distributors to better partner with advisors in the success of their practice. It identifies opportunities for advisors, removes obstacles in the processing of new business, and makes sure they get paid faster. In total, it helps all industry stakeholders achieve the end goal—making their clients’ financial goals a reality.

How COVID-19 Forced the BGA World into e-Engagement
We are now one year past the start of COVID-19 lockdown. Our world was turned upside down as we all faced a global pandemic. Many struggled to find the right process flow and adapt to new ways of doing business. Even carriers were pushed into a “forced pilot” of e-Engagement to insure they could get underwriting information, signature requirements and policies to the customer. The changes were swift and mandatory to support the ultimate customer, the applicant/insured and their beneficiaries. With this, agencies looked to process experts whether internal in their organization or others to help with the transition. Per Stacey Paulson, director of insurance services at eNoah iSolutions, “The beauty of the BGA space is each agency has their unique culture as to what works best for them and their customer base. This serves the greater good in meeting the needs of different customers in protecting their families. The struggle was real when some were forced into an electronic application process and not having the internal resources—all while moving to a work from home environment. I’m glad we were there to help our customers through this difficult time.”

While it’s hard to think of much positive to come out of COVID-19, the forced adoption of e-Engagement opened mindsets of how to do business moving forward. It took away some of the fear and challenged us to think of different ways to engage with our peers and current and future customers.

Life and annuity technology solutions are growing in both innovation and in the number of platforms that are available in the marketplace. Today I want to give you a taste of the latest stats on eApp and eDelivery for BGAs; a new simple method of presenting complex illustrations; a mobile modular option for carriers for eApp and illustrations; and self-service tools for policyholders.

The Latest Stats and Trends on eApp and eDelivery for BGAs
It was a no brainer to reach out to iPipeline whose eApp platform (iGO) has the biggest footprint in the BGA space. They provided the latest stats and trends in eApp and eDelivery: “Why does going digital today really matter? Over the past year, we’ve seen our world turned upside down in every way. In a business where relationships rule and in person meetings have been the key to selling more, the insurance industry was quickly turned on its head. Many carriers were left struggling with how to get paper polices out the door, agents were scrambling to figure out how to work better with consumers, and consumers were afraid to meet with anyone at the kitchen table anymore.

The good news is that the industry, although mildly prepared, is pulling through. During these times, we’ve seen a huge surge in adoption by brokerage agencies to push digital processes even further. In 2020, dozens of insurance carriers started a process to bring live more eApps and more ePolicy deliveries. Here are some benefits for you to think about, as a brokerage agency, on why having a digital strategy is essential.”

eApp

• Shortens the application cycle time by 50 percent.
• Average cost reduction over paper 37 percent.
• Offers client collaboration where the agent and consumer can both work on the same digital app together—keeping the relationship, and the app, alive.
• On Behalf Of—allows case managers to take over the eApp process for their agent to provide more value in the process.

ePolicy Delivery

• Shortens the cycle time by 23 days on average.
• Increases placement ratios by 11 percent on average.
• Has an over 90 percent consumer adoption rate.

“2020 was a wakeup call for everyone in our industry, especially brokerage agencies whose agents were traditionally paper-based. iPipeline, one of the biggest players digitizing these processes, saw a huge growth in some areas, in both eApp and eDelivery by you and your peers last year—more than 70 percent growth in eApps, and nearly 300 percent growth in ePolicy delivery.”

“Sales-Stories” Simplifying Life and Annuity Illustrations for Agents and Consumers
Today there are three exciting sales model transformation dynamics taking place in the InsurTech life and annuity space. First, the consumer experience of financial products is being driven towards simplicity, transparency and an easy-to-understand digital experience. Second, the traditional wholesaling and agent model is on the cusp of radical transformation, shifting towards a hybrid (cyborg) agent/wholesaler who is digitally enabled with interactive educational sales tools. Third, the “pre-sale to application experience” is rapidly driving towards a “single experience” digital workflow, from quote to pre-sale proposal to eApp submission. A seamless experience completed in minutes, “live” and during the engagement with the prospective client. These three strategic shifts are core drivers to meeting the new FinTech “experience threshold.” and will be critical to sustainable growth for the life and annuity sector going forward.

I am very excited to say that Ensight’s new “Sales Story” platform module has made a significant leap forward in helping to drive these industry shifts. Working in partnership with leading life, LTCI and annuity insurance carriers and national distributors, Ensight™ has created a configurable sales experience engine, empowering the rapid creation of a broad range of different types of consumer-centric sales experiences—based on rich content and personalized client illustration data. For instance, a “Sales Story” may take the form of a new engaging product concept to support a critical market launch, encapsulating the product benefits and performance in an intuitive, personalized interactive microsite. Or a “story” may take the form of an online product training course. Or a step-by-step sales script to walk a client through a proposal at the point of sale. The Ensight “Sales Stories” engine is a highly configurable platform, enabling stories to be customized for each carrier’s or distributor’s sales model.

Ensight’s “Sales Stories” are also modernizing the traditional “sales concept” experience. The most successful financial professionals engage the client based on financial need and “story selling,” the art of “telling a story with the aim of engaging your client, so they remember, connect, and perceive the benefits of acquiring your product or service.” “Concept-selling” has been at the heart of life, LTCI and annuity sales for decades. Ensight has modernized the art of concept selling for the digital era. Think of an elegantly designed, interactive supplement retirement, Cost of Waiting, or “Life vs Another Asset” concept—that a client can digitally play with to drive understanding.

Finally, Ensight’s ”Sales Stories” also increase agent sales effectiveness (e.g. higher sales closing rates) for carriers and distributors with agent-based networks, providing the financial professional with a best practice, compliant and engaging (interactive) sales script to run a meaningful client conversation. Every captive agent network is seeking to make every agent, whether new to the business or not, a top selling agent in the field. Similarly, insurance carriers are seeking to digitally scale the expertise, education and pitch of the wholesaler. Ensight™ Sales Stories is the digital sales enablement platform to deliver on both.

Life and Annuity True Mobile Illustrations and eApp for Carriers
illustrate inc is proud to have recently launched OPUS Mobile, a downloadable app for individual life insurance carriers. OPUS Mobile is designed and customized to be carrier specific, with the core functionality centering on instant calculations and quotes for virtually any life or annuity product for on-screen visualization and report generation.

Lyndon Edwards, president of illustrate inc says, “Data shows that mobile users live in the app world and that downloaded apps capture much higher levels of user attention and usage than going through a mobile browser. Accessibility, design, user experience, and overall functionality are built specifically for the app, and users are very familiar and comfortable in that environment.”

While the entire OPUS line of web solutions—illustrations, eApps, and more—are responsive in design, meaning they will automatically adjust and reorientate to virtually any device and screen size, OPUS Mobile takes it to that next level.

“Our approach was to take OPUS Mobile beyond the core powerful quoting and reporting functionality through providing the opportunity to add high value features including quote compare, user preferences and tools, product and marketing information, needs analysis, push notifications, and more. Built using a single code base for both Apple and Android, OPUS Mobile is integration ready and highly secure.”

A major U.S. carrier has recently launched OPUS Mobile to their thousands of agents across the country. This custom branded carrier app is fully integrated with other company apps and systems, covers multi-channel requirements, and has a web service to allow approved users access on their desktop.

Carriers Deploying Self-Service Solutions for Life Insurance Policyholders
Sureify, an established insurtech provider, finds that roadblocks like legacy systems that don’t pair well with the new digital capabilities and a complex product line that isn’t typically intuitive are holding some insurers back from jumping into the digital waters where self-service is concerned. But perhaps the biggest hurdle remains confidence in the capability and security of self service.

“Life insurance agents have historically referred policyholders to call centers—the former pinnacle of self-service—because they had confidence in the ability of those call center employees to answer questions and solve problems,” explained Dustin Yoder, Sureify’s CEO and founder. “In 2021, we are helping insurers build the same kind of confidence into their web and mobile capabilities. Sureify’s goal is to help carriers’ reps and agents feel 100 percent comfortable referring their customers to these digital platforms, like LifetimeService, to find answers and solve problems. Once that confidence is achieved, those agents can focus their time and effort on building and growing business.”

• LifetimeAcquire: Powers omnichannel sales capabilities that drive increased placement rates via quoting, e-application, automated underwriting and e-delivery.
• LifetimeEngage: Uses multiple engagement methods and analytics to foster a lifelong digital relationship with policyholders, leading to a greater lifetime value for each policyholder.
• LifetimeService: Enables insurers to provide a comprehensive digital self-service suite for their policyholders.

Sureify is a SaaS platform for the life and annuity industry that provides the digital technology experience that today’s customers expect. Sureify’s platform, Lifetime, is a modular, highly configurable set of software solutions that sits on top of policy administration systems. Lifetime delivers a best-in-class experience that modernizes sales, policyholder servicing and innovative customer engagement.

The solution platform landscape for life and annuities is growing and the workflow models are multiplying. We are now seeing new innovative digital point of sales solutions that not only help close the sale but are designed for our new virtual world. Even if agents and consumers are not traveling, they still spend more time on their mobile devices than their laptops. As the Millennials are becoming the target consumer, self-service technology solutions are growing in popularity.

Electronic Health Records (EHR) are the hottest trend in life insurance underwriting today. The growing accessibility and innovation by solution providers is transforming the life underwriting process. Understanding Electronic Health Records and the benefits are important. We will also explore how you get access to EHR and who is offering EHR services.

What is EHR and How to “Triage” the Data?
I first reached out to Drake Livada, life sales, and Nicholas Irwin, director of underwriting, at Verisk to educate on EHR and how it has impacted the industry today. As the COVID-19 pandemic adds risk to countless business and personal interactions, ways of life are shifting toward the virtual world. Suddenly caught up in this transformation, life insurers are urgently seeking electronic sources of information to enable a digital customer journey, and electronic health data is coming to the fore.

Electronic health data can be compiled from many sources and shared digitally through mechanisms such as health information exchanges (HIEs). Health data can be either structured data such as coded diagnosis (ICD), lab testing results with standardized values, and vital signs; or unstructured data, which often includes narrative style notes to document vital information such as visit summary, radiology results, or pathology results. Some types of electronic health data such as pharmacy, lab, and health claims are much more widely available and easier to use than electronic health records, but the latter can provide greater granularity to support a more refined view of mortality risk.

The health data information available within the EHR can create opportunities for the digitization of life insurance underwriting. Unfortunately, the structure—or lack of it—in the EHR presents challenges. For starters there are 15 different medical coding systems representing over one million different codes that need to be handled and processed. Even if one built a system to handle these over one million unique codes there is still the challenge of numerous medical coding errors, duplicate values, and transcription errors which requires a robust data validation system to handle. Moreover, many key rating elements, such as cancer stage and EKG interpretations, are only available in unstructured format requiring natural language processing in order to ingest.

Due to the incredible challenge of processing this data nearly all carriers are still treating EHRs like attending physician statements and reviewing the entire file manually. This can take one to two hours per case as the files are often over 1000 pages long with most of the information being completely useless from an underwriting perspective. To solve this challenge Verisk has made the upfront investment on behalf of the industry and assembled a massive team of seasoned life underwriters, medical professionals, biostatisticians, and IT professionals to develop a comprehensive system to ingest, interpret, and evaluate EHR data in real time. Nicholas Irwin, director of underwriting, explained, “Verisk’s EHR Triage engine is an API that ingests a batch of EHR files (CCDs) via API and generates a one to two page summary of the key underwriting elements in the file(s) as well as providing an overall underwriting score in the form of number of debits. Verisk’s tool is called “triage” as it rates the simple cases that underwriters would rate in their sleep, while referring the more complex cases to underwriters. Verisk’s tool presents substantial time savings even for the cases Verisk refers to underwriters by supplying a summary of the key data elements an underwriter needs to rate the case. The intent of the tool is not to replace underwriters, but rather to enable underwriters to spend more of their time on assessing mortality risk and less of their time on scanning 1000 pages to find the 10 nuggets of useful data.”

An Easy Connection for Life Carriers and Distributors to EHR Data
As I continued my research, I discovered all roads lead to Human API. I recently synced up with Nick Zambruno, solutions lead, and Anthony Chan in Product Marketing to learn more about their platform and services. Human API is a leading insurtech vendor in the electronic health records (EHR) category. The Human API platform helps life insurance carriers create better client and agent experiences by delivering health records from a variety of different health data sources, both online and offline. The company started by accessing medical records through patient portal integrations but has expanded their connectivity to health information exchanges (HIEs) and national EHR networks such as Epic ChartGateway and Veradigm, as well as strategic partnerships for the delivery of traditional APS. Over the last few years Human API has helped carriers such as Prudential, Allstate, John Hancock, AAA and Principal offer a streamlined digital underwriting process that relies less on traditional underwriting requirements such as exams, fluids and attending physician statements. Carrier customers have cited hit rates of over 40 percent with the EHR platform and are optimistic that the health data can be used to automate manual elements of the underwriting process. The new EHR data sources added to the Human API platform enable hit rates to exceed 50 percent, while the addition of offline medical record retrieval partnerships will drive hit rates to nearly 100 percent.

Due to the final interoperability and information blocking rules from the Department of Health and Human Services going into effect in April 2021, Human API is increasingly surfacing more clinical notes in EHR data, positioning the platform to deliver comprehensive medical data access. “Access to comprehensive EHR data is foundational to innovation and transformation of the underwriting process. We’re encouraged by the progress made to date by Human API and look forward to working together to drastically improve the consumer purchase process and experience,” said Susan Ghalili, VP of Underwriting Transformation and chief underwriter at John Hancock Insurance.

Over the past year, distribution firms have also found value in partnering with Human API directly in an effort to access health data more quickly to expedite the sales process. LIBRA and AIMCOR were two new organizations that announced partnerships in the last year with Human API. Through the Human API platform, a firm can access EHR records and digitally share the data directly with a carrier in a secure setting so automation can still be realized at the carrier level. “The insurance industry is ripe for innovation. We’re incredibly excited to be the ‘one platform for all health data’ that helps carriers create and deliver better customer and agent experiences,” said Andrei Pop, CEO of Human API.

More EHR Services by Solution Providers You Work with Everyday
I continue to see more solution providers who actively or plan to add EHR to their services for distributors and carriers this year. Those solution providers who play key roles in the life insurance new business process like Management Research Services (MRS), MediPro Direct, and Employee Pooling (EP) explained the value EHR brings to their clients.

MRS is introducing Electronic Health Records to their suite of products with guidance from clients’ requirements. Their No Code platform will allow carriers to configure their relevant products workflows based on the data source. As carriers become more confident with their actuarial models with the onset of the data source, they will be able to regulate the data used in the process. They anticipate being able to deliver a searchable interface of CCDA (standardize the content and structure for medical documents)—information that will prioritize APS requirements to improve processing time and decrease non-placement issues.

As healthcare needs become increasingly mobile or virtual, today’s EHR systems need to do more than track medical records in fixed clinical settings. MediPro Direct’s MedLink software works across all service models, from clinical to mobile to virtual, and ties into MediPro Direct’s network of several thousand mobile medical examiners nationwide. This means their systems not only track patient data but also connect service providers with ways to expand their service model and better meet patient needs.

Employee Pooling’s (EP) value proposition is to remove obstacles that get in the way of sales and enhance the customer experience. When it comes to formal and informal underwriting, obtaining medical records can hinder the fluidity of the process. “The ability to obtain electronic health records (EHR) within hours versus the days and weeks it could take to retrieve traditional medical records is a game changer and surprisingly cost effective,” says Steven Lacher, VP of Business Development. “With formal underwriting still playing a vital role in our industry, it makes sense to try and whittle down the underwriting process time by getting health records to the underwriter and the carrier in an efficient and timely manner.”

EP recently partnered with Human API (HAPI) to improve turnaround times related to obtaining medical records for both formal and informal underwriting. EHR has been fully incorporated into EP’s Accelerated Informal platform, which reduces the standard informal underwriting process from weeks to days. Lacher states, “The goal is to help agencies quickly and affordably put their important cases up to bid with conviction. Accelerated Informals stands true to its name with EP’s in-house underwriters, on-demand access to prescription drug and clinical laboratory data, and now rapidly obtained EHR data.”

In 12-24 months from now, you probably can’t even imagine a world without electronic health records playing a key role in the life insurance underwriting process. The goal is always to arrive at an underwriting decision quickly and accurately. EHR data with innovative platforms are connecting solution providers with more carriers and distributors every month to accelerate the life underwriting process.