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A Failure To Communicate: What employees and employers don't know about disability income insurance is hurting the market. (Life/Health).


Most employees know a fair amount about their health and life insurance benefits, but they tend to know very little about their disability coverages. Many also tend to think they'll never need disability income insurance, or if they realize they may need it, they're concerned their employer isn't offering them enough.

Their lack of understanding and their employers' lack of understanding, combined with the slowing U.S. economy, have contributed to a stagnant stagnant /stag·nant/ (stag´nant)
1. motionless; not flowing or moving.

2. inactive; not developing or progressing.
 and underpenetrated disability income insurance market. Insurers are trying to change that by relying on the information-rich Internet and other measures to educate employees and employers about the benefits.

Sparse sparse - A sparse matrix (or vector, or array) is one in which most of the elements are zero. If storage space is more important than access speed, it may be preferable to store a sparse matrix as a list of (index, value) pairs or use some kind of hash scheme or associative memory.  Offerings

Employers could offer disability insurance to their employees on an employer-sponsored, partially paid or voluntary basis, but many offer little or none.

According to according to
prep.
1. As stated or indicated by; on the authority of: according to historians.

2. In keeping with: according to instructions.

3.
 a survey by the Consumer Federation of America The Consumer Federation of America (CFA) is a non-profit organization founded in 1968 to advance the consumer interest through research, education and advocacy.

According to CFA's website, its members are approximately 300 consumer-oriented non-profits, which themselves have
 and the American Council of Life Insurers The American Council of Life Insurers (ACLI) is a Washington-based lobbying and trade group for the life insurance industry. ACLI represents 373 insurance companies that account for 93 percent of the U.S. life insurance industry's total assets. , 82% of U.S. workers either have no long-term disability income insurance or have coverage they think is inadequate. In some states--Hawaii, New Jersey, New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
 and Rhode Island--laws require employers to provide short-term disability benefits for up to 26 weeks. But no states have laws requiring employers to offer long-term disability coverage to employees.

The size and type of company often determine whether it offers disability coverage. Large employers--generally those with 1,000 employees or more--typically offer long-term disability coverage. According to Limra International, more than 95% of large employers offer long-term disability coverage to their employees, while 71% offer short-term disability benefits.

As the number of employees in a company decreases, however, the probability that long-term disability is offered to workers also declines. About 60% of small companies, or those with fewer than 500 employees, provide long-term disability income insurance to employees, according to Limra. Smaller budgets, less strategic use of benefits, and portable and individual policies contribute to this decrease, said Scott Storrer, senior vice president of disability management solutions for Cigna Group Insurance in Philadelphia.

"I also think the under-penetrated market is linked partially to denial, because no one wants to think that they will become disabled," said Tern Sorota, senior counsel for ACLI ACLI American Council of Life Insurers
ACLI Associazioni Cristiane Lavoratori Italiani (Italy)
ACLI American Council of Life Insurance
ACLI Ada Command Language Interpretation
. According to the CFA/ACLI survey, only 7% of workers think they are very likely to become disabled and unable to work for one year or longer, while 32% believe this risk is only somewhat likely.

Although most people think they're unlikely to become disabled, the possibility that they someday some·day  
adv.
At an indefinite time in the future.

Usage Note: The adverbs someday and sometime express future time indefinitely: We'll succeed someday. Come sometime.
 will develop an injury or illness that will prohibit pro·hib·it  
tr.v. pro·hib·it·ed, pro·hib·it·ing, pro·hib·its
1. To forbid by authority: Smoking is prohibited in most theaters. See Synonyms at forbid.

2.
 them from working for some time is much greater than they realize. According to Disability Insurance Online, seven out of 10 people between the ages of 35 and 65 will become disabled for three months or longer, and one out of seven employees will be disabled for five years or more before retirement.

Among employees who recognize the need for disability insurance, dissatisfaction with their employer's offering runs high. Principal Financial examined this trend in its "2001 Second Quarter Financial Well-Being Index." According to the survey, respondents In the context of marketing research, a representative sample drawn from a larger population of people from whom information is collected and used to develop or confirm marketing strategy.  ranked their satisfaction with disability insurance as a 6.7, on a scale of 1 to 10, with 1 being not satisfied at all.

"Employers often purchase a baseline level of protection for their employees, and what this really means for employees is that they have fairly generic coverage designed to satisfy the most basic needs," said Phil Bruen, vice president of product and marketing development at UnumProvident, based in Chattanooga, Tenn., and Portland, Maine Portland is the largest city in the U.S. state of Maine, with a 2004 population of 63,882. Portland is Maine's cultural, social and economic capital. Tourists are drawn to Portland's historic Old Port district along Portland Harbor, which is at the mouth of the Fore River and part . The company is the leading writer of disability income insurance. According to the CFA/ACLI survey, 41% of respondents believed their long-term disability insurance would not be enough to protect their income should they become disabled.

Lack of Education

While disability income insurers face a variety of challenges, none may be as great as the lack of education employees have about their coverage protection. "The biggest challenge we face is getting our message out to our customers," Bruen said.

According to the CFA/ACLI survey, 43% of the 500 U.S. workers surveyed weren't familiar with their basic long-term disability insurance benefits. "It was an eye-opener to us how little [employees] understood disability insurance, particularly compared to other benefits, such as health, life and pension and retirement benefits," said Sorota. The organizations discovered, however, that by the end of the survey, when respondents were again asked about their understanding of the line, they began to learn a bit more about disability income protection and thought it was an important benefit.

One-half of the CFA/ACLI respondents covered by long-term disability income insurance said they knew the percentage of their income that would be replaced. On average, they reported it would replace 65% of their current income, which was well within the typical range.

Many employees may have a basic understanding of such things as the percentage of income replaced and the required waiting periods prior to benefits becoming payable, but many are unfamiliar with the finer details, such as how the insurance is defined, said Leo Leo, in astronomy
Leo [Lat.,=the lion], northern constellation lying S of Ursa Major and on the ecliptic (apparent path of the sun through the heavens) between Cancer and Virgo; it is one of the constellations of the zodiac.
 Tinkham, vice president of integrated disability management for the PMA PMA (papillary-marginal-attached),
n a system of epidemiologic scoring of periodontal disease devised by Schour and Massler in which the symbols denote the areas involved in gingival inflammation.

PMA Progressive muscular atrophy
 Insurance Group in Blue Bell, Pa.

"Employees need more help understanding what clay-to-day living expenses are and what they're going to need to sustain living if they become disabled," said Maria Morris, vice president of MetLife Group Disability in Bridgewater, N.J. She believes insurers need to continue to focus on educating employees on what their benefit structures are and the importance of performing a needs analysis to determine the amount of income protection required if they or a family member should become disabled.

Technology's Role

The global consulting firm Noun 1. consulting firm - a firm of experts providing professional advice to an organization for a fee
consulting company

business firm, firm, house - the members of a business organization that owns or operates one or more establishments; "he worked for a
 Watson Wyatt recently conducted a survey on employers' use of technology for absence and health management, workers' compensation workers' compensation, payment by employers for some part of the cost of injuries, or in some cases of occupational diseases, received by employees in the course of their work.  and medical programs. The survey found that the Internet is quickly becoming an accepted way to communicate with employees about benefit program details and provider services.

Many insurers have made the move to the Internet to offer disability insurance options, allow consumers to purchase policies and provide answers to questions. In October, Highmark Life & Casualty Group in Pittsburgh, in partnership with Commerce Bank in Cherry Hill Cherry Hill, township (1990 pop. 69,319), Camden co., W central N.J.; name was changed from Delaware township to Cherry Hill in 1961. Largely residential, Cherry Hill has been marked by great development and housing growth, especially since the 1970s. , N.J., and Cleveland-based Sky Bank, rolled out an Internet product for companies with between two and 99 employees. In addition to providing information about the types of disability insurance Highmark offers, the site allows employers to pay premiums, submit claims and enroll online.

Massachusetts Mutual Life Insurance Co., one of the largest sellers of individual disability income insurance, launched eWorksite Solutions, its Internet-based work-site marketing tool, on Oct. 1. The Springfield, Mass.-based company said the tool aids the application process and the tracking of disability insurance sales and customer information. It also provides consumers with information on the types of disability benefits available and a needs calculator calculator or calculating machine, device for performing numerical computations; it may be mechanical, electromechanical, or electronic. The electronic computer is also a calculator but performs other functions as well.  and savings evaluator. The calculator and evaluator help employees determine how much income they would need if they became disabled and compare the use of savings in the event of disability vs. using a supplemental disability income insurance policy.

Many insurers are adding health-related information to their Web sites. According to another recent Watson Wyatt survey, 75% of employers looking to manage health-care costs said they're likely or somewhat likely to give employees Web-based medical information in the coming year.

"Already, some more forward-thinking employers are providing hyperlinks from their benefit intranets to other Web sites, such as job accommodation or online interactive health and lifestyle connections, so employees can co-manage their disabilities and return to work as soon as possible," said Veronica Hellwig, senior consultant with Watson Wyatt. If an employee has diabetes, for example, the site provides information about what services would be compensated in case the employee becomes disabled, and it has hyperlinks to vendors that provide information on particular medical disorders and how employees can co-manage their condition.

Many associations, including ACLI, the Health Insurance Association of America and Life and the Health Insurance Foundation for Education, have posted resources on their Web sites to educate the public about the importance of disability income protection.

But some insurers believe that face-to-face communication is the best way to educate the public. "While technology and the Internet will continue to have a strong supporting role supporting role nsecond rôle m

supporting role nruolo non protagonista 
 in the future because of the more efficient delivery of services and products, insurance remains complicated to the lay person and they will continue to want impartial Favoring neither; disinterested; treating all alike; unbiased; equitable, fair, and just.  third parties to present options, needs and education," said David Mitchell David Mitchell may refer to:
  • David Mitchell (bishop), d. 1663
  • David Mitchell (Royal Navy officer) (c1642-1710), British admiral of the late seventeenth century.
  • David Brydie Mitchell (1760-1837), American politician (Georgia).
  • David Mitchell (builder) (born c.
, vice president of underwriting Underwriting

1. The process by which investment bankers raise investment capital from investors on behalf of corporations and governments that are issuing securities (both equity and debt).

2. The process of issuing insurance policies.
 and client set-vices for Disability Reinsurance The contract made between an insurance company and a third party to protect the insurance company from losses. The contract provides for the third party to pay for the loss sustained by the insurance company when the company makes a payment on the original contract.  Management Services, a subsidiary of Portland, Maine-based Core Inc. As a result, insurers are continuing to hold seminars and enrollment meetings within company walls to tell employees about disability insurance options.

Other Challenges

In addition to employees' limited understanding about disability insurance, other challenges, including the slowing economy, declining interest rates, an aging work force and changing psychosocial psychosocial /psy·cho·so·cial/ (si?ko-so´shul) pertaining to or involving both psychic and social aspects.

psy·cho·so·cial
adj.
Involving aspects of both social and psychological behavior.
 complications are contributing to the underpenetrated disability insurance market.

Insurers believe the downturn of the economy will continue to have an effect on the market. According to a recent article in the Wall Street Journal, analysts anticipate that significantly higher-than-expected unemployment rates will lead to a sizable siz·a·ble also size·a·ble  
adj.
Of considerable size; fairly large.



siza·ble·ness n.
 increase in disability income claims. One reason for this spike A burst of extra voltage in a power line that lasts only a few nanoseconds. See power surge, power swell, sag and surge suppression.

(jargon) spike - To defeat a selection mechanism by introducing a (sometimes temporary) device that forces a specific result.
 is that traditionally during a weakened weak·en  
tr. & intr.v. weak·ened, weak·en·ing, weak·ens
To make or become weak or weaker.



weaken·er n.
 economy, laid-off workers unable to find employment are more inclined to file claims.

The slowing economy also will affect both the product line's pricing and profitability. The market has gotten softer in the first half of the year, and the Sept. 11 terror attacks terror attack natentado (terrorista)

terror attack nattentato terroristico 
 have accelerated that softening softening /sof·ten·ing/ (sof´en-ing) malacia.

softening

a change of consistency, with loss of firmness or hardness.
, said Core's Mitchell. "When entering into a recession, history has shown that the rate of disability claims generally increases, and we would expect to see decreased profits throughout the industry because of that and the need to increase some rates to cover additional exposures."

Insurers have noticed this trend easing its way into the industry. According to Limra's 2001 second-quarter sales results, total group disability sales--fully insured and administrative-services-only--based on annualized annualized

Of or relating to a variable that has been mathematically converted to a yearly rate. Inflation and interest rates are generally annualized since it is on this basis that these two variables are ordinarily stated and compared.
 premium, declined 7% in the second quarter, compared with the same time last year. Sales of fully insured short-term disability posted a 2% increase, however.

Falling interest rates are likely to have an effect on disability insurance pricing in the coming months. But most insurers are confident that these challenges will be short-lived.

The aging work force poses a different type of challenge to disability insurance writers. "It adds another element as to how we manage and return employees to a productive and sustainable work status," said Fred Scardellette, vice president of product development and marketing for Philadelphia-based Intracorp., a medical-management and return-to-work service provider. Older workers generally have fewer claims, but if a claim is filed, it is often more significant in terms of complicating com·pli·cate  
tr. & intr.v. com·pli·cat·ed, com·pli·cat·ing, com·pli·cates
1. To make or become complex or perplexing.

2. To twist or become twisted together.

adj.
1.
 factors, cost injury duration and overall cost. "The challenge lies in adapting processes and finding ways to better manage these individuals," he added.

Scardellette also pointed to changing psychosocial factors as a challenge facing disability insurers today. "It's not all just about sore backs and pregnancies anymore," he said. Insurers see an increasing number of mental-health and substance-abuse claims filed each year. Providing appropriate resources to support those individuals and adapting to demographics The attributes of people in a particular geographic area. Used for marketing purposes, population, ethnic origins, religion, spoken language, income and age range are examples of demographic data.  and a changing population will help insurers meet this challenge, he said.

The answer to how insurers can best respond to problems in the disability income market may rest in tradition itself--with a return to basics.

"We are grappling with a market that deep down wants low costs and consistent service, and to insure Insure can mean:
  • To provide for financial or other mitigation if something goes wrong: see insurance or .
  • Or you may be looking for ensure or inshore.
 that we are achieving that value proposition for our customers, we need to get back to doing the basics very well," said Cigna's Storrer. Insuring clinical interventions that correlate with return to work is one solution. But Storrer believes this is not an easy undertaking for insurers.

Looking Ahead

"Disability income insurance has firmly established itself as a core employee benefit, and I think the future looks bright," said Chris Amberg, marketing manager of specialty products for Mutual of Omaha Mutual of Omaha, best known for sponsoring the popular television show Mutual of Omaha's Wild Kingdom, is a Fortune 500 insurance and financial services company headquartered in Omaha, Nebraska. .

Add It On

Because employers are increasingly strained regarding the amount of benefits they can pay for, supplemental disability products are becoming popular offerings and may be the trend of the future. These products allow employees to add additional coverage to existing group disability plans, thus creating maximum income protection in the event of a disability. Depending on individual income, supplemental disability income insurance can raise the level of income protection by nearly one-third, according to Mass Mutual.

"It's a win-win situation for employees and employers to offer quality benefits without the strain of employers paying for all or a portion of the premiums," said Paul Gribbons, vice president of marketing and strategic planning Strategic planning is an organization's process of defining its strategy, or direction, and making decisions on allocating its resources to pursue this strategy, including its capital and people.  for disability income strategic business at Mass Mutual.

Voluntary Sales

Many insurers are beginning to move to work-site marketing of these supplemental and voluntary products. According to the Eastbridge Consulting Group's February 2001 work-site satisfaction survey, 33.5% of employees own a short-term disability product, while 29.8% of employees own a voluntary long-term disability product. In addition, 50.7% of employers surveyed said they offer voluntary shortterm disability to employees, while 45.7% offer a voluntary long-term disability product.

Insurers are confident that as they continue to band together with employers to increase employees' understanding of disability coverages and as the economy begins to strengthen, penetration of the disability income insurance market will increase.

"The unfortunate events of Sept. 11 were one thing that brought the message home to people, and even the 'invincible' now realize a disability could happen to them," ACLI's Sorota said.

Many Working Women Lack Disability Income Protection

Disability income insurance is missing from many working women's benefit portfolios, according to a recent report by the Women's Institute for a Secure Retirement. The report indicates that many women either have no disability income insurance coverage or are underinsured un·der·in·sure  
tr.v. un·der·in·sured, un·der·in·sur·ing, un·der·in·sures
To insure under a policy that provides inadequate benefits: Be certain that you are not underinsured against catastrophic illness.
.

Some of the reasons women lack disability coverage are that they leave jobs, get divorced and lose their spouse's benefits or are unable to afford the insurance. Washington, D.C.-based WISER, a nonprofit organization Nonprofit Organization

An association that is given tax-free status. Donations to a non-profit organization are often tax deductible as well.

Notes:
Examples of non-profit organizations are charities, hospitals and schools.
 committed to improving the opportunities for women to secure retirement income, recently released "A Special Report on Disability Insurance," through a grant by the American Council of Life Insurers. WISER emphasizes the importance that every woman of working age having disability income insurance.

"A good case can be made that disability insurance ought to be at least as high a priority as life insurance, especially if you're a single mother or you are bringing home a substantial chunk of total household incomes," said Cindy Hounsell, WISER executive director.

WISER's report is based on a survey by the American Council of Life Insurers and Consumer Federation of America that revealed that 82% of Americans either have no long-term disability insurance coverage or have coverage they believe is inadequate. WISER's report focuses exclusively on women.

Lack of time is one possible reason for this trend among women. According to a recent Social Security Administration survey, in conjunction with a Gallup survey, women simply don't have time to read to increase their knowledge, said Hounsell.

"This limited time--time often spent helping children with their homework and other household responsibilities--may be part of the problem," she said.

In addition, many working women believe they're not vulnerable to becoming disabled during their working career. But at age 35 people have about a one in four chance of suffering a disability that will prevent them from working for 90 days or longer sometime during their working lives, said Hounsell.

WISER, through a grant by the Administration on Aging The Administration on Aging (AoA) is an agency of the United States Department of Health and Human Services. AoA awards annual grants (computed by formulas) to State government agencies on aging and Native American tribal organizations to support programs mandated by the Congress  and partnerships with other national women's organizations This is a list of women's organisations. International
  • International Association of Charity - Worldwide Catholic charitable organization for women (founded 1617)
  • Relief Society - Worldwide charitable and educational organization of LDS women (founded 1842)
, will continue to educate women about the importance of disability income protection.

Terror Attacks May Spark Increase in Sales of Disability Policies

Insurers expect people to become more aware of disability income insurance in the wake of the recent terrorist attacks.

"Sept. 11 was a very vivid reminder of why we need to protect our income and families from potential disabilities," said Carey Jury, vice president of life and disability insurance for Principal Financial Group in Des Moines, Iowa “Des Moines” redirects here. For other uses, see Des Moines (disambiguation).
Des Moines (pronounced /dɪˈmɔɪn/ in English,
.

While people often disregard disability as something that won't happen to them or their families, insurers are now beginning to see a peak in interest among people who want to protect their incomes in case they become disabled and are unable to work for some time.

Insurers believe the spiked spike 1  
n.
1.
a. A long, thick, sharp-pointed piece of wood or metal.

b. A heavy nail.

2. A spikelike part or projection, as:
a.
 interest may be short-lived, however. "Anybody who had an appointment scheduled with an agent when this tragedy happened will likely bring up the questions about disability insurance, because it's fresh in their minds," said Paul Wesling, director of disability insurance market development and sales for Union Central Insurance Co. in Cincinnati. "Unfortunately, as more time goes by, we tend to lapse (language) LAPSE - A single assignment language for the Manchester dataflow machine.

["A Single Assignment Language for Data Flow Computing", J.R.W. Glauert, M.Sc Diss, Victoria U Manchester, 1978].
 back into complacency com·pla·cen·cy  
n.
1. A feeling of contentment or self-satisfaction, especially when coupled with an unawareness of danger, trouble, or controversy.

2. An instance of contented self-satisfaction.
."

Insurers believe another effect of the catastrophe will be a rise in mental- and nerve-related claims, including an increase in post-traumatic stress claims. Other disasters, including both the Oklahoma City Oklahoma City (1990 pop. 444,719), state capital, and seat of Oklahoma co., central Okla., on the North Canadian River; inc. 1890. The state's largest city, it is an important livestock market, a wholesale, distribution, industrial, and financial center, and a farm  and the 1993 World Trade Center bombings, correlated cor·re·late  
v. cor·re·lat·ed, cor·re·lat·ing, cor·re·lates

v.tr.
1. To put or bring into causal, complementary, parallel, or reciprocal relation.

2.
 with an uptick Uptick

A transaction occurring at price above its previous transaction. In order for an uptick to occur, a transaction price must be followed by an increased transaction price.
 in both short-term and long-term mental and nervous disability claims.

"Insurers will need to have an even more heightened focus on behavioral health Behavioral health was first used in the 1980's to name the combination of the fields mental health and substance abuse. As an example, an organization serving both mental health and substance abuse clients might refer to its practice as behavioral health or  and mental/nervous claims management," said Maria Morris, vice president of MetLife Group Disability. She and other insurers believe the probable spike in these claims, much like individuals' heightened interest about the line, may be temporary. "However, behavioral health claims management will continue to need focus in the future because other factors like economic and world conditions could drive increased claims incidence," she said.

Analysts believe other potential effects to the market will include a rise in disability insurance prices and the growth of reinsurance. In addition, several carriers may begin discussing the possibility of adding some type of terrorism exclusion to their policies.

"If carriers do nothing to their policy language--don't add exclusions or put in more restrictions--and business goes on as usual, the only rational response to that is to raise prices and/or buy more reinsurance," said Leo Tinkham, vice president of integrated disability management for PMA Insurance Group in Blue Bell, Pa. "The bottom line is that disability carriers have to respond in some way to this event, because it increases uncertainty."

Reinsurance Adjustments, M&A Activity Distort Noncancelable Disability Premiums

Aggregated group data for total net premiums for noncancelable disability income insurance indicate an 18.7% increase in 2000. However, the number is deceiving and can't be attributed to new business expansion. A.M. Best believes that the true growth rate for this product line is in the single digits. The abnormally high growth rate reported last year was primarily from reinsurance adjustments and merger-and-acquisition activity.

Since the mid-1990s, most companies writing disability income coverage have concentrated on guaranteed renewable policies, which are less benefit-rich, but more flexible in pricing. However, some new business activity in this line remains with insurers that have made significant changes to current noncancelable contracts, thus making them less potentially volatile. In most cases, today's noncancelable products don't resemble those sold in the early to mid-1990s.

UnumProvident and American International Group
"AIG" redirects here. For other uses, see AIG (disambiguation).


American International Group, Inc. (AIG) (NYSE: AIG; TYO: 8685 ) is a major American insurance corporation based in New York City.
 Inc. continue to be the clear market leaders with 28.5% and 22.2% market shares, respectively.

In the industry as a whole, the consolidation trend continued, as companies that don't consider individual disability income as a core business continued to exit the market. Companies with economies of scale have a distinct advantage in a number of areas, most notably in claims management with these more complex blocks of business.

Combined ratios for top writers of noncancelable business have been running high. Companies continue to be challenged in managing their noncancelable business, especially if a large portion of the business was written before the mid-1990s. Before that time, disability writers focused primarily on benefit-rich noncancelable, own-occupation policies sold to high-income individuals in specialty occupations, such as doctors, lawyers and dentists Dentists can refer to one of the following:
  • Practitioners of dentistry
  • The Dentists, a British band active in the 1980s and 1990s
. Competition was fierce, and as a result these policies were underpriced un·der·price  
tr.v. un·der·priced, un·der·pric·ing, un·der·pric·es
1. To price lower than the real, normal, or appropriate value.

2.
 for the benefit structure. Moreover, because these policies can't be repriced, disability writers have had to live with this business and do the best they can through more effective claims management.
Noncancelable Disability Income, Top Writers--2000

Ranked by net premiums written.

                                                % Market
Rank      Company/Group                  AMB#         Share

1         UnumProvident Group            69743         28.5
2         American International Group   70342         22.2
3         Northwestern Mutual Group      69515          9.6
4         Aon Corp                       70178          6.6
5         MassMutual Financial Group     69702          6.0
6         Zurich Insurance Group US (*)  70130          4.4
7         Guardian Group                 69685          3.4
8         Swiss Reinsurance Group        70176          2.6
9         Metropolitan Life &            70192          2.1
          Affiliated Cos.
10        American Express Financial     69689          1.8
          Corp
11        Equitable Group                70194          1.3
12        Minnesota Mutual Group         69763          0.7
13        Conseco Insurance Group        69862          0.6
14        J.C. Penney Group              70216          0.6
15        American General Group         70120          0.5
16        StanCorp Financial Group       70398          0.4
17        Trustmark Group                69845          0.4
18        Jefferson-Pilot Corp           70156          0.4
19        Ohio National Life Group       69717          0.3
20        Regal Reinsurance Group        70345          0.3
          Total Top 20 Groups                          92.6
          Total Industry                              100.0

                                           Net Premiums Written
Rank      Company/Group                                    2000

1         UnumProvident Group                    $1,493,349,576
2         American International Group            1,163,360,359
3         Northwestern Mutual Group                 504,988,176
4         Aon Corp                                  344,959,104
5         MassMutual Financial Group                315,611,117
6         Zurich Insurance Group US (*)             229,194,015
7         Guardian Group                            177,509,942
8         Swiss Reinsurance Group                   138,186,252
9         Metropolitan Life &                       111,548,397
          Affiliated Cos.
10        American Express Financial                 93,809,972
          Corp
11        Equitable Group                            66,408,234
12        Minnesota Mutual Group                     37,704,329
13        Conseco Insurance Group                    32,355,534
14        J.C. Penney Group                          28,888,692
15        American General Group                     27,987,698
16        StanCorp Financial Group                   22,471,377
17        Trustmark Group                            21,259,573
18        Jefferson-Pilot Corp                       20,305,205
19        Ohio National Life Group                   15,690,718
20        Regal Reinsurance Group                    14,521,555
          Total Top 20 Groups                    $4,860,109,825
          Total Industry                         $5,245,821,957

                                         Net Premiums Written  Percent
Rank      Company/Group                            1999       Change

1         UnumProvident Group            $1,438,018,691          3.8
2         American International Group      992,255,547         17.2
3         Northwestern Mutual Group         484,698,570          4.2
4         Aon Corp                          339,687,683          1.6
5         MassMutual Financial Group        301,779,328          4.6
6         Zurich Insurance Group US (*)         228,902 (*)    999.9
7         Guardian Group                    161,625,673          9.8
8         Swiss Reinsurance Group           108,329,569         27.6
9         Metropolitan Life &                78,425,157         42.2
          Affiliated Cos.
10        American Express Financial         83,084,591         12.9
          Corp
11        Equitable Group                   117,626,087        -43.5
12        Minnesota Mutual Group             51,107,722        -26.2
13        Conseco Insurance Group            30,650,882          5.6
14        J.C. Penney Group                  27,676,698          4.4
15        American General Group             28,652,120         -2.3
16        StanCorp Financial Group            5,409,656        315.4
17        Trustmark Group                    25,006,417        -15.0
18        Jefferson-Pilot Corp               20,821,423         -2.5
19        Ohio National Life Group           15,734,158         -0.3
20        Regal Reinsurance Group            15,271,301         -4.9
          Total Top 20 Groups            $4,325,861,273         12.4
          Total Industry                 $4,420,038,625         18.7

                                          Loss  Expense  Combined
Rank      Company/Group                  Ratio       Ratio      Ratio

1         UnumProvident Group            114.5        35.2      149.8
2         American International Group    43.4        28.6       72.0
3         Northwestern Mutual Group       98.6        29.6      128.2
4         Aon Corp                        27.1        51.3       78.4
5         MassMutual Financial Group      87.2        41.1      128.3
6         Zurich Insurance Group US (*)   90.8          nc         nc
7         Guardian Group                  97.6        47.9      145.5
8         Swiss Reinsurance Group         35.9        46.6       82.4
9         Metropolitan Life &             71.1        35.5      106.6
          Affiliated Cos.
10        American Express Financial      50.2        50.7      100.9
          Corp
11        Equitable Group                   nc          nc         nc
12        Minnesota Mutual Group            nc          nc         nc
13        Conseco Insurance Group         62.2        16.3       78.4
14        J.C. Penney Group               40.7        58.1       98.8
15        American General Group          75.1        28.5      103.5
16        StanCorp Financial Group          nc          nc         nc
17        Trustmark Group                125.3        40.9      166.2
18        Jefferson-Pilot Corp            84.6        30.7      115.2
19        Ohio National Life Group        88.4        33.7      122.1
20        Regal Reinsurance Group        273.4        43.0      316.4
          Total Top 20 Groups
          Total Industry

Group totals, as prepared by A.M. Best Co., are presented on an
aggregated basis.

(*)A subsidiary of Zurich Insurance entered into a 100% quota-share
reinsurance agreement in 1999; initial premium paid was $210 million.
This is netted against disability benefits for presentation only.

nc: Not Calculable

Source: A.M. Best Co., compiled by Carl Austin Jr., managing senior
financial analyst


Coverage for Mental Disabilities Debated

More mental and nervous disability claims are filed each year, but coverage for these conditions remains unequal to Adj. 1. unequal to - not meeting requirements; "unequal to the demands put upon him"
incapable, incompetent

inadequate, unequal - lacking the requisite qualities or resources to meet a task; "inadequate training"; "the staff was inadequate"; "she was unequal
 coverage for physical disorders A physical disorder (as a medical term) is often used as a term in contrast to a mental disorder, in an attempt to differentiate medical disorders which have an available objective mechanical test (such as chemical tests or brain scans), from those disorders which have no .

But that may be changing. The U.S. Senate has added a provision to a labor, health and education spending plan that would require mental illness be covered the same as any other illness in group health plans. The amendment to the $396 billion Labor, Health and Human Services Noun 1. Health and Human Services - the United States federal department that administers all federal programs dealing with health and welfare; created in 1979
Department of Health and Human Services, HHS
 and Education appropriation The designation by the government or an individual of the use to which a fund of money is to be applied. The selection and setting apart of privately owned land by the government for public use, such as a military reservation or public building.  does not mandate coverage of health benefits but applies to group health plans already providing mental health benefits and is modeled after the mental health benefits provided through the Federal Employees Health Benefits Program.

Four of the 10 leading causes of disability in the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area.  and other developed countries are mental disorders mental disorders: see bipolar disorder; paranoia; psychiatry; psychosis; schizophrenia. : bipolar disorder bipolar disorder, formerly manic-depressive disorder or manic-depression, severe mental disorder involving manic episodes that are usually accompanied by episodes of depression. , major depression, schizophrenia schizophrenia (skĭt'səfrē`nēə), group of severe mental disorders characterized by reality distortions resulting in unusual thought patterns and behaviors.  and obsessive-compulsive disorder obsessive-compulsive disorder

Mental disorder in which an individual experiences obsessions or compulsions, either singly or together. An obsession is a persistent disturbing preoccupation with an unreasonable idea or feeling (such as of being contaminated through shaking
. According to the Arlington, Va.-based National Alliance for the Mentally Ill, 5.4% of American adults have some type of serious mental illness.

"Most of us, irrespective of irrespective of
prep.
Without consideration of; regardless of.

irrespective of
preposition despite 
 how sophisticated we might be, probably don't read the fine print in insurance policies until we have to, and we're shocked to discover that not everyone--particularly those with mental illness--receives the same benefits," said Ron Honberg, legal counsel for NAMI NAMI National Alliance for the Mentally Ill (now National Alliance on Mental Illness)
NAMI National Alliance on Mental Illness (formerly National Alliance for the Mentally Ill )
NAMI Naval Aerospace Medical Institute
.

Litigation An action brought in court to enforce a particular right. The act or process of bringing a lawsuit in and of itself; a judicial contest; any dispute.

When a person begins a civil lawsuit, the person enters into a process called litigation.
 involving the benefits of disability insurance to some extent reflects general discriminatory dis·crim·i·na·to·ry  
adj.
1. Marked by or showing prejudice; biased.

2. Making distinctions.



dis·crim
 coverage of mental illnesses found typically in all insurance products, Honberg said. NAMI, a nonprofit A corporation or an association that conducts business for the benefit of the general public without shareholders and without a profit motive.

Nonprofits are also called not-for-profit corporations. Nonprofit corporations are created according to state law.
 support and advocacy organization for more than 220,000 consumers, family members and friends of people with severe mental illnesses, has been supportive in making coverage for mental illness equal to that of physical conditions. "Mental illnesses are indeed medical conditions See carpal tunnel syndrome, computer vision syndrome, dry eyes and deep vein thrombosis.  and should be treated that way," Honberg said.

There have been several challenges to those policies under the Americans with Disabilities Act Americans with Disabilities Act, U.S. civil-rights law, enacted 1990, that forbids discrimination of various sorts against persons with physical or mental handicaps.  and other theories over the past several years. But most of the challenges were unsuccessful because of the way the ADA Ada, city, United States
Ada (ā`ə), city (1990 pop. 15,820), seat of Pontotoc co., S central Okla.; inc. 1904. It is a large cattle market and the center of a rich oil and ranch area.
 was written or the way the courts interpreted the act. "Moreover, the courts didn't even require insurers or employers to justify differential levels of benefits," Honberg said.

During the past five to six years, nearly every employer-provided long-term disability policy in the country provided benefits through age 65 for anyone who met the criteria for a disability and qualified on the basis of any medical disorder, Honberg said. But benefits for employees out of work due to a mental illness were automatically seized after one to two years, irrespective of whether they were able to return to work at that time.

NAMI has seen some movement by insurers toward equal coverage for individuals with mental illnesses. Over the past several years, several insurers have begun offering long-term disability policies without caps, Honberg said.

Two notable court cases, both of which are pending a court decision, have garnered national attention on the issue. In Massachusetts, a woman employed by the state department of health for 15 years had benefits for her mental illness seized after 12 months because her policy contained a one-year limit on benefits for mental disabilities unless she was hospitalized. NAMI submitted a friend of the court brief arguing that because the policy fostered hospitalization hospitalization /hos·pi·tal·iza·tion/ (hos?pi-t'l-i-za´shun)
1. the placing of a patient in a hospital for treatment.

2. the term of confinement in a hospital.
, it was contrary to both the ADA and recovery.

"We also tried to impress on the court that what's written in the policy carves out conditions affecting one organ of the body--the brain--and limits benefits for those disorders, which it doesn't do for physical conditions affecting other organs of the body," said Honberg. In addition, NAMI argued that it has established no reason to think people with mental illnesses would stay out on long-term disability any longer than someone with a physical condition.

The case was filed in both federal and state courts. On the federal level, the judge granted summary judgment in favor of upon the side of; favorable to; for the advantage of.

See also: favor
 the state, and the case is now on appeal before the First Circuit Court of Appeals.

In a more recent case--Fitts vs. Federal National Mortgage Association and Unum Life Insurance Company of America--the argument was that a woman's policy did not clearly define a mental disorder mental disorder

Any illness with a psychological origin, manifested either in symptoms of emotional distress or in abnormal behaviour. Most mental disorders can be broadly classified as either psychoses or neuroses (see neurosis; psychosis). Psychoses (e.g.
, said Honberg. Attorneys argued that the plaintiff's bipolar disorder shouldn't be classified as a mental illness because the condition is a disorder of the brain and should fall within the benefits of a physical condition. The case is currently awaiting appeal.

Thirty-six states have new laws New Laws: see Las Casas, Bartolomé de.  to create parity parity or space parity, in physics, quantity that refers to the relationship between an object or process and the image that it can produce in a mirror.  in coverage of mental illnesses. NAMI is hopeful that a parity bill currently before Congress will be enacted, which will eliminate inequitable coverage of mental illnesses in health insurance policies. But many insurers are opposing the bill, Honberg said.

"I think as societal so·ci·e·tal  
adj.
Of or relating to the structure, organization, or functioning of society.



so·cie·tal·ly adv.

Adj.
 understanding of severe mental illness increases, science makes progress in discovering new treatments, more people re-enter re·en·ter also re-en·ter  
v. re·en·tered, re·en·ter·ing, re·en·ters

v.tr.
1. To enter or come in to again.

2. To record again on a list or ledger.

v.intr.
 the work force and stigmas around mental illnesses gradually disappear, mental illnesses will be viewed and covered as the medical disorders they are," Honberg said.
COPYRIGHT 2001 A.M. Best Company, Inc.
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2001, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Comment:A Failure To Communicate: What employees and employers don't know about disability income insurance is hurting the market. (Life/Health).
Author:Chordas, Lori
Publication:Best's Review
Article Type:Brief Article
Geographic Code:1USA
Date:Dec 1, 2001
Words:4939
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