11th Edition
April 2005
A newsletter dedicated to the distributors of disability insurance published by
JHA, the leader in disability reinsurance, consulting and research.
 

 
Features Important to Employers in Designing a Disability Program
  Very
Important
Important Minimally
Important
Not At All
Important
Short Elimination Period 15.3% 53.7% 26.6% 4.4%
High benefit amount percentage 18.4% 68.8% 11.5% 1.4%
Return-to-work incentive 34.9% 49.6% 14.1% 1.4%
Rehabilitation assistance 29.7% 55.6% 13.6% 1.1%
Long term own-occ benefit 14.3% 46.3% 34.0% 5.4%
Unlimited mental & nervous ben 2.2% 28.9% 49.7% 19.1%

Source: HIAA/JHA, Disability Insurance: Opinions of Employers & Financial Planners, April 2003



The spring brings a flurry of new sales and service offerings from group carriers across the nation. Assurant Employee Benefits introduced a unique voluntary disability product that is a mix of critical illness, short and long-term disability products. The Voluntary Serious Disability Benefit is triggered by a hospital stay and designed to cover those disabilities deemed "very serious" in nature. Initial qualification for the first 6 months of benefits requires continuous hospital confinement of 72 hours or more, or being diagnosed with a terminal condition (12 months or less life expectancy). Qualification for continued benefits after the first 6 months requires a condition that results in a 51% whole person impairment rating.

  more...


 

HIPAA SECURITY RULE GOES INTO EFFECT

The Health Insurance Portability and Accountability Act (HIPAA) outlines certain security standards in a rule commonly known as the "Security Rule". For most covered entities (except small health plans), the compliance deadline for the Security Rule is April 20, 2005. Covered entities include: i.) health care providers, ii.) health plans, and iii.) health care clearinghouses. While disability insurance is exempt under HIPAA, many producers and consultants cover many lines and may encounter questions about the security rule.

more...


Average Risk

Why is my 50 life case that has never had a claim getting a rate increase?

The concept of average risk is an important one in explaining many underwriting and rating theories. The average risk for a hypothetical pool of 20, 50-life cases can be defined as the risk that is expected to produce a loss ratio equal to the permissible or tolerable loss ratio. Above-average risks in a pool would be expected to produce an actual loss ratio below the tolerable loss ratio. Below-average risks will develop actual loss ratios greater than their tolerable loss ratios.

  more...

   

   
   
   
   
   

Please send email responses, in reference to 4 Corners, to Editor: Mary Beth Carion
Special thanks to contributing editors: Perry St Louis and Bill Mariski


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