Asset and Liability Management for Banks and Insurance Companies

Asset and Liability Management for Banks and Insurance Companies
By:Marine Corlosquet-Habart,William Gehin,Jacques Janssen,Raimondo Manca
Published on 2015-08-31 by John Wiley & Sons

This book introduces ALM in the context of banks and insurance companies. Although this strategy has a core of fundamental frameworks, models may vary between banks and insurance companies because of the different risks and goals involved. The authors compare and contrast these methodologies to draw parallels between the commonalities and divergences of these two services and thereby provide a deeper understanding of ALM in general.

This Book was ranked at 10 by Google Books for keyword Insurance.

Book ID of Asset and Liability Management for Banks and Insurance Companies's Books is Wa5GCgAAQBAJ, Book which was written byMarine Corlosquet-Habart,William Gehin,Jacques Janssen,Raimondo Mancahave ETAG "EGlE+HsC9IQ"

Book which was published by John Wiley & Sons since 2015-08-31 have ISBNs, ISBN 13 Code is 9781848218833 and ISBN 10 Code is 1848218834

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Agent behaving (VERY) badly

Some years ago, we blogged on a rather interesting (and illegal) sideline in which a Pine Tree State insurance agent was engaged:

"57-year-old Mark Strong Sr., pleaded not guilty to 59 counts of promotion of prostitution and violation of privacy."

Mr Strong being, of course, the proprietor of the "Strong (Insurance) Agency" of Thomaston, Maine.

We wondered at the time about whether or not his Errors and Omissions policy would provide much cover.

Fast forward a half-dozen years or so, and co-blogger Bob V tips us to this life-imitates-the-news story out of Portsmouth, Ohio:

"Regulators are trying to remove the license of an insurance salesman allegedly involved in a sex trafficking ring ... saying he committed insurance fraud on at least two separate instances."

Wait, is he in Dutch because of the sex thing, or the fraud thing?

Well, seems to be both, plus the odd HIPAA violation (one wonders how he missed out on the jaywalking).

Turns out, he's accused of trying to fool an insurance company into paying a fraudulent disability claim [ed: and look at that - it's still Disability Insurance Awareness Month! Go us!], so that covers the insurance part.

Aside from that, two women claim to have slept with him for money (wait, did he get that from the DI carrier?).

The article also mentions that he's "a long-time financial adviser;" given that at least two insurance carriers have fired him, and the DOI is apparently looking to suspend his license, seems like the SEC folks will soon be taking their bite, as well.

I lead such a sheltered life.

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Freakonomics

Freakonomics
By:Steven D. Levitt,Stephen J. Dubner
Published on 2011-09-20 by Harper Collins

Which is more dangerous, a gun or a swimming pool? What do schoolteachers and sumo wrestlers have in common? How much do parents really matter? These may not sound like typical questions for an economist to ask. But Steven D. Levitt is not a typical economist. He studies the riddles of everyday life--from cheating and crime to parenting and sports--and reaches conclusions that turn conventional wisdom on its head. Freakonomics is a groundbreaking collaboration between Levitt and Stephen J. Dubner, an award-winning author and journalist. They set out to explore the inner workings of a crack gang, the truth about real estate agents, the secrets of the Ku Klux Klan, and much more. Through forceful storytelling and wry insight, they show that economics is, at root, the study of incentives--how people get what they want or need, especially when other people want or need the same thing.

This Book was ranked at 15 by Google Books for keyword Insurance.

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Book which was published by Harper Collins since 2011-09-20 have ISBNs, ISBN 13 Code is 9780062132345 and ISBN 10 Code is 0062132342

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Living Benefits: Is this something?

Recently, a friend of mine attended a post-retirement financial planning seminar, at which was touted a way to use one's life insurance as a "living benefit" (no, not that kind of living benefit).

The idea goes something like this (all numbers in this example are for illustrative purposes only):

One buys a single pay Whole Life (WL) insurance plan, depositing $100,000, which purchases s $200,000 death benefit. One then waits a few years for the surrender period to end, and then "withdraws" [ed: we'll circle back to this] $75,000, leaving $25,000 of the original premium in the plan. This reduces the death benefit to $125,000. When one's time comes to exit this mortal coil, one's beneficiary still gets $125,000 ($200,000 - $75,000). Nice return: $125,000 benefit check for $25,000 net deposit (5:1).

My friend wanted to understand why a carrier would agree to this, and I agreed to look into it, as a result of which I have some concerns.

Here’s what I think would actually happen:

As a single pay plan, it's automatically considered a Modified Endowment Contract (MEC).

And what the heck is that, you ask?

Well, a "modified endowment contract (commonly referred to as a MEC) is a tax qualification of a life insurance policy which has been funded with more money than allowed under federal tax laws ... Essentially a life insurance contract which becomes a MEC is treated like a non qualified annuity by the IRS for taxation purposes prior to the insured persons passing."

In other words, the money coming out of such a plan would be on a LIFO (last in, first out) basis, so when one pulls out that $75,000 at least some of that is taxable as income (and depending on age, may be subject to a 10% penalty). Also, that $75,00 is not a "withdrawal," it is a loan, and most companies charge 7% or 8% interest on outstanding loan balances (and that’s on the whole $75,000).

Ouch.

But what does that mean "in real life?"

I ran a Single Pay WL quote with our primary carrier (figuring it would be pretty industry average) as a baseline. 

The surrender charges went away by year 5, at which point cash value was $103,000, so about $3,000 growth, so maybe a $300 penalty. Not really hateful.

But: the whole $75,000 is a loan, and the interest on that is 8% (I presume that's fairly common). So the interest charged is $6,000.

Per year.

Every year.

Here's where it gets "fun:"

If one is smart, one is paying that $6,000 every year so that the loan doesn't snowball. In about 12 years (maybe less), one has just paid the carrier back the $75,000 (in $6,000 per year increments), and still has to keep paying. We call that "in the hole."

Or, perhaps one decides not to pay it, and the carrier deducts the $6,000 from the remaining cash value (remember: that's about $25,000). That's gonna go away pretty fast, no? And then one has nothing.

No, wait: one still has the $75,000 one took out
(and paid some taxes on) . After giving the carrier $100,000 of one's own money.

#Winning!

Now, why wouldn’t the carrier love this?


To be fair, we've seen (and debunked) this general idea before:


But this particular iteration has some novel twists, and I'm not so sure it's completely off the charts. A friend who's familiar with it suggested that I reach out to Lafayette Life, which apparently markets a plan that could (does?) serve as a platform. I have yet to hear back from them, but will update this post when (if) I do.

Meantime, I would very much appreciate any thoughts our readers might have on this.

[Hat Tip: FoIB Chris v B]

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Changes to the Federal Employees Group Life Insurance program are needed

Changes to the Federal Employees Group Life Insurance program are needed
By:United States. General Accounting Office,United States Civil Service Commission
Published on 1977 by

This Book was ranked at 32 by Google Books for keyword Insurance.

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Automobile liability insurance

Automobile liability insurance
By:John Alan Appleman
Published on 1938 by

This Book was ranked at 15 by Google Books for keyword Insurance.

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Price Control FTW!

You may have seen the news that the Centennial State has become the first in the union to impose price controls on insulin:

"The state is capping co-payments for diabetics with private insurance at $100 per month"

The Tiffany Network also says that the average diabetic currently spends upwards of $500 a  month on insulin (although they offer no insight as to how they arrived at this figure, other than it was reported to them by the Health Care Cost Institute). They also don't say how much the average diabetic actually pays for the med (this is an important, and generally unremarked upon, distinction).

[ed: the Institute itself is apparently funded by 4 major carriers. FWIW]

While one's first reaction is likely applause, it should actually give one pause. As a longtime correspondent in Colorado notes in email:

"Recently our governor in Colorado signed a bill restricting copays on insulin to $100 monthly. Comments about this universally demagogue President Trump, blaming high prices on him. And a tv reporter did a completely uncritical segment on it. I wrote to him and told him that price controls create shortages, etc. But this won't work the usual way, because it is with an insurance company, not a retailer. I told the reporter that the insurance company may just raise premiums for everyone to make up the difference. Or they could pull out of the Colorado market."

I would quibble only with the "may" raise premiums: count on it.

It's also worth remembering that, while Colorado may be the first state to cap co-pays on insulin, they're far from the first to dabble in rx cost controls. From almost 4 years ago:

"Drug companies are facing a new campaign to contain treatment costs, this time with proposed rules in Massachusetts that would include a first-in-the-nation cap on some prices."

[ed: Which bill, by the way, "failed to emerge from a legislative committee." C'est la vie] 


Our correspondent also ponders:

"Why did Governor Polis choose diabetes as his target to reduce to costs? There are plenty of other chronic diseases out there that have attached meds to manage the disease. So why do diabetics get a break, but others don't? Does he want to buy the votes of diabetics?

Perhaps insulin is just a trial balloon to see how this flies and then move on to all meds."
 


This is an excellent point.

And it gets even better (for certain values of "better"):


"Let's play a game. What would happen if he capped the co-pay on all meds? And what if that co-pay was $1.00? It is easy to see that this would be so expensive, insurance companies would have to make it up in premiums. When premiums go up, the governor will have to create a new program to help subsidize them. So then he gets to buy the votes of those he is subsidizing, while calling the insurance companies evil."
Pitch. Perfect.

I responded that this echoes the minimum wage "debate:" why $15 an hour? Why not $25? Or $50? Or $1,000? Each is equally defensible, no?


In any event, will be interesting to see how the co-pay cap works out in Colorado.

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Theory and Practice of Insurance

Theory and Practice of Insurance
By:J. François Outreville,J. Fran Cois Outreville
Published on 1998 by Springer Science & Business Media

Insurance is a concept, a technique, and an economic institution. It also has an important role in the economic, social, and political life of all countries. This text aims to describe the significance of insurance institutions, the reasons they exist and how they function.

This Book was ranked at 38 by Google Books for keyword Insurance.

Book ID of Theory and Practice of Insurance's Books is CoSYojFGf-cC, Book which was written byJ. François Outreville,J. Fran Cois Outrevillehave ETAG "odcQDDfVPoA"

Book which was published by Springer Science & Business Media since 1998 have ISBNs, ISBN 13 Code is 9780792399964 and ISBN 10 Code is 079239996X

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Post-Tornado Heads' up

As I'm sure most have heard, our little corner of paradise was slammed with multiple tornadoes last night. Miraculously, there don't appear to have been any fatalities, but there is significant property damage (as one would expect).

We've been asked to pass along the following urgent suggestion from out primary carrier:

"Tell insured's not to sign any contracts with door to door contractors.  If you need to get in contact with [your adjuster] you can call her on her cell phone."

This is likely good advice no matter who your insurance is with....

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Social insurance issues for the nineties

Social insurance issues for the nineties
By:National Academy of Social Insurance (U.S.). Conference
Published on 1992-11 by Kendall Hunt Pub Co

This Book was ranked at 32 by Google Books for keyword Insurance.

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Insurance Law Implications of Delay in Maritime Transport

Insurance Law Implications of Delay in Maritime Transport
By:Aysegul Bugra
Published on 2017-07-06 by Taylor & Francis

Delay in a marine adventure is an important and frequent phenomenon of maritime transport as it affects various parties and their interests. Insurance Law Implications of Delay in Maritime Transport is the first single book to deal specifically with this issue in the context of insurance law. The book addresses the losses and expenses that may arise from delay or loss of time in maritime transport, the types of insurance available covering or excluding losses arising from it and the impact of delay on voyage policies. The author, Ayşegül Buğra, critically examines and evaluates the scope of several different types of marine insurance policies, including but not limited to: hull and machinery, cargo, freight, loss of hire and marine delay in start-up insurance. Furthermore, the book analyses the current law by tracing back the relevant common law authorities to the 18th century and examines the wordings used in practice from that time to today with a comprehensive and critical approach. This unique text will be of great interest to legal practitioners, shipping professionals and academics alike.

This Book was ranked at 12 by Google Books for keyword Insurance.

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Commonwealth Caribbean Insurance Law

Commonwealth Caribbean Insurance Law
By:Lesley A Walcott
Published on 2019-04-15 by Routledge

This book sets out in a clear and concise manner the central principles of insurance law in the Caribbean, guiding students through the complexities of the subject. This book features, among several other key themes, extensive coverage of: insurance regulation; life insurance; property insurance; contract formation; intermediaries; the claims procedure; and analysis of the substantive laws of several jurisdictions. Commonwealth Caribbean Insurance Law is essential reading for LLB students in Caribbean universities, students in CAPE Law courses, and practitioners.

This Book was ranked at 38 by Google Books for keyword Insurance.

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Memorial Day 2019: A Tribute

Courtesy FoIB Dr Rob:

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Claims Reserving in General Insurance

Claims Reserving in General Insurance
By:David Hindley
Published on 2017-10-26 by Cambridge University Press

This is a comprehensive and accessible reference source that documents the theoretical and practical aspects of all the key deterministic and stochastic reserving methods that have been developed for use in general insurance. Worked examples and mathematical details are included, along with many of the broader topics associated with reserving in practice. The key features of reserving in a range of different contexts in the UK and elsewhere are also covered. The book contains material that will appeal to anyone with an interest in claims reserving. It can be used as a learning resource for actuarial students who are studying the relevant parts of their professional bodies' examinations, as well as by others who are new to the subject. More experienced insurance and other professionals can use the book to refresh or expand their knowledge in any of the wide range of reserving topics covered in the book.

This Book was ranked at 15 by Google Books for keyword Insurance.

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Policies and Perceptions of Insurance

Policies and Perceptions of Insurance
By:Malcolm Alistair Clarke
Published on 1997 by Oxford University Press

Policies and Perceptions of Insurance offers an introduction to insurance contract law in the United Kingdom today. Malcolm Clarke provides students with a clear outline of insurance law, while alerting them to the social and theoretical issues arising out of the law and practice of insurance. The framework for discussion is the tracing of the life of an insurance contract from purchase to claim, which is used to summarize settled and satisfactory legal rules, but also highlight more controversial matters and invite reflection on the objectives of insurance law and whether these objectives have been achieved.

This Book was ranked at 15 by Google Books for keyword Insurance.

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Risk Modeling Concepts Relating to the Design and Rating of Agricultural Insurance Contracts

Risk Modeling Concepts Relating to the Design and Rating of Agricultural Insurance Contracts
By:Barry K. Goodwin,Olivier Mahul
Published on 2004 by World Bank Publications

|Goodwin and Mahul identify the key issues and concerns that arise in the design and rating of crop yield insurance plans, with a particular emphasis on production risk modeling. The authors show how the availability of data shapes the insurance scheme and the ratemaking procedures. Relying on the U.S. experience and recent developments in statistics and econometrics, they review risk modeling concepts and provide technical guidelines in the development of crop insurance plans. Finally, they show how these risk modeling techniques can be extended to price risk in order to develop crop revenue insurance schemes. This paper-- a product of the Financial Sector Operations and Policy Department-- is part of a larger effort in the department to develop effective risk management and financial products for agriculture|-- World Bank web site.

This Book was ranked at 38 by Google Books for keyword Insurance.

Book ID of Risk Modeling Concepts Relating to the Design and Rating of Agricultural Insurance Contracts's Books is K5xg5HwvnksC, Book which was written byBarry K. Goodwin,Olivier Mahulhave ETAG "9aV4WOwGavE"

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Outcomes vs Costs


Yup.

But: #NarrativeUberAlles

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Genetics and Life Insurance

Genetics and Life Insurance
By:Mark A. Rothstein
Published on 2004 by MIT Press

Experts discuss the economic, legal, and social issues surrounding the use of genetic testing in determining eligibility for life insurance.

This Book was ranked at 8 by Google Books for keyword Insurance.

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Gentlemen: Start your ... needles?

Courtesy FoB Holly R:

"Some fans attending Sunday's Indianapolis 500 can get measles vaccines at the track's infield medical center."

This comes as the CDC has issued a warning about the increasing incidence of the once-eradicated disease:

"From January 1 to April 26, 2019, 704 individual cases of measles have been confirmed in 22 states including Indiana. This is an increase of 78 cases from the previous week."

At least one fan's not worried though. Local Indy aficionado Mike Dean's theory is "I think if you drink enough beer, it kind of inhibits the measles virus, so that’s been my defense."

Heh.

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Gleaner Life: "Give and Grow" 2019

We've mentioned before how Gleaner Life gives back to its community of policyholders and their families:

"These "Give and Grow Grants" put real dollars directly into the hands of folks who want to help "to improve their communities through volunteer service projects."

Well, they've just announced this year's recipients, all 100 of them (Wow!), will split almost a quarter of a million dollars to help with college (and/or other post-secondary) education expenses.

The competition is available to Gleaner life clients and their families, and:
Applicants are scored individually in six basic areas:

1. Academic record
2. Leadership
3. Quality of activities and community involvement
4. Letters of recommendation
5. Explanation of financial need
6. Overall quality and completion of the application
Sweet!

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MedicaidForAll: A preview

Shot:
Chaser:

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GoodRx for Healthcare?

A while back, our Jack Russell-mix puppy had knee surgery, and the doc prescribed 4 (yes, four - I told you she's a Jack Russell-mix) meds for her. Buying them from the vet got expensive pretty quickly, and they recommended the folks at GoodRx. This is a site (and an app) where you can procure coupons for various meds, often saving significant dollars.

This helped a lot with Maddie's meds, and we've since used it for our own. It's easy and efficient, and even better, it's free.

Well, seems like the basic idea is really taking off:

"Discount medical shopping site launches in Kansas City ... has gone live with the test version of sesamecare.com."

We've seen this model before, of course:

"Must See TV featured an interview with Dr. Keith Smith where he outlined the unique practice at the Surgery Center of Oklahoma.The hospital operates on a cash only basis."

The Sesamecare site takes the reduced-fee, cash only model and expands it to include primary care and dental visits, eye exams and MRIs, and other services. According to the site, over 100 providers offer over 600 services, from OB-GYN to dermatology, even cardiology services. Pretty expansive.

And of course, since patients know the price of services upfront, and there's no insurance involved, there's no worry about what they will ultimately cost.

Unlike Direct Primary Care or sharing ministries, these services will generally be HSA-eligible, which also helps to offset the fact that there's not going to be much (if any) insurance reimbursement (depending on whether your plan is a PPO or an HMO).

So far, the service is available only in Kansas City [ed: I've heard that everything's up to date there], but perhaps we'll eventually see it rolled out in other markets.

Kudos!

[Hat Tip: Dr Gina Reghetti]

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Health of the Bank Insurance Fund

Health of the Bank Insurance Fund
By:United States. Congress. House. Committee on Banking, Finance, and Urban Affairs. Subcommittee on Financial Institutions Supervision, Regulation and Insurance
Published on 1991 by

This Book was ranked at 35 by Google Books for keyword Insurance.

Book ID of Health of the Bank Insurance Fund's Books is rimlP9jH-9EC, Book which was written byUnited States. Congress. House. Committee on Banking, Finance, and Urban Affairs. Subcommittee on Financial Institutions Supervision, Regulation and Insurancehave ETAG "LZHb47PPnHE"

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Annual report of the manager of the Federal Crop Insurance Corporation

Annual report of the manager of the Federal Crop Insurance Corporation
By:Federal Crop Insurance Corporation
Published on by

This Book was ranked at 18 by Google Books for keyword Insurance.

Book ID of Annual report of the manager of the Federal Crop Insurance Corporation's Books is kP1GAQAAIAAJ, Book which was written byFederal Crop Insurance Corporationhave ETAG "iLllKwX5XHc"

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The Indian Insurance Industry and Climate Change

The Indian Insurance Industry and Climate Change
By:TERI Project Team
Published on 2006-01-01 by The Energy and Resources Institute (TERI)

This Book was ranked at 28 by Google Books for keyword Insurance.

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Long Term Care insurance: Disconnect

Courtesy of FoIB Scott Olson:

"55% of those surveyed say they need #longtermcare insurance. But only 15% own it."

It gets even better:


[click to embiggen]

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Modernizing Insurance Regulation

Modernizing Insurance Regulation
By:John H. Biggs,Matthew P. Richardson
Published on 2014-03-25 by John Wiley & Sons

The future of the insurance regulation begins now For those involved with the insurance industry, from investmentprofessionals to policy makers, and regulators to legislators,tremendous change is coming. With insurance premiums constitutingan ever-growing portion of annual U.S. GDP and provisions of theDodd-Frank Act specifically calling for modernization of insuranceregulations, the issues at hand are pervasive. In ModernizingInsurance Regulation, these issues are described against abackdrop of the political and industry discussions that surroundinsurance, regulation, and systemic risk. Experts Viral V. Acharyaand Matthew Richardson discuss a variety of issues with topthinkers in the fields of finance, derivatives, credit risk, andbanking to bring to light the most germane elements of this ongoingdiscussion. In Modernizing Insurance Regulation, Acharya andRichardson call on the expertise of all the relevant stakeholderswithin government, academia, and industry to offer a well-roundedand independent view of insurance regulation and how the evolutionof this key industry affects the U.S. economy now and in thefuture. Provides an overview of the feasibility of maintaining astate-level regulatory structure Offers a view of the issues from top academics, industryleaders, and state regulators Explores the debate surrounding the insurance industry andsystemic risk Provides an in-depth look at upcoming changes under theDodd-Frank Act Modernizing Insurance Regulation provides a look into thecrucial changes coming to insurance regulation and an overview ofhow those changes will affect almost everyone.

This Book was ranked at 22 by Google Books for keyword Insurance.

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Genetic Tests and Health Insurance

Genetic Tests and Health Insurance
By:
Published on 1992-06-01 by DIANE Publishing

A survey of commercial insurers, Blue Cross and Blue Shield plans and HMO1s that offer individual or medically underwritten group policies, and their attitude toward reimbursement for genetic tests or policies for using tests results in underwriting. Summarizes information about cystic fibrosis and presents additional results that pertain to the broader topic of health insurers1 practices and attitudes toward genetic information and genetic tests for diseases other than cystic fibrosis. 22 tables and charts.

This Book was ranked at 24 by Google Books for keyword Insurance.

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Paying the Price

Paying the Price
By:Richard J. Roth, Sr.,Howard Kunreuther
Published on 1998-08-09 by Joseph Henry Press

This book considers the effectiveness of insurance coverage for low-probability, high-consequence events such as natural disasters--and how insurance programs can successfully be used with other policy tools, such as building codes and standards, to encourage effective loss reduction measures. The authors discuss the reasons for the dramatic increase in insured losses from natural disasters since 1989 and the concern that insurers have about their ability to provide coverage against more such events in the future. It addresses why there has been an increasing demand for hazards insurance, what types of coverage private insurers are willing to offer, and the role of reinsurance and private-/public-sector initiatives at the state and federal levels for providing protection to victims of natural disasters. Detailed case studies of the challenges facing Florida in the wake of Hurricane Andrew in 1992 and California following the Northridge earthquake in 1994 reveal the challenges facing the insurance industry as well as other concerned stakeholders. The National Flood Insurance Program illustrates how a public-/private-sector partnership can mitigate damages and provide financial protection to victims. The book identifies new initiatives for reducing future losses and providing funds for recovery through cooperation by the relevant parties.

This Book was ranked at 6 by Google Books for keyword Insurance.

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Insurance Rate Litigation

Insurance Rate Litigation
By:J.K. Mintel
Published on 1983-08-31 by Springer Science & Business Media

The idea for this book came from my decision to update an article by Roy C. McCullough entitled |Insurance Rates in the Courts| published in the June and July 1961 issues of the Insurance Law Journal. When this project began, the intention was to produce a similar journal article surveying insurance rate litiga tion between 1960 and the present using basically the same organization followed in the seminal article. However, the volume of reported cases during the last twenty years was much larger than anticipated and the issues being litigated had expanded dramatically. The project grew as my study progressed, and the resulting book surveys more than three hundred disputes involving insurance ratemaking and insurance rate regulation. The fruition of this project would not have been possible without the consistent encouragement and criticism of Roy McCullough, and it is with gratitude that I acknowledge his continuous and valuable assistance to me in this effort. Once an initial draft was prepared, a number of my associates cooperated by reading and commenting on the manuscript. I would like to give special thanks to Michael J. Miller and James F. Perry who unselfishly shared their time and knowledge to improve this work. Needless to say, none of those who read the manuscript is responsible for any errors in concept or detail that may remain.

This Book was ranked at 20 by Google Books for keyword Insurance.

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Peachy Insurance News

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Evergreen State Long Term Care

So the great state of Washington has passed legislation implementing what appears to be the first "Social-Insurance Program for Long-Term Care" in the nation.

Cool.

But what, exactly, does that mean?

Well first, let's look at what this plan isn't:

It is not an individually owned, Partnership Compliant long term care insurance plan (it's not, in fact, 'long term care' coverage at all, but we'll circle back to that). That's not to say it's evil, fattening or carcinogenic, just noting its limitations.

On the other hand, it's also not the late, unlamented CLASS Act, so it actually seems to have some decent value, especially relative to cost.

Okay, that's nice, Henry, but what is it?

Pretty simple, really:

"All residents will pay 58 cents on every $100 of income into the state’s trust. After state residents have paid into the fund for ten years—three if they experience a catastrophic disabling event—they’ll be able to tap $100 a day up to a lifetime cap of $36,500 when they need help with daily activities such as eating, bathing, or dressing."

That is, they'll be eligible to receive up to a year of extra help with common tasks (assuming care costs $100 a day, and this amount increases each year). Which is, quite frankly, pretty remarkable. And at a tax rate of about 6/10th's of 1%, quite affordable. Given the state's average income of $70,000, that comes to about $400 a year per taxpayer.

So, is this a good deal?

Depends, no?

I'm ambivalent as to its likely result:

On the one hand, as it relates to encouraging folks to at least discuss the idea of long term care (and insuring it, obviously), raising awareness, I think that can be good.

What I'm afraid of, though, is that it will give folks a false sense of security as to the need to self-insure. I see this quite a bit with folks who think "oh, I don't need LTCi, Medicare will pay for it."

Uh, no, no it won't.

But a lot of folks believe that it does. And I'm concerned that folks will think that this is indeed Long Term Care insurance when it's not even really Short Term Care coverage.

On the gripping hand, it may well be all that many (most?) Washingtonians want, or need, or even qualify for.

Then here's this: proponents say that "[a]ll working people will pay into the fund through a payroll tax and then be able to claim a benefit when they need it."

Oh, really?

Then what happens if I pay into the plan for 20 years, and then decide to retire to Florida?

Time will tell, no?

[Hat Tip: Bill Comfort]

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From the 'Be Careful What You Wish For' Files




A portent of MedicaidForAll.

#CanuckCareWinning

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Bond, Dr James Bond

Just saw this report on the latest 007 outing:

"The difficult road to production on the latest James Bond film has hit another hurdle after shooting was reportedly suspended following an injury to star Daniel Craig."

The actor apparently suffered an unspecified leg-related injury during a stunt.

So what's that got to do with insurance?

Well:

"... the actor ... has been flown to the U.S. for X-rays." [emphasis added]

So apparently Her Majesty's Secret Service has no use for her Much Vaunted National Health Service©.

Hunh.

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From the P&C Files: Active Shooter Insurance

So as one might imagine, this has become something of a hot topic of late. I knew we should blog on it (for all the obvious reasons), and since it's in the P&C world, I wanted to be sure that I had a firm grasp on as many of the issues as possible.

To that end, I turned to my colleague Teresa S, and we had a nice (long) chat trying to identify those issues (as best we could).

Beyond the obvious (wrongful death and medical and funeral expenses), there's counseling, biohazard cleanup, and destruction of property; in some cases, relocation and rebuilding expenses might also come into play. There's also business interruption and even Public Relations, and let's not forget off-site coverage (if the business or organization needs to rent temporary facilities).
This is not, of course, an exhaustive list.

Who and what, exactly, are being insured is also important: the institution/organization, of course, but also boards of directors, Elders, etc.

And who's eligible for coverage becomes an issue: members or students, of course, but what about guests or employees?

Generally speaking, commercial liability policies will have a list of exclusions; items not on this list are then usually covered. Typical exclusions might include acts of war and/or terror, or even more specifically mass casualty events. Which latter begs the question: what does mass casualty mean?

[ed: Turns out that, much like Tootsie Pops, the magic number is 3]

The folks at World Wide Facilities sent along a very helpful guide to their program, which includes some nice features. One thing that Teresa pointed out was that regardless of whether or not one's current commercial liability insurer even offers this coverage, it may be worth considering this kind of stand-alone plan in addition to or instead of adding coverage to the current plan. 

And, of course, what kinds of establishments might be looking for this coverage (or, maybe more critically, should be considering)? That would include:

Schools                                          Hotels
Religious Organizations                Restaurants and Bars
Hospitals                                       Sports/Recreation/Entertainment venues
Municipalities                                Events and Concerts
Retail  

Whew!

Coverage limits are generally measured in the millions (or even tens of millions). One thing I liked about World Wide's brochure was that the application itself provides a great deal of helpful hints about what to be considering:

■ Is there an on-site security detail?
■ How far away is the nearest police and/or fire department?
■ Is there an emergency preparedness plan in place, and who knows what it is (or even knows that it exists)?
■  Are there regular security drills?

And more.

The bottom line, of course, is that it's a lot easier (and more cost effective) to consider these issues and this coverage before an incident. As usual, we recommend speaking with your own agent to determine what coverage (if any) is already in place, and what's missing.

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Confessions of a Cpa

Confessions of a Cpa
By:Bryan S. Bloom
Published on 2011-12-23 by

This Book was ranked at 37 by Google Books for keyword Insurance.

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Options Denied

So got a call the other day from a couple looking for health insurance. Well, Karen was; Carl is on Medicare. Karen's 63, and a cancer survivor (Yay!!). Their current, grandfathered Anthem plan sports a $5,000 deductible, and runs about $540 a month, and that's become something of a budget burden for them. They reached out to me to see if they could get something cheaper.

After determining that they're not eligible for a Special Open Enrollment, I explained that there's not a lot that we can do for them. Yes, there are cheaper alternatives, but they're either underwritten, or exclude pre-existing conditions (or both), or offer much more limited benefits than their current plan.

Out of curiosity, I looked at the 404Care.gov site, and saw that the least expensive offering there featured a $7,900 deductible (almost 60% higher than their current plan), and cost almost $640 (about 20% higher than their current plan). They would almost certainly qualify for a subsidy, but that, too, is a moot point until the Fall.

I felt bad explaining to them that, as frustrating as it is, their current policy is the least bad alternative (at least until the next Open Enrollment period). I truly hate that, but I couldn't in good conscience recommend any other plan.

/sigh

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The Business Owner's Definitive Guide to Captive Insurance Companies

The Business Owner's Definitive Guide to Captive Insurance Companies
By:Peter J. Strauss
Published on 2017-07-06 by Forbesbooks

MANAGE YOUR RISK IN A MORE EFFICIENT WAY What if you could insure the risks of your business, reduce your outof- pocket expenses, and create another source of revenue? Sounds too good to be true, right? With The Business Owner's Definitive Guide to Captive Insurance Companies, Mr. Strauss shows that, by utilizing a captive insurance company, this is not only possible but also a lot easier than you'd imagine. As one of America's top corporate, tax, and risk management attorneys, Mr. Strauss provides readers with true insight on the key sophisticated planning techniques used by small business owners who implement captive insurance companies. You'll learn the fundamentals and history of captive insurance and how this technique can provide numerous benefits to your business. This book will provide you with the insight on how to: -reduce out-of-pocket expenses; -increase cash flow; -insure more of the risks of your business; -protect personal and business assets from lawsuits; and -select the appropriate manager for your captive insurance company. Creating a captive insurance company may sound daunting, but with Mr. Strauss's guidance you can navigate the legal maze and utilize this valuable strategy with ease. Don't miss out on crucial out-of-pocket savings, and create more liquidity in a more tax-efficient manner. Take steps today and reap the benefits of captive insurance!

This Book was ranked at 33 by Google Books for keyword Insurance.

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Revising the Tax Treatment of Employer-provided Health Insurance

Revising the Tax Treatment of Employer-provided Health Insurance
By:Sherry Glied
Published on 1994 by American Enterprise Institute

This book discusses tax treatments and how they relate to employer-provided health insurance.

This Book was ranked at 28 by Google Books for keyword Insurance.

Book ID of Revising the Tax Treatment of Employer-provided Health Insurance's Books is kCUBTG44O6QC, Book which was written bySherry Gliedhave ETAG "jBbTjyL/mCI"

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It's a Holly Jolly Linkfest

All links courtesy of FoIB Holly R:

Scientists in Israel have discovered what appears to be a very promising treatment for epilepsy, and it comes from an unexpected source:

"Researchers at Tel Aviv University have discovered that a drug used to treat multiple sclerosis may help epilepsy patients."

Yasher koach!

On the other hand, Israel's universal health insurance system (a hybrid of public and private) isn't faring so well:

"Israel’s health expenditure is way below its OECD peers’. This leaves Startup Nation lacking beds, doctors, nurses, MRIs and CT scanners"

The country has begin a major effort on tech solutions to the problem but, well:

"... if you are in need of hospital care in Israel, you may end up, like 94-year-old Mr. Dabah or Fiasl’s mother, parked for days in a ward corridor, or waiting for hours in an emergency room."

Oy.

As we've noted before, the major benefit to Direct Primary Care (DPC) is that it "guarantees quick access to care." And  that access also means more quality time with the doc.

Which, as it turns out (unsurprisingly), is a very good thing:

"Trojanovich spent more than an hour with patient Andrew Buttrell, who says that time spent with the doctor makes a difference with his health needs."

Hunh.

Bonus Link: When is a clump of dirt *more* than what it seems?

When it holds the key to a life-saving medicine:

"In 2010, when Lilli Holst scraped a lump of soil from the underside of a rotting eggplant, she had no idea that this act would help to save the life of a British teenager, eight years later and 6,000 miles away."

This is a fascinating true medical detective story. Very cool.

Thanks, Holly!

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Don't Bogart That Ointment

So I recently had a life case go south in a weird way:

Did my usual pre-screen, which includes height, weight, any meds, any tobacco use, and the like; based on his answers (including no tobacco use), gentleman seemed to qualify for a preferred non-smoker rate. And so we submitted the application and arranged for the paramed exam. All very cut-and-dry.

Until I got back the approval .... at Preferred Smoker class.

Hunh?

So I thought "oh, he vapes or maybe had a cigar the day before." But when I called, he said no, had quit smoking years ago, but when he gets anxious he sometimes pops some nicotine gum.

Hunh.

So I called the underwriter, who said, based on the lab result, my guy's "popping that gum" a lot; enough, in fact, to kick him into tobacco use territory.

But Henry, you object, he's not using tobacco, he's just chewing some nicotine-laced gum.

Um:

"Nicotiana tabacum, the type of nicotine found in tobacco plants."

Oh.

Thing is, most folks don't make that connection: they (reasonably) believe that nicotine ≠ tobacco, because they're not smoking or chawin' it.

Which brings me forward a few weeks, to CBD oil:

"Cannabidiol (CBD) is one of more than 100 unique “cannabinoid” compounds that are found in the oily resin of the cannabis plant ... To make CBD oil, one must start with CBD-rich plant material."

Are you beginning to see a connection?

This past weekend, I had an interesting conversation with a doc who specializes in pain management and is a big fan of CBD oil and its pain-reducing abilities. He also claimed that taken topically (ointment) or even orally, one would likely not get flagged on a drug test.

I questioned this, in part because of my client's recent tobacco/nicotine experience. One of the questions on life applications is about marijuana (among other drugs) and/or extracts thereof. So I again reached out to my primary carrier's underwriter to see what he had to say, and he graciously replied:

"If the applicant is taking CBD oil, it should be noted on the application as we ask if they are taking any medication, prescribed or not. The drug testing results should be negative if they are using CDB oil.

Our concern certainly is if they have chronic pain and we would rate for this impairment
."

Which, to be fair, I hadn't even considered. So it turns out that my doc friend was right about red flags for the oil itself, but the underlying impetus for its use would be a concern. And, of course, it is a med, so needs to be noted on the application.

Interesting (at least to geeky me).


[Thanks to FoIB Rob P for the assist]

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