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How New Medicare Cards Deter ID Theft

Finally, after years of requests, CMS is issuing cards that do not have a Social Security number as the Medicare identifier.

There are big changes Medicare has planned in 2018 that will help protect the identity of seniors and continue proper health benefits. The biggest and best change will be the new Medicare ID cards. When Medicare recipients receive their Medicare card, they are typically shocked to see that their Medicare Identification number is the same as their Social Security number. Medicare beneficiaries run the risk of identity theft when they have their Medicare card in their wallet or purse; it would be comparable to walking around with their Social Security card in their possession. Identity theft is a major issue; when someone has the Social Security number of another person the thief can apply for loans, open bank accounts and possibly gain employment. When someone has your Social Security number, the person has the key to your credit and identity. The Social Security administration and the Federal Trade Commission have been urging the Centers for Medicare and Medicaid Services to change the Medicare Identifier for years. Finally, after years of requesting that changes be made, CMS has made the decision to move to updated cards that do not have a Social Security number as the Medicare identifier. These updated cards were sent via mail in the beginning of April 2018. CMS anticipates all Medicare beneficiaries will have a new, updated card by April 2019. What to Expect from the New Medicare Cards The updated Medicare cards will feature a new Medicare Beneficiary Identifier (MBI) number. The card will display a randomly assigned number for all Medicare recipients. Healthcare providers and Medicare beneficiaries will be able to securely access tools that will allow them to look up MBIs as needed. During the 21-month transition period, it will be possible for providers to use a patient’s Social Security number or the new MBI number. The transition period was put in place to help things run smoothly for providers and patients across the nation. The issuance of a new card will not affect Medicare benefits. The new MBI number will have 11 characters, with a combination of numbers and uppercase letters. These new numbers will have no special meaning, making it safe to keep in your wallet or purse. The new cards will be mailed to you based on your geographical location; however, it is possible that you and your neighbor will get a new card at different times. See also: Identity Theft Can Be Double Whammy The Transition Period CMS is trying to make the transition smooth for caregivers, patients and others who need accurate Medicare information. The transition period will allow beneficiaries and providers to exchange Medicare information with CMS using MBI or a Health Insurance Claim Number; this period is scheduled from April 1, 2018, until Dec. 31, 2019. On Jan. 1, 2020, beneficiaries and caregivers will be required to use an MBI for most situations. It is suggested that beneficiaries keep an eye out for their updated Medicare card, and when it comes they should get into the habit of using their new MBI early. Obtaining an Updated Card Beneficiaries should destroy their old cards immediately after receiving their updated Medicare card. Once the new card is in possession, you can start using it at once. It is important that you keep your new MBI number confidential and watch the mail carefully so that you are aware when the new card is delivered. The new cards are going to be made of paper, making it easier for providers to use and copy. If you are enrolled in a Medicare Advantage Plan, the Plan ID card is the main card you show to your providers, although a healthcare provider may ask to see your MBI card, so keep it with you. How to Protect Your Identity Now Identity thieves have noticed seniors as ideal victims for identity fraud. Seniors typically have more money in their checking and savings accounts, and they have paid off their major financial obligations. Because seniors usually receive Medicare benefits, the door for identity theft in the medical industry is wide open. Because most seniors are not purchasing a new home or taking out a large loan, they have no reason to stay informed and therefore check their credit score less often. How to Keep Important Documents Safe:
  • Make copies of your insurance cards
    • Make a copy of your insurance card and remove the last four digits of your Social Security number.
    • Leave the original at home.
    • If you do need to take an original, remove the card from your wallet after the appointment and store it in a safe place.
  • Keep important documents safe:
    • A home safe can allow you to store important documents; if you have highly important documents, you might want to consider a bank safety deposit box for documents you do not need often.
    • Never carry around extra bank cards, credit cards you don’t frequently use, any health insurance card or your Social Security card.
  • Protect computer and internet access:
    • Be sure you use anti-virus, anti-spyware and firewall software to combat hacking programs that are designed to steal personal information.
    • Be creative with passwords and never use the same passcode for multiple accounts. Changing passwords regularly can ensure privacy.
    • Never send personal or financial information through an email, no matter the situation or company.
    • Be sure to have your Wi-Fi network password protected and secure. Your internet installation service rep can help make sure your wireless network is protected.
  • Check your credit frequently: Per the Fair Credit Reporting Act (FCRA), every 12 months a free credit report can be provided for you from each of the nationwide credit reporting agencies.
  • Destroy old documents:
    • Some documents need to be stored safely; others can be destroyed.
    • You should be destroying credit card statements, receipts, bank statements, tax documents, canceled checks and old driver’s licenses.
The Reason Behind a New Medicare Number The current Medicare number for many beneficiaries is their Social Security number. The U.S. Railroad Retirement Board, state Medicaid agencies, Social Security, healthcare providers and health plans all use this number. There are great dangers that can occur when a Social Security number is in the hands of a criminal. The Medicare Access and CHIP Reauthorizations ACT of 2015 is requiring CMS to replace the old numbers with a new updated Medicare Beneficiary Identifier. These cards are being released for one primary reason, to better prevent seniors from being the victim of identity theft. See also: 8 Questions on Medicare Set Aside Be Aware of Scams The reason for new Medicare ID cards was to prevent seniors from being the victims of identity fraud. Unfortunately, the change has inspired criminals to take a new approach. There have been attempts to mislead Medicare recipients, and more attempts are likely to be made through the transition. It is important that beneficiaries be aware of possible scams. The new Medicare ID does not cost beneficiaries money. The new card has the same benefits as the current card. Do not give the new card to anyone other than a healthcare provider. Many identity thefts are committed by friends and family. Medicare will not ask you to give personal information to obtain your new number and card. Nobody should contact you about the new Medicare card, your new number or any personal information. Medicare does not make uninvited calls to beneficiaries. If you think you are a victim of medical identity theft, contact the Federal Trade Commission about what to do next. Advantages of Change Because the new cards will not have a Social Security number, scammers will find it more difficult to commit fraud. Beneficiaries need to keep MBI numbers confidential and treat the numbers like personal identifiable information. If a beneficiary forgets the new card at home, healthcare staff can search the new Medicare ID number on a secure site. All existing Medicare information will continue to be available to your doctor. More than 57 million Americans will be provided with greater identity protection from the new Medicare ID cards. CMS intends a successful transition to the MBI for all people with Medicare and for their doctors.

Jagger Esch

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Jagger Esch

Jagger Esch is the president and CEO of Elite Insurance Partners and MedicareFAQ, a senior healthcare learning resource center.

What GDPR Means for Insurtech

Data security and privacy had seemed to be key concerns that would hold back insurtech, but GDPR allays those worries.

After Solvency II, the European Union is ready for its next big and comprehensive regulation, called GDPR (General Data Protection Regulation). GDPR was approved by the EU Parliament in April 2016 and after a two-year grace period took effect in May 2018! The new regulation will replace the current Data Protection Directive 95/46/EC. Regulatory Landscape and Breaches The first key point of the new regulation is protecting all E.U. citizens’ data privacy with an extended regulatory landscape. New data privacy rules should be applied to all personal data of data subjects residing in the European Union, regardless of companies’ locations. With GPPR, fines for possible breaches were increased sharply, up to 4% of annual global revenue or 20 million euro (whichever is greater). Another radical change is that regulations apply to not just controllers, but also processors. So, cloud processors are also covered. Under GDPR, the data owner must give consent through a document that is understandable, simple and easily accessible. Withdrawal of consent for data usage must also be easy. With GDPR, breach notification will become mandatory and should be performed within 72 hours after the breach is spotted. Notifications must be to all affected data owners. The Key Point for Insurtech These changes are key for insurtech. Data security and privacy had seemed to be key concerns that would hold back insurtech, because of the dangers created by the increased use of connected IoT devices, real-time data collection and high profile cyberattacks. But customers will be much more comfortable with insurtech because GDPR will alleviate concerns about data privacy, without regard to a company’s scale. With GDPR, drivers of insurtech like IoT, machine learning and much more won’t be considered as possible tools for data breaches. GDPR will be a spontaneous trigger of insurtech!

Zeynep Stefan

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Zeynep Stefan

Zeynep Stefan is a post-graduate student in Munich studying financial deepening and mentoring startup companies in insurtech, while writing for insurance publications in Turkey.

The Future of Mobility Takes a Surprise Turn

sixthings

While so many of us have focused on the transformative possibilities of driverless vehicles, a much simpler technology has popped up and begun to reshape transportation in cities, with lots of potential implications for insurance. The technology is what the experts are calling "micromobility" and what the rest of us know simply as scooters.

The technology isn't totally under the radar, of course. When a scooter-sharing startup like Bird raises capital at a valuation of $2 billion, people notice. But I'm not sure that the threats and opportunities of scooters are being understood just yet. There certainly seemed to be a lot of surprise when the Washington Post last week published   an article about the number of people who are ending up in the emergency room following scooter accidents.

They would seem to come with the territory. You have people buzzing down sidewalks at 15mph (and Bird is, unwisely, in my opinion, lobbying against laws that would require helmets) or venturing into streets, where they have to engage with vehicles with a lot more mass and steel protection than the scooters provide. But, so far, people seem to be focusing on the novelty, not the implications.

In the short term, we need to figure out what insurance, if any, covers those in these accidents and whether there are opportunities to sell new forms, as some are doing for Uber/Lyft/Didi drivers and Airbnb hosts. We also need to help find ways to reduce risk. (Hint to Bird: helmets.)

The longer term gets even more interesting if you believe, as I do, that transportation in cities can be rethought from the ground up over the next 10 to 15 years. We accept these days that cars rule the road, but that's only been true for about a century. Through the 1910s, at least, horses, people and carts all shared city streets and only gradually gave way to these loud, smelly, metal contraptions that carried people around. We could well return to a mixed-used environment, with an overlay of information technology that optimizes for speed, convenience, cost, energy use, pollution and many other factors. That environment would be so different that the risks would change considerably, and the insurance and risk management would need to, too.

My working hypothesis is that cities will become bigger and more vibrant, with many more people choosing to live in them. Space will be freed up because driverless cars will so greatly reduce the need for parking, including on streets, and cities can be thoughtful about how to redeploy public thoroughfares among driverless vehicles, mass transit, pedestrians, bikes and scooters, using all sorts of sensors and cameras to manage flow and safety digitally. Today, the first-mile problem (how to get people and goods to mass transit) and the last-mile problem (how to get them to their final destination) are complex, but the problems should yield to a bunch of smart thinking over time both for city dwellers and for those who choose to live in suburbs or even more remote areas.

That's just a hypothesis, of course. As always, I recommend you Think Big, Start Small and Learn Fast so you can find out what the future will actually hold. The time to engage on the mobility transformation is now, but you can do so by testing big ideas in limited, inexpensive ways and only invest real money when an opportunity is clear.

Let us know if we can help with your innovation efforts. In the meantime, you might want to join our discussion in the group, "Inventing the Future of Risk Management and Insurance," on our Innovator's Edge platform. If you haven't already registered on the platform, just   click here. (Registering is free and quick.) Once you're registered,   click here  to join the robust discussion on mobility and a host of other topics.

Have a great week. 

Paul Carroll
Editor-in-Chief


Paul Carroll

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Paul Carroll

Paul Carroll is the editor-in-chief of Insurance Thought Leadership.

He is also co-author of A Brief History of a Perfect Future: Inventing the Future We Can Proudly Leave Our Kids by 2050 and Billion Dollar Lessons: What You Can Learn From the Most Inexcusable Business Failures of the Last 25 Years and the author of a best-seller on IBM, published in 1993.

Carroll spent 17 years at the Wall Street Journal as an editor and reporter; he was nominated twice for the Pulitzer Prize. He later was a finalist for a National Magazine Award.

How to Understand Valuation Reports

Just arriving at a reasonable number is inadequate if the report parameters are missing. It is kind of like buying the wrong insurance policy.

Most owners of small businesses, many executives/owners of medium businesses and even quite a few executives/shareholders of large businesses think the most important aspect of a business appraisal is the final number. The business is worth X dollars. Obviously, the dollar amount is important. Getting the right dollar amount is even more important (I make this distinction because, in my experience, some business owners/executives and even quite a few bankers do not understand or sometimes even care about the difference between A Number and the Right Number). However, the number is arguably, especially if contested, only half of the requirement. Depending on the reason for the business being appraised, the actual valuation report MUST meet specific parameters. If the report does not meet these parameters, the value arrived upon by the appraiser may be found meaningless or an opportunity to litigate by tax authorities or plaintiff attorneys. Just arriving at a reasonable number is completely inadequate if the report parameters are missing. It is kind of like buying the wrong insurance policy. The coverage amount might be right, but coverage may not exist because the policy is wrong. Matching the correct report with the need is vital. Not knowing or understanding the difference makes business owners vulnerable to con jobs. And many business owners are conned each and every year. How to Avoid Being Conned First, I advise hiring an accredited business appraiser. All accredited business appraisers must sign a code of ethics, and most believe in their code. Some, though, do not quite believe in ethics as much as others. Some run the same con, but with accreditation. To be fair, I think some complete their reports mistakenly because they do not know any better. They are like insurance people with credentials who can barely spell insurance, much less business income coverage. The better path is to understand the three basic types of Fair Market Value reports and to also understand the huge difference between Fair Market Value (FMV) and Fair Value (FV). FMV and FV are not synonymous. I have seen agency owners, and even accountants and attorneys treat these critical terms as if their meaning was the same. However, many courts treat the values calculated using these two terms quite differently. See also: 3 Myths That Inhibit Innovation (Part 3)   Relative to the three types of valuation reports (there are other types that are generally less applicable to most agency owners that I won't address here), generally there is (exact terms vary depending on the professional association standards to which the appraiser is credentialed or belongs and sometimes depending upon the court, if being litigated):
  1. Summary reports, which are often referred to as letter reports (the entire valuation is in the form of a letter) or short-form reports. These reports contain little detail.
  1. Informal or Calculation Reports. The report writing standard, the analysis, the degree of confidence that applies to these reports are all relatively low. The margin of error is relatively high. The cost of these reports should therefore be relatively low. These reports rarely discuss the applicability of different valuation methods.
  1. Detailed, Written Reports. As the name implies, these are highly detailed reports usually combined with considerable analysis and a thorough discussion of the applicable valuation standards. These should cost the most, all else being equal.
Do not confuse a low price with high quality. Some appraisers charge a stiff penny for lower-quality reports because the customer does not understand the relatively low quality. Customers tend to think the appraiser just charges less. They think they are getting a Cadillac for the price of a Chevy. They are really just getting a Chevy that might not even be new. The con occurs when appraisers fail to offer clients options, especially the most rigorous option, and clients do not know they are comparing apples with oranges when one proposal is for a lightweight appraisal and the other proposal is for a high-quality, heavy weight appraisal. One cannot always tell by the price, either, because the con is to charge as if the lightweight appraisal will be of high quality but just enough less money to get the job. Courts have recognized this problem to some extent. For specific purposes, especially estate taxes, the courts can actually penalize the appraiser. For most purposes, though, once the valuation contract is signed, the damages will fall on the client and not the appraiser. I am not suggesting all reports need to meet the highest standard, because they do not. When someone truly needs a decent, back-of-the-envelope valuation that has a large margin of error that is acceptable to all parties, a low-standard report should suffice. If litigation, a sale, taxes or compensation are directly tied to the value, then usually the best option is to spend the money and obtain a high-quality valuation right from the get go. Having a low-quality report in the hopes that everyone will agree can only complicate the situation if a high-quality report is eventually required. Then one may find it necessary to explain all the factors the low-quality appraisal inadequately addressed. My key point, though, is that it pays to understand some basic valuation differences. It pays to understand that a low-quality report has severely limited acceptable uses, including that one cannot easily dispute the resulting value because the margin of error is so acceptably high. If the calculated value is $1,000,000 plus or minus 50%, then any value between $500,000 and $1,500,000 is okay. See also: 5 Ways Data Allows for Value-Based Care   These are not easy differences for the uninitiated to understand, either. My short summary is a summary of thousands of pages of textbook differentiation. Sometimes, especially when the attorneys and accountants involved do not understand the differences, I think clients should consider hiring someone to just explain their valuation report options. The complexity goes far beyond getting a home appraised, and choosing the wrong standards rarely is beneficial to any party other than the attorneys involved. You can find the article originally published here.

Chris Burand

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Chris Burand

Chris Burand is president and owner of Burand & Associates, LLC, a management consulting firm specializing in the property-casualty insurance industry. He is recognized as a leading consultant for agency valuations and is one of very few consultants with a certification in business appraisal.

3 Insurtech Firms Take a Star Turn

Smart insurtech firms, such as Habit Analytics, Open Data Nation and StrongArm Tech, are likely to play a key role in helping incumbents.

Three smart insurtech firms were among a select group of startups showcasing their innovations to financial services executives, investors and journalists in New York.

I’m an executive sponsor at the lab, which was founded by Accenture together with the Partnership Fund for New York City. Since the facility opened in 2010, the surge in the number of technology startups looking to break into the financial services industry has been staggering. Nearly 50 startups have received backing from the FinTech Innovation Lab. They were chosen from hundreds of applicants. The funding these innovators have secured from the lab’s partners totals around $655 million. The FinTech concept has proved so successful that we’ve opened similar innovation labs in Hong Kong, Dublin and London. The insurance industry is attracting the attention of a growing number of the startups approaching the innovation labs for support. This year we introduced a dedicated “insurtech track” at the lab to encourage and develop startups that are working on solutions for the insurance industry. It’s been a great success. Three of the 11 startups showing their innovations at this year’s Demo Day were insurtech firms. The Demo Day is the culmination of a 12-week accelerator program that provides selected startups with intensive mentoring, technology and business assessments and extensive networking opportunities. At the Demo Day, the startups showcase their projects to executives from the financial services industry as well as investors and journalists. See also: Can Insurtech Rescue Insurance?   These are the promising insurtech firms that presented their innovations:
  • Habit Analytics. This firm uses real-time consumer data, sourced from smartphones and connected devices in homes, to create behavioral profiles that enable insurance companies to improve their risk models and enhance their products and services. Using information provided by Habit, insurers can, for example, monitor changes in a home’s risk, check the presence and performance of connected alarms and tailor services to suit the specific needs of customers.
  • Open Data Nation. By aggregating and analyzing information from around 2.5 billion public records from major US cities, this startup provides insurers with valuable insights to help them better evaluate risk. The company uses predictive analytics and machine learning to create proprietary risk scores for commercial enterprises in these cities. By accessing these scores, insurers can select and prioritize the risks they wish to underwrite, and thereby improve their efficiency and reduce claims.
  • StrongArm Tech. This insurtech firm aims to improve the wellbeing of industrial workers and help employers and their insurers reduce costs and enhance risk management. The company uses sensors worn by industrial workers to gather real-time data about the activities performed by these employees as well as the environments in which they’re working. Using a cloud-based artificial intelligence solution, StrongArm Tech analyzes this data and advises employers and insurers how they can reduce the risk of injury, and enhance the wellbeing, of workers. The company is also able to send real-time alerts to workers should they be in danger of harming themselves.
See also: 10 Trends at Heart of Insurtech Revolution   All three of these insurtech firms are looking to help insurers better manage risk. They’re aiming to help insurance companies perform better rather than trying to muscle in on their traditional markets. This desire for collaboration is a sign of the growing maturity of the insurtech sector. Smart insurtech firms, such as Habit Analytics, Open Data Nation and StrongArm Tech, are likely to play a key role in helping insurers capitalize on the many opportunities emerging from advances in digital technology. Click here for more information about the FinTech Innovation Labs.

John Cusano

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John Cusano

John Cusano is Accenture’s senior managing director of global insurance. He is responsible for setting the industry group's overall vision, strategy, investment priorities and client relationships. Cusano joined Accenture in 1988 and has held a number of leadership roles in Accenture’s insurance industry practice.

11 Ways to Use Tech Better With Clients

Too little tech, and you’ll seem out of touch; too much, and you’ll lose the personal touch that keeps customers loyal and engaged.

Technology can enhance a strong, trust-based relationship with your clients, but it’s no substitution for face-to-face time. Here are 11 tips that will help you use high-tech tools in a smart and meaningful way. Technology does a lot, but it can’t do everything. Sometimes, we forget that. We can get so dependent on email and social media that we lose sight of what people really need from us—especially in business. Yes, clients expect to connect with us in various high-tech ways, but they also crave the deep and meaningful connections that can only come from face-to-face (or at least voice-to-voice) connections. It can be tricky to walk the line. Too little tech, and you’ll seem out of touch; too much, and you’ll lose the personal touch that keeps customers loyal and engaged. As you’re trying to find the right balance, just remember this: Your client relationships are built on emotions and trust, so use technology in a way that maintains and enhances relationships and propels them to the next level. I attribute my career journey to my ability to build strong personal relationships. Following early success in the clothing industry, I experienced a devastating bankruptcy that forced me to rebuild my life from scratch. I went on to join Northwestern Mutual Life Insurance Co., where I created an impressive financial portfolio and won multiple “Top Agent” awards. Human needs don’t change. Relationships mattered in the days of pencil, paper and snail mail, and they still matter in the days of Facebook and Skype. Ideally, you would meet with all of your clients in person, but of course that’s not always practical. Still, you should invest in at least one face-to-face meeting with your top clients. Then, use a carefully balanced mix of technology to maintain the relationship. Here are a few tips for using tech the right way. Don’t let “faceless” and “voiceless” technology become your primary communication tool. Nothing can replace the effectiveness of a face-to-face encounter (even if it’s by Skype), especially in the early phases of your client relationship. And meaningful phone conversations can be great, too. It’s fine to use less powerful tech solutions like email, texting and e-blasts to stay in close contact with your clients. These can enhance and strengthen a well-established relationship. But they should only be supplemental. Skype important meetings if you can’t be there in person. Ideally, “in person” interactions are best for relationship building—especially with your top clients—but, of course, they can’t always happen. Video conferencing is second-best. Make sure you’re using this tech tool often. It’s a great way to read body language and facial expressions—crucial for building trust and establishing positive and productive relationships. Pick up the phone regularly. Many people dislike the phone. Conversations can be long and meandering, and we’re all busy. But you must overcome your phone phobia. In terms of relationship building (not to mention problem solving), there is no substitute for the give and take that happens voice-to-voice. Schedule actual phone conversations with clients to catch up and find out how they are doing. Keep that human connection alive! See also: How Technology Drives a ‘New Normal’   Pay attention to how the client communicates. If a client seems to prefer phone, text or in-person communication, note it and honor the preferred style while maintaining your own dedication to person-to-person contact. This shows clients you care about and respect their preferences. Find a happy balance between the client’s style, yours and the demands of the day. Match the medium to the message. If you want to distinguish yourself and have something very important to say, write a letter! If you are trying to book an appointment with a busy person, figure out something complex or discuss a potentially sensitive issue, pick up the phone. If you only want confirmation of a small piece of information and you’ve recently spoken with a client, feel free to use email. Let your instinct be your guide. Be thoughtful and deliberate with social media. Your competition is taking advantage of these platforms, and so should you. But make sure your online presence is well-planned and -executed. Your Facebook or LinkedIn posts should meaningfully connect back to your brand and mission and provide value to clients and other readers. Don’t bombard your followers with inane content. This negates your credibility. Post less, and make sure your content is good. Keep your website young and agile. Is your website in alignment with your business image and your mission? Make sure it’s as professional and sleek as your own personal appearance when meeting a client for the first time. Successful companies have streamlined, up-to-date websites with modern fonts, colors and layouts. If it’s been a while since you’ve changed your design, your website is due for a tune-up and a facelift. Use email to send links to articles you think your client might enjoy. Trusting relationships thrive on frequent contact. To solidify your connection to clients (especially when you haven’t talked in a while), send them little links and articles you know they will enjoy. This gesture shows you are thinking about them and know where their interests lie. Just keep these communications in balance. Bombarding clients with superficial links and articles may actually weaken the value of your contact with them and undermine your relationship. Send e-newsletters to all your clients. This a good way to engage regularly with clients and stay on their minds. Create compelling content that connects with the various lines of services you are currently offering and craft interesting articles for your clients around related topics. Personalize your high-tech communication. Sometimes e-blasts make sense, but, whenever possible, include a small personal note at the top that lets clients see they matter to you. See also: 5 Ways to Enhance Client Engagement   Allow clients to log in and access their information. Whenever possible, empower clients by putting information at their fingertips. This not only saves time for your clients when they need to get a small piece of information, but also goes a long way toward building mutual trust. If you harness the power of technology correctly, it can do wonderful things for your business. But remember that it is only one tool in your toolbox. Use technology to enhance business, but don’t let it overshadow your mission to keep trust-based client relationships at the center of everything you do.

A Contrarian Looks 'Back to the Future'

Shouldn't we begin redesigning our own operations and industry and future before a competitive innovator does it for us?

A recent week started with reading a page by Paul Carroll from his Innovator’s Edge platform. The title question was: "Will Apple enter insurance? Google? Microsoft? Amazon?" His opening statement was, “Apple’s market value crested $1 trillion last week, and its big tech brethren Google, Microsoft and Amazon aren’t far behind, all are valued north of $800 billion…” I wasn’t shocked until he said, “All have extensive data about customers. And all have the size to tackle mind-bending problems that insurance faces – by contrast you’d have to combine AIG, Prudential and Allstate just to surpass $100 billion in market value…” A day later, someone sent me Reagan Consulting’s "The Golden Age of Insurance Brokerage." As I read through this short update, I could almost hear, “Happy days are here again” playing in the background for the brokers. The following captures the essence of this document: “We are living in the Golden Age of insurance brokerage. There are so many good things happening, it is hard to keep track of them all.” This was followed by six bullet points providing evidence of why the brokers are so happy. (No mention was made of insurance buyers, who may not be as HAPPY!) A friend then sent me a link to "The Death of the Old School Agency," by Michael Jans. This is a more in-depth view (30-plus pages) of the world as it may or will be. From the executive summary, we learn that today’s agent faces a new world of:
  • Rapid changes in consumer behavior and expectations
  • Emerging, existing and well-funded competitive channels
  • A rising millennial generation with different expectations, both as consumers and workers
  • A pace of change unlike anything they’ve ever seen before.
Depending upon who, what and where you are, this report will bring good news or bad news, but nonetheless – it is news that (I believe) every agent needs to hear, consider, ponder and then decide on. Agencies tomorrow are not “your daddy’s Oldsmobile.” Ask someone older than 40 to explain the phrase. This was the beginning of the end of a legendary line of General Motors automobiles and probably a foreshadowing of the collapse of General Motors. I encourage you to study all three of these documents – they are well-written by very successful folks. Their ideas should be carefully considered, and, if properly adapted to your circumstances, all can improve your results. That is – as long as the world goes as “we the people” in this industry think it should. What follows is my contrarian view – less “raining on your parade” and more clearing the air as you look to the horizon in tomorrow’s consumer-driven economy. We are not in charge. We today are wagering on our individual and industry’s future. Place your bets. The market will pick the winners. See also: 3 Myths That Inhibit Innovation (Part 3)   This contrarian will offer his ideas by looking “back to the future.” There will remain great opportunities in our future, but these will require transformational change. From today’s selling in an industry that is product-defined and product-driven, to a new client-defined and client-driven marketplace where we will facilitate our client’s buying - solving their problems and meeting their needs. In the competitive nature of tomorrow’s world – we’ll have to use artificial intelligence (AI) to anticipate these needs and deliver solutions before our clients “go shopping.” Some of the people, gifts, expertise, disciplines, skills, etc. we’ll need will be much different than the mechanical process we use today. We will need communicators (verbal and nonverbal), empathizers, artists, inventors, designers, storytellers, caregivers, consolers, big picture thinkers, storytellers, caregivers and “techies.” This is not an all-inclusive list. (Consider reading "A Whole New Mind," by Daniel Pink.) Warren Bennis offered the following wisdom decades ago: “The factory of the future will have only two employees, a man and a dog. The man will be there to feed the dog. The dog will be there to keep the man from touching the equipment.” Consider the following – brief observations from one man’s experience:
  • In 1978, Fireman’s Fund/Famex Agents offered a GM-endorsed insurance program for dealers. I was the SW Louisiana agent. In those days, the No. 1 concern of GM and its dealers was that GM would reach 65% market share and the federal government would break GM up into separate companies, Chevrolet, Pontiac, Buick, etc. GM’s arrogance, the dealers’ complacency, foreign competition, a poor product and a marketplace wanting change reshaped their world. GM never made it to 65% market share. I believe the insurance industry is ripe for a similar transformational experience.
  • In 1994, I was speaking to a bank in St. James Parish (Louisiana) about change. I said, “Today, GM, Sears and IBM are the kings of their respective jungles. I believe, in my lifetime, one of these companies will fail.” I was laughed off the stage. Fourteen years later, I was vindicated with the bankruptcy filing by GM. I personally believe that I’ll also prove right on Sears.
  • In June 2008, I was an instructor for attendees in a risk and insurance class at the KPMG Advisory University in Chicago. This was a continuing education week for KPMG consultants. A rookie consultant asked, “How does an insurance company fail?” I explained with the Champion Insurance story.
Then he asked for an example of a “rock solid” insurance company. I said, “AIG.” The KPMG senior partners in the room nodded in agreement. Less than 100 days later, AIG was functionally bankrupt, requiring a $182 billion bailout by the government. None of us saw that coming. (I’ll bet you were surprised, as well.) As I wrap up this article, hoping I've stimulated a much more important discussion about the future, consider the following:
  1. Companies valued at $100 billion are “big” until measured against trillion-dollar operations in a world in transformation – especially if the giants have better technology and data!
  2. Apple, Google, Microsoft and Amazon (AGMA) are kings of their respective jungles. Yet these companies are not even as old as the majority of readers of this column (with the possible exception of Microsoft and Apple, founded in the mid-1970s). Why would we think that our “old and stoic” industry is “safe” and “promising” for tomorrow? Are we celebrating our past when we should be planning our future?
  3. Do you think that any of your clients who have recently received a rate increase will be as enthusiastic about the profitability of our industry and the future of the world of brokers as stated in the article offered by Reagan? I’ve rarely (if ever) heard a client celebrate the profitability of our industry when it is an expense to theirs…
  4. Generational changes, social media and our societal rethinking of issues of race, gender, ethnicity, family, values, economic models (socialism / capitalism), etc. may result in our going in directions that we, 10 years ago, would have never considered possible.
  5. Has our industry let the government get its nose into our tent/economic system. NFIP has been in this industry as long as I have. The private sector didn’t want to address the flood risk. Now, these nearly 50 years later, the flood program is a government program and not sustainable. Unfortunately, the government may be ready to have the camel stand up in the tent? Medicare for everyone is no longer a crazy idea. It may not work, but....
  6. If the insurance industry was being designed today to do what it does, do you really believe it would be what we have? If you answered yes, please reread the question!
See also: What Is Really Disrupting Insurance?   Bookstores, travel agencies, video stores, etc. were important in our communities of yesterday – UNTIL THEY WEREN’T. Should we begin redesigning our own operations and industry and future before a competitive innovator does it for us?

Mike Manes

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Mike Manes

Mike Manes was branded by Jack Burke as a “Cajun Philosopher.” He self-defines as a storyteller – “a guy with some brain tissue and much more scar tissue.” His organizational and life mantra is Carpe Mañana.

'Wild West' of Suits Coming for Wellness

There is panic over the sunsetting of the safe harbor for incentives/penalties for health risk assessments and biometric screenings.

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A group of screening vendors and their trade associations have drafted a letter to senators in which they reveal their hitherto unpublished level of panic over the December 2018 sunsetting of the EEOC’s safe harbor for incentives and penalties for health risk assessments and biometric screenings. Their specific words are: "Without clear guidance from the EEOC, we fear a Wild West of litigation could re-emerge as it did prior to the EEOC guidelines... jeopardizing programs that are improving the health of America's workforce." [Note: They offer no support for the assertion that their programs "are improving the health of America’s workforce,” and their own outcomes indicate the reverse.] Their “ask” in this letter is for the Senate to confirm the pending EEOC appointees, including the chairperson, so that rules can be published by January. Unfortunately, that isn’t going to happen, for three reasons. First, the EEOC has already announced that it doesn’t plan to issue rules in January to replace the rules vacated in December. Second, the wellness industry doesn’t understand the way the rule-making process works. It’s a multistep process, laid out by statute, that in the least contentious of circumstances takes many months. Third, the existence of vacancies on the commission has created a backlog of issues needing resolution. The only way wellness rises to the top of that list is if there is indeed a “Wild West of Litigation” in early 2019—which is actually quite likely. We at Quizzify are already aware of one aggrieved group of plaintiffs planning a class action. So what should you do to hold yourselves harmless once the rules sunset? There are two concerns: --Employee lawsuits in your own company. These will be common—especially in outcomes-based programs, owing to their unpopularity. (See page 15 of this report.) Specifically, the Net Promoter Score for wellness is -52, whereas the lowest major industry, cable TV and internet services, scores +2. --Employee lawsuits in other companies. A federal judge’s decision might well affect the landscape—either an entire circuit or the country as a whole. You could be required to give the 2019 premium differential back to employees if your program fits the category of non-voluntary. Vulnerability may be based on 2019 differentials even if the program itself is undertaken in 2018. As Jonathan Zimmerman of Morgan, Lewis and Bockius put it: “Absent guidance from EEOC (which itself would not be binding on the courts), it’s not knowable whether 2019 premium differentials caused by refusal to be screened in 2018 could survive employee legal challenge. Therefore, it is important to create a path for employees this year that allows them to achieve their full ‘points’ total without medical exams or inquiries.” Quizzify indemnifies customers against EEOC lawsuits, thus solving the first problem. For the second, Quizzify offers a simply money-back guarantee that no judicial decision anywhere else will affect their premium differential.replace the EEOC’s sunsetting safe harbor. Instituting this program in 2018 will create a safe harbor and a money-back guarantee for 2019. To learn more, join us for a webinar at 10am CDT on Wednesday, Sept. 19. Contact us at hello@quizzify.com to get the promo code to sign up for free.

Future of Insurance Looks Very Different

The insurance company of the future won’t be an insurance company at all (or at least not just an insurance company).

A few years ago, the satire site, Cracked, launched a series of fake commercials called “Honest Ads” satirizing various industries. One of their fake commercials was an “honest ad” for a fake insurance company selling car insurance. The commercial features a familiar-looking, aging insurance agent in a suit (and a cape, cuz insurance sales people are also superheroes) explaining in a friendly voice what you really get when you buy car insurance. According to this guy, you’ll pay a lot of money every month for a product that:
  • you probably don’t actually want, but will buy anyway, because you have to -– or else you’ll be a criminal;
  • doesn’t offer you any actual protection (even though you could use protection), just a small portion of the money that you pay into it back, but only if something bad happens;
  • you may actually never use, even though you pay a lot of money for it;
  • if you need it, you’ll have to fight your insurance company to be able to use it, even though, again, you pay a lot of money for it; and
  • if you are able to use it, you’ll be punished, by either being charged a lot more money or being kicked off of your policy
Sign me up … ? The effect is a poignant commentary on why people hate insurance and insurance companies and why, even as insurance products may be improving, at the end of the day no one really wants to buy insurance. That’s why we think that the insurance company of the future won’t be an insurance company at all (or at least not just an insurance company). Sure, people will still need insurance, and someone is going to sell it to them, but to win in the future,you'll need to give them more than just insurance, or something else entirely. With this in mind, here are a few ways insurance companies and startups can move beyond insurance to start offering true value to their customers and repair a relationship that has been tarnished by too many years of arcane business practices: 1. Protect your customer. As the Cracked commercial made clear, a lot of insurance companies message themselves as protectors of the home, the family, the car etc., but most do little to protect their customers beyond offering them money when things go wrong – property is still damaged, cars are still stolen, loved ones are still lost. But what if instead of just compensation, insurance companies gave their customers actual protection? The smart home security company Ring, recently acquired by Amazon, was founded with a mission to make people’s homes and neighborhoods safer. In a talk at last year’s InsureTech Connect, Ring CEO Jamie Siminoff explained that “our KPI is around how much crime we reduce, not how much revenue we produce.” Imagine an insurance company that tracked its success in this way. Because Ring invested and tracked against a KPI not just around revenue, but around customer safety, it has been able to prove that homes where Ring is installed are safer homes, which also make for safer neighborhoods -- a fact that has resulted in more revenue and more business opportunities for Ring. Not only was it acquired by Amazon this past spring, but long before that it was able to form partnerships with insurance companies like American Family, which provides customers a discount on a Ring doorbell and a 5% discount on their homeowners or renters insurance. See also: Smart Home = Smart Insurer!   Like Ring, insurance companies should be thinking more about how to protect their customer and less about how to protect themselves from their customer. People don’t generally want to crash their cars, flood their basements, have their homes broken into. Helping customers better protect themselves from the risks that require insurance delivers value to the customer and to the company, and ultimately provides a way for insurance companies to develop trust with their customers. 2. Entertain your customer. When Amazon first made waves as an online bookstore, few would have predicted that Amazon would one day become a major movie studio and video streaming platform. Amazon’s foray into the movie business, announced in 2010, was never about making money in box office sales or online streaming (although Amazon does both). It was about getting more people to sign up for Prime subscriptions and spend more time and money shopping on the site. And Amazon understood that investing in quality entertainment that could be included in a Prime membership was a promising approach. Not that insurance companies need to become entertainment or media companies, too, but investing in high-quality content that people want (and like) to consume can also be a means of selling insurance. The U.K. insurance comparison website, Compare the Market understood that, while people may not like insurance, they definitely like meerkats. Hopping on the meerkat meme bandwagon, the company launched the website comparethemeerkat.com (a play on market, if you didn’t catch that), where consumers can go online and compare sets of meerkats in the way they might compare auto insurance policies or a credit cards. Beyond comparing meerkats on the website, you can also watch short videos (which are also commercials) about the lives of your favorite meerkat characters, like Sergei, head of IT, who joins the circus to escape the stress of his job at comparethemeerkat.com. Although meerkats may have nothing to do with markets, they definitely make the idea of comparing insurance policies and credit cards a lot more fun. And whether I’m in the market for insurance, I’m always in the market for another meerkat meme … and when it comes time to look for new insurance, I know where I’ll go looking. 3. Educate your customer. Fiverr is a freelancer marketplace that provides a platform for freelancers to sell their services, connecting entrepreneurs and workers with the companies and individuals who want to hire them. Just last month, it launched Fiverr Elevate, a platform where Fiverr freelancers can go to take online courses to help them better run their businesses. As Fiverr Freelancers, they earn credits that they can put toward courses. Educating freelancers and small business owners is not what Fiverr is all about, but education is something that benefits customers and would-be customers and allows the company to build a relationship that’s based on value-added, not necessity. Like entertainment, education is sticky and builds trust with customers outside of the core products and services sold, which in insurance is important, considering that the primary interaction a person has outside of binding or renewing a policy is filing a claim in a moment of crisis, after something bad has happened. 4. Solve problems for your customer. While researching and observing workers in the gig economy for an insurance prototype we designed, we heard more than once from gig workers that they probably won't buy additional insurance, even when exposed to additional risk through their work that their existing policies do not cover.. For example, one Uber driver we spoke with used to work at an insurance company and knew that if she got in an accident while driving for Uber she wouldn’t be covered. Yet because Uber didn’t make her buy additional coverage, she decided not to (a lot of people buy insurance because they have to, not because they want to). Another Uber driver we spoke with described the insurance our prototype was offering as “third tier,” meaning that it would be coverage if his personal insurance and Uber didn’t cover him. Like the other driver, he didn’t think he would buy this kind of insurance. He’d rather take the risk. Offering more than just insurance is particularly pertinent for insurance that isn’t mandatory. Insurance needs to solve other problems for customers that aren’t being solved elsewhere. Our gig economy prototype, for example, allowed gig workers to connect all of their apps to our platform, and provided them with a dashboard that would allow them to track all their gig work in one place, analyzing hours and peak earning times, and offering insights that would allow gig workers to optimize their schedules and their earnings. While at the end of the day our prototype was selling insurance, the users we talked to ultimately wanted to buy it not because it was insurance, but because it was more than insurance – and it was solving an important problem they were experiencing as gig workers. Jetty, the renters insurance startup, is doing something similar. Beyond selling renters insurance, it is also helping solve a critical problem for millennials living in cities. Jetty Passport helps people get into apartments more easily by paying security deposits and acting as guarantors. For a fraction of the price of the security deposit and for an additional 5-10% of the rent, customers don’t have to worry about either. For those using Jetty Passport, Jetty renters insurance, starting at $5 a month, is a no-brainer. See also: Startups Take a Seat at the Table   5. Follow your customer. While it may be true that most people don’t like buying insurance, there are a lot of other things these same people do like buying. Airplane tickets, clothing and apparel, stuff for their house. Finding out what else your customers are doing and buying (and where), and selling them insurance through these channels can help insurance companies align themselves with companies their customers actually do like and trust, while also lowering the cost of customer acquisition so you can offer more competitive pricing. In March, AIG Travel announced that it is partnering with Expedia to sell travel insurance on Expedia sites, including Expedia.com, CheapTickets, Orbitz, and Travelocity, giving Expedia customers booking flights, hotels and other travel arrangements the option to insure their bookings for a small fee. AIG also announced a partnership with United Airlines to do the same earlier in the year. Slice insurance, the homeshare insurance startup, has done something similar, partnering with AirBnB to sell hosts on-demand insurance when renting out their homes. These types of partnerships are a win-win for customers, insurance companies and the platform partners. Platforms get to expand their offering to their customer; insurance companies get to build a direct relationship with customers through a channel they like and trust' and they get access to more customer data to better understand purchasing behaviors outside of insurance. Customers get easy access to insurance coverage that will benefit them without having to go out of their way to make an additional transaction. — It’s no secret that insurance companies have an image problem, one that has been created over more than a century of legacy business practices that make transforming, innovating and developing more customer-centric products easier said than done. But as insurance companies do the heavy lifting to make their businesses more agile and responsive to the market, finding ways to go beyond insurance –through education, entertainment, creative problem solving and thoughtful partnerships– will help them build more trusting relationships with customers and not only maintain current customers but expand into new markets. You can find the article originally published here on Cake & Arrow.

Emily Smith

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Emily Smith

Emily Smith is the senior manager of communication and marketing at Cake & Arrow, a customer experience agency providing end-to-end digital products and services that help insurance companies redefine customer experience.

Facebook, WhatsApp Are Dangerous

If these companies were cars, Facebook would be the one without safety belts — and WhatsApp the one without brakes.

Facebook’s woes are spreading globally, first from the U.S. to Europe and now in Asia. A landmark study by researchers at the University of Warwick in the U.K. has established that Facebook has been fanning the flames of hatred in Germany. The study found that the rich and the poor, the educated and the uneducated, and those living in large cities and those in small towns were alike susceptible to online hate speech on refugees and its incitement to violence, with incidence of hate crimes relating directly to per-capita Facebook use. And during Germany-wide Facebook outages, which resulted from programming or server problems at Facebook, anti-refugee hate crimes practically vanished — within weeks. As the New York Times explains, Facebook’s  algorithms reshape a user’s reality: “These are built around a core mission: promote content that will maximize user engagement. Posts that tap into negative, primal emotions like anger or fear, studies have found, perform best and so proliferate.” Facebook started out as a benign open social-media platform to bring friends and family together. Increasingly obsessed with making money, and unhindered by regulation or control, it began selling to anybody who would pay for its advertising access to its users. It focused on gathering all of the data it could about them and keeping them hooked to its platform. More sensational Facebook posts attracted more views, a win-win for Facebook and its hatemongers. See also: Too Much Tech Is Ruining Lives  
India
In countries such as India, WhatsApp is the dominant form of communication. And sadly, it is causing even greater carnage than Facebook is in Germany; there have already been dozens of deaths. WhatsApp was created to send text messages between mobile phones. Voice calling, group chat and end-to-end encryption were features that were bolted on to its platform much later. Facebook acquired WhatsApp in 2014 and started making it as addictive as its web platform — and capturing data from it. The problem is that WhatsApp was never designed to be a social-media platform. It doesn’t allow even the most basic independent monitoring. For this reason, it has become an uncontrolled platform for spreading fake news and hate speech. It also poses serious privacy concerns due to its roots as a text-messaging tool: Users’ primary identification being a mobile number, people are susceptible everywhere and at all times to anonymous harassment by other chat-group members. On Facebook, when you see a posting, you can, with a click, learn about the person who posted it and judge whether the source is credible. With no more than a phone number and possibly a name, there is no way to know the source or intent of a message. Moreover, anyone can contact users and use special tools to track them. Imagine the dangers to children who happen to post messages in WhatsApp groups, where it isn’t apparent who the other members are; or the risks to people being targeted by hate groups. Facebook faced a severe backlash when it was revealed that it was seeking banking information to boost user engagement in the U.S. In India, it is taking a different tack, adding mobile-payment features to WhatsApp. This will dramatically increase the dangers. All those with whom a user has ever transacted can harass them, because they have their mobile number. People will be tracked in new ways. Facebook is a flawed product, but its flaws pale in comparison with WhatsApp’s. If these were cars, Facebook would be the one without safety belts — and WhatsApp the one without brakes. That is why India’s technology minister, Ravi Shankar Prasad, was right to demand that WhatsApp “find solutions to these challenges which are downright criminal and violation of Indian laws.” The demands he made, however, don’t go far enough. Prasad asked WhatsApp to operate in India under an Indian corporate entity; to store Indian data in India; to appoint a grievance officer; and to trace the origins of fake messages. The problems with WhatsApp, though, are more fundamental. You can’t have public meeting spaces without any safety and security measures for unsuspecting citizens. WhatsApp’s group-chat feature needs to be disabled until it is completely redesigned with safety and security in mind. This on its own could halt the carnage that is happening across the country.
Lesson from Germany
India — and the rest of the world — also need to take a page from Germany, which last year approved a law against online hate speech, with fines of of as much as 50 million euros for platforms such as Facebook that fail to delete “criminal” content. The E.U. is considering taking this one step further and requiring content flagged by law enforcement to be removed within an hour. The issue of where data are being stored may be a red herring. The problem with Facebook isn’t the location of its data storage; it is, rather, the uses the company makes of the data. Facebook requires its users to grant it “a non-exclusive, transferable, sub-licensable, royalty-free, worldwide license to use any IP content” they post to the site. It assumes the right to use family photos and videos — and financial transactions — for marketing purposes and to resell them to anybody. See also: The World Doesn’t Need Silicon Valley   Every country needs to have laws that explicitly grant their citizens ownership of their own data. Then, if a company wants to use their data, it must tell them what is being collected and how it is being used, and seek permission to use it in exchange for a licensing fee. The problems arising through faceless corporate pillage are soluble only through enforcement of respect for individual rights and legal answerability.

Vivek Wadhwa

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Vivek Wadhwa

Vivek Wadhwa is a fellow at Arthur and Toni Rembe Rock Center for Corporate Governance, Stanford University; director of research at the Center for Entrepreneurship and Research Commercialization at the Pratt School of Engineering, Duke University; and distinguished fellow at Singularity University.