2019 Supplemental Health, DI & LTC Conference

Gina C. Guzman, MD, DBIM, FAAIM, FALU, FLMI

Vice President and Chief Medical Director, Munich Re US (Life)

The current opioid epidemic is well-publicized, and its size and scope documented in both mainstream and medical literature.  At the same time, the current increase in medical usage of marijuana coupled with the trend toward decriminalization of medical and recreational use could create the impression that the drug has well understood effects and benefits. In fact, scientific research on the topic is still at a very early stage. So what does this mean for insurers? This presentation will review the current opioid epidemic, the current status of both medicinal and recreational marijuana, and possible implications for the insurance industry.

Join us for this interactive session as we look at a few challenging real life critical illness, accident, and hospital indemnity cases in the group market and share highlights from RGA’s biennial critical illness underwriting survey.

Connect with your peers and industry experts as we turn up the volume on regulatory issues impacting the disability income industry, so you can avoid any unexpected interruption in the music.

As the LTC industry collects more data, how will changes in experience be measured? Is there a relationship between policyholders living longer and experiencing fewer claims? There are a number of challenges in measuring this experience including data quality, measurement methods and policy/UW changes over time. The speakers will explore these topics and provide multiple viewpoints on each of the key measurements.

The presenters of the session will provide an overview of the long term care innovation landscape. We will discuss the market environment, state-level innovations and provide a deep dive of one state’s experience. We will also discuss other relevant proposals.

This session will discuss the various approaches to D2C marketing and outline some of the associated risks and rewards.

Increase your overall knowledge of how the supplemental mental health industry is trending with an informative session hosted by GenRe on Critical illness insurance. During this event, GenRe will report out on their 2019 market survey results. GenRe will present on trends specific to critical illness. Be prepared to leave this event with a better understanding of current and future state insight from carriers that are actively marketing this product, including those companies exploring it as a new product offering as well.

Hear the results of LIMRA’s recent research on the gig economy. Learn about gig workers’ access to financial protection products, unmet needs, and financial concerns. Also hear about employers’ interest in providing benefits to nontraditional or contingent workers.

The delivery of quality long-term care services to our aging society will become an even greater challenge as the number of people requiring such services rapidly grows in the coming years. New solutions will be required to meet this demand. Fortunately, emerging technology and innovative approaches to managing care delivery can help address this need, potentially avoiding a societal crisis.  Session attendees will learn about innovative, non-financial long-term care services and products developed by entrepreneurs, start-ups and established companies that will enable long-term care services to be more accessible, appropriate and affordable.  Attendees will learn how this revolution can be considered in new product development and the administration of in-force long-term care policies.

This session takes a look at electronic medical review and other technology used in disability insurance – What we have learned so far.

This session will be an interactive dialogue around the approach for developing a claims management vision exercise and the value such work adds to the company. We will explore the aspects of executing on this vision and discuss the critical role of a claims strategist.

The communication science of helping consumers understand the value behind supplemental health products. We will discuss how technology is impacting communication and continuing discussions around engagement and decision support.

Are you prepared to drive change in our industry? Insurance is notable for slow adoption of change, but our world is transforming at an unprecedented rate, which will force rapid evolution within our industry. Product design and marketing, risk selection, automation of underwriting, and customer service will all be affected. To succeed, we must understand existing change and recognize potential change on the horizon. This session is designed for all professionals interested in leveraging change and leading transformation in our industry.

Learn about fraud from experts in the field of LTC and DI. This session will focus on what fraud is, why it’s important and ways to identify fraud in the LTC and DI space.

In this session, we will discuss what it takes to integrate the group worksite products. Carriers who are just beginning efforts to integrate their worksite product suite as well carriers who have been integrating for some time will summarize the opportunities, challenges, and key learnings. A panel discussion will also shed light what next generation efforts might look like.

Do you ever get feedback from your actuary that you just don’t understand? This session focuses on translating actuarial concepts and/or decision making to help facilitate better communication.

Explore the practical implication of new accounting standards to LTC inforce management and actuarial processes.

What are the latest trends in individual DI industry experience? How have claim incidence and termination rates changed since the introduction of the 2013 IDI valuation table? Attend this session to learn about IDEC’s updated experience reports for both morbidity and lapses.

Carriers in the IDI industry are finding their way in the guaranteed standard issue market, and have discovered that it is impossible to be all things to all people. After an overview of the GSI industry, representatives from different carriers will share and discuss their GSI organizational structure and identity.

Roundtable exercise where attendees will evaluate difficult supplemental health claim submissions or likely denials. This will be followed by a group discussion about the issue within the claim. Examples of claims that may be evaluated include cardiac arrest for critical illness, the definition of hospital admission for hospital indemnity, and an example of possible fraud.

Join actuarial and claim management directors in an interactive discussion on how various LTC benefits, contract language and rate increases impact policyholder decisions. How do claim directors adapt to these challenges?

This session will explore some of the key LTC insurance risks facing insurers from those looking in from the outside. An equity analyst and rating agency perspective will be provided to understand how insurers are evaluated when LTC risk is on the balance sheet. This moderated session will have an open Q&A session so please come prepared with questions.

For supplemental health products, actuarial reserves are essential. In this session, a panel of actuaries will outline the types of reserves typically generated for these products, illustrate the role they play in product monitoring and reporting, and give a high-level description of how to calculate them. Additionally, we’ll identify key assumptions that impact reserve levels as well as where to find regulatory guidance. While the focus will be on statutory reserves, we will provide some feedback on recent changes to GAAP reserves for long-duration products.

Hear how experts from outside the industry view the future of long-term care claims.

In this session, attendees will break into small groups to discuss current events, challenges, and opportunities in the supplemental health industry.

With responsibility at the ACLI for industry advocacy on supplemental benefits and group insurance issues before federal and state policymakers and at the National Association of Insurance Commissioners (NAIC), Piacentini will provide an update of advocacy efforts for supplemental health insurance products.

Interactive fast paced discussion about the current and future challenges the DI Industry is facing.  

Jennifer Golbeck, Ph.D.

Director of the Social Intelligence Lab, University of Maryland

The future is going to be driven by Artificial Intelligence (AI). Huge power lies in smart algorithms combined with big social data to track behavior and develop new insights into customers and what they want. How could these insights alter long-standing practices in the life insurance industry? Where do business opportunities lie in leveraging new technological capabilities, and how can organizations prepare for these changes? Golbeck will explain how new computational techniques are revealing hidden traits of millions of people online, and how this impacts the future of our business.

Court is in session and you are the jury! Follow along as challenging aspects of actuarial professionalism are explored in a court-like setting. Deliberate based on what you already know from your own experience as well as based on what you learn in this session and then deliver your verdict accordingly. Who says learning about actuarial professionalism can't also be fun?

Brian Pauley, FSA, MAAA

Vice President, Actuarial Services, Highmark Health

Joe Wurzburger, FSA, MAAA

Staff Fellow, Health, Society of Actuaries

Health care costs in the U.S. are 18% of the GDP compared to 11% in similar countries. In this session, the presenters will describe the drivers behind this problem, discuss potential issues and outline the SOA's efforts to address the issue.

This session will be focused on current and emerging trends in supplemental health regulations.

How are and how should consumers be educated about retirement planning and the play of LTC needs and solutions; STC, LTCI, Life & LTC, Annuities, other. Whose responsibility is it to make sure consumers know what’s coming and their options to mitigate risks?

There are many ways to write a song – different keys, time signatures, and tempos. The same is true for designing and pricing disability income products. Join us for a discussion of the benefits and risks to consider when comparing different approaches. Some key topics that will be discussed include distribution risk, insured behavior, and the balance of accuracy and feasibility.

This session will be focused on how changes in society around gender identification could impact how products like supplemental health are priced, marketed, and enrolled. This panel discussion – which will include an enrollment technology view, a carrier view and a legal compliance view – will provide an overview of what happened, what it means and next steps.

Court is in session and you are the jury! Follow along as challenging aspects of actuarial professionalism are explored in a court-like setting. Deliberate based on what you already know from your own experience as well as based on what you learn in this session and then deliver your verdict accordingly. Who says learning about actuarial professionalism can't also be fun?