Thursday, April 18, 2024

Strategic Thinking

Periodically it just becomes necessary to go to the blackboard and wipe it clean. New advisor focused research is being released this month. Who is Selling What? To Whom, How and Why? is a follow up advisor survey to work reported here in May, 2004, at the apex of stand-alone traditional sales. The Producer’s Perspective on Long Term Care Insurance was accomplished at that time with the help of LIMRA International, the Society of Actuaries and Broker World. Times have changed—today basically 90 percent of any version of long term care planning sales are now classified as “combo life” sales, and it was simply time to again ask questions of those closest to the actual sales transaction. The current project was conducted with extensive help from independent and career distribution (NAILBA and NAIFA), BGA’s, NMO’s, combo life companies, The Center for LTC Reform and Broker World. The survey was sponsored and conducted by Oliver Wyman consulting actuaries and Ice Floe Consulting marketing and distribution consultants. An ongoing discussion of the findings will be a foundation of this column for several months.

We knew that we would be refining existing perceptions and evaluating best practices. It was the nuances of motivations and predispositions with consumers at the point of sale that we wished to hold up to the light for examination. Most importantly we wanted those insights to originate with those who at the point of sale actually bake the cake and make a sale happen.

It’s of course the most potentially global revelations that arrived in our minds on a purely speculative basis that need to be examined first. The survey itself is “data rich” from a statistical standpoint. It will be here in this “opinion rich” column where we can have fun with what it may all mean.

Let’s begin by saying we simply need more of this advisor focused sales analysis. Prior surveys have examined consumer wish lists prior to purchase and then measured rationalizations as to why a particular benefit was popular after purchase. These are opposite ends of a polar sales spectrum, one tainted by adverse selection and the other by cognitive dissonance. What we need to know is what happened in the middle.

In terms of those who eventually acquired any form of a long term care planning product, our overall placement success over the last 15 years has fallen by 50 percent. Traditional stand alone has fallen by 95 percent and more than half of the combo life sales do not involve any additional premium. Each year we continue to restrict our sales to the most affluent. From a distance it appears the sales of which we are the most proud could be perceived as unnecessary. We all know we must return to protecting those actually at risk. Without a full blown and well-orchestrated attack on the Mass Middle market we simply become a progressively superfluous exercise.

The first step in the right direction involves institutionalizing long term care planning in your practice. If you engaged in “the conversation” and merely offered something, frankly anything, we are all off to the races.

Jumping off the graphs of the survey was a clear and heartening recognition by producers that, while cost will always matter, the quality of the benefit offered to their clients was first and foremost in their minds. For example, zero current premium chronic illness ABRs were recognized to add something to the sale, however they overwhelmingly preferred benefits that could be defined as valuable at the point of sale and therefore required an additional premium charge as best for their clients.

What is old and should be ingrained into all sales is the necessity of periodic review. Changes in need, product performance or the advancement of available benefits must be a component of a successful insurance practice. The survey revealed a recognition by advisors that the presence of a long term care planning option, specifically both 7702B and 101g riders, has sufficient gravitas to justify a policy replacement conversation. This potentially represents an enormous opportunity for future sales activity.

Some answers we already knew or strongly suspected confirmed universal truths that must no longer be glossed over. Consumer and advisor awareness has always been the answer. The survey suggested that consumers do have a greater understanding of the risk and the choices to respond to that risk. And those advisors who include long term care planning in their practice are best prepared to facilitate financing decisions.

Yes, there is frustration with continuing rate increases, restrictive underwriting and insufficient product to be able to reach a larger audience. Our time has not been wasted. We should be fairly certain that by now we have uncovered our mistakes and have moved to remedy them. The survey tells us we do have a well trained and passionate advisor base and that we must now finally work together—advisor, distributor and company—to rebuild our dedication to training, education and outreach to more consumers and advisors.

Other than that I have no opinion on the subject.

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.

Vaccinate Your Client’s Income With Disability Insurance

While vaccines are on the top of everyone’s mind, it is a good analogy for disability insurance and your client’s income. If you look at the science and facts available, every planner and insurance life, health, group, and property/casualty producer should have this conversation with their working clients.

Statistics:
More than one in four of today’s 20 -year-olds can expect to be out of work due to a disability for at least a year before one reaches normal retirement age.1 While this is a fact you may have heard in the past, let’s take a deeper look at some other ages:

Chances of having a disability from work prior to age 65, that would last three months or longer:2

Age 35: 22 percent or approximately one in four and a half people.

Age 40: 21 percent or approximately one in five people.

Age 45: 20 percent or approximately one in five people.

Age 50: 18 percent or approximately one in five and a half people.

We just don’t know how long these clients will stay disabled. Does the length of disability really matter though? If we were able to plan based on hindsight, then yes, but we plan using known assumptions and projections and then adjust our planning as facts become more known. If a client were to become disabled, would we plan for the disability to last a year, three years, five years, or indefinitely?

Financial Devastation and harm:

  • A 2014 study of consumer bankruptcy filings identified the following as primary reasons: Medical bills (26 percent), lost job (20 percent), illness or injury on part of self or family member (15 percent).
  • Two-thirds of working Americans (63 percent) couldn’t make it six month before financial difficulties would set in—and 14 percent said they would have problems immediately, according to the 2020 Insurance Barometer Study by Life Happens and LIMRA.
  • Per the survey of those that have experienced a serious illness, 42 percent of those between ages 18 to 64 used up most of their savings. Twenty-nine percent of those surveyed were having problems paying for basic necessities like food, heat, or housing.4

Cost for a disability policy versus not having a disability policy is subjective, as there are real costs and intrinsic costs. When someone doesn’t have disability insurance and an extended disability occurs, the real costs are devastating and, in some cases, it can cause financial ruin. The intrinsic costs of not having a plan in case a disability occurs are multiple, from financial strain on the family, to possibly needing to move to lower cost housing, to the psychological effects on those who find their net worth quickly dwindling. In addition, when a disability occurs not only does one’s income become affected, but usually additional expenses occur as well. This inverse ratio of income and expenses that many experience can cause more pressure on an already fragile dichotomy. The premium for a disability insurance policy will vary based on how much coverage is purchased. We find that most case designs resonate best with consumers when the cost of the policy is about two percent, give or take, of one’s annual income.

Obviously, with COVID-19, we’ve seen some of our fellow citizens and neighbors become seriously ill and unfortunately there have been hundreds of thousands of deaths as well. The toll has been staggering, but most are confident that the vaccines should help to curtail and eventually end this horrible pandemic. With COVID-19, we’ve also seen reports of the staggering physical disabilities occurring as well, which has compounded the adverse effects on many individuals’ financial wellbeing.

Like any type of proactive action, having a client obtain disability insurance can be an essential part of providing protection for a client and his family. At the end of the day, the cost of not having a disability income policy can be devastating and for those who ended up needing the protection the cost was trivial.

References:

  1. Social Security Administration, Disability and Death Probability Tables for Insured Workers Born in 1997, Table A.
  2. https://www.calcxml.com/calculators/ins05?skn=#results Source: 1985 Commissioners’ Individual Disability Table A, based on data from policies issued in occupation class 1 (select white-collar professional). These are unisex probabilities.
  3. https://disabilitycanhappen.org/disability-statistic/.
  4. https://cdn1.sph.harvard.edu/wp-content/uploads/sites/94/2018/10/CMWF-NYT-HSPH-Seriously-Ill-Poll-Report.pdf.

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.

A Fairy Tale For True Believers

Once upon a time, there was a Kingdom had not suffered any cataclysmic globalized wars or complete failure of its financial institutions for many years. This does not mean there were not close calls. This benevolent circumstance had allowed science, wealth accumulation and the overall quality of life to flourish. These privileged generations had evolved to become the most prosperous, innovative, creative proponents of maximizing freedom of will while demonstrating a boundless enthusiasm for democratic progress and accepting personal responsibility for the world and the people around them.
But like all fanciful stories the ultimate possibility for a complete happy ending remained just out of reach. There was a Flaw that persisted and festered in the dark corners of far too many hearts. The saddest component of the predicament was that they knew the truth that held them back but chose to ignore, obfuscate, diminish and outright deny the existence of a simple immutable truth: The march of time and the commensurate inevitable aging process cannot be forgotten, misplaced or altered. They knew that the beginning of life’s stages and the end both require some level of assistance, support, amelioration and please Lord some meaningful quality of loving care. Somewhere, somehow a dark and malevolent magic had befallen the population, the Flaw became a prowling uncontrolled risk haunting the meaning and value of anything that could be defined as a “happy ending.”
What makes this story so sad is that this precarious situation and looming threat had also been constantly under attack by a small band of caring patriots trying valiantly to establish the financial reserves necessary to prevent the virtually inevitable catastrophe waiting for the majority of the citizens of the realm. There remained a hard core cadre of care planning operatives working diligently to establish a responsive level of financial reserves to guarantee quality of care. The Flaw was insidious, clever and it seemed invincible, The harder they tried to soften the impending blow, the stronger and more resistant the inevitability of a pending financial and emotional disaster gathered strength—apparently just out of view. And then when it was clear that the potential for a very unhappy ending was on full display, a new enemy swept across all the borders. A Virus invaded their lives. It struck most viciously at those most vulnerable. The Angel of Death hovered over far too many homes and the Flaw stood exposed. It became impossible to not understand except, of course, for the most severely obtuse.
This new and virulent threat had penetrated the Flaw’s magical armor. Reality could not be ignored. The Flaw simply had no clothes.
A new future began to spread across the land:
A personal connection to a need for enhanced and personal care became a rapidly unavoidable truth.
It became clear that you did not need to vanquish the Flaw just manage its effect.
No one would forget that quality of care under personal control could ever again not be a planning option.
As the illness swirled around them “Staying at Home” became a necessity; the virus had installed a collective cultural memory that could never again be ignored.
The cognitive resonance necessary to take action and plan ahead moved to front and center.
As with all fairy tales hope, love and faith became again a reflection of the new truth that freedom of choice and personal control of the need for care could never again be overshadowed by the blinding ignorance of the Flaw.
Other than that we have no opinions on the subject. 

An Interview With Eugene Cohen

2009 Honoree International DI Society’s
W. Harold Petersen Lifetime Achievement Award.

2015 Honoree of NAILBA’s Douglas Mooers Award for Excellence.

From time to time we will feature an interview with Eugene Cohen, who has dedicated over 57 years of his life to learning, teaching, and supporting brokers in the agency’s quest to help consumers protect their incomes from the tragic effects of a disability. With the help of Victor Cohen, we will chronicle many of Eugene’s life lessons, advice, strategies, and what drives him every day to mentor those who wish to help their clients protect their incomes. Disability insurance is one of those products that can change the trajectory of an individual and a family’s life and is crucial for every financial planner and insurance professional to learn about and offer to clients.

This is the second part of our ongoing series with Eugene Cohen, CEO and founder of the Eugene Cohen Insurance Agency, Inc. The agency started as a disability insurance brokerage MGA and has grown to over 35 team members who are all focused on the wholesale service needs of financial professionals for disability, life, long term care, and annuities.

Victor: In our last conversation, which appears in Broker World’s November 2020 issue, you mentioned four different objections advisers may face when discussing individual disability insurance with a client: No Need, No Money, No Hurry, and No Confidence. Which of those objections would you say is the most important for an adviser to answer?

Eugene: The “No Need” objection must immediately be addressed—before it even becomes an objection. If the client realizes the need for disability income protection, they are going to want to buy the product. The more time spent on need, the more likely the other three objections will evaporate as the client truly understands the reasons that Disability Insurance is so important.

Victor: Are there specific occupations you suggest advisers focus on, where clients may more easily or naturally see “The Need” for disability insurance?

Eugene: Many advisers like to present disability insurance coverage to physicians and doctors of dentistry because individuals in these occupations recognize the need very quickly. They often see patients and/or train on medical conditions that can disable people. They see the devastating financial effects of a disability almost every day!

If a surgeon or dentist loses three fingers—they know the very likely unfortunate outcome. That career is done. So, it’s very easy to present a disability insurance policy to them.

Also, a physician or dentist is often in a hurry to buy disability insurance. So, they want to purchase it very quickly. This product is so important, especially for those who see people suffering from disabilities.

Victor: I can see how a physician or dentist would clearly see the need to protect their income. How would you help an attorney see the need for DI?

Eugene: Well, if the attorney loses three fingers, the lawyer can likely easily work and not have a major problem. Yet, attorneys learn about personal injury law; they are trained on how to calculate lost wages as part of a settlement. When a client sees and understands disabilities, they know they too can become disabled. So, we have to look at what could disable that attorney. What could prevent him or her from working in their occupation?

Prior to every appointment, when presenting disability income protection insurance, we have to design what we are going to say, and tailor make the conversation to address the client’s specific occupation.

We know there are many illnesses and injuries that may affect a person’s short-term memory. Can you imagine if an attorney lost his or her short-term memory? Or what if they had Parkinson’s disease, multiple sclerosis, a mental disorder, or a serious back disorder?

What if a trial attorney had cancer of the larynx and couldn’t speak? He or she may be out of work. These are the things we have to look at. What will disable that attorney? Some of the illnesses/injuries that could end, or seriously affect, an attorney’s ability to earn an income, may be different than the illnesses/injuries that may disable a surgeon or doctor of dentistry.

Attorneys are excellent DI clients because most of them, like medical professionals, understand the need. Many lawyers earn large incomes that need to be protected.

Victor: So, what about the adviser who doesn’t have medical professionals or attorneys as clients? What other types of clients do you suggest advisers focus on?

Eugene: Disability income protection is the foundation of any financial plan, regardless of anyone’s occupation. Whether the client is a doctor or an electrician, truck driver, factory worker, plumber—they all rely upon income.

If a client earns $30,000 or $35,000 dollars per year, they still have the same problem as someone making $300,000 or $350,000 annually. They still have to pay bills when they are disabled.

The only difference is you have to work on adjusting the premium so the premium is something the client earning $30,000 per year can afford.

For example, maybe it is better for some prospects to be insured for a shorter elimination period of 30 days (instead of maybe 90 days), with a shorter benefit period of two or five years (instead of to perhaps age 65 or age 67). This may be something that can better fit into some clients’ budgets. Also, with a shorter elimination period, the client will get their benefit sooner. (This is very helpful to clients who don’t have adequate savings.)

Victor: I know that you feel strongly about small business owners needing disability insurance. How do you discuss the need for DI coverage with these prospects?

Eugene: Small business owners are excellent DI clients. I have given many presentations to business owners who employ eight to ten people. The small business owner has a major problem if he or she can’t work. They have a tremendous investment in their business. Not just an economic investment. An investment in time, passion, long days and often long nights and weekends. Also, the business owner is providing an income for their employees. These employees have families who are relying on that business to stay open and to be profitable. The business owner has an incredible amount of responsibility and liability.

Victor: I’d think business owners immediately see the need for DI.

Eugene: Not necessarily. I have had business owners say to me, “I can run this business with my eyes closed.” I am sure he or she never tried that. Or they may say, “There aren’t many things that can disable me.” Well, I always like to ask the small business owner, “What’s the longest vacation you’ve ever taken?” Their reply is usually, “Two weeks…a week…” I will then ask them, “Why don’t you take a longer vacation?” They answer, “I can’t afford to. I have to watch this business.” Small business owners are often working 50, 60 hours per week or more.

As this client’s adviser, I’d ask, “If you had a sickness or accident that lasted two or three or five years, would that create a problem?” Most business owners would see their life savings and business disappear quickly.

Victor: Other than doctors or other high earning professionals—who may more easily see the need to protect their income—what are some general questions an adviser may ask clients working in other occupations who may be earning a more moderate income?

Eugene: I suggest asking, “Is your income important to you?” After the client answers, “Yes,” I would ask, “What are you doing to protect that income?”

Victor: That does get straight to the heart of it.

Eugene: This policy works when you can’t work due to a qualifying claim. It’s your silent partner. When you get the prospect to understand they need the product, they are going to be interested in it. If your client doesn’t understand that they need it, then don’t waste your time going over the policy.

Victor: So, let’s say a prospect does understand the need to protect their income, but they say they don’t need an individual disability insurance policy because they already have group long term disability insurance provided by their employer. How do you answer that potential “No Need” objection?

Eugene: I would ask them, “What does your group policy cover?” The client often doesn’t know. They haven’t taken the time to read it. I will offer to review their plan with them.

Group LTD (Long Term Disability) or Group STD (Short Term Disability) can be a wonderful supplement to an individual disability policy. Many professionals have both group LTD and their own individual disability insurance policy.

Victor: And what would you say to a client who may not have group LTD from work, but already has their own individual disability insurance policy? How would you handle that potential “No Need” objection?

Eugene: I would ask the client when they last had their individual disability insurance policy coverage reviewed. The client’s income may have grown substantially since they first took their policy. They may be ready for additional coverage.

It is common to layer a new individual disability policy on top of an already existing DI policy—if the income allows it. It’s always about doing what is best for the consumer. That is always rule number one.

Victor: Thank you for another very insightful and inspiring conversation. Unfortunately, we have to wrap it up for now. I look forward to us doing this again soon. To be continued!

Aortic Aneurysm: A Silent Killer

An aortic aneurysm is a dilatation of the aorta which predisposes itself to rupture, hemorrhage and death in short order. The aorta is the largest vessel in the body carrying blood out to the rest of the other organs. There are three layers in the aorta—intima, media and adventitia. A true aneurysm is a dilatation of all three of these layers. When an aortic aneurysm ruptures, there is only a short time frame to emergency surgery to repair it before death ensues.

Aortic aneurysms are usually silent killers in that most (almost all that involve the abdominal part of the aorta and half that involve the upper or thoracic part) are generally asymptomatic. A physical exam may detect a pulsatile mass in the abdomen that corresponds to an aneurysm that hasn’t yet ruptured, but the majority of aneurysms are discovered on more routine imaging. Chest X-rays or ultrasounds are the most common detection methods. Symptoms of a large aneurysm may include low back or mid-abdominal pain or trouble swallowing when the aneurysm compresses the esophagus. Once the aneurysm ruptures, chest pain is sudden and severe along with a sharp drop in blood pressure and throwing up or coughing up blood. Death is common when there is not proximity to a hospital or operating room, and even surgical morality in an acute situation may be as high as 50 percent.

Risk factors for aortic aneurysms are many. Men over age 65, hypertension, smoking and high cholesterol are a few of the major ones. Others include weight lifting, trauma, a bicuspid aortic valve or any other kind of aortic valve disease. Genetic causes including Marfan’s syndrome (a particular offender), Ehlers-Danlos syndrome and Turner’s syndrome are widely recognized. Inflammatory diseases such as ankylosing spondylitis, giant cell arteritis and Takayasu arteritis cause weakness in the aorta through their underlying inflammatory component and screening for an aneurysm may be part of the disease for these conditions work-up per se.

How to treat an aneurysm when discovered in an asymptomatic person has undergone changes in recent years, but is still designed to get to the aneurysm and surgically repair it before it is too late. That said, not every discovered aneurysm is referred immediately for surgery. Things that go into when to make the repair are time since discovery, size of the aneurysm, underlying conditions (like atherosclerosis, hypertension and smoking) and the rate of growth of the lesion. Clinical problems are rare when the aneurysm is 4 cm in size or less. Between 4 and 5 cm, the mortality rate increases but again surgery is not an immediate consequence. Once the aneurysm measures 5.5 cm (this is an increase from the previously accepted 5.0 cm) or the growth is marked in between radiographic evaluations, surgery to accomplish repair is undertaken. As mentioned, this is not an operation with trivial surgical risk, so repair is accomplished in those with larger lesions. The annual rate of rupture is highest in the larger lesions and a rupture may be fatal in up to 80 percent of these cases.

Surgery is usually accomplished as an open repair of the aorta. It must be done in skilled hands as the aorta then certainly is a weakened vessel subject to further problems if not done effectively. As it is a problem in older individuals, a procedure called EVAR (endovascular aortic aneurysm repair) is done in older individuals who are considered high operative risks due to the presence of other complicating diseases or circumstances. It requires indefinite surveillance to monitor for leaks, closing of the vessel or re-expansion even though it is safer for high risk individuals.

Underwriters who assess aortic aneurysm look for various factors in assessing its future morbidity and mortality. The location of the aneurysm is important, as well as the size, cause, treatment, and rate of growth if unoperated. Monitoring control of other contributing conditions is important as well, both in the operated and unoperated individuals. Follow-up is also key— those who do not have adequate medical follow-up with this condition increase their mortality several fold.

Smaller aneurysms may be taken with a small rating as long as follow-up is good. Larger ones have to be followed with care to assess stability, as their rate of growth may pre-dispose them to acute injury and death if a rupture occurs and an operating room is not immediately in reach. There may be a waiting period of six months to a year before insurance is considered after surgery, and the longer time goes by without a recurrence the better. Those with EVAR as treatment are rated more severely as the procedure for repair is not as complication free and there are generally other health problems that were significant enough to have chosen that approach over the more tested open repair.

FIAs And GLWBs: WTF?

(Part 2 Of 2)

This is the second article of a two part “mini-series” on discussing “what the flow” (WTF) of an annuity conversation should be like. Afterall, based on CG Financial Group’s surveying of agents, discussing annuities with GLWB riders is an area where agents would like some further “refining.”

As discussed last month, there are five areas that financial professionals cite as areas they would like help explaining.

  • Can’t a “financial advisor” give the same amount of income from a stock/bond portfolio? Afterall, the stock market has gone up 10 percent on average since 1926 and only five percent withdrawals (example) seems paltry! Ken Fischer says he can do better!
  • Only $5,724.50 in income on a $100,000 premium? That means the client is merely getting back their premium for the first 18 years! That is not very sexy!
  • I do not understand the relevance of the “Rollup Rate.” Isn’t that seven percent rollup rate just “funny money?” Afterall, it’s not like you can just cash that value out like you can the contract value/green line (subject to surrender charges).
  • Don’t these riders cost a lot? Suze Orman says they do.
  • How do I, as the financial professional, articulate the mechanics of the product as well as the overall value proposition? What’s the flow (WTF) of an annuity conversation that is effective?

Objection Bullet Point #1: “Can’t A Financial Advisor Do Better?”
To jump right into bullet point #1 above, here is my belief that bears repeating: Consumers will likely not recognize the true power of annuity GLWBs unless they are educated on the traditional withdrawal rate rules of thumb.

By educating consumers on these rules of thumb, you can “re-anchor” their expectations to reality and the fact that traditional withdrawal rate “rules of thumb” at retirement are anywhere from 2.3 percent to four percent, depending on which study you want to go by.

Many consumers know that the S&P 500 has gone up double digits on average for the last century and therefore overestimate what withdrawal rate they should utilize. Well, even though the S&P 500 could average 10 percent over the coming years does not mean the client will not run out of money by taking only four percent of the retirement value from their “stock and bond” portfolios! How is this possible? Because of sequence of returns risk that the “stock” portion can subject the client to and the low interest rates that the “bond” portion can subject the client to. And because of these two risks (sequence of returns and low rates), a client should not overestimate what a “financial advisor” can do as far as withdrawal rates. If you would like a graphic that helps you explain “sequence of returns risk” to your clients, email me.

Following are a few diagrams I use to help educate consumers on what their “financial advisor” might do as well as what an annuity might be able to do.

I first educate them on the old four percent withdrawal rule of thumb, (see diagram 1) even though that is being generous as the pundits are saying 2.3 percent to 2.8 percent is more like it today! I rationalize with them by drawing the diagrams on an “example” 63-year-old wanting to retire two years from now. Our 63 year-old has $100,000 in a stock and bond portfolio.

0121-diagram1-gipple

I discuss how this 63-year-old may have the expectation that her $100k grows by five percent or so per year between now and retirement in two years. Well, based on her $110,000 value at that point, what withdrawal should she take in her first year of retirement? This is where I discuss the old four percent withdrawal rule, which is contrary to popular belief. I also discuss the reasons for the withdrawal rate being only four percent. Hence, sequence of returns risk and low interest rates. But the end result of this diagram is a payment of $4,400. But that is only if her expectations Actually happen!

I then draw a second diagram (see diagram 2) that demonstrates the possibility of her expectations not coming true. As in, maybe between now and two years from now her portfolio loses 20 percent, versus gaining 10 percent that she had hoped for. This means she only gets $3,200 a year in income, a 27 percent pay cut relative to her “expectations.”

0121-diagram2-gipple

Lastly, I draw a diagram (see diagram 3) using the example GLWB rider that I showed you in last month’s column. This GLWB rider gives a “rollup rate” of seven percent per year then a payout factor of five percent at age 65. This particular rider is able to guarantee her 30 percent more income ($5,724 versus $4,400) than what she “hopes for” in her securities portfolio. No ifs, ands, or buts!

0121-diagram3-gipple

Usually, the response by the time I get done with the third diagram is, “How is that possible?” or “It seems too good to be true.” That is where I discuss longevity credits with her. (Email me for my conversation points on longevity credits.)

Objection Bullet Point #2: “Only $5,724 in income?”
We already discussed why these “rules of thumb” are so low—because of sequence of returns risk and also low interest rates—and why a guaranteed payment of $5,724 is quite attractive. However, if the client is only getting their premium back over 18 years ($100,000 divided by $5,274), they may question the worth of these riders.

This is where I discuss with them (diagram 4) that I showed you last month. Their contract value (dashed green value) is still available to them and still gains interest based off the index, although it likely will be reduced if withdrawals are taken out. Note, many consumers think annuities are just locking them into a “lifetime payment.” Obviously not so with the innovation of GLWB riders that began almost twenty years ago with VAs!

0121-diagram4-gipple

I then discuss with them that all we are doing with a GLWB rider is buying an “insurance policy” on their longevity. And that insurance policy is what gives us that additional blue “Benefit Base” line.

Objection Bullet Point #3: “Isn’t that blue line just “funny money”?
This is a good question because a carrier could just do away with the “Benefit Base” and the required algebraic formulas, and instead just list payout percentages for certain ages and deferral periods. An example would be our 63-year-old having a guaranteed payout factor at age 65 of 5.72 percent ($5,724 withdrawal on her $100,000). Some carriers have in fact taken this route! However, for marketing reasons or what have you, the bulk of the carriers use the benefit base rollup and payout factor design.

I have two responses to the “funny money” question:

  1. I don’t care if the benefit base is “funny money” if the end result is that the client is guaranteed a very large withdrawal amount after the calculations are done. It is also important that agents not market the “Benefit Base” guarantee of seven percent like that is a liquid “contract value.” Lawsuits.
  2. When I explain the blue “Benefit Base value,” I draw a comparison to cash value life insurance. It goes something like this.

“Now the blue elevated value is a value the insurance company gives you in addition to your green “contract value.” This is the longevity insurance you are paying for. Do you get to just “cash out” that blue value? No. Instead, there are various rules the insurance company mandates you follow in order to get that blue value. Kind of like cash value life insurance where you have your “cash value” that you can cash out and you also have another value that is usually higher than your cash value, right? Except that “blue value” on the life insurance policy is the death benefit and, as we all know, you need to follow certain rules for that death benefit to pay out, correct? (Chuckle) Yes, you must die! Well, for this blue value on the annuity, you don’t have to die. The insurance company just says that you cannot take any more than five percent per year of that blue value out in order to not have the blue value/blue line decrease. That is the main rule you have to follow.”

Objection Bullet Point #4: “Suze Orman says annuities cost a lot”
Most indexed annuities without GLWB riders have no fees. The high-fee objection has its roots in the variable annuity world where subaccount charges, M&E, and rider charges can very easily get above three percent.

Now, if you are adding a GLWB to the indexed annuity, a common fee might be one percent. What I have found is, if you have done a good job explaining the diagrams above, old rules of thumb, blue line versus green line, etc., a one percent fee per year should not be a huge hurdle for that client that is concerned about outliving their money. If they do take issue with the one percent, it may not hurt to put the risk of outliving one’s money into perspective:

  1. There is an 18 percent chance you will total your car over your life. You buy auto insurance to hedge that risk!
  2. There is a three percent chance your house will burn down over your life. You buy homeowners insurance to hedge that risk.
  3. Morningstar says there is a 52 percent chance today that a stock and bond portfolio will not last a 30-year retirement by using the “old” four percent withdrawal rule. Why not hedge that risk as well? Afterall, there aren’t many things more important than not outliving your savings.

Objection Bullet Point #5: “How do I, as the financial professional, articulate the mechanics of the product as well as the overall value proposition?”
We all think differently, process information differently, and speak differently, but I hope these articles at least gave you ideas on how you should articulate the GLWB conversation as well as ideas for “napkin diagram drawings” that you can use with your clients.

Independent Life Distribution Technology Survey

The Life Brokerage Technology Committee (formerly NAILBA Technology) is a gathering of industry technology leaders with great experience to discuss and report on standards and trends. The group is represented by brokerage general agencies, carriers, medical information providers and solution vendors. Workflows were documented, data sets were negotiated, and appetite to change was measured. In short, the day’s discussions produced new solutions and road maps that materialized some years later. The committee’s work over the last two decades did bear fruit and greatly impacted cycle time, accuracy (IGO), underwriting, and digitalization to big data, while the cost savings were taken over by rising compliance cost.

Then COVID-19 hit us out of left field. A new virus to all of us, requiring us “overnight” to work from home, wear a mask and quarantine. Thankfully the current maturity of our available technology made it possible. The pandemic forced change also in the life insurance process as well. In 2016, 45 percent of BGA new business submissions were E-Apps (full) which by October 2020 jumped to 75 percent. In 2016 the number one E-App obstacle to adoption was “Agent Training.” It took a pandemic to create change and even other lines of businesses (i.e., annuity, long term care, final expense, group, disability) grew from nowhere to 20 percent.

LBTC conducted a 2020 survey that was different from the previous eight years of surveys. The new qualitative paradigm focused on areas of the workflow process to automate and standardize whereas the previous surveys focused quantitatively on tools and vendors. The PaperClip survey adhered to the old survey scheme because many people would use its results to help justify partnering on projects and decide who to spend resources on. Experience shows you want to engage with market leaders whereby the desired change being introduced would reach the largest audience possible. In review of the LBTC 2020 survey the takeaways were exchange standards, automated underwriting, commission standards and E-Policy delivery.

The leader by request remains “Data Exchange Standards” with the specific mention of Application Program Interface (API), and second was Automated Underwriting (AU). These two items are joined at the hip and to get an effective AU you will need the appropriate data. ACORD messaging as the standard for many years became problematic because of the different needs it had to address for data exchange, hence why virtually everyone had their flavors of ACORD standards. This is now changing to a less structured format, to a simpler JSON (paired values) model, while relying on a common data dictionary. The next question becomes who should create the data dictionary, LBTC or the vendor community? The LBTC is the best venue to construct the data dictionary terms and to manage the terms. The Data Dictionary, though, should support custom terms as needed.

Next is actual integration from the source data container (E-App, AMS, Paper App) to the receiving partner’s data container, SaaS to SaaS. So, let us start with the design question of “Point to Point” or a “Centralized Hub Model.” Well, the Centralized Hub Model is the most efficient choice based on our 22 years of experience exchanging over 70 million documents just last year among 1,400 Points of Presence (PoP). Today, data integration is dominated by point-to-point vendor SaaS PoP. One would think it should be a one to many, but every customer needs a change because they do things differently—ACORD’s challenge. Whoever brings the solution to market, it should be “Data Dictionary” based and the community (LBTC) should police it like we did with document exchange (can anyone say doctypes…).

The 2020 PaperClip Survey maintained the vendor questions so the reader can see what their peers are doing with their technology resources. We see from our customers a continued trend to move from on-premises to vendor SaaS solutions. The driving forces are work from home, compliance, and technology staffing cost. The buyer’s top requirements are compliance and integrations with other vendors. Larger offices (> 100 users) want Cloud (Azure, AWS, IBM, etc.) deployments because cyber security depth will only be accomplished in the Cloud.

The following results reflect vendors that singularly or collectively obtained more than 65 percent market share. The complete report can be downloaded from PaperClip’s website. The survey request was sent to over 5,000 people—249 started the survey and 39 participants completed it, dominated by BGA distributor’s (33). The responding BGAs reported they process 150 to 300 life and annuity applications per month. These BGAs process 80 percent of their business between six to 10 carriers. BGAs found very important to them “ease of doing business with,” “product pricing” and “relationship with the underwriter” in keeping their business. An agent is producing about 50 to 150 applications annually and the age of these producers are 40 to 60 years old.

BGAs use social media to attract agents and to keep current producers informed. The primary services are LinkedIn (87 percent), Facebook (56 percent) and Twitter (41 percent). Fifty-six percent advertise on these social services while only 38 percent prospect.

The following solution categories and vendors again represent the market share leaders, but each category is being challenged by new vendors that have a strong mobile offering. As noted above, the age of producers is just now including millennials and that group will gravitate to mobile selling tools. The most requested mobile applications are quotes, illustrations, and pending case status.

Customer relationship management (CRM) is the solution that manages your client relationships and interactions with prospects. There were eight different vendor responses, led by SmartOffice and “None,” and 25 percent of respondents do not use CRM tools. I expect significant change here with mobile adoption.

Agency Management Systems (AMS) market leaders remain iPipeline’s Agency Integrator and Ebix’s SmartOffice. Only 15 percent of BGAs open access to their AMS to producers. BGA’s would open more if “pending case status” was better. Fifty percent of BGAs use carrier web sites instead of accepting the AMS data feeds. The lack of timely and accurate data is the objection and remains on the BGA’s top five LBTC request list. Quote Engine had 14 vendors listed with the market share belonging to iPipeline’s LifePipe and Ebix’s VitalSales Suite.

Document management with eight vendors maintains PaperClip’s Virtual Client Folder as the market leader. Interesting here is that 13 percent of respondents report “None.” I hope this means they paper-out and store paper. If this means images on a local hard drive it would be considered today as gross neglect. BGAs preferred method of submission to carriers and receipt from medical service providers is “secure email” and “imaging vendor;” at zero percent, looks like the FAX machine and FTP servers are finished. Secure email delivery was led by PaperClip’s eM4 and TLS direct connect. Twelve percent reported “None” which opens their email traffic to the world—not a good thing.

Electronic Application (E-App) with six vendors noted is led by iPipeline’s iGO. The next group combined representing 30 percent were Applicint, Ebix’s LifeSpeed and PORCH. Twenty percent selected “None” with only one write in for “home grown.” E-App electronic signature most used was DocuSign followed by Click Wrap (10 percent). Deeper in the survey, Customers (41 percent) would prefer a simple “Click and Close” solution. Drop Ticket options support nine solutions with “Carrier’s Direct Link” and ApplicInt holding the market share. Agents that will take a paper application and then rekey it into an E-App was 25 percent and BGAs that keyed from paper was 36 percent. This tells us that 61 percent of new business is from distribution via E-App and 39 percent is still paper.

Electronic Licensing and Contracting (E Con) only had two vendors with the leading market share held by SureLC followed by “None” (18 percent). Electronic Policy Delivery (E-Policy) is owned by carrier provided solutions. The major reason is risk tolerance—each carrier wants it done their way. BGAs would like to see that change but I think this falls into that untouchable realm of events like Check21 and 1035s—a “carrier-controlled process.” The leading E-Policy E-Sign vendor is DocuSign.

Compliance was something new added to the survey. Since compliance continues to demand more resources, we wanted to see how those surveyed viewed compliance. Many misconceptions surround responsibility for unauthorized use of confidential information. The truth is, “You can outsource your technology but not your responsibility.” Managing third party confidentiality is a double-edged sword—it cuts both ways. Access to secure data starts with the User placing confidential data into the solution, which creates a liability for the vendor.

When asked, “Where do you maintain client confidential data?”, 28 percent reported “In House,” 44 percent “Vendor” and 33 percent “Both.” This means the majority of BGAs continue to maintain shadow files, most likely in digital format. Here is where we start judging neglect versus gross neglect. If you conducted the best practices of oversite required by federal and state authorities’ laws, regulations and rules, loss of data at worst could be found neglectful. If you ignore or only partially approached cyber security and conduct, you most definitely would be considered grossly negligent and most likely fined.

Compliance “Best Practices” start with documenting how you control confidential information. Areas to address typically fall into these categories: Security, Availability, Processing Integrity, Confidentiality, and Privacy. These policy documents serve as the basis of training your staff on how to manage the personal data customers have trusted you with. Once you have policies and procedures you must maintain these documents to reflect change that naturally occurs as a business scales both up and out.

Annually these processes are evaluated and tested by an approved auditing firm called Service Organization Controls Audits (SOC Audits) and, because you manage medical information, HIPAA Audit as well. As part of the SOC Audits you need to provide evidence of third-party penetration testing of your internal/external network assets where confidential data exist. The 2020 Survey reveals that 25 percent conduct SOC Audits, 43 percent HIPAA and eight percent PEN Testing. A positive trend is the adoption of Multi Factor Authentication (MFA /2FA) at 72 percent and Single Sign On (SSO) at 59 percent. BGAs need to become more aggressive with cyber security and compliance.

Since most solutions are outsourced to vendors, the good news is that you can get major SOC and HIPAA carve outs by leveraging the vendors compliance documentation (i.e., SOC2T2, HIPAA, PEN, etc.). This helps to keep your audit simple. Some simple suggestions: Your “Clean Desk” policies should ban the keeping of shadow files and all employees should execute a privacy agreement that identifies your documented policies. Training and infrastructure maintenance should be continuous, so start a business objective to get audited (everyone starts with a SOC2 Type 1) and ask your auditor if they would combine it with HIPAA because the auditing controls are very similar. Great time and cost saver.

To improve cyber security, I would recommend we move to a 10-character minimum password scheme. Today, according to many experts, it takes five hours to crack an eight character all lowercase password, while it takes four months to crack a 10 character all lowercase password. Very strong passwords at eight characters can take a couple of years to crack and the Vendor community follows the strong password requirements. Truth is that hackers are not trying to hack your password when it’s proven to be easier with Phishing, password sharing, and poor system design that leaves passwords stored on-site in text files, databases, browsers and the actual code or email with no encryption.

Overall, the survey was good with positive trends to eliminating paper and touch points to process business. E-App for term and other simplified issue products has strong adoption, agent self-service portals have come online, automatic underwriting is rolling out quickly and “I’ve got a guy” quoting is seeing investment from BGAs, IMOs and carriers. Vendors have new challenges too—integration. The world of cyber security and compliance is making it harder to align with vendor partners that have a mature cyber security regimen. The risk of integration is in competition with Users ease of use. Example: If you’re downstream of a SSO integration, how can you document that SSO complied with MFA? How can you document your TLS connection did connect securely? How did the agent manage the information they electronically captured and sent to you? What are their safeguards?

Distribution is making the change and the industry is prepared.

How Are You Planning Your 2021 Disability Insurance Campaign? Here Are 12 Resolutions For 2021.

As we wind down 2020, it is time to start planning for 2021 and how you can support your clients’ financial goals. Disability insurance should be part of most of your working clients’ financial plans. There are many ways to help your clients and many great products, so it is good to start planning your 2021 goals.

January’s Resolution: “I’m going to review my client database and create a list of all of my clients who I have helped buy a disability policy. I’m going to make appointments to review their current coverage and needs to determine if more disability insurance is needed.” There are so many stories of clients who bought a disability policy when they first started working, but no one has reviewed it for years and more coverage is needed. We’ve never seen a claim in which someone wished they bought less coverage.

February Resolution: “I’m going to identify clients who own a business and have an office (that’s not in their home) and are the primary income producer of the business. I’m going to discuss with them the need for Business Overhead Expense (BOE) coverage and how this product can help save the viability of their business if they are able to come back to work.” BOE can reimburse a disabled business owner for qualified expenses that are incurred in operating a business. A business owner who becomes disabled, and due to that disability can’t produce the income that pays the expenses, can have a tremendous burden on their shoulders. Think about a sole practitioner physician, dentist, attorney, accountant, or any business in which the business owner primarily creates the income coming into the firm.

March Resolution: “I’m going to identify business clients who have bought key-person life insurance and discuss the need for key-person disability insurance.” If a business has multiple owners or any employee(s) who are key revenue producers for the business, it’s important to discuss key-person disability insurance. The need is similar to key-person life insurance. But the key person didn’t pass away, they became totally disabled!

April Resolution: “I’m going to learn about DI retirement policies and discuss this product with my clients who save money via their retirement plans.” Many planners miss the fact that if a client becomes disabled they most likely will no longer be able to contribute to their qualified plan. There are companies that can help create an alternative type of plan if someone becomes disabled.

May Resolution: “I’m going to identify all of the clients I helped buy life insurance to fund a buy-sell agreement and I’m going to discuss disability buy out insurance.” Many partnership and/or buy out agreements contain provisions if a partner becomes disabled. It’s important to have these provisions funded.

June Resolution: “I’m going to review my clients who have group disability insurance at work or clients who I have assisted buying LTD for their firm. I will explain to those whose incomes exceed the plan’s cap why obtaining more coverage may be in their best interest, primarily due to taxes and inherent limitations in most group policies.” Many times employer paid group plans can be a taxable benefit, which can reduce the net coverage. In addition, most group coverage has inherent limitations compared to individual disability coverage.

July Resolution: “I’m going to review any clients who have been declined for disability insurance in the past to see if I can now get them coverage.” It’s possible that clients who have been turned down for disability insurance in the past can be accepted for disability insurance in the future due to changes in their health, occupation, or income. In addition, there are more companies specializing in impaired risk policies.

August Resolution: “I’m going to identify clients who are owners or work for a business with multiple high-income earners and establish a multi-life discount by insuring three or more people.” There are various multi-life discount programs available.

September Resolution: “I’m going to reach out to clients who have loans and discuss with them how they would pay for the loan(s) if they became disabled.” There are so many types of disability policies and riders that can help ease the financial burdens caused by a disability and the lack of ability to pay contractual obligations.

October Resolution: “I’m going to understand the three basic parts of disability underwriting so that I can better pre-screen clients for individual disability insurance.” There are three areas of disability underwriting: Occupational, financial and health underwriting. Knowing the basics of these three areas can save a lot of time in product selection and preparing a client for various underwriting outcomes.

November Resolution: “I’m going to go to https://lifehappens.org/videos and watch the video testimonials of clients who have been disabled.” While many of us have personal stories of people who have been disabled, you may not know someone personally. These stories show how important disability insurance can be to individuals and families.

December Resolution: “I’m going to give myself a grade, from A+ to F, on how many clients I helped protect themselves or their businesses with some type of disability insurance in 2021.” What grade would you give yourself today? Have you discussed disability insurance with all of your working clients? If you have a client who gets disabled and they ask you what type of disability insurance they have, what will be your answer?

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