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

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By Ken Leibow

Originally Published in Broker World Magazine April 1, 2021

 

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

 

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

 

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

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

Solving Unique Pain Points For Life Insurance New Business And Underwriting

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By Ken Leibow

Published: August Broker World Magazine

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

eApp and Auto-Underwriting using an Omni-channel Sales Model
Life Insurance is still sold and not bought, however instant issue or simplified issue products can be quoted and applications electronically submitted through a consumer facing solution. This is not a carrier direct-to-consumer model because we are maintaining the agent ecosystem for the purpose of having the agent available for questions and for upselling and cross selling. There is a trend with several vendors today providing these eApp/Sales tools for agents and agencies. Management Research Services (MRS) has a unique platform that is No-Code, fully configurable electronic application platform. It can streamline requirement gathering during the application process, gathering data in the background (in real time) to reduce time with the applicant and provide an instant underwriting decision. Utilize the omni-channel approach to customize your sale, whether in an e-app, tele-app, or both. MRS’ seamless case management provides transparency for your agency and agents so they know where every applicant stands in the process.
COVID-19 and the unstable economy, with service providers who may or may not be in business tomorrow, it is time for BGAs and IMOs to take more control of their business by adding a call center to their agencies. Some of the benefits include increased customer satisfaction, higher conversion rate in completing submitted applications, and higher placement ratio. You also get an automated drop ticket experience that you control. A BGA who changes their model by adding a call center will get more efficiency and reduced costs in agent recruitment, freeing up specialists to focus on handling calls that utilize their expertise. There is consistent service when adding a call center which results in overall improved call quality.

 

BGAs and IMOs Can Take More Control of their Business by Adding a Call Center

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

 

Features of a Call Center for a BGA and IMO:

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

 

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