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Ken Leibow

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Ken Leibow is founder and CEO of InsurTech Express. He brings more than 36 years of insurance industry experience with an extensive background in insurance technology for distribution and back office systems. Prior to founding InsurTech Express, Leibow worked for Genworth Financial, Mutual of Omaha, and as vice president of operations at Diversified Underwriters Services, Inc. As COO of Integrated Insurance Technologies, he built the largest life insurance data exchange hub in the industry, processing over one million policies per year and $30 billion of annuities (now owned by Oracle, Inc.). Some of the key initiatives he implemented include innovation in quoting and illustration tools, CRM’s, agency management systems, eApp platforms and ePolicy Delivery for long term care, life insurance and annuities. Leibow is a leader for industry technology standards, working with ACORD, LDTC, LIDMA, NAILBA, LIMRA, LOMA and IRI. In 2019, he was appointed to sit on the ACLI Innovation Committee. He is on the ACORD Life & Annuity Program Advisory Council and won the ACORD Leadership Award in 2022 and ACORD Community 50th Anniversary Award in 2020. He is a past winner of the NAILBA Chairman’s Award and NAILBA’s ID20 Award. In 2022, he was the winner of the LIDMA Innovation Award. Leibow can be reached by telephone at 402-740-7356. Email: [email protected].

Life And Annuity Inforce Policy Service Innovations

There have been many recent technology advancements in life insurance and annuity policy owner service processing. Back in the day the agent or the policy owner had to call a life carrier’s toll-free phone number to speak to a customer service representative who would then mail forms to the policy owner to complete and mail back. A simple beneficiary change could take weeks. Later, using fax machines and email, the process accelerated but was still not efficient. In recent years the next iteration was carriers building client account portals on their website. The portal would provide some policy information and the ability to download a PDF form and upload it to send it to the carrier. These client portals later had more self-service capabilities. This leads us to today, with taking life and annuity inforce policies and leveraging data for advisor servicing, analysis, mobile consumer self-service, and carrier policy admin automation.

Agent Inforce Policy Management Platform Through Data Analytics
As a distributor, your success depends largely on your advisors’ success. At times that codependency can be a source of tension, especially if you’re not both equipped with processes and tools that help you optimize your efforts and output. For example, you may want your advisors to do routine policy reviews on their entire inforce book because you know that practice often leads to meaningful conversations with clients that lead to new sales opportunities. But for advisors with large books of business that’s an unmanageable task. If left to their own manual devices, those reviews simply won’t get done and your advisors will be unknowingly leaving all those sales opportunities untapped. Even if you provide them with a platform that consolidates all their inforce data, it’s still not enough.

A solution to this problem would be an Inforce Policy Management Platform like the one offered by Proformex, which provides actionable, intelligent data that is prioritized for you and your advisors. Proformex surfaces opportunities and risks so you know with just a few clicks which policies need you and your advisors’ attention most. That’s inforce management made smarter, not harder, thanks to powerful data analytics and technology. Proformex’s automated policy monitoring is crucial to meeting the policyowner expectations throughout the life of their contract.

Another inforce policy management platform for distributors and agents is NIC developed by Insured Connect. NIC is a multi-carrier inforce data and technology platform that empowers life insurance distributors and agents with access to their inforce life and annuity data. NIC partners directly with carriers to receive daily data feeds and automatically generate sales and service opportunities from the inforce data, helping distributors and agents to monetize their book. Through APIs the inforce data can be integrated with agency management systems, CRMs, and other marketing systems for the purpose of creating sales and marketing campaigns. This also eliminates the need of having to go to carrier websites to see inforce policy information.

Consumer Mobile Inforce Self-Service
San Jose-based insurtech leader Sureify recently held a webinar to address the relatively slow progression of life insurers toward self-service initiatives. Connecting to older or multiple systems can be difficult, and the industry as a whole has been reluctant to upgrade core systems that can integrate with the new digitized mobile environment. The company’s LifetimeSERVICE module solves a major dilemma for insurers–it provides a digital solution that meets the growing demand for self-serve capability, but it integrates directly with policy administration systems for a comprehensive digital transformation eliminating the need to start from scratch with implementation.

Sureify CEO Dustin Yoder says that the industry understands the value of offering more robust customer self-service, but some still have not made the move to put the end user’s experience at the center of development for self-service initiatives. “Many insurers we talk to start with what can—or can’t—be done based on the limitations of their core systems,” he said. “In truth, those core systems must be modernized through digital means to alleviate pain points. Anything that begins with what the policyholder wants is worth the effort and will deliver results.”

Carrier Policy Admin System Automation for Servicing Annuities
MDI, Management Data, Inc., has worked with long-time customer National Catholic Society of Foresters (NCSF) to implement a new online quoting for single premium annuities and for supplementary contract payouts. Previously, if a policy owner wanted to know how much monthly income would be available from withdrawal, surrender, or claims proceeds, NCSF would have to refer this request to the actuarial department to get the calculations done. Then a policy service rep would communicate the information to the customer.

Now the policy service rep can go to their FIMMAS policy administration quote screen for annuity/supplementary contract payouts. They enter some basic info, select a specific payout option, and then get an immediate quote of the calculated monthly income. This calculation for supplementary contracts uses the greater of a) the result based on current annuity mortality and interest, and, b) the result based on the mortality and interest guaranteed in the original product.

Lisa Bickus, NCSF CEO, says, “We needed help rolling out new products in a more cost effective, timely and efficient manner. The MDI system is simple to use and a valued and trusted partner that wants to ensure our success.” FIMMAS quoting saves NCSF much time in the workflow and allows policy service to provide quick info to the policy owner or agent. Also, the quotes can be saved and several variations of the quotes can be run. The same calculations used in quoting are also used in FIMMAS new business when processing a new annuity or supplementary contract case.

Advanced Data Analytics Driving the Life New Business and Inforce Servicing Process
Automated risk decision making and data analytics has been woven into the fabric of life insurance new business and inforce policy service processes from digital point of sale to carrier back-office systems. In the center of it all is LexisNexis. So, I reached out to Jena L. Kennedy, senior director, Life Vertical Market, at LexisNexis Risk Solutions:

“Even as a global pandemic has served to be one of the most powerful drivers of digital transformation the life insurance industry has seen, we believe there are important lessons to be learned. Most companies would be wise to understand that it’s not enough to just ‘go digital.’ In fact, if your approach is simply to automate an existing paper or manual process, you’ve missed the point. And that point is to intelligently leverage data and analytics to improve your workflow processes—not simply automate them.

Then, beware of tunnel vision: Understand that automation need not focus exclusively on underwriting. Think about the other points of contact that you have with consumers. Whether collecting data for an application, enabling self-service, or facilitating a claim, all of these ‘moments of truth’ are ripe for transformation and improvement, courtesy of data and advanced analytics. Do you provide a seamless consumer experience, pre-filling consumer data and verifying identity credentials? Introducing the right data and analytics can help substantially reduce the number of data collection points and can provide insight to help producers ensure they are submitting accurate data.

In fact, we are focused on providing producers with more insight at the point of sale/application to enable higher placement ratios, help determine the most appropriate payment plans for improved retention and customer satisfaction, and even identify proposed insureds who are most likely to pass automated underwriting. Using data and analytics at the point of service can also enable faster, more flexible, self-service options that help consumers feel in control but at the same time demonstrate that you will safeguard their data and their privacy.

We believe that the organizations who take the time today to properly optimize the use of data and analytics in their workflows will reap the benefits. According to McKinsey, ‘Companies that successfully deliver a remarkable digital experience while also keeping customers’ data safe can see a potential 20 to 35 percent boost in customer-satisfaction scores.’”1

The Future of Innovation for Life and Annuities
Where are we heading next for life and annuity innovation? Artificial intelligence (AI) has spawned a new field called “augmented analytics” which takes business intelligence to the next level of crunching vast amounts of data that can be applied to improve efficiencies in the life and annuity new business and inforce processes. AI will be used to build better customer experiences and use machine learning to automate tasks. Since the 72 million Millennials in the USA spend on average 3.7 hours per day on their mobile devices, it makes sense for carriers to invest in engaging with their policy owners in the mobile environment. IOT devices (wearables) for health and wellness will continue to grow for both customer engagement/retention as well as impacting the premium amount clients pay. Behavior economics will also play a role in the future of life insurance and annuities. Vendors are already creating algorithms to monitor books of insurance business online browsing habits. A customer, for example, who is looking online for a mortgage becomes a flagged event that they may need some more life insurance. These are models that Facebook and Amazon use for advertising products that have a specific interest to the consumer or related to the product they are purchasing. Stay tuned…

Reference:

  1. https://www.mckinsey.com/business-functions/mckinsey-digital/our-insights/is-cybersecurity-incompatible-with-digital-convenience.

Innovation Of Life Automated Underwriting And Digital Health Engagement

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!

Consumer Direct Life eApp While Maintaining The Agent Ecosystem

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.

The Acceleration Of E-Engagement For Life And Health Like Medicare Supplemental Insurance

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.

What’s New In Life And Annuity eApp, Illustrations, Mobile And Self-Service

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.

The World Of Electronic Health Records (EHR) For Life Insurance Underwriting

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.

Life Insurance Technology In 2020 Was Driven By Simplicity And Data

We all had to adapt to change beginning nine months ago with the pandemic. A distributor’s Agency Management System (AMS) must improve its quality of service for agents/advisors, field underwriting (exams) needs to be safe, and turning Inforce data to action is critical for advisors to manage their client’s policies. Here is an inside look on how life insurance solution providers adapted and innovated to these new challenges in 2020.

Agency Management Systems Essential for Distributors during COVID
Life insurance distributors in the USA and Canada faced the same challenges during COVID in 2020. I reached out to Equisoft whose Agency Management System (AMS) is the most widely used in Canada for life insurance distributors, and it is also available in the USA. I also met with OneHQ whose modern, easy-to-use CRM/AMS gained momentum in 2020.

David Nicolai, vice president, Insurance Solutions at Equisoft explains how back office automation is essential for servicing their advisors, “How do distributors stay relevant in times of accelerated change? That’s a critical question we’ve heard distributors ask so often over the past nine months. The answer, for some, is that it has been difficult—to pivot quickly and execute on a new value proposition that will enhance their ability to attract and retain the best advisors—if they are still running their business with manual, largely paper-based processes. There’s too much drag in the system. Innovation, no matter how creative their thinking is, will be hard to implement. On the other hand, we have clients who went from 100 percent paper-based to almost entirely automated and digital when they implemented the Equisoft/centralize agency management system. That made all the difference. When COVID hit and distributor staff, advisors and clients could no longer meet in person, their transition to the new reality was almost seamless. App processing, advisor communication, inforce services—all continued at pace because they didn’t rely on paper and mail. Clients received the support they needed in difficult times. Advisors appreciated the service and value their distributors were able to provide in helping them continue to meet their clients’ needs.”

Meeting with Brett Barker, Senior Account Executive at OneHQ, he provided not only information about their AMS, but client experiences during 2020. Tailored specifically for insurance distribution, OneHQ is an extremely powerful yet easy-to-use system. It’s highly configurable, replacing disjointed systems by bringing the CRM, AMS, and Compensation together plus integrating all other systems into one place. Brett explained, “Our user-friendly interface and personalized modules help give each department a dialed-in system to maximize results. As an example, a OneHQ customer recently made the move from their legacy system to OneHQ because their back office and sales teams had very little communication between systems. Wanting more data visibility for sales and back office efficiencies, the team moved to OneHQ and for the first time in years they had access to all of the information they needed within seconds. In the end, sales activity increased 20 percent and OneHQ’s innovative platform is providing better service to agents by freeing up the back office teams from running reports and answering questions.”

With the changes brought about by COVID-19 and more focus on how technology can impact sales internally and for their agents, OneHQ has witnessed a tidal wave of new clients. Their modern technology that focuses on increasing sales without sacrificing service is giving their clients an edge during these rapidly changing times. Brett continued, stating that OneHQ is increasingly seeing more of their clients beginning to offer their agents a full technology strategy starting with the CRM that integrates with their back-office system. In addition, this also makes the IMO much “stickier” with their agents. To sum it all up, Kyle J. Ginavan, CEO, OneHQ, said, “There have always been many good technology options available to insurance agents, but never a full technology strategy. While the securities industry has well-thought-out technology strategies for financial advisors, insurance distribution has typically lagged in this area. However, with COVID, we’re certainly starting to see that change.”

Exam Safety: Simplifying through Innovation
Underwriting is key to the life insurance new business process. For term insurance, a drop ticket with an exam still dominates the higher percentage of cases in 2020. Paramed exam companies are the front lines for underwriting. I reached out to Ryan Janeway, founder and CEO of MediPro Direct. Ryan explained that at this stage of the pandemic, protecting field medical teams and applicants requires access, innovation, and adaptation. Said Janeway, “Very few companies are positioned as effectively as MediPro Direct to actually improve customer experience during this crisis. MediPro Direct founded Vanguard Genetics LLC in 2015 to gain access to clinical and genetic testing services that can aid underwriters in policy-making decisions now and into the future. Under the current circumstances, our clinical lab association has provided immediate access to necessary PPE, as well as rapid COVID antigen testing to ensure the safety of our customers and team.”

As innovators, the teams at MediPro Direct and Vanguard Genetics helped bring rapid antigen testing to market and are now validating saliva test collection methods to simplify the collection process for these tests. Additionally, their teams have reduced manufacturing costs by up to 70 percent in order to dramatically improve public access to testing—which, combined with the distribution of vaccines, are key to getting customer business and lives back on track. Under proper credentialing, these tests can be used in the office and in the field to help ensure safety during insurance exams, clinical trials, and other medical interactions. MediPro Direct has adapted to the current environment by creating unique tools and processes such as its Tier1 Network™, to increase examiner coverage for carriers, its Quality First™ system to dramatically improve access to real-time quality data for carriers, and its RemoteID™ system for scaling and improving tele-interview processes without the need for fixed call centers.

Inforce Policy Data Turns to Action
As the digitization of the life insurance industry persists, the concept of shared visibility of data is becoming more relevant. Shared visibility of information across distribution partners helps to keep carriers, BGAs, and advisors all aligned on what’s working as it should and what areas have room for improvement. When it comes to inforce policy management specifically, that shared visibility is especially important. But timely exchange of information is not enough to satisfy a proactive, compliant, and efficient inforce management strategy.

Visibility of inforce data alone is table-stakes. As you continue to seek ways to not only differentiate but also provide more value to your distribution partners, you need a way to make that data and information you share with each other actionable. That’s where a platform like Proformex comes in as the right partner for you and your community. Proformex connects visibility to efficiency, simplicity, and opportunity. By aggregating data and giving everyone access to it—their platform takes that data and provides you with powerful analytics and insights that you and your distribution partners can use to make data-driven decisions that produce real-world outcomes. And there’s no manual burden involved; by automatically surfacing both risks and opportunities to you and your distribution partners, you’ll now have the ability to proactively manage potential problems and seize revenue-generating opportunities. It’s a win for everyone, from carrier to client.

Simplifying the life insurance new business experience impacts agents, distributors, carriers and consumers. Mining and analyzing life inforce data and turning it into action creates new sales opportunities for advisors to engage with their clients. COVID obviously accelerated innovation in life insurance technology in 2020. For those solution providers that have adapted and taken on the challenges head on with new innovations, they will have staying power in our industry moving forward in 2021.

What Is The Latest Technical Jargon For Life Insurtech Point-Of-Sale And Underwriting Solutions?

Have you started reading a book and then come across a word that you do not know the meaning of like, for example, “patulous?” It can be frustrating to look it up and, in some cases, you still may not grasp the full meaning. Software vendors today are marketing their solutions using words like “API,” “No Code,” “Low Code,” and “AI.” You are not exactly sure what they mean especially for life insurance technology. My objective is to help you not only understand the definition of these terms, but also understand how they are being applied to the life insurance point-of-sale tools and underwriting solutions used today by carriers, agencies and agents.

API
An acronym you often hear these days in the technology world is “API.” This stands for Application Programming Interface, which is a software intermediary that allows two applications to talk to each other. Have you ever used PayPal to pay for something you are purchasing online directly within an eCommerce store like BestBuy.com? After you add your item to the virtual shopping cart and go to check-out, you see a payment option button for PayPal. When the user clicks the “Pay with PayPal” button, the application sends an “order” request to the PayPal API, specifying the amount owed and other important details. Then, a pop-up authenticates the user and confirms their purchase. Finally, if the PayPal process is successful, the API sends confirmation of payment back to the application thereby finalizing the payment of the purchased item. In the life insurance world, there are many examples of an API being utilized. If you are a BGA using an agency management system (AMS) to process new business life cases, you may see functionality that allows you to schedule an exam or order other requirements from a paramed vendor like ExamOne. The agency management system is using an API from the paramed vendor to facilitate the requirement order. It is seamless to the user, while the API is doing the work behind the scenes to execute the requirement order.

“Low Code” and “No Code”
Two other popular terms you see today are “Low Code” and “No Code.” I am going to give you the most common business definition as it is being marketed for insurtech applications. Let’s start with “No Code”: A good example in life insurance technology is a “No Code” life insurance eApp platform. When a carrier adds its products to an eApp platform, there are three critical items that need to be setup:

  • Life insurance product rules;
  • Questions asked to complete the life insurance application; and,
  • Mapping the data to all the State-specific forms.

When eApp was first developed decades ago, setting up the three items above required a software developer to program code, then extensive quality assurance testing had to be done, and finally you had to wait for a major release before the carrier’s products were in production ready for agents to submit life business on the eApp platform. This typically was a long process to set up. As the years went by, less programming (hard-coded) was required because of the configuration tools that were developed to help make changes to the software application. Now fast forward to 2020. A No-Code eApp platform means that setting up the life insurance product rules, the questions, and the forms, is completely self-service and does not even need to be administered by a technical person. So, when you see software advertised as “No Code” it usually means you can set it up and configure it on your own.

Low Code is a visual approach to software development. Low Code abstracts and automates every step of the application lifecycle to enable rapid delivery of a variety of software solutions. It breaks the traditional silos of business and IT to promote continuous collaboration. When a software vendor is enhancing their system with new functionality instead of programming raw code, they use a graphic interface drawing workflow and moving objects around. If you are buying software from a vendor who is advertising Low Code, then it simply means speed and ease in releasing enhancements, fixes, and new functionality. In life Insurtech today you will see Low Code for eApp, eDelivery, and Underwriting Workbenches for carriers just to name a few types of Low-Code platforms that are available.

AI
Artificial Intelligence (AI) is sprayed everywhere in vendor solutions and processes. There are an enormous amount of ways that AI is being used in our everyday lives. The obvious example is Alexa from Amazon or Siri from Apple. You can ask Siri to play a specific song, or turn on the lights in your house, or schedule a calendar appointment. But it can do more sophisticated tasks like knowing where you are with your GPS and telling you that you will be late for your appointment because your location is too far away for example. Artificial intelligence is based on the principle that human intelligence can be defined in a way that a machine can easily mimic and execute tasks, from the simplest to those that are even more complex. The goals of artificial intelligence include learning, reasoning, and perception. AI programs require training—meaning the more data you feed it, the more intelligent it becomes. When we see AI being mentioned in the life insurance new business process or in insurtech applications, what do they really mean? A great example is eNoah’s eXtract Plus solution. It uses AI to take a 200 page Attending Physician Statement (APS) and make it a searchable document (extracting vitals, medications and key information) for a life underwriter. eXtract Plus can also render medical records and lab documents with hyperlinks and cover pages. This information can be utilized to create APS summaries or validate that APS summaries are complete and accurate.

Point-of-Sale and Underwriting Solutions
iPipeline offers a transformational Resonant® Point-of-Sale (POS) decision solution that makes the customer experience quick and easy—like buying auto insurance. This enables a carrier and distributor to sell profitable life insurance protection to middle market consumers. Unlike today’s traditional process of quoting teaser rates only to find out the final premium after underwriting, Resonant POS decisioning changes the dynamic so that underwriting is completed at the point of sale. Answers to medical questions are combined with data received from industry leading evidence and predictive model vendors to provide instant decisions with the final premium needed to complete the sale in one sitting. Resonant integrates with iPipeline’s Quote, iGO® e-Application, and DocFast® e-Delivery automated solutions to manage and control the entire underwriting and new business process from simplified issue to fully underwritten complex cases and other lines of business.

Management Research Services, Inc. (MRS) has developed new tools on its no-code sales and new business platform that focus on increasing the speed of issuing insurance policies. MRS has enhanced APS retrieval by integrating with electronic health record (EHR) data partners. Working with the insurance carrier, MRS will integrate an EHR to make an automated decision and issue the insurance policy at the point of sale (similar to how a Rx or MIB integration is used). Additionally, MRS is reimaging the case management and underwriter workbench by providing better tools for the insurance carrier to order requirements. This means that instead of reactively ordering requirements that may add days/weeks to the issuance timeline, the insurance carrier can use MRS’s highly configurable rules engine to write rules that will anticipate ordering requirements needed during the point-of-sale process. This will provide busy underwriters with all the information needed to review and issue the policy, resulting in a much faster and more efficient issuance.

The two solution providers mentioned above are leveraging these technologies (APIs, No Code, Low Code, and/or AI) in their platforms that carriers, agencies and agents use every day. You can see this is much more than connecting systems, it is an integrated process. The value of the entire new business flow, from applying for life insurance to passing into the carrier fulfillment process, is seamless, intelligent, and fast because of these underlying technologies. Each new innovative deployment helps agents provide a better experience for their customers and, as a result, place more business.

The Latest In Sales Illustrations, Paramed Exams And Client Engagement

There has been a lot reported on the impact of COVID-19 to the life insurance industry. I wanted to research this from a different perspective. Starting with sales illustration vendors from changes to carrier projects to how BGAs and agents are engaging with their clients. Next, I was curious about the truth regarding paramed exams. You will be surprised at what the paramed vendors revealed. Also, there is a growing trend for life insurance carriers using solution platforms to remotely engage with their policy owners.

Sales Illustrations
Let’s take a look at two types of illustration vendors to see how their businesses have changed since COVID-19. The first is illustrate inc. who works with carriers. They have modular point of sales solutions that run quotes, illustrations and eApps on both mobile and desktop devices for life insurance agents and consumers. illustrate inc. works on carrier digital point of sales projects customizing their solutions to integrate in the life insurance sales experience. The second type of illustration vendor is Ensight who focuses on the distribution side. Ensight has a modern multi-carrier intelligent quoting platform with a presentation solution used by BGAs for case design and analyzing permanent products like index universal life to visually help the agent explain the benefits of the UL product to their clients.

The feedback we received from illustrate inc. is that their business continued uninterrupted due to COVID-19, however they did see an impact on short term projects with some life insurance carriers as they shifted their immediate attention towards their own operations. Carriers recognize the impact COVID-19 has had on their distribution channels, clients, and operations, which has led them to start to reevaluate and review their current digital strategies to ensure that they’re aligned with the new business environment. Lyndon Edwards, president of illustrate inc., stated, “We’ve experienced a significant increase in conversations, largely due to COVID-19, with carriers who are ramping up their digital capabilities. This ranges from those just starting to look for a practical solution to those who see this as an opportunity to expand on their existing capabilities, as the pandemic has reinforced the need for automated and digital services from both a sales and business continuity perspective. Vendors, like us at illustrate inc., must be flexible, nimble, and innovative to deal with the changing requirements, immediate needs, and long-term scalability and sustainability of our solutions in order to support carriers and provide continuous value.”

From the onset of the COVID-19 pandemic, Ensight has seen a dramatic shift to the remote sales engagement model on virtual meetings such as Zoom and Go To Meeting-whether it is BGA case designers and wholesalers virtually supporting producers and financial professionals on key cases or providing product training, or life and annuity producers engaging with prospects over the Zoom to help fulfill the increased demand driven by the pandemic, or financial advisors, almost 50 percent of whom were already moving to a virtual client engagement model, interactively walking clients through the benefits of life insurance. Bill Unrue, CEO of Ensight, commented, “At Ensight, we have seen a dramatic shift towards the virtual sales experience with growth of 155 percent in just the last three months. We have also been supporting hundreds of wholesalers and financial professionals on a weekly basis via webinars and interactive training sessions to enable interactive client engagements on remote meetings. The pandemic has acted as an accelerant in the march toward digital transformation for the life and annuity sector. The rapid and agile response over the last seven months to COVID-19 bodes well for returning the sector to long-term growth and wider financial protection in society.”

Paramed Exams
APPS Paramedical Services has been able to not only “make it through” the initial stages of the COVID-19 crisis, APPS has seen significant paramedical exam order volume increases, and completions that are exceeding year over year projections. Joe Klein, SVP of National Accounts at APPS, was eager to provide some details, “As we entered mid-March, Coronavirus and uncertainty were at an all-time height in the U.S. Markets were shaken, neighborhoods were rocked, and many people hunkered down in isolation. Life insurance sales fell sharply, and paramedical exam orders were only half of what was expected. Fortunately, APPS responded by pulling together non-N95 masks and other PPE. Exam services continued, albeit slower, but fortunately in line with the speed of sales. Only four to six weeks later Americans were back in the saddle. The paramedical exam orders were flowing full force. Sure, some carriers deferred exams in lieu of higher rating offers, but those that saw their applicants’ continued desire to be fully medically underwritten had their exams completed and completed safely. Thus far into the pandemic the number of exams completed by APPS eclipses half a million. Paramedical exams are getting completed safely every day in the privacy of applicants’ homes. APPS is proud to not only help more Americans secure the financial security of their families, we are proud to serve our underwriting customers as they ensure the correct decisions are being made.”

As some actuaries are predicting, the mortality impact of COVID-19 will stretch far past the missed doctors’ appointments for preventative health and skyrocketing binge drinking. Just take a read of the newly published Hank George article titled Dire Diagnosis-COVID-19, the Great Recession, and the coming underwriting apocalypse. You will find it a sobering reminder that right now, more than ever, the value of fluids results cannot be replaced.

I spoke with a second paramedical service provider, MediPro Direct. Ryan Janeway, president, and CEO stated, “The impact of the SARS-CoV2 virus (COVID-19) on the insurance industry is significant. As a paramedical service provider, we experienced an immediate decline in exams being performed due to state and community shutdowns, economic uncertainty, and an increase by carriers in the policy amount required for these exams. We also experienced the demise of one of our largest competitors due directly to the impact of this virus on their business. As an organization MediPro Direct was well-positioned to respond to these market shifts, having already established a virtual office environment for our entire national team and utilizing secure and redundant cloud services for our case management systems. Setting up a virtual office offered a flexible workspace with the required space and technology, and also the company does not have to bear the traditional lease expense. You might find it unconventional when big companies like MediPro Direct choose a virtual workspace, but you should click here and see the benefits of adopting a virtual office in times like these. Our multifaceted business meant we were also able to hire some of the top talent made available by the sudden shut-down of our competitor, further increasing our ability to exceed client expectations.” In addition to operational consistency and data security, MediPro Direct was able to provide its field examiners with immediate access to PPE, as well as PCR and antigen testing through MediPro Direct’s genetic and clinical lab. This meant the safety for examiners and the applicants they service was never in question. Ryan continued optimistically, “Looking forward, we see the future of the insurance industry requiring a more data-conscious and capable paramedical network, including access to data on the health of the examiners in the field. With one the largest examiner networks in the nation, real-time reporting through our Quality First system, and examiner health tracking, MediPro Direct is ready to lead the way.”

I reached out to IMS-Insurance Medical Services to see if there was a change in the number of examiners being recruited. IMS offers a full array of services to assist with the pre-underwriting process such as paramedical examinations, attending physician statements, criminal background checks and motor vehicle reports. IMS is open 24 hours a day and 7 days a week. They have a national network of over 5,000 paramedical examiners nationwide. Bilal Saeed, VP of Operations at IMS, Paramed Inc. responded, “In spite of COVID-19, we have observed our business has grown due to increased awareness of life insurance and in result we have fully prepared our field staff to wear complete personal protective equipment (PPE) at all times during all examinations in the field. Our recruiting efforts of field examiners has doubled to meet the demands of the life insurance industry.”

Life Insurance Consumer Engagement Platforms
Sureify, a leader in digital enablement in the life insurance arena, has spent the past several years preparing carriers for a moment such as this. The pandemic has illuminated blind spots in the industry, especially reliance on disjointed, disconnected legacy systems that are proving wholly ineffective for remote selling, service and engagement. The Lifetime Platform is focused on helping carriers sell, engage and service with one enterprise platform that was developed to empower insurers and their agents to act, interact, and react in real time-via digital means. Sureify’s LifetimeEngage uses a collection of data and analytics to create robust engagement programs (financial education, health and lifestyle) that foster a life-long relationship with policyholders, while LifetimeAcquire drives placement rates via quoting, e-application, automated underwriting and new business transmission, and LifetimeService offers in-force customers a comprehensive self-service portal and native applications. CEO Dustin Yoder says that, “Sureify has seen significant growth as traditional insurers come to realize the positives (cost savings, functional improvement, and the enhanced ability to meet policyholder expectations) that come with the new digital landscape.”

As expected, the initial month of COVID-19 stalled businesses across the industry. Soon after, digital point of sales projects with carriers picked right up. Vendors used innovation to adapt sales illustration solutions to help agents virtually sell to their clients. Paramed exams, contrary to what many believe, are busier than ever today, and life carriers are looking to consumer engaging platforms to service their policyholders.

Solving Unique Pain Points For Life Insurance New Business And Underwriting

There are a lot of changes happening in the life insurance industry because of COVID-19—market environment, types of insurance products, processes, and technology. As these changes are evolving, there are unique challenges impacting new business and underwriting. I want to show you some innovative solutions solving these pain points.

Life Carriers Need Predictive Underwriting in the COVID-19 World
In a perfect world insurance companies are changing their strategy in a void, a company changes pricing while the industry is static and the company can evaluate the impact on the policyholders and the profitability of the company over time. Due to new regulations, principle-based reserving (PBR) and a new standard mortality table, the 2017 Commissioners Standard Ordinary (CSO) Table, and now due to COVID-19, companies are changing pricing while the rest of the industry is also changing pricing. To be able to trace the impact of a change, to simulate strategies and make decisions quickly, companies must have reliable data and predictive technology (such as Artificial Intelligence and Machine Learning) to evaluate the impact in real time.

Companies are building complex products, and sophisticated underwriting protocols and benefit programs, to attract specific distributors, producers and customers or specific market segments or specific risks. Being able to simulate what-if scenarios and build strategies based on data allows companies to be more scientific and therefore generate better results. COVID-19 disrupted the way insurance companies onboard a policy, there is a move to eApp, underwriting is done remotely, the ability to take liquids has decreased. Companies that can predict the probability a policy will be placed and what would be the biggest driver to improve placement probability can help companies optimize their operation, reduce waste, and improve consumer satisfaction with the process.

iPipeline,® a leading provider of cloud-based software solutions for the life insurance and financial services industry, has integrated its InsureSight Case Analytics Platform with Atidot’s Predictive Analytics Models to analyze the impact of product and pricing changes based on prior sales performance and industry data. The ability to predict future performance based on product selection, producer group, producer, location, demographic and other critical factors, will enable life carriers to adjust product, pricing, or distribution strategy dynamically to optimize market penetration.

Transform Paper Apps into Digitized In-Good-Order Applications
In an ideal world we all want our agents to use eApp for submitting life insurance applications instead of paper so that they are submitted in-good-order, processed quicker, and automated as much as possible without having to manually handle the case. There are times when agents will paper-out of an eApp for various reasons or send paper apps to a BGA sending it down that NIGO, slow, expensive path. But now there is a solution to get the app back on track on the data highway. PaperClip, Inc., has a platform called Mojo. This is an innovative cloud-based service that digitizes the life insurance paper application from handwritten or typed text with 99.9 percent accuracy transforming it to data and data transactions.

Let’s say, for example, an agent sends a handwritten paper application to the BGA. The BGA then scans the paper application into Mojo, securely transforming the application into data. The BGA can use Mojo for several purposes. Mojo can send data to the agency management system (AMS) to auto-create the case. At the same time, Mojo can file the documents into the BGA’s document management system like PaperClip’s VCF System. And the application data transformed by Mojo can be sent to an eApp platform automatically to get it back on track and in good order. iPipeline has partnered with PaperClip whereby Mojo is seamlessly integrated into iGO eApp. iPipeline calls the integrated solution iGO Link. If the agent had papered-out of iGO, they still would have the opportunity from the BGA’s website to access iGO Link and get it back on track into the eApp process.

BGA’s can Reign in the Costs and Turn Around Times for Informals
Informal underwriting has not kept pace with the advances in formal underwriting. For decades there have been two forms of informal underwriting practiced by agents and agencies. One way, all the collection of health information is collected by the agency before formally presenting a prospect to carriers. When an agency does not have the resources of a support team nor a strong, cooperative relationship with the prospect, an agency will use a victim carrier’s formal underwriting to prequalify a prospect. With this second way, an agent’s investment may only be to find the carrier with the lowest Super Preferred rate, get a ticket app and let the carrier, the agency and the prospect do all the work until the carrier can come back with an offer. Often this offer is not Super Preferred and underwriting and selling starts from here.

Both processes are expensive and disruptive. Employee Pooling (EP) has a better solution. They can eliminate weeks of physical and emotional toll on all parties. EP’s accelerated informal platform uses data technology and human capital to give distributors on-demand access to the tools traditionally reserved for insurance companies. Tom Gray, CEO of Employee Pooling, said, “I have been on the distribution side of this industry for 30 years. This is how it has been. I have been determined to obtain solid underwriting data to use to get a meaningful tentative offer that can be counted on and reign in the costs and turn-around time. Our platform can find rich medical data, have it assessed by technology and our medical team and deliver an underwritable package, often within 24 hours. This way, the EP way, gives the agency the tools to put a summarized case up for bid and find the right carrier able to offer a premium that can be placed. The rest is a formality.”

eApp and Auto-Underwriting using an Omni-channel Sales Model
Life Insurance is still sold and not bought, however instant issue or simplified issue products can be quoted and applications electronically submitted through a consumer facing solution. This is not a carrier direct-to-consumer model because we are maintaining the agent ecosystem for the purpose of having the agent available for questions and for upselling and cross selling. There is a trend with several vendors today providing these eApp/Sales tools for agents and agencies. Management Research Services (MRS) has a unique platform that is No-Code, fully configurable electronic application platform. It can streamline requirement gathering during the application process, gathering data in the background (in real time) to reduce time with the applicant and provide an instant underwriting decision. Utilize the omni-channel approach to customize your sale, whether in an e-app, tele-app, or both. MRS’ seamless case management provides transparency for your agency and agents so they know where every applicant stands in the process.


COVID-19 and the unstable economy, with service providers who may or may not be in business tomorrow, it is time for BGAs and IMOs to take more control of their business by adding a call center to their agencies. Some of the benefits include increased customer satisfaction, higher conversion rate in completing submitted applications, and higher placement ratio. You also get an automated drop ticket experience that you control. A BGA who changes their model by adding a call center will get more efficiency and reduced costs in agent recruitment, freeing up specialists to focus on handling calls that utilize their expertise. There is consistent service when adding a call center which results in overall improved call quality.

A BGA will need a software solution that can seamlessly automate the drop ticket fulfillment process for the call center. ApplicInt’s CallComplete software is an end-to-end digital platform for a call center, already plugged into the carrier’s fulfillment process for completing the app with a client interview for term life drop tickets. CallComplete allows you to take control of the drop ticket process and better service your agents, automatically receiving the drop ticket from the eApp platform and then the carrier’s script, process, and voice signature are all integrated into CallComplete for either scheduling the exam or automatically ordering RX, MIB and MVR for an accelerating underwriting process.

Features of a Call Center for a BGA and IMO:

  • Real time assistance for the agent to help complete the drop ticket;
  • Warm transfer agent to client;
  • Call center can initiate the interview without a drop ticket;
  • Agent recruitment (prospecting);
  • Promoting new products and services, then handing over or scheduling to a specialist;
  • Front line to support agents for high level questions; and,
  • Agent pre-script before the carrier compliant interview and post-script cross-selling and agent referrals.

Yes, the digital sales model, whether agent-facing or consumer-facing, is being pushed in a direction requiring flexible, easy to use new business eApp tools with products and underwriting that can automatically make an underwriting decision when possible. This is driven by new market conditions like COVID-19 and Millennials. Whenever there is a break in the process there needs to be a doorway to get it back on track. These solutions enable life carriers, BGAs and agents to reduce their operational costs and become more efficient focusing on growing sales.