Sammis: `I don`t want to regulate broker commissions`
Transcription
Sammis: `I don`t want to regulate broker commissions`
Information gatherers 4 Maryland District of Columbia Generation Y shoppers dig deeper for insurance information, J.D. Power’s Jeremy Bowler says. Required reading for successful insurance and financial service professionals Volume 13, Issue 5 | ChangeAfoot New headquarters, the end of the line for an insurer and a new policy offering highlight a busy month. ‘Banner’ move 1 Insurer Banner Life preparing move to new office complex in Urbana. Page 9 Insurer insolvent Maryland regulators order end of new, renewal policies for recently liquidated property-casualty firm. Page 14 2 Culinary coverage Food service industry workers delivered new care plan through UnitedHealthcare. Page 15 3 Sammis: ‘I don’t want to regulate broker commissions’ Md., Pa. taking action on agents tampering with insurance scores Maryland regulator says pay agreements between insurers, agents not her concern ‘Shaky economy may be pressuring some hard-pressed agents,’ fraud expert suggests By Keith L. Martin At this time last year, former Maryland Insurance Commissioner Ralph S. Tyler told Insurance & Financial Advisor that regulations on broker compensation were “something we need to look at and Beth Sammis strongly consider.” What a difference a year makes. Beth Sammis, Tyler’s successor in an acting role since January, recently told a room of agents and brokers that when it comes to the compen- sation agreements between them and the carriers they represent, she does not want to be involved. “I don’t want to regulate broker commissions,” Sammis told attendees at the annual Maryland State Expo in Ellicott City, Md. “Let me be clear that this is not the role of the regulator…it is between the provider and you.” The topic came up as part of a panel discussion on federal health reform at the event, cosponsored by the Maryland See “Sammis” on p 17 // Regulator’s views on reform Acting insurance commissioner discusses how Maryland is preparing for new federal health law and what it could look like in the state. Page 13 Annuities :: Page 11 Products, marketing go different ways Everywhere. IFAwebnews.com/facebook IFAwebnews.com/linkedin twitter.com/ifawebnews More at: IFAwebnews.com/sharing Subscription information available online at: IFAwebnews.com/ subscribe July 2010 Survey: Women twice as fearful as men when it comes to saving for retirement Working with financial professionals growing and paying dividends, research indicates Twice as many women than men indicate their top financial concern is not being able to save for retirement, but also note that working with a financial professional does make a difference, a new survey indicates. Exactly 22% of women, as compared to 11% of men, noted a combination of having no abil- By Bob Graham Maryland and Pennsylvania insurance regulators have taken the licenses of two insurance agents who misrepresented customer’s insurance scores so they would receive better quotes on policies. As economic pressures weigh on agencies, so too does the pressure to commit fraudJames Quiggle ulent acts to keep customers and stay in business. “The jury is still out whether See “Agents” on p 22 Explanation needed Health insurers should be forced to justify all premium rate increases prior to implementation. ity to save for retirement, never being able to retire and having no savings their biggest concern in preparation, according to the survey, released by AXA Equitable Life Insurance Co. Nearly one-third of survey respondents (31% of women; Barbara Goodstein 26% of men) also cited money running out and their standard See “Women” on p 15 Yes No 78% 22% Source: IFAwebnews.com poll, May 3-17, 2010 Call us today to meet with one of our Brokerage Representatives 888.513.2300 www.DisabilityQuotes.com Change Service Requested Please deliver between June 28-30, 2010 10600 York Rd. Suite 203 Hunt Valley, MD 21030 DATED MATERIAL Insurance & Financial Advisor PRSRT STD U.S. POSTAGE PAID PHILA PA PERMIT NO. 6438 IFAInsights // Editor’sNote EXCLUSIVE INSIGHTS ONLY AVAILABLE ONLINE The sum is greater than its parts //AgentSuccess SALES Antidote to less revenue could be more marketing There’s gloom and uncertainty in the air, and most insurance agencies are making a terrible mistake right now in their efforts to ride out the tough times. IFAwebnews.com/link/140 SALES Why isn’t disability insurance sold more? IFAwebnews.com/link/139 MOTIVATION Overcoming setbacks, redefining personal success IFAwebnews.com/link/138 SALES Making calls to new referral prospects IFAwebnews.com/link/141 // Top online stories “The Office of National Insurance needs to As insurance trade groups continue to battle for relevancy, they should continue to work more cooperatively. Earlier this year, the Maryland chapters of the National Association of Insurance and Financial Advisors (NAIFA-MD) and the National Association of Health Underwriters (MAHU) jointly funded an independent study showing Maryland’s use of health brokers and brokerages to sell health insurance works better than the Massachusetts Connector. The results benefit both groups. In May, the Council of Insurance Agents and Brokers (CIAB), the Independent Insurance Agents and Brokers of America (Big I), NAIFA and NAHU spoke jointly, saying they fear that a “narrow” definition of medical loss ratios (MLRs) would “adversely impact spending” on health plan activities. NAIFA-MD and MAHU also joined forces on the Maryland Expo, and other groups like the Virginia chapter of NAIFA and the Independent Insurance Agents of Virginia flex great muscle each February with their joint Day on the Hill. Industry groups in Pennsylvania and New Jersey have cooperBob Graham Executive Editor ated as well. In every case, combined efforts expand the opportunities – for education, outreach, attendance, perspectives and networking. But joint efforts are the exception, not the rule. They should become the norm. Lobbying and strategizing together for mutual benefit is not an option, but a necessity. Now, more than ever, the insurance industry must stand as one – strong, loud and clear – against all the threats its practitioners face. be reined in. As passed by the Senate, it | 1 Congress considering COBRA subsidy extension through 2010 | 2 Report: Insurance will stem financial impact of oil spill for BP | 3 Anger against Tenn. insurance agents rises as waters subside looks a whole lot like a new regulator of insurance. As I previously noted, it can preempt state insurance laws and subpoena information from insurers. That Had Democrats not hidden the true cost of the [health care reform] law, we would not be here today voting on another so-called doc fix…” sounds like duplicate regulation to me.” Rep. David Camp - John Lobert, blog post discussing federal insurance reform bill Photo Galleries Calendar of Events Career Center Our team digs deeper than the headlines for insights on what the news really means. Upcoming local events, seminars and other activities. Post your events. Your one-stop shop for CE courses, as well as courses for new designations. IFAwebnews.com/Blogs IFAwebnews.com/Calendar IFAwebnews.com/Career Republican - Michigan explaining his objection to extending COBRA benefits “To put it into perspective, sales in the first three months of 2010 are back to the level measured during the third quarter of 2003.” Ashley Durham Tony Ondrusek Publisher | [email protected] Bob Graham Executive Editor | [email protected] Keith L. Martin News Editor | [email protected] Sharon Schafer Advertising Sales Director [email protected] 2 | Maryland / Washington D.C. Insurance & Financial Advisor 10600 York Rd., Suite 203 Hunt Valley, MD 21030 phone: 877-IFA-5001 / 410-667-0864 fax: 410-667-7977 [email protected] [email protected] New Horizon Group Inc. owns Insurance & Financial Advisor – Maryland/DC Edition, Insurance & Financial Advisor – Virginia Edition and Insurance & Financial Advisor—Pennsylvania/NJ/DE Edition. The paper is free for retail insurance and financial service professionals in these areas. I All content is protected by U.S. copyright law and may not be reproduced, copied or transmitted in any form without permission of the publisher, New Horizon Group Inc. I News, photos and articles are published for free. Submissions may be edited or altered, and become the publisher’s property. The publisher assumes no liability for errors or omissions. senior analyst at LIMRA characterizing the 10% jump in individual life sales In any situation where there is a disaster of significant magnitude, the likelihood of people taking advantage… For some, it is a check they feel entitled to.” Insurance & Financial Advisor Steven A. Rosenthal Director of Insurance Support Services, for California-based RGL Forensics addressing how claims from the Deep Horizon oil spill could increase | IFAwebnews.com July 2010 D.C. regulators continue review of CareFirst surplus Delays hamper determination of whether GHMSI reserves are ‘unreasonably large’ I can! By Keith L. Martin It has been nine months since insurance regulators in Washington, D.C., held a two-day hearing to determine whether the reserves of a CareFirst subsidiary were “unreasonably large,” under its laws. That determination could be on its way. At issue is the $687 million in reserves of Group Hospitalization and Medical Services Inc. (GHMSI), which covers about 150,000 policyholders in the District, 700,000 in Maryland and 300,000 in Northern Virginia as a CareFirst subsidiary. The hearing was to determine by the end of 2009 whether that surplus was outside the scope of District law and therefore needed to be returned to policyholders. After delaying the decision, the D.C. Department of Insurance, Securities and Banking (DISB) said it would put off its findings until “a later date” in order “to appropriately serve the best interests” of its residents. ‘Best possible decision’ That later date could be coming soon, according to DISB Commissioner Gennet Purcell. "DISB continues its in-depth review of the CareFirst surplus to ensure that the agency makes the best possible decision that serves the interests of all parties concerned, most importantly, the residents of the District of Columbia," the commissioner recently told Insurance & Financial Advisor. Part of last year’s delay came with a pair of actions in Maryland: the departure of former Maryland Insurance Commissioner Ralph S. Tyler, who left for a job with the U.S. Food and Drug Administration, and Tyler’s findings that GHMSI’s reserves were “neither unreasonably large nor excessive,” following an investigation. The DISB said it wanted to examine the Maryland findings before making its own determination. Part of Maryland’s findings, conducted by the Invotex Group, advised against apportioning “attributable” funds among Maryland, the District and Virginia, calling such a move “a concept that has no financial meaning, applicability or relevance and should be reconsidered.” IFA Maryland / Washington D.C. I Can Write More Business I Can Earn More Commissions I Can Save My Clients Money I Can Offer the Largest Portfolio of Products I Can Work With the Most Knowledgeable Staff Over Thirty Carriers, Including: How? Insurance Marketing Center IMC has everything you need to sell to your clients! We provide you with ALL of the same rates, plans, products, and compensation you would receive by working directly with the carriers with…NONE of the headaches and delays associated with shopping multiple carriers on your own. IMC works exclusively with and Agents and Brokers. IMC does not sell direct! Brokers earn 100% of commissions, bonuses and special incentives. OurValue-Added Services are the Best in the Industry Our Value-Added Services Rate #1 IMC enhanced online group and individual medical proposal system is available 24/7. IMC staff has in-depth knowledge of products and offers various marketing strategies. IMC marketing professionals are available for presentations and employee meetings. IMC provides in-depth underwriting knowledge and case installation assistance. IMC #1 Wholesaler in the area marketing Consumer Driven Health Plans IMC travel and expatriate international insurance – is available for Individuals/Groups. IMC has competitive products, innovative sales concepts, sales training, workshops, free CE seminars and competitive tools IMC INSURANCE MARKETING CENTER Your One-Stop Broker Resource for Group and Individual Medical Plans Call or email IMC for your next group quote using our online quoting service (301) 468-8888 • (800) IMC-9098 www.imctr.com • [email protected] Insurance & Financial Advisor | IFAwebnews.com July 2010 | 3 Many sources drive Gen Y auto insurance shoppers’ choices Younger consumers seeking guidance online, not by visiting agencies, survey says By Keith L. Martin It seems GenerationY shoppers searching for automobile coverage prefer the advice of their Facebook friends to that of a trained insurance agent. This finding was just one in a new study by J.D. Power & Associates, looking at the shopping habits of an emerging group of prospective customers in the insurance marketplace: customers ages 17 to 33, better known as Generation Y or millennials. Jeremy Bowler, a senior director for J.D. Power and author of the 2010 Insurance Shopping Study, said “having grown up sur- rounded with digital technology” and embracing social media habits through Twitter and Facebook, “the Generation Y shopper has a much more expansive approach to gathering information. “They are much more apt to use multiple sources to conduct that initial search for companies they are interested in getting a quote from,” Bowler said. The study indicates that Generation Y shoppers, when compared to baby boomers, rely in greater numbers on insurance company websites, online quoting services and friends, co-workers and relatives than they do in more traditional methods like direct mail or even a local insurance agency. The study also shows that Generation Y shoppers require information and validation from four sources, on average, versus the 2.3 sources used by older shoppers. Redefining the ‘trusted advisor’ role boomers for nearly a decade, but are new to Generation Y shoppers. One similarity among age groups in the study, however, is that “there is no clear winner” in terms of satisfaction by distribution model for policies. “That mix or blending of channels is continuing to progress over last couple of Bowler told Insurance & Financial Advisor that right now, about 41% of Generation Y auto shoppers are buying direct and // Courting consumers the influence of counsel from friends and The 2010 Insurance Shopping Survey by J.D. Power indicates family is “very signifivast differences in sources of information used when shopping cant” in their purchasfor auto insurance among Generation Y and Baby Boomers. ing behavior. Insurance company websites “I think the trusted 58% advisor role that agents 46% have served for GeneraFriends/Co-workers/Relatives tion Y’s parents is still a 44% need Generation Y is ex31% hibiting and will continue to exhibit,” he Advertising said. “The question is 32% whether the Generation 22% Y shopper is going to Local insurance agency in your community make the time to visit an 21% agent. And I don’t think 30% the traditional agency Direct mail service model necessarPercentage of Shoppers ily is the answer.” 7% Generation Y The challenge for Baby Boomers 11% agents, Bowler added, Source: J.D. Power & Associates is to figure out “how to deliver that trusted advice in a fashion” that suits Generation years and what we are seeing is the growY shoppers. The study points to insurers ing proportion of Generation Y shoppers increasing their presence on social media preferring self-service channels really sites like Twitter and Facebook. Agents helping to drive that changing mix in the must follow that course to penetrate what marketplace,” he said. IFA Bowler calls the “social media-sphere.” In that realm, he said, the typical conver// RECOGNITION sation begins with users indicating they are thinking about a particular brand, with a Erie Ins. claims third straight thread conversation emerging with input customer satisfaction award from others, typically relating experiences, pricing and other factors. For the third consecutive year, Erie Insurance has finished first in customer satShorter ties mean lower loyalty isfaction among auto insurance shoppers “The Generation Y shopper is looking in a study by J.D. Power and Associates. Erie, which operates in 11 states, into make their own decision, but want all the information they can gather quickly,” cluding Maryland, Pennsylvania and Virhe said. “For the agent, how do you be- ginia, as well as Washington, D.C., earned come relevant in that [media-sphere] is the award in the 2010 Insurance Shopping Study, which evaluates the experience of the challenge. Bowler added that Generation Y shop- customers purchasing a new auto insurpers are also more likely to swap carriers, ance policy. Erie scored 886 in customer satisfaction showing less loyalty than older shoppers. Part of the loyalty issue, he said, is “lack on a 1,000-point scale. The industry averof tenure” among agents who’ve served age was 851 out of 1,000 points. The HartGeneration X, ages 24 to 44, and baby ford ranked second overall. IFA 4 | Maryland / Washington D.C. Insurance & Financial Advisor | IFAwebnews.com July 2010 Rope in more profits! 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Our large size and high volume are matched with service and security to make us the ideal partner to help you grow your group health business Learn how EBCA can help you increase sales, while saving you time, expenses and administrative paperwork. Call our Broker Service Hotline to discover the details of our Broker Partner benefits. 888-367-3222 Employee Benefit Corporation of America The Broker’s Professional Broker Locations in Metropolitan D.C., Virginia, and now in the Baltimore region! 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 EBCA maintains close ties with 17 major carriers, with excellent group choices and rates. Maryland / Washington D.C. Insurance & Financial Advisor | IFAwebnews.com July 2010 | 5 Property-casualty unit spurs 45% jump in first-quarter revenue for ULLICO D.C. holding company experiences ‘outstanding’ period, executive says By Bob Graham ULLICO, a Washington, D.C.-based multi-line holding company for insurance and financial service products, was in the black in the first quarter, an improvement in its position in the red one year ago. The company reported Edward McElroy pre-tax operating income of $3.7 million for the quarter ending March 31, an increase from the loss of $2.5 million it reported for the same quarter in 2009. “From both a revenue and earnings perspective, ULLICO once again had an outstanding quarter,” said Edward McElroy, ULLICO’s chief executive officer, in a statement. ULLICO’s property-casualty business operations had pre-tax earnings of $3.6 million, an increase from the $1.7 million reported in the first quarter last year. But revenue soared, rising 45%, to $29.8 mil- lion. Company officials said successful expansion of its workers’ compensation, commercial and surety lines led the increase in both revenue and earnings, while even its core fiduciary and union liability products had revenue and earnings growth for the quarter. The company said it generated net income of $2.4 million, compared to a net loss of $1.7 million for the same period last year. Its life and health business unit fueled the improvement, contributing $3.3 million in pre-tax earnings (up from $2.5 million last year). Its earnings benefited from favorable underwriting results in the medical stop-loss line. Revenue was flat, at $36.9 million, compared to $36.7 million for the same period in 2009. The investment services unit, which includes ULLICO’s Real Estate Investment Group, contributed pre-tax earnings of $3.4 million, compared to $600,000 for the same period last year. Total premium and fee revenue for the quarter was $77.3 million, a 12% increase company officials attributed to the property-casualty operations. IFA Not Only 30 Insurance Carriers... NewProducts For more go to IFAwebnews.com/Products Privacy, network protection policies see new enhancements ACE USA incorporated new enhancements to its DigiTech and Privacy Protection policies, providing privacy, network security and media liability coverage for all industries. PropertyCasualty The policies now include access to ACE’s Data Breach Team, a pool of independent third-party professional service providers who have the capabilities and experience to help organizations and businesses execute their data breach response, according to the Philadelphia-based company. ACE policyholders now have access and can be referred to a panel of legal, computer forensic, notification, call center, public relations, crisis communications, fraud consultation, credit monitoring and identity restoration firms through ACE. Hospitals, clinics see new coverage options from insurer Zurich North America Commercial unveiled its new, Z-Rx Insurance Solutions, offering 27 healthcare coverages, including professional liability, general liability, security and privacy and management liability products. Health Insurance The Illinois-based provider of medical malpractice coverages said the offering also includes access to special product endorsements, including eDiscovery services; the ability to add travel accident coverage to primary and umbrella HPL policies; and 30 risk management services for hospitals. …30 Years of finding your clients the most competitive solution. We have the experience to vet the 30 carriers to find the best product for your client. • Shopping Medical History • Jumbo Case Underwriting • Financial Underwriting • Estate Planning • Whole Life • Annuities • Long-Term Care Insurance • Hybrid LTC w/Life or Annuity • Disability Income 800-229-9020 :: www.bsibroker.com 6 | Maryland / Washington D.C. Insurer expands offerings to group product market Aflac announced that a new acquisition has allowed it to offer voluntary group benefits to companies with as few as 100 employees. Employee Benefits The Georgia-based company said the acquisition of group benefits provider Continental American Insurance Co., now operating under the Aflac brand, allows it to offer both individual and group plans to a wider range of employers at no direct cost – providing employees with additional choices for their benefits packages. The expansion means companies with just 100 employees can now offer the insurer’s Insurance & Financial Advisor | IFAwebnews.com suite of group and individual voluntary plans, including accident, critical illness, disability and life insurance policies. Employers can also offer cafeteria plans, retirement plan services, innovative enrollment options and administrative solutions that offer cost and tax savings for both employers and employees, the company said. Agents’ group rolls out expanded laptop protection product The National Association of Professional Insurance Agents (PIA National) announced, through its partnership with MobileSecure, the national offering of the company’s Data Protective Services product. PropertyCasualty Data Protective Services is an expansion of the previously released Laptop Protective Services, to respond to requests from member agencies to provide coverage for both desktop and laptop computers, according to the Washington, D.C.-based group. PIA National said it recognizes that use of both desktops and laptops in the course of everyday insurance business is the norm for most of its members, yet companies have limited time and resources to dedicate to data security. LTC LaunchPad aims at streamlining applications American General Life Cos. introduced LTC LaunchPad, a tool it calls a streamlined, automated application process for its longterm care insurance. Life Insurance The web-based tool is designed to help producers complete and submit the proper forms and shorten producers’ requirements for field underwriting, according to the Texas-based company. LTC LaunchPad consists of a three step process. First, producers use American General’s eConnections to generate an illustration with customized proposals. Second, after benefit choices are finalized and a brief questionnaire is answered, LTC LaunchPad automatically populates required forms. Third, once the forms are completed, a registered nurse contacts the client to gather information to complete the application and begin the underwriting process, according to the company. July 2010 Paid Advertisement Workplace Wellness A lthough workplace wellness programs have been offered to employer groups with 2 or more employees for several years, many employers Subramaniam have not taken advantage Shekar Associate Vice President of them. One reason is CareFirst BlueCross BlueShield that workplace wellness has not been heavily promoted, especially in small groups with fewer than 99 employees. Why should employers consider a Workplace Wellness strategy? Most employers are desperately looking sound workplace wellness strategies. Strategic wellness programs should include some or all of the following elements: • Health risk assessments • Health screenings • Medical management programs, including disease management, case management and utilization management • Online or telephonic coaching to assist in weight loss, smoking cessation, cholesterol reduction and lowering of hypertension • Workplace exercise programs • Onsite health-related seminars and screenings As a means to lowering costs, workplace wellness programs are often overlooked. for new ways to reduce their overall health care expenses. Some seek to limit their costs by increasing their employees’ co-pays, coinsurance and deductibles. Others have switched from more expensive PPO plans to HMO-based plans. Most recently, a growing number of employers have opted for Consumer Driven Health Plans, which increase cost sharing for their employees. As a means to lowering costs, workplace wellness programs are often overlooked. While wellness programs don’t immediately produce lower premiums, employers often fail to consider that over the long term, a strategic wellness program that’s integrated with an organization’s culture can stabilize health care expenses and help limit future premium increases. Brokers may be missing an opportunity to play an instrumental role in developing wellness programs for their clients. By working together with the health plan and the employer, a broker can be the catalyst for change that will ultimately make the difference in making health care more affordable. Like many health insurers, CareFirst BlueCross BlueShield (CareFirst) offers wellness programs for most small groups at no additional cost. In fact, rich information is often available on health plan web sites. CareFirst, for example, offers monthly webinars developed specifically to assist employers in developing Maryland / Washington D.C. W h a t c a n w or k p l a c e w e l l n e ss m e a n t o e m plo ye e s an d bu s i n e s s e s ? • Healthier employees are more productive • Healthier employees are more likely to be on the job rather than absent from work • Healthier employees improve overall workplace morale • Healthier employees are less likely to require costly health care services • Health conditions can be identified, monitored and managed before they become more serious • Healthier employees ultimately result in a healthier employer group that can help maintain more stable premiums over time. Employees leading healthy, active lifestyles generally have lower out-of-pocket costs. • Information and resources on how to adopt a “culture of health” by addressing the workplace environment issues and policies to promote healthy behaviors One of the easiest and most effective ways to identify employee health risks is to take advantage of your insurer’s health risk assessment program. The steps to a successful health risk assessment initiative are simple: 1. Employees complete an online health risk assessment questionnaire 2. An online report is generated that outlines all the health risks faced by that employee 3. Based on the results, the employee may qualify for personal coaching and assistance, can be encouraged to work with his/her physician to initiate a personal treatment plan, or be directed to available online resources to help maintain their good health For employees with serious health concerns, most health plans offer disease man- agement programs through which employees are contacted by care coordinators to assist them in managing their illness in conjunction with their physician. By taking these first steps, employees who are at high risk are better positioned to effectively manage their condition. Many employees have found these services helpful in taking positive steps to improve their health, such as lowering cholesterol or hypertension – which if left untreated may lead to major health complications. In addition, wellness programs can help motivate and inform healthy individuals to maintain their good health and, in the process, help control health care costs. A well-planned,integrated workplace wellness program can be effective in addressing the root causes of health conditions before they become more serious.Wellness plans also support individual and organizational behavioral changes that motivate,inform and educate employees on how they can lead healthier and more active lifestyles. This summer, CareFirst will introduce HealthyBlue, the next generation of health plans, whereby members are rewarded for improving and maintaining their health. I will share more about this exciting program in an upcoming issue. Shekar Subramaniam is the Associate Vice President for Broker Sales at CareFirst BlueCross BlueShield. CareFirst offers wellness programs at no additional cost to employers with fewer than 200 employees. Contact your broker or CareFirst representative or visit our website at www.carefirst.com/workplacewellness today to take advantage of wellness plans that are recognized as among the best in the region. More to feel good about. SM An independent licensee of the Blue Cross and Blue Shield Association. Insurance & Financial Advisor | IFAwebnews.com July 2010 | 7 D.C. forms committee for federal health reform implementation notablenews 2010 Maryland State Expo The Maryland Association of Health Underwriters (MAHU) and the National Association of Insurance and Financial Advisors of Maryland (NAIFA) hosted their 7th annual joint Maryland State Expo at the Turf Valley Resort in Ellicott City. The event featured a golf outing, awards dinner, continuing education seminars, a legislative update featuring Acting Insurance Commissioner Beth Sammis, networking and a vendor trade fair. In the accompanying photo, NAIFA-MD President Tammy Gladstone presents the IFA-PAC Award to Michael Garrity of NAIFA-Harford/Cecil. For more photos, visit the Photo Gallery at IFAwebnews.com. Send photos of your company events and happenings: [email protected] Brokers Have Always Worn More Than One Hat. BenefitMall Payroll Exchange makes it easier than ever before. Today’s companies want more than insurance —they want employer services from a single source. That not only leaves them more time to focus on their business, but it makes you, the Broker, an even more valuable resource for them. With BenefitMall, you can offer the best and latest insurance plans from top carriers, plus HR products that make life easier for your clients— and add to your earnings. Introducing... Now you can offer payroll services through BenefitMall Payroll Exchange. It’s secure and easy to use, plus it integrates with our online enrollment and employee services system for a single-source solution. Be more versatile—and more valuable— with BenefitMall. Ready to offer more products and services to your clients? Hats off to you! Give us a call at (410) 512-3840 or toll-free at (877) 297-0911. ©2010 BenefitMall®. All rights reserved. BenefitMall, the circle “b” logo and the corporate logo are registered trademarks of Centerstone Insurance and Financial Services, Inc. California license #063979. 8 | Maryland / Washington D.C. Insurance & Financial Advisor | IFAwebnews.com Experts to provide Mayor Fenty with interpretation of what law means Following the lead of several states across the nation, Washington, D.C., has assembled a group of subject experts, including insurance, to help interpret the impact of the Patient Protection and Affordable Care Act. D.C. Mayor Adrian Fenty has established a Gennet Purcell Health Reform Implementation Committee, co-chaired by Gennet Purcell, commissioner for the District’s Department of Insurance, Securities and Banking (DISB), and Julie Hudman, director of the D.C. Department of Health Care Finance. The committee will advise Fenty on implementation of health reform guidelines and coordinate its execution in the District, according to a statement from the DISB. “This reform has the power to affect many District families – including our most vulnerable seniors and low-income residents – and DISB will work with the other agencies on the committee to be diligent, effective and efficient about its implementation,” said Purcell in a statement. “Our staff has been studying the law, coordinating with others, and is ready to work on putting in place the benefits that will provide greater access to quality affordable health care for all District residents.” Also serving on the committee are District Department of Health Director Pierre Vigilance and Department of Human Services Director Clarence Carter. IFA // EDUCATION Insurance Society seeking registrants for fall courses The Insurance Society of Baltimore is accepting registration for its fall class schedule. Classes planned include the CPCU program, general insurance and several designation programs from the American Institute for Chartered Property and Casualty Underwriters. For more information, visit the organization’s website at www.isob.org, or call 410-420-6633. IFA July 2010 // REGULATION Md. agent working for GEICO loses license for falsifying her insurance application By Bob Graham A former agent of the Government Employees Insurance Co. (GEICO) had her insurance license revoked for providing inaccurate information on her insurance application to obtain more favorable rates, according to the Maryland Insurance Administration. Jeanette G. Desruisseaux, of Norfolk, Va., was terminated from her job with GEICO because she “used fraudulent or dishonest practices and demonstrated untrustworthiness in the conduct of the business of insurance,” according to an April 9, 2009, letter to the MIA from GEICO. GEICO said in the letter that Desruisseaux provided incorrect, misleading and untrue information on her insurance application for her personal vehicle so she could obtain more favorable rates not appropriate for the risk, records show. In July 2009, Desruisseaux told the MIA she would surrender her license, but never followed up with state regulators. As a result, the MIA revoked her license Feb. 8. She had obtained a non-resident insurance agent’s license in Maryland in May 2008. IFA //LOCAL LINE Banner Life prepping for its relocation to Urbana By this time next year, Banner Life Insurance Co. should be moving into its new office center in Urbana, Md. The company recently held a reception at the site of their new headquarters. The company plans to spend $33 million to relocate 400 employees from Rockville, according to the Frederick News-Post. Frank T. Gencarelli, vice president of the insurer, said more than half of the company’s employees live closer to Urbana than Rockville, and the new location will “give us a better place for our customers,” in terms of space for education and interaction with staff, according to the report. The new office center will be two roughly 60,000 square-foot buildings with a center courtyard, designed so it can be expanded in the future. IFA Underwriting Your Success SM GIVING PROPERTY OWNERS CONFIDENCE TO BUILD UPON. Years ago, Mike Serluco had a national company insuring his growing property development business. “But they go the way the wind blows,” he says. Then Independent Agent Don Kingsbury, of Christian Baker Insurance Agency, Lemoyne, suggested a local insurer with a stronger commitment to building owners – Millers. “It’s very, very important for an investor to have an insurance partner, and that’s what I call Millers,” Mike says. With the few insurance claims he’s had, “Bing, bam, boom – it’s done and taken care of.” Adds Kingsbury, “With Millers, they actually listen to what you have to say. And not only do they know this industry, they offer package policies at a good price, and they back it up with excellent claims service.” Smart business people, independent agents and Millers...truly partners in protection. .*--&34.656"-(3061t/'SPOU4U)BSSJTCVSH1"t'BYtNJMMFSTJOTVSBODFDPN *OTVSJOHZPVSCVTJOFTTUISPVHI.JMMFST$BQJUBM*OTVSBODF$PNQBOZ *OTVSJOH-JHIU.BOVGBDUVSJOHt0GGJDFTt4NBMM3FTUBVSBOUTt3FUBJM4UPSFTt4USJQ.BMMTt"QBSUNFOU#VJMEJOHT Online CE. At your pace, at your desk. IFAwebnews.com/Career Maryland / Washington D.C. Insurance & Financial Advisor | IFAwebnews.com July 2010 | 9 On the Hill News From The Nation’s Capitol We Work For Your Benefit. New at Dominion New PPO Plans - More products, more features and more competitive premium rates for groups of any size. New Vision Plans - Dominion is the single source for excellent dental and vision1 plans. Growing Networks - More participating dentists are available where you need them. Dominion networks have grown over 24% in the past year.2 Contact our Group Service Center at 877-559-9624 or [email protected] for a quote or to enroll a group today! DominionDental.com 1 Vision plans are underwritten by Security Life Insurance Company of America, and are marketed and administered by Dominion Dental Services USA, Inc. 2 Dominion Dental Services, Inc. Internal Performance Report, 2009. This communication is not intended for presentation, distribution, or dissemination to the public, and is for internal use by sales agents/brokers ONLY. Congressmen praise health reform’s tax credit for small biz The heads of the U.S. House Ways and Means Committee say new federal guidelines for small businesses to provide health insurance will help expand coverage. As part of the Patient Protection and Affordable Care Act, $40 billion in tax credits are available for small business to help offer health coverage for employees. More than 4 million firms are eligible, according to the U.S. Treasury Department. Starting Jan. 1, the sliding-scale credit was worth up to 35% of a small business’ premium costs this year. It will rise to 50% in 2014. House Ways and Means Committee Chairman Sander Levin (D-Mich.) said the tax credit “is an important, immediate provision that frees up resources for future growth and job creation at Sander Levin those small businesses offering insurance.” Rep. Pete Stark (D-Calif.), chairman of the Ways and Means Health Subcommittee, added that one-third of the nation’s uninsured works for small businesses. “These tax credits will expand coverage by helping small businesses provide health care for their employees,” Stark said. PCI tells House panel credit scores ‘most’ accurate factor The Property Casualty Insurers Association of America recently told a House panel that credit information is “one of the most, if not the most,” accurate factors in the underwriting and rating of insurance. Alex Hageli, director of personal lines for PCI, made the statement to the U.S. House of Representatives Financial Services Committee’s Subcommittee on Financial Institutions and Consumer Credit. The panel recently held a hearing on the use of credit information beyond lending. Hageli said using credit information “not only allows for more accurate pricing, it saves many consumers money on their automobile and homeowners’ insurance 10 | Maryland / Washington D.C. Insurance & Financial Advisor | IFAwebnews.com policies.” The group, which advocated against restrictions on the use of credit information, promotes educational efforts for consumers. Minorities, women in financial services addressed in new bill The under-representation of minorities and women in the financial services industry will get greater attention under proposed provisions in Congress’ financial reform legislation. Rep. Maxine Waters (DCalif.), along with the other nine members of the Congressional Black Caucus, fought for the inclusion of a provision to establish an Office of Minority and Women Inclusion at each Maxine Waters of the federal banking agencies and the Consumer Financial Protection Agency in H.R. 4173, the Wall Street Reform and Consumer Protection Act of 2009. A pair of senators have offered a similar amendment to the Senate’s version of the House bill, to be reconciled soon. Waters recently convened a hearing to establish “a definitive hearing record” on under-representation in the industry, “the challenges facing minority- and womenowned businesses in contracting with our financial services agencies, and the need for an Office of Minority and Women Inclusion to effectively address these challenges,” she said the provision will address. Small business group joins states in fighting health reform A national small business group joined 20 states in challenging the constitutionality of the Patient Protection and Affordable Care Act, highlighting measures under federal health reform it says could “devastate” its members. The National Federation of Independent Business (NFIB), a non-profit group representing small and independent businesses, joined the effort as part of its mission to “promote and protect the rights of small businesses and the self-employed to own, operate and grow their businesses,” according to a statement by CEO Dan Danner. July 2010 Advisors fight confusion when promoting annuities to their clients With retirement planning growing, better avenues of discussion are sought Drinkwater, associate managing director of LIMRA Retirement Research. Financial advisors, seeing an increase in their retirement income planning business, want more information about annuities and how they can help their clients. The apparent disconnect between financial service professionals and the marketing of guaranteed income products could be acute, as financial service professionals told LIMRA that the majority of their retiree and pre-retiree clients do not use the instruments. “Most advisors said that retirement income planning is taking a more prominent role in their practices,” said Matthew ‘Holistic retirement planning’ He said advisors “expressed a desire for simpler, more transparent products that they could understand and explain to their clients.” He added that they “welcomed education and training to learn more about holistic retirement planning but not for the expressed purpose of obtaining another designation.” Drinkwater said advisors were clear: They don’t want to be sold to, but are interested in learning more about how certain products can address the needs of their clients. Exactly 56% of advisors surveyed in September 2009 and October 2009 said they expect retirement income planning to increase within the next year. are requesting retirement income planning, according to researchers. In LIMRA’s focus groups, advisors said that guaranteed income products are a Advisors seek ‘simpler, more transparent products’ they can understand and explain to customers, according to LIMRA. In focus group research earlier this year, advisors said the emphasis on financial planning is increasing as more of their clients are nearing or entering retirement. Spurred by the economic downturn, clients fear they will not have enough money to last throughout their lifetime and growing area of focus but are currently only used for a minority of retiree and pre-retiree clients. Most clients are seeking “dependability” and “stability” but generally do not request guarantees. Advisors report the word “guarantee” generates skepticism and questions from some clients. 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Members don’t need to choose a primary care physician and they don’t need referrals for specialist services. Log onto www.chcde.com Financial Strength and Stability. Our parent company – Coventry Health Care, Inc. based in Bethesda Maryland is a part of the Standard and Poor’s 500 index (the S&P 500). www.chcde.com Debbie Gough 6ICE0RESIDENT3ALESAND!CCOUNT-ANAGEMENT Coventry Health Care, Inc. Tel: 410-910-7139 * From group to individual plans. Maryland / Washington D.C. s Insurance & Financial Advisor © 2007 Coventry Health Care of Delaware, Inc. | IFAwebnews.com July 2010 | 11 // OUTREACH PeopleNews Saudi Arabian insurance regulator shadows MIA for five weeks A Saudi Arabian insurance regulator spent five weeks at the Maryland Insurance Administration, learning about its operations and procedures. The intern, Abdulmoshen Alhammad, an insurance supervisor from the Saudi Arabian Monetary Agency, was sent to the MIA as part of the National Association of Insurance Commissioner’s (NAIC) International Internship Program. In Saudi Arabia, Alhammad is responsible for the oversight of some 30 insurance companies and focuses on health insurance. “It is my hope that Mr. Alhammad will be able to gain valuable experience while in Maryland that can help him and his colleagues shape the future of the Saudi Ara- bian regulatory system,” said Beth Sammis, acting Maryland insurance commissioner, in a statement. “As we in America see significant shift in the future of health insurance regulation, I believe Mr. Alhammad will be provided a rare look at the inner workings of our structure.” Alhammad, whose visit ended May 21, spent time with specific units within the MIA, where he was briefed on their functions and procedures. He also explored how Maryland regulates insurance from rates and forms to market conduct and company and producer licensing. He also toured several domestic insurance companies to view several different structures operating in the state. IFA New eyes. New reach. New exposure. Reach even more insurance agencies and retail financial service offices throughout the mid-Atlantic region. • Expansion throughout all of Pennsylvania • Increasing circulation in Maryland and Virginia • Relaunched website with more news and features See what’s new. In print, email and online. Call 877-IFA-5001 Insurance & Financial Advisor L. John Pearson, chairman of Baltimore Mutual Life Insurance Co., is the 2010 recipient of the American Council of Life Insurers Forum 500’s Distinguished Service Award, presented to L. John Pearson an individual whose work has greatly contributed to the life insurance industry, especially to small- and mediumsized life insurance companies, which the Forum 500 represents. Clifford Sawyer, an insurance agent with the Baltimore Life Insurance Co., recently received the Entrepreneurial Leadership Award from The National Organization of Sierra Leoneans in North Clifford Sawyer America (NOSLINA). The award is the organization’s highest honor for positive engagement with the community in ways that have benefited Sierra Leoneans. Thomas Phelan, president and CEO of Baltimore-based IWIF Workers’ Compensation Insurance, was elected president of Kids’ Chance of Maryland, an educational scholarship fund for Thomas Phelan children of Maryland workers who are fatally or catastrophically injured on the job. Ray Sweet joined regional firm PSA Insurance and Financial Services as chief financial officer, bringing more than 25 years of domestic international experience in finance, operations and business Ray Sweet management to PSA. Nate Evans, president and CEO of Maple Life Financial in Bethesda, Md., and Michael Fasano, president of Fasano Associates in Washington, D.C., joined the board of the Life Insurance Settlement Association. Wayne Silverman joined Dominion Dental Services as dental director and Scott Kranzel joined the benefits provider as vice president of sales. 12 | Maryland / Washington D.C. Insurance & Financial Advisor | IFAwebnews.com Brenda Myers, co-owner of Interstate Financial Services in Westminster, Md., was awarded membership into the Million Dollar Round Table for 2010 as a Qualifying Member. Myers also Brenda Myers serves as a board member and community service chairperson for the National Association of Insurance & Financial Advisors - Carroll/Howard. Daryl S. Brockman, president and CEO of Signature Financial Partners, with offices in Baltimore and Bethesda, Md., was recently recognized by John Hancock Daryl S. Financial Network with Brockman the Leading in Excellence Award. The award recognizes outstanding leadership in building and growing a successful financial services organization and other accomplishments. Tim Schoeffler joined the Gaithersburg, Md., office of CIC Wealth Management Group as vice president of wealth management. Scott Hewitt was named vice president of the Balti- Tim Schoeffler more branch of CNA Financial. Send Your News! The easiest way to submit events is online: IFAwebnews.com/submit-news/ // LOCAL LINE O.C. wants no unemployment benefits for seasonal workers Ocean City (Md.) Council members are considering asking the state to eliminate unemployment benefits to seasonal workers. Councilman Joseph Hall told the Daily Times newspaper that halting unemployment benefits for seasonal workers might force employers to raise wages for all seasonal workers, according to the report. But Town Attorney Guy Ayres said Deep Creek Lake and other resorts may benefit. IFA July 2010 Maryland preps for ‘first phase’ of federal health care reform Regional health insurance exchange, greater coverage penalty rebuffed By Keith L. Martin With the guidelines of federal health reform slowly being unveiled, how the new law will look in Maryland is beginning to take shape. Beth Sammis, Maryland’s acting insurance commissioner, said like other states, Maryland is awaiting federal guidance on issues ranging from medical loss ratio to health insurance exchanges, but at the same time taking the right steps with the creation of a Health Care Reform Council and other collaborative efforts. “A lot of agencies will be touched by this bill and our government [in Maryland] is right to bring us all together,” Sammis said. “This is the right direction for Maryland as a state.” Sammis’ comments came at the Maryland State Expo, a conference co-sponsored by the Maryland Association of Health Underwriters (MAHU) and NAIFA-Maryland. As an insurance regulator, Sammis also noted her role as part of the National Association of Insurance Commissioners in working with federal officials to provide recommendations and guidance on the insurance industry. “The truth is, if you look at the banking bill and the health insurance bill, there is a new relationship with the federal government and states on insurance,” she said. “The federal government doesn’t know about insurance…but it will learn. I do not think it is right those who run our country know very, very little of one of the major sources of investment in this country.” Getting off on the right foot Sammis said the question is how both states and insurance commissioners help things along in the “first phase” of health reform. “This will set the tone on how we go forward with the federal government…so we need to get organized on the state level,” she said. “There is a lot to do.” Sammis said state regulators need to find “the floor” established by the U.S. Department of Health and Human Services (HHS) on various reform initiatives, including medical loss ratio for insurers and how to enforce the individual mandate to secure private insurance by 2014. On the latter point, Sammis said as a state, Maryland needs to decide if the penalty for failure to secure private inMaryland / Washington D.C. surance by 2014 – $695 per person or a portion of household income – “is efficient or should we do more.” Bryson Popham, the lobbyist for NAIFA-Maryland and MAHU, inquired whether Sammis would consider adding additional penalties on top of the federal definition. “We could,” Sammis Bryson Popham said. “ I don’t know how feasible it is and it would be a tough sell at the moment.…Regarding the penalties, you have those who want to buy [insurance] and just need a nudge and that’s what the penalty does. Others will never buy [insurance], so in terms of the penalty, I’m not sure we need to go beyond the [federal] level.” of Health Underwriters, said right now, there are two such entities “in name only. Among issues to resolve is whether penalty for not obtaining coverage is enough for state. Another area where Maryland could make adjustments under federal reform is in the creation of its health insurance exchange, a marketplace for individuals and small businesses to buy coverage beginning in 2014. Adam Brackemyre, director of state affairs for Adam the National Association Brackemyre “Massachusetts has a brick and mortar one with a physical building…and Utah has a virtual one or what we call a ‘Travelocity’ model where you just go online,” he said. Brackemyre added that states have the option of setting up their own exchanges or joining with other jurisdictions for more of a regional approach. Sammis did not indicate her preference on how Maryland’s may be set up. IFA A cookie cutter approach is no way to buy benefits. Every client has different benefits needs. That’s why GBS brings you innovative ingredients for creating truly customized solutions. From diverse self-funded plans to new carrier choices to integrated payroll services, why not treat every client to a strategy developed just for them? • Broad carrier choices, including CareFirst BlueCross BlueShield, UnitedHealthcare, Aetna, Kaiser and Coventry • Innovative self-funded plans, including HSA/HRA • Payroll services, integrated workers compensation, 401(k), HR services • Expert guidance in a changing benefits landscape Insurance & Financial Advisor | IFAwebnews.com The most creative minds in benefits. Hunt Valley, Maryland 800.638.6085 Rockville, Maryland 800.359.9065 www.gbsio.net | email: [email protected] July 2010 | 13 // REGULATORY ACTION LEGALBRIEFS Maryland regulators suspend insolvent Oklahoma insurer By Keith L. Martin The Maryland Insurance Administration ordered the end of new and renewal business for an Oklahoma insurer recently forced into liquidation. In a recent order, acting Maryland Insurance Commissioner Beth Sammis suspended Imperial Casualty and Indemnity Co. after an Oklahoma County District Court judge turned over control of Imperial Casualty to state insurance regulators. The judge acted after its controlling stockholders agreed to the liquidation. In her order, Sammis notes that Mary- land insurance law requires Imperial Casualty to maintain capital stock totaling at least $750,000 and maintain a surplus at the same amount. Given the liquidation order and receivership by Oklahoma regulators, Sammis found that Imperial Casualty no longer meets the state requirement “because it is insolvent and in a condition that renders further transaction of insurance business hazardous to its policyholders or the public.” Imperial Casualty issued casualty, marine, workers’ compensation and other coverage in Maryland and 46 other states. IFA // NEW PRODUCT ‘Green’ endorsement available for commercial properties The Mutual Service Office has introduced a Green Upgrade Supplemental Coverage endorsement for its commercial property program, in response to the trend toward more energy-efficient and environmentally friendly products. The Glen Rock, N.J-based company’s new offering features an additional limit (available in 5% increments of the Coverage A limit) for the increased costs to repair or replace damaged property with “green” property that meets the standard of a “green authority,” according to a MSO statement. MSO’s Green Endorsement is currently available in Pennsylvania and Maryland, with filings pending in Delaware, New Jersey and New York, where the company operates. The endorsement also features a sublimit of 25% of the additional amount of coverage for green related costs. IFA News from the federal and state courts. Texas agent convicted in $3.8 million fraud scheme A Texas insurance agent could spend up to 20 years in state prison after a jury recently found him guilty of selling a local hospital two fake and two altered hurricane insurance policies. PropertyCasualty Michael N. Swetnam Jr., 46, of Harlingen, Texas, was convicted on three counts of mail fraud after selling the policies in return for $3.8 million in payments, according to the U.S. Attorney’s Office in Texas. He was a licensed insurance agent with Smith-Regan Insurance, a firm with a long relationship with Valley Baptist Hospital, a South Texas medical provider. The former agent decided to add a $1 million fee to a Zurich policy with evidence in court indicating that Zurich sent the original policy and he altered it to include the fee, which the hospital paid twice, generating another $2 million for Swetnam. Swetnam argued he had the ability to change the Zurich policies as he was a managing general agent, but Zurich had no record of this agreement. Officials nab Medicare fraud fugitive in Fla. after two years A man accused by federal officials of conspiring to submit $10.9 million in false and fraudulent claims to Medicare recently surrendered to FBI agents upon his arrival at Miami International Airport. Health Insurance The Departments of Justice and Health and Human Services said Jose Garcia, 55, surrendered himself to agents after evading capture since 2008. Two years ago, Garcia and co-defendant Nayda Freire were charged with conspiring to submit the phony claims between April and November 2003 for HIV infusion services allegedly provided at Global Med-Care Corp., a clinic the pair operated, officials said. Garcia, Freire and their co-conspirators allegedly retained and trained both physicians and physicians’ assistants as part of the scheme at their clinic to make it seem like legitimate HIV infusion and medical services were being provided. An indictment alleges that the duo laundered the proceeds of their crimes by sending the money to sham management and marketing companies owned and controlled by their co-conspirators. Mass. firms reach settlement over at-fault accident reports Four more auto insurers have reached a settlement with the Massachusetts attorney general to correct thousands of driving records as officials now turn their attention to the use of private databases for rating purposes. PropertyCasualty Jim Van Eperen, General Agent, and The Washington Group Staff are Proud to Announce Significant Additions to Our Management Team: Howard Liebowitz, Phil Cho, Brokerage Director Sales Manager Jim Hegel, Michelle Hughes, Brokerage Director Sales Manager Kenneth Van Valkenburgh, Michael Hincewicz, Sales Manager Sales Manager www.financialstrength.com (301) 581-7200 Contact The Washington Group to learn how our team can help take your practice to the next level. The Washington Group is a general agency of Massachusetts Mutual Life Insurance Company (MassMutual) with offices located throughout the Mid-Atlantic region. The Washington Group is headquartered at 6500 Rock Spring Drive, Suite 400, Bethesda, MD 20817. 14 | Maryland / Washington D.C. Massachusetts Attorney General Martha Coakley announced a deal with Arbella Mutual Insurance Co., Norfolk & Dedham Mutual Fire Insurance Co., United Services Automobile Association (USAA) and Electric Insurance Co., related to alleged violations of a state board of appeal enforcement initiative. Coakley reached similar settlements with six other companies earlier this year. The insurers were accused of violating the state’s 2009 board of appeal statue by failing to correct at-fault accident findings reported to private data collection companies after those atfault accident findings were overturned by the board. Former agent sentenced to prison for defrauding clients A former Ohio insurance agent, who fled the country after his indictment on 27 felony charges, was sentenced to seven years in state prison after taking $685,000 in unauthorized loans from his clients, including his own grandmother. Life Insurance Damon Bryan, 41, received his sentence in Medina County Common Pleas Court after pleading guilty to nine counts of felony theft, which included theft from the elderly, according to the Ohio Department of Insurance. In 2007, state regulators found that Bryan took $685,000 from the annuity policies of nine clients of his Medina firm, deposited the funds into his own account and used the money for his own purposes. The Medina Gazette said those items included a camper and a boat, tickets to see the Cleveland Cavaliers, electronics and other items. All of Bryan’s victims were elderly and all but one – his grandmother who lives in Nebraska – were from Northeast Ohio. Insurance & Financial Advisor For the latest Legal news go to IFAwebnews.com/Record | IFAwebnews.com July 2010 Women: Retirement worries greater Eighty-one percent of women indicated they want a product that provides guaranteed income for life regardless of market performance. The survey also indicated a rise in the number of women working with a financial professional. Among the majority of women surveyed, representing ages 35 to 70, 58% have a primary financial profes- From page 1 of living declining as top concerns. Six in 10 women and men also indicated they found investing in equities important in reaching their retirement goals, yet 60% of women noted they were not confident investing in equities was a good idea and nearly 50% indicated a lack of confidence in their ability to invest in equities. // A Helping Hand Over a 12-month period, women were A new survey finds that women who work with a financial also less likely than professional fared better during the economic crisis and are more men to have made aware of retirement risk than women working without guidance. any changes to their Recovered at 41% investments in stocks, least some with 60% not making of losses 28% any changes comReduced pared to 49% of men. 62% ‘Conflicted’ investors discretionary spending Cancelled Restaurant workers served new coverage through UnitedHealthcare Partnership to provide 13 million in food service industry with insurance A new alliance with the National Restaurant Association will allow UnitedHealthcare to provide coverage and services to nearly 1 million restaurant owners and 13 million of their employees. The Restaurant Health Care Alliance, a new initiative between the two partners, will offer the insurer’s products to workers in restaurants across America, including the 4 million to 6 million in the food service industry uninsured at any given time, both groups said. The program launched May 22, beginning with 51% 9% individually“The results show purchased 21% women are conlife insurance flicted,” said Barbara Women with Women without Goodstein, executive financial professionals financial professionals vice president and Source: AXA Equitable Life Insurance Co. chief innovation officer for AXA Equitable, in a statement. “They know they sional, a rise of 17% from a year ago, AXA need to invest for growth potential so their Equitable said. savings can last for 20 to 30 years of retireAndrew McMahon, president of Fiment, yet they lack confidence in their nancial Protection and Wealth Manageability to invest so they aren’t doing any- ment for AXA Equitable, said the increase thing. Not taking any action, however, “demonstrates the value of seeking procould put them at greater risk.” fessional financial guidance, not only to Women responding to the survey were navigate through turbulent times, but very clear what they wanted in a retirement also to develop comprehensive financial product, with 89% indicating it is “extremely strategies that help individuals prioritize or very important” to protect the principal their long-term objectives and stay the of their investments and 85% noting the course, regardless of the ups and downs importance of protecting their investment. of the market.” IFA Towson 8600 Lasalle Road, Suite 107 Towson, MD 21286 INSURANCE PRE-LICENSING Property & Casualty $380.00 One EVENING CLASS Monthly One WEEKEND CLASS monthly Weekly Life & Health and Property & Casualty CE classes at our Towson and Glen Burnie locations. See our class schedule at www.InsuranceTrainingSchool.com. Just $10.75 per credit and we never charge a reporting fee to you! CE now available at other convenient locations…. Md.; and another insurance brokerage the three men co-owned, East Coast Administrative Services Inc. The men and business entities are accused of stealing the money from enrolling employees of the City of Perth Amboy, N.J., in the fictitious program. The charges are the latest turn in a nearly year-long investigation, led by the New Jersey Division of Justice Corruption Bureau, into a number of New Jersey municipalities’ insurance contracts and the brokerages that served them. For a longer article on this case, visit IFAwebnews.com/link/142. IFA Insurance & Financial Advisor Life & Health $190.00 Every Monday and Tuesday CONTINUING EDUCATION Md. brokers, firms allegedly stole $216,000 from N.J. city Maryland / Washington D.C. Glen Burnie 7310 Ritchie Hwy, Suite 1000 Glen Burnie, MD 21061 (800) 777-0490 // CRIMINAL CASE Three insurance brokers from Maryland and their two companies face criminal charges for allegedly conspiring to steal $216,495 from a New Jersey city by collecting payments for a non-existent wellness program for city employees. A Mercer County, N.J., grand jury named the following individuals in the five-count indictment: Francis X. Gartland, 69, of Baltimore, Md.; his company, Federal Hill Risk Management LLC, based in Towson, Md.; his son-in-law, Derek Johnson, 39, of Lutherville, Md.; their business partner, Thomas B. Kelleher, 62, of Parkville, state restaurant associations in Colorado and Pennsylvania, with further rollout scheduled through 2010. In development for the past two years, the Alliance will provide restaurant owners and employees with easier access to costeffective health benefit options meeting the needs of its industry and also help employees understand health care options amid tax and eligibility changes beginning this year. Dawn Sweeney, the National Restaurant Association’s president and chief executive officer, said in a statement, “UnitedHealthcare’s vast experience and diverse capabilities make them the right partner” for the new initiative.” IFA Leonardtown • Salisbury • Easton • Rockville • Frederick • Columbia Hagerstown • Silver Spring • Alexandria, VA • Dulles, VA • Fairax, VA For a limited time purchase 24 credits of CE at once and receive the discounted rate of $10.00 per credit! Visit our website www.InsuranceTrainingSchool.com to see our full schedule of Pre-Licensing and Continuing Education Our office staff is available to assist you during business hours at 800-777-0490. | IFAwebnews.com July 2010 | 15 Groups, regulator seek increased stranger-owned annuity oversight companynews STATs likened to STOLI policies, dubbed ‘troublesome’ agents’ organization By Bob Graham Washington Group helps area health clinic The Washington Group of MassMutual of Bethesda, Md., recently made a $500 donation to the Mansfield Kaseman Health Clinic in Rockville, Maryland. Pictured are Jim Van Eperen (right), general agent of The Washington Group of MassMutual, and the Rev. Mansfield Kaseman, for whom the clinic is named and 26-year executive director of Community Ministries of Rockville. Send photos of your company events and happenings: [email protected] The chairman of a National Association of Insurance Commissioners (NAIC) committee compared stranger-originated annuity transactions (STATs) to cockroaches, while others suggested the need for tighter regulation of the growing practice. Thomas R. Sullivan, chairman of the NAIC’s life insurance and annuities committee and Connecticut insurance commissioner, offered the statement during a recent hearing in Washington, D.C., investigating whether STATs are legal or might need additional consumer protection. “These scams are like cockroaches. For every one you see, there are most likely hundreds in hiding,” Sullivan said. “Unfortunately, there is no way of knowing the full magnitude of this problem, but regulators are taking a diligent look at the conditions surrounding these sales and practices.” Testimony focused on the “suspect practice of targeting seniors and termi- nally ill patients by inducing them to purchase an annuity largely for the benefit of investors or intermediaries,” according to an NAIC statement on the meeting. The National Association of Insurance and Financial Advisors (NAIFA) and the Insured Retirement Institute, sought greater regulation. “It is NAIFA’s belief that STATs are contrary to established public policy and could potentially undermine the intended use of life insurance and annuity products to the great detriment of the insurance industry and American public, which Thomas R. relies on our products for Sullivan protection and financial security,” said Gary Sanders, a NAIFA vice president. He called STATs “troublesome,” comparing them to stranger-owned life insurance transactions (STOLI), which 29 states banned. In both STOLIs and STATs, seniors or terminally ill people are paid to obtain policies, for which they are paid a fee, with investors getting the death benefit. IFA PROVIDING TOOLS THAT PROTECT AGENCY OPERATIONS That’s how we deliver distinction. Big and small emergencies happen every day and can damage an agency’s ability to function. IA&B members have access to the most comprehensive online emergency planning tool available — and it’s part of their membership. Don’t learn the hard way how vulnerable your agency is. Join IA&B and prepare — just in case. Helping independent agencies plan ahead. That’s how we deliver distinction. FOR MORE INFORMATION VISIT IABGROUP.COM OR CONTACT THE IA&B MEMBER SERVICE CENTER AT (800) 998-9644. Driving members to distinction 16 | Maryland / Washington D.C. Insurance & Financial Advisor | IFAwebnews.com July 2010 Sammis: No desire to regulate broker pay From page 1 chapter of the National Association of Insurance and Financial Advisors (NAIFA) and the Maryland Association of Health Underwriters (MAHU). Sammis addressed ongoing discussions between federal regulators and the National Association of Insurance Commissioner regarding medical loss ratio, and whether commissions paid to agents and brokers should be contained in the “quality of care” category to justify ratios. Under federal law, beginning next year, 85% of premiums in large-group market must be spent on medical care, not administrative expenses, while in the small-group and individual markets, 80% of premiums must cover medical expenses. Defining ‘quality’ Broker commissions are traditionally included in administrative costs, but with insurers asked to justify their ratios to federal officials – or face rebates for ratios above the thresholds – they could make the case that agents add to quality of care, and, therefore, should be tied directly to medical care. This feeling has been echoed in letters from Maryland insurance agents to the Maryland Insurance Administration, Sammis said, but she disagreed. “To be honest, I don’t see how broker compensation does improve quality of care, but I don’t know exactly what you do,” Sammis said. “If you show me a program…[that proves this], maybe it can be put in ‘quality of care.’ Commissions are insurers paying their sales force. You [agents] are their sales force.” Jonathan Anders, chairman of the MAHU/NAIFA Joint Legislative Committee, said the three key issues the industry is facing post-federal reform are change, collaboration and transparency. “I believe that people don’t mind paying for value, but they don’t want to be taken advantage of,” he said. “As an industry, we need to stand up and help the commissioner understand what we do.” He added that while Sammis raised some good points about linking “quality of care” to commissions, “we need to articulate our value….and not tie ourselves to a particular dollar amount. “Once everything [through reform] is put in place, what happens will be more behind the scenes,” Anders said. “Our carrier partners understand that our role is important and not just a transactional sale.” // FINANCIAL PLANNING 403(b) retirement plans steady after recession, regulatory changes Survey indicates ‘resilience’ of retirement system, according to financial group By Bob Graham The recession and complex new regulations appear not to have hurt the 403(b) retirement plan system, according to a new survey. The 2010 403(b) Plan Survey from the Profit Sharing/401k Council of America (PSCA) indicates nearly 57% of plan sponsors reacted to the new regulations by making changes, according to the survey, sponsored by the Principal Financial Group. Just 41% planned to make changes in the 2008 survey, researchers said. The overall participation rate for em- ployees eligible to enroll in a 403(b) plan – which includes certain employees of public schools, tax-exempt organizations and ministers – remained unchanged from the 2008 survey (75.8%). “This year’s 403(b) Plan Survey proves the resilience of the 403(b) system,” said David Wray, president of PSCA. “Pre-crash to postcrash, pre-regs to postregs, 403(b) plan sponDavid Wray sors and participants clearly remain committed to this important employee benefit,” Wray said in a statement. IFA No rush to follow New York Tyler’s interest in regulating broker compensation was voiced prior to federal health reform’s passage, but as New York was considering stricter regulations on disclosing the pay relationship between agents and carriers. New York’s regulation, set to take effect next year, requires insurance producers to disclose how insurers are compensating them initially and in greater detail if asked by a client. Two agent groups have filed suit to halt implementation. Prior to resigning, Tyler did convene a meeting with agents’ groups in the state on the matter, but never offered a regulation through the MIA. When asked if she would consider mirroring New York’s efforts, Sammis told Insurance & Financial Advisor she was aware that New York was taking such steps, but she had not reviewed the regulation and “I’m not even familiar with what New York has done. “The bottom line is that I don’t want to regulate broker commissions,” she said. IFA Simply delightful. Better, faster tools. >LKVU»[Q\Z[JYLH[LMHZ[HUKZPTWSLH\[VTH[PVUZVS\[PVUZ MVYV\YHNLU[Z>LZL[V\[[VKLSPNO[[OLT-YVTV\Y H^HYK^PUUPUN9LHS;PTLJVTTLYJPHSSPULZIYPKNLMVY KH[H[YHUZMLY[VV\Y¸^V^¹WLYZVUHSSPULZX\V[PUNZ`Z[LT ^LKLSP]LYZLHTSLZZZPTWSLVUSPUL[VVSZV\YHNLU[Z^HU[ >L»YLSVVRPUNMVYHML^ZLSLJ[HNLU[Z-PUKV\[MVY `V\YZLSM^O`V\YHNLU[ZJOVVZL7LUU5H[PVUHS0UZ\YHUJL HZ[OLPYNV[VJHYYPLY>H[JOHZOVY[]PKLVH[ ^^^7LUU5H[PVUHS0UZ\YHUJLJVT *SPJRVU)LJVTPUN(U(NLU[ ;OLUNP]L\ZHJHSS _ // CRIMINAL CASE Maryland police officer gets probation in auto give-up scheme An officer with the Prince George’s County Police Department will spend five years on probation and pay $15,000 in restitution after pleading guilty to a single count of insurance claim fraud. David Wayne Johnson, 43, pleaded guilty in Montgomery County Circuit Court, according to the Maryland Attorney General’s Office. The judge in the case imposed a five-year suspended sentence for the officer and he must also complete 100 hours of community service. While off duty, Johnson reported his 2006 Toyota Tacoma truck stolen in Oxon Maryland / Washington D.C. Hill, Md., Sept. 3, 2006. He then filed a claim with Erie Insurance Group, claiming the vehicle had been stolen, and a month later, received $25,019 from the insurer. On Jan. 24, 2009, the truck was recovered in Cleveland, Ohio, and the man driving the vehicle, Joe Houston, told police that Johnson gave him $1,000 to get rid of the truck but he instead kept it. Johnson confirmed Houston’s account to the Maryland Insurance Administration’s Insurance Fraud Unit and Maryland State Police, indicating he filed a false claim with Erie. IFA Insurance & Financial Advisor Business • Auto • Home • Surety | IFAwebnews.com July 2010 | 17 // HEALTH INSURANCE Consumer-directed health plan enrollment jumped 27% last year New research indicates that more consumers are selecting consumer-directed health plans, led by small businesses. In data released by the American Association of Preferred Provider Organizations (AAPPO), CDHP enrollment grew to an estimated 23 million people last year, up from 18 million in 2008, a 27% increase. The findings were reported in an analysis of Mercer’s National Survey of Employer Sponsored Health Plans. CDHP adoption in 2009 was led by small employers, accounting for most of the growth among all employers. “At a time when employers are faced with the difficult choice of limiting benefits or raising health care costs to their employees, they are turning to CDHPs given the cost savings inherent in these plans,” said Karen Greenrose, president and CEO of AAPPO, in a statement. “We also saw small employers turn to CDHPs at a much greater rate, largely due to this cost savings. CDHPs, which are predominately built on PPO networks, offer the affordability, choice Karen Greenrose and access that employers and consumers alike are looking for.” Employers prefer to offer CDHPs with health savings accounts (HSAs), but the research shows employees favor CDHPs with health reimbursement accounts (HRAs). IFA EBCA is now in Baltimore. When it comes to group health products and service, EBCA’s new Baltimore-area office makes it even easier for you to increase your sales and your bottom line. Get the same superior service and access that you have come to expect. • We NEVER sell direct, and NEVER compete for your clients • Proposals and spreadsheets delivered to you within 24 hours • 100% carrier commissions and bonuses twice each month • New-business bonuses • Access to top-rated carriers. Locations in Metropolitan D.C., Virginia, and now in the Baltimore region! 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 www.ebca.com | 888-367-3222 18 | Maryland / Washington D.C. Md. doctors wants MIA review of ‘intrusive’ health insurance protocols Sammis says she will sit down with physicians to review their concerns By Bob Graham ments, step therapy protocols and therapeutic switching policies to ensure ALL Maryland patients have timely access to the care they deserve – as directed by their doctors, not their insurance plans,” Ransom said in the letter. Sammis said she has read the survey results and plans to site down with MedChi An association representing Maryland’s doctors has sent Maryland Insurance Commissioner Beth Sammis a letter asking her to investigate “intrusive” and “onerous” health insurance protocols that could be // IFA_FAST FACTS compromising care. MedChi, The Maryland Bad medicine State Medical Society, made 95% of Maryland physicians say insurer protocols had a the request in conjunction “somewhat” or “very negative” effect on the doctor’s ability to with the release of a study effectively treat patients. of its membership, which 88.5% identified insurance barriers such as pre-approvals, step revealed “near universal distherapy, drug switching, and other protocols as “burdensome,” satisfaction with health in“very burdensome,” or as a “major hassle.” surer requirements and the 94% say insurers delay or deny prescription medications or ways in which the requirediagnostic testing for patients. ments dictate how doctors Source: MedChi survey, May 2010 treat patients,” according to representatives to “look back at our law a statement. and see if there are any violations.” Doctors see danger Speaking at the Maryland State Expo, “Maryland physicians have increasingly co-sponsored by the National Association voiced their concerns about the signifi- of Insurance and Financial Advisors of cant and potentially dangerous ways that Maryland and the Maryland Association Physicians see health insurers’ actions as intruding on doctor-patient relationship. health insurers are intruding in the doctorpatient relationship,” said Gene Ransom, MedChi CEO, in a statement. “Insurance practices such as requiring pre-approval for medical procedures and prescription medications, step therapy, and therapeutic substitution are intended to be cost control measures, but in Gene Ransom reality they deny patients access to care and are tantamount to practicing medicine without a license.” The group, which represents about 22,000 licensed physicians in Maryland, wants Sammis to conduct a comprehensive review of the pre-approval process, step therapy, therapeutic switching and other “cost containment” practices “currently interfering with Maryland patients and their access to affordable, timely health care.” “As Maryland moves toward implementing the federal health bill, we ask that you please review pre-approval requireInsurance & Financial Advisor | IFAwebnews.com of Health Underwriters, she said, “Physicians, like [agents], feel besieged. Things are changing and when things change, you don’t feel good and you don’t like it. “They are looking at serious changes in the Medicare program...which won’t be sustainable over time and that will be a fearful moment.” Survey reveals ‘pressure’ She said the survey “is partially an indicator of that and pressure from health insurance companies on utilization review and something they feel is not efficient as it should be. We hear you need this for company ‘x’ and this for company ‘y,’ so it is not easy to figure out and the source of some issues.” Health insurer protocols “not only delay treatment for individual patients, but they also cut into the time that a doctor has to spend with his or her patients – every hour that a doctor spends on administrative tasks is an hour not spent on patient care,” said MedChi President Murray Kalish in a statement. IFA July 2010 NewProducts // LIFE INSURANCE Trade group recognizes growing role of direct-market sales For more go to IFAwebnews.com/Products LIFE Foundation announces addition of LIDMA chief to its board of directors New identity theft prevention, resolution services available Wellness solution aims to curb costs, empower employees By Bob Graham Assist America, a provider of global emergency services through employee benefit plans, has expanded the scope of its program to include comprehensive identity theft prevention and resolution services. Nippon Life Benefits has announced the availability of a comprehensive new wellness program to help employees proactively manage their health and enable employers to better control healthcare costs. Assist America Identity Protection recently was launched in conjunction with one of the New Jersey-based company’s largest life insurance partners, covering more than three million people, and is rolling out to Assist America’s new and existing health insurance clients. The program is available if a member becomes a victim of identity theft through a single toll-free call to a dedicated Fair Credit Reporting Act (FCRA)-certified caseworker, according to the company. The Employer Wellness Solution from Nippon Life Benefits is designed to keep low-risk employees healthy and motivate higher-risk workers to take action to better manage their health, according to the company. Employee Benefits Insurer to aid firms take bite out of dental benefit costs MetLife has introduced a new dual-option dental offering for smaller businesses it says is designed to make it easier for these firms to achieve their top benefits objectives of controlling costs and retaining employees. Dental Insurance The New York-based employee benefits firm is calling their new offering “Back to BASICs,” featuring low monthly premiums in a base plan to provide coverage for services needed to maintain oral health, such as preventative exams, cleanings and X-rays. The plan also provides lower out-of-pocket costs through lower deductibles and higher coinsurance reimbursements and annual maximums, according to the company. Employee Wellness Available to small and large employers, the program’s services include worksite biometric screenings, health coaching, wellness assessments to gauge an employee’s health and at-home lab tests for employees working remotely. The program offers employers and members online capabilities that provide content, tools, forms, resources, and health and nutritional information. The program is offered in conjunction with Principal Wellness Co., a member of the Principal Financial Group. Company bolsters its claims technology platform PMA Companies launched PMA Claim Center as its new claims technology platform, fully integrating all of its services as a “major systems enhancement,” according to the Pennsylvania-based company. PropertyCasualty Philadelphia Insurance Companies recently unveiled a new product suite for temporary staffing organizations, with offerings including property, auto, errors & omissions and employment practices liability. PMA Claim Center’s rollout to its offices began in the first quarter, following a successful pilot and extensive testing and solution customization of Guidewire ClaimCenter to ensure alignment with PMA’s best practices for claims management, the company said. PMA Claim Center uses advanced claims management technology for end-to-end claims processing, according to the company, and contains dynamic data fields to capture and store claims information in consistent places. Eligible classes of business for this product offering include staffing firms specializing in temporary and permanent placements in the clerical, retail, unskilled manufacturing, warehouse, janitorial, sales and hospitality fields, according to the Pennsylvania-based firm. This platform provides a central point of control for all PMA claims actions, assisting the claims professional in coordinating activities and tracking and managing claims, and provides enhanced claim information and visibility information to clients, PMA said. Product suite available for temporary staffing agencies PropertyCasualty Maryland / Washington D.C. A life insurance education organization is paying attention to the growing sale of life insurance through direct marketing channels by adding to its board a member of a group supporting those online and phone sales efforts. The LIFE Foundation, a group that provides education about life, health, disability and long-term care products, is adding to its board of directors the president of the Life Insurance Direct Marketing Association (LIDMA), a non-profit organization comprised of businesses and professionals active in the direct sale of term life insurance products to consumers. The addition of Patrick Wedeking to the LIFE Foundation board comes as directmarketing sales of life insurance represent the fastest growing segment of life insurance sales, LIDMA officials said. Sales through direct channels represented more than 20% of the policies, about 5% of premium sold, and 13% of the total face value in 2008, a joint project conducted by LIMRA International and LIDMA found. LIDMA supports businesses and professionals active in direct sales of life insurance products to consumers. The LIFE Foundation is part of the Life and Health Insurance Foundation for Education. IFA Insurance & Financial Advisor | IFAwebnews.com July 2010 | 19 For the Record Calendar of Events has gone digital. Maryland Agent & Carrier Actions The following summaries are based on information obtained from the Maryland Insurance Administration. To provide the latest, most accurate Calendar of Events information, the calendar is now online at IFAwebnews.com/calendar. A print calendar will no longer appear each month. ■ Associations and other groups are encouraged to post events, seminars and other activities on the calendar at no charge. It’s quick, easy and always up-to-date. Synopsis: Tilotta signed a consent order with the MIA in July 2008 for failing to report a criminal prosecution. In October 2009, he pleaded guilty in a criminal case in Harford County and was sentenced to four years in jail at a hearing Jan. 7. Based on his actions, his license was revoked. Jerome Neal Fort Washington, Md. Action: License revoked Synopsis: Neal was terminated from his appointment with Primerica Life Insurance Co. in November 2009 for pleading guilty to a “felony weapons charge,” the insurer told the MIA. Neal did not respond to MIA requests for information. Case No. MIA-2010-01-041 ■ Case No. MIA-2010-01-011 ■ Charles L. Gordon Windsor Mill, Md. Action: License revoked Synopsis: In August 2009, the MIA learned that Gordon had left his employment with Monumental Life Insurance Co. in July 2008. Monumental Life later discovered that Gordon failed to remit $45.40 in premium payments for a client. The MIA requested information, to which he did not respond. Case No. MIA-2010-01-026 ■ Linda K. Kearney Waldorf, Md. Action: License revoked Synopsis: Kearney was an agent at Walterry Insurance Brokers in Clinton, Md., until she was terminated for stealing premium payments in November 2009, the company told the MIA. She did not respond to MIA requests for information about the situation. Case No. MIA-2010-01-039 ■ William Michael Tilotta Sr. Churchville, Md. Action: License revoked Michael T. Robinson Baltimore, Md. Action: License revoked Synopsis: A complaint was filed against Robinson, whose address was listed on Eastern Avenue and South Robinson Street in Baltimore City, alleging he sold an Aviva Life and Annuity Co. policy that was unsuitable and that the complainant had been misled. Robinson failed to respond to requests from the MIA for information; therefore, his license was revoked. Case No. MIA-2010-03-005 ■ Matthew Tang Ashton, Md. Action: Paid a $500 fine and restitution of $284 Synopsis: A complainant told the MIA in April 2008 that he purchased homeowners insurance from Juan Portillo, an agent working for the Tang Agency, and that the insurance would be written with Joint Insurance Association. An MIA investigation found that despite repeated attempts to contact the company, the insurance was never placed. As a result, the complainant’s policy was placed by the mortgage company, costing the complainant an additional $284 over the original premium quote. Case No. MIA-2010-04-019 // REGULATION in beneFIT ben neFIT F KELL KELLY LY Y YLJVTTLUKZ YLJVTTLUKZ H H ILULÄ[Z Z[YH[LN` Z[YH[LN` PU]VS]PUN ^LSSULZZ PU]VS]PUN ^LSSULZZ VUL [O [OH[ OH[ PZ [Y\S` [Y\S` ILULÄJPHS ILULÄJPHS MVYIV[OLTWSV`LYZHUK[OLPYLTWSV`LLZ>L»]L MVY IV[OLTWSV`LYZHUK[OLPY LTWSV`LLZ>L»]L HSZV JYLH[LK JYLH[LK H H WH`YVSS WH`YVSS ZVS\ ZVS\[PVU \[PVU [OH[ [OH[ \[PSPaLZ \[PSPaLZ V\Y V\Y PUUV]H[P]L[LJOUVSVN`MVYNYLH[LYHJJ\YHJ`HUK PUUV]H[P]L [LJOUVSVN` MVY NYLH[LY HJJ\YHJ` HUK ZWLLKKTBSPayrollMLH[\YLZZLY]PJLZYLSPL]L ZWLLK KTBSPayroll MLH[\YLZ ZLY]PJLZ YLSPL]L `V\Y JSPLU[Z VM VM [OL KL[HPSZ KL[HPSSZ ^OPSL NP]PUN [OLT [OLT IL[[LYJVU[YVSHUKZH]PUN[OLTTVUL` IL[[LY IL[[LYJVU[Y JVU[YVSHUKZH]PUN[ VS HUK ZH]PUN [[OLTTVUL` [OLT TVUL` www.kaig.com www w..kaig.com /LSW`V\YJSPLU[ZTHPU[HPUHOLHS[O`SPMLZ[`SL /LSW`V\YJSPLU[ZTHPU[HPUHOLHS[O`SPMLZ[`SL HUKHOLHS[O`IV[[VTSPUL H UKHOLHS[O`IV[[VTSPUL Call KELL KELLY[VKH`[VÄUKV\[TVYL LY [VKH`[VÄUKV V\[TVYL www.ktbspayroll.com w www w..ktbspay yroll.com Live W Well. eell. Be W Well. eell. Do W Well. eell. Group G roup Insurance Insurance Administrators, Administrators, B Brokers rokers & C Consultants onsultants S Specializing pecializing iin nH Healthcare. ealthcare. | 410.527.3400 4 10.527.3400 8 800.972.7227 00.972.7227 KTBSPayroll is a Division of Kelly & Associates Financial Fin nancial Services, Inc., an Affiliate of Kelly & Associates Insurance Insurrance Group, Inc. 20 | Maryland / Washington D.C. New York sets new licensing fees for life settlement providers Following industry reaction, regulators cut provider fee 50% from original proposal By Keith L. Martin A new regulation mandating life settlement providers operating in New York to pay a $10,000 licensing fee has one industry trade association lauding regulators for not imposing a higher charge. New York Insurance Superintendent James J. Wrynn issued an emergency regulation following public feedback regarding licensing fees for life settlement providers, brokers and intermediaries. James Wrynn The regulation, which took effect May 18, mandates the $10,000 fee for providers and requires them to post a surety bond of at least $250,000. The biennial renewal fee is $5,000. Life settlement intermediaries must pay an initial licensing fee of $7,500 with Insurance & Financial Advisor | IFAwebnews.com a biennial renewal fee of $2,500. The rule also sets an annual license fee of $40 for life settlement brokers. In 2009, New York enacted rules requiring the licensure of life settlement companies and brokers by the New York State Insurance Department. Doug Head, executive director of the Life Insurance Settlement Association (LISA), told Insurance & Financial Advisor, that the final regulation is “much better” than the original draft. The original draft, unveiled earlier this year, proposed a $20,000 licensing fee. Head added that it was his understanding that close to 40 providers are prepared to apply, generating $400,000 to New York, “a sign that the industry is well and that other fees need not be charged.” The NYSID said trade associations’ comments on the potential negative impacts of a larger fee was the reason to drop the provider fee to $10,000 and the intermediary fee from $10,000, as originally proposed, to $7,500. IFA July 2010 Does your workplace measure up for safety? SERIOUS ABOUT FRAUD At IWIF Workers’ Compensation Insurance, our focus is on protecting your employees. In fact, we’ve been HELPING YOU CONTROL LOSS > working with Maryland employers since 1914 to decrease the risks of workplace injuries. Our safety experts WE KNOW MARYLAND work with employers large and small, helping them reduce claims, avoid lost work days, and save money on workers’ compensation coverage. When injuries do occur, employers and employees count on our claims team for service that is prompt, friendly and professional. Job safety. Great service. It’s the perfect mix. To learn more, contact your agent, call 800.264.IWIF or visit iwif.com. Maryland / Washington D.C. Insurance & Financial Advisor | IFAwebnews.com July 2010 | 21 INSURANCE MARKETPLACE Agents: States act on score doctoring From page 1 We are prepared for you and your clients. In the ev event ent of a natur natural al disa disaster aster or emergency emergency, y, ASL is ready to assist y you ou u and y your our clients. • • • • • • GARAGE GARA AG GE Park P ark yyour o our busin business ness her heree All of A ASL’s SL L’s Serv Servers ers are located d off off-site -site in a bunk bunker er with back up power and diesel generators. gene erators. Two T wo back up internet connections connectio ons available available for access to anywhere our servers servers e s ffrom om an ywhere whe e in the t wo world. ld We W e ha have ve an offsite location in Richmond, R V VA A with backup JHQHUDWRUSRZHUVKRXOGRXUKRPHRI¿FHEHLQDFFHVVLEOH JHQHU DWRUSRZHUUVKRXOGRXUKR RPHRI¿FHEHLQDFFHVVLEOH IXOO\VWDIIHGDGGLWLRQDORI¿FHVORFDWHGLQRWKHUVWDWHV IXOO\VWDIIHGDGGLWLRQDORI¿FHV VORFDWHGLQRWKHUVWDWHV WRDVVLVWVKRXOGWKH9$RI¿FHDQGLWVHPSOR\HHVEH WRDVVLVWVKRXOGWKH9 9$RI¿FHD $ DQGLWVHPSOR\HHVEH inaccessible. $OOSROLFLHVDQG¿OHGRFXPHQWVDUHLPDJHGSDSHUOHVV $OOSROLFLHVDQG¿OHGRFXPHQWV DUHLPDJHGSDSHUOHVV WKXVZHFDQLPPHGLDWHO\DFFHVVDOO¿OHVIRU\RXDQG\RXU WKXVZHFDQLPPHGLDWHO\DFFHV VVDOO¿OHVIRU\RXDQG\RXU clients. phone contact list: Claims & Senior Personnel cell c ¸ ¸ ¸ ¸ New N ew M Markets arkets New Lower N ew Lo wer Rates 12% 12 2% Commission H 800-368-2095 x1701 Claims Contact: Lindsey Harris: Provenzo Sr. Greg Pro venzo - Sr r. VP: 804-338-2221 8 Nick Smith - P ersonal Lin es: 804-310-4928 Personal Lines: Dave Da ve Adcock - Commerci Commercial al Lines: 804-398-0998 Questions? Q uestions? u B Barry arrry Scott [email protected] 800-396-6226 ext 108 Atlantic A tl t la antic S Specialty pecial lty Lines 800-368-2095 800-368-209 5 www w..a at tl lanticspec cial.com www.atlanticspecial.com Attention: Insurance Brokers Is Health Insurance Reform getting you nervous? Are you concerned that your business as you know it will drastically change? Call us today to discuss some viable options and where the opportunities will be available to you with Health care Reform. Call Jack Cohen today at: 301-330-5300 ext 120 240-597-7168 Fax H|P|K Hodes, Pessin & Katz, P.A. Attorneys At Law Patricia McHugh Lambert, Esq. 410.339.6759 | hpklegal.com [email protected] • Insurance issues • Licensing issues • Purchase or sale of agencies • Noncompete issues • Errors & ommissions claims • Coverage issues • Claims issues ® Smart Choice of MD Offering independent agents the opportunity to represent nationally recognized preferred market insurers, and more. Now offering Safeco, • No fees • Receive direct appointments Travelers and with each carrier MetLife Auto & Home • 100% ownership of the The Smart Choice® Agents Program is here for you. With no life or financial requirements, you can earn up to 100% of the commission. accounts you write • Book rolls available • First year auto commissions as high as 17% • Streamlined appointment processing Mark DiVincenzo Craig Benzinger State Marketing Director Field Representative Toll Free 866-244-5660 [email protected] • www.smartchoiceagents.com 22 | Maryland / Washington D.C. Insurance & Financial Advisor | IFAwebnews.com falsifying credit scores is a full-on new agent trend,” said James Quiggle, director of communications for the Coalition Against Insurance Fraud, a Washington, D.C.-based nonprofit organization that tracks and educates about insurance fraud. “But the shaky economy may be pressuring some hard-pressed agents to protect accounts by artificially lowering client premiums,” Quiggle said. “It could be client service taken to a dishonest extreme.” In Maryland, Malcolm Dewitt Catlett surrendered his insurance license after state regulators learned he had inflated credit scores to help his customers, according to Maryland Insurance Administration (MIA) records. In Pennsylvania, Bryan S. Willey had his insurance license revoked for replacing the bad credit scores of six customers with the good credit scores of six other customers while employed by Mid-Atlantic Insurance Co., Pennsylvania Insurance Department records show. Pennsylvania’s action against Willey followed the MIA’s revocation of Willey’s non-resident producer’s license in November 2009 for similar illegal activity, Pennsylvania insurance records show. In the other case, Catlett, who had been a licensed non-resident personal lines agent in Maryland from October 2004 to his death in March, was terminated for cause by his employer, AAA Mid-Atlantic Insurance Group. The company said its investigation found that Catlett had “misrepresented the insurance score of customers by intentionally using incorrect information to quote a better rate than may have otherwise applied,” according to a May 12, 2009, letter from AAA to the MIA. Catlett acknowledged the AAA’s information was accurate in a written statement to the MIA, records indicate. In September 2009, Catlett acknowledged in a consent order issued in Delaware that he made false or fraudulent statements on applications and renewal premium quotes to raise the credit scores and lower rates for customers, according to the MIA records. Catlett signed the agreement to surrender his Maryland license Jan. 9 and Beth Sammis, acting Maryland insurance commissioner, signed the order on Feb. 7. IFA July 2010 CareFirst plans to reward healthy choices through its new ‘HealthyBlue’ Goal to ‘induce’ use of primary care physician, but not require it, exec says By Keith L. Martin Regional health insurer CareFirst wants its customers to stay healthy and is prepared to reward them for doing so. In the third quarter, the company, which operates in Maryland, Northern Virginia and Washington, D.C., plans to roll out HealthyBlue, a product it says is an a family and we may also give premium reductions, as that is something we continue to look into,” he said. If patients need to address some health issues, they are encouraged through HealthyBlue to rely on their PCP to coordinate care. Doing so, Burrell said, means lower deductibles for those who maximize care within their network. HealthyBlue users in the Blue Choice HMO will pay no co-pay on generic drugs to help with a New product is designed to ‘induce behaviors to keep people well’ and coordinate sick care. evolution of the traditional HMO. It will offer financial incentives to patients who work with their primary care physicians (PCP) to manage their well-being over time and utilize their doctor to coordinate care. Chet Burrell, president and chief executive officer of the Owings Mills, Md.-based insurer, said the company has been working on HealthyBlue for more than a year, with the basic concept of deChet Burrell signing something “to induce behaviors to keep people well and when they are sick, coordinate their care. chronic disease. The plan “takes a page out of the high-deductible health plan book,” Burrell said, by reducing deductibles on specialty and hospitalization services coordinated by the PCP. The product also compliments CareFirst’s planned launch of more patient-centered medical homes, where PCPs coordinate client care. The insurer is nearing completion of a two-year pilot program, as a new law in Maryland is leading officials to explore the use of this health model to help provide more affordable care to residents. “The goal is to move to value-based benefits,” he said. “If you have a care plan set up and you comply with it, we’ll waive the deductible in part or the whole thing if you do.” IFA THE INSURANCE AGENCIES BECOMES Carrots more than sticks “The intent is to induce, but not require the selection of a primary care physician and induce, not require, using one,” he told Insurance & Financial Advisor. Burrell said the company is promoting annual health risk appraisals, both to obtain a full picture of a client’s health at a point in time and to establish a “longitudinal record” of his or her well-being. To have that assessment, he added, a PCP is needed, so the program encourages clients to have a doctor with whom they can build a relationship. If the appraisal, which is entered into an electronic health record, shows all is well, Burrell said CareFirst will reward customers with $300 either in the form of a contribution to a Health Savings Account or a debit card to use for qualified medical expenses. “The reward can go as high as $700 for Maryland / Washington D.C. MIGHT OF MANY THE POWER OF ONE. In Memoriam ■ ■ Herbert William Dahlman, 88, of Annapolis, Md.; former manager with Nationwide Insurance. Potomac Insurance Network 2360 Boston Street, Baltimore, MD 21224 (443) 692-4000 Thomas Nicholas Exarhakis, 87, of Berlin, Md.; retired vice president for GEICO. ■ Nadine I. Griffie, 94, of Annapolis, Md., former employee with Nationwide Insurance. ■ Richmond Max Keeney, 79, of Montgomery Village, Md.; retired insurance director for the Air Force Association of 40 years, remained consultant after retirement. ■ Elizabeth Margaret Mundock, 89, of Sharpsburg, Md.; former employee of Metropolitan Insurance Co. in New York City. Insurance & Financial Advisor WHY I JOINED PIN www.pinsiaa.com [email protected] “My agency has gained access to companies that were not available to us prior to joining PIN. As a member, our collective strength with carriers has helped us grow our agency. We have access to marketing opportunities and programs not available to the average agency. Being part of PIN has increased our customer base, revenues and agency value. What more could an agency owner want?” – Richard Gottlieb Owner of Woodhome Insurance Group Baltimore, Maryland | IFAwebnews.com July 2010 | 23 *8$5',$1',6$%,/,7<,1685$1&(% 52.(5$*( 1355 Piccard Drive Suite 380, Rockville, MD 20850 toll-free: 888.513.2300 fax: 240.683.8334 WIN A FREE TRIP TO THE %CJCOCU r total DI o f JG VQR V P have a K d n J a U r K e P m )K sum s tion this c u d o r p s. 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