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Coronavirus Considerations – Underwriting in a Changing Self-Funded Risk Landscape

By: Mark Lawrence May 12, 2020

I have a confession to make. As I watched the Coronavirus pandemic spread throughout the world and into the United States in late January and February, I was openly derisive about the potential impacts. I was convinced this would just be another flu (don’t we have one of those already), and this would not likely be a significant concern, both from a risk/loss perspective and from a societal impact standpoint. It’s a good thing I learned an important lesson a long time ago: be humble in defeat. 

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Do Your Part to Recognize and Report Health Care Fraud

By: Cathy Safran March 24, 2020

Health care claims are more expensive than ever (many exceeding $1 million). In this industry, we frequently see the impact catastrophic claims could have, and it’s our job to help protect our clients’ financial stability should they face them. To make matters worse, some statistics I have heard in training seminars show that up to 10 cents of every dollar spent on health care goes toward paying for fraudulent health care claims.

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Roses May Have Thorns, but a Rose Is Still a Rose

By: Greg Sullivan December 10, 2019
A few weeks ago, my wife and I attended the Rose Ball, an annual fundraising event for the Connecticut chapter of the Cystic Fibrosis (CF) Foundation. The name of the event honors the story of a young boy who, after hearing the name of his disease for the first time, pronounced it “65 Roses,” which started a tradition among children in the CF community and ties the work of the CF Foundation to the rose, which they note is an ancient symbol of love. This was our fifth or sixth Rose Ball, but we’ve been supporting the organization in various ways for many years. Each time we attend the ball, we get asked the same question: What is your connection to Cystic Fibrosis? Do you have a child or a close relative with CF? Why do you support the cause? The answer is complicated.
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Are You Losing Sleep?

By: Caleb Knier November 15, 2019
Fear of catastrophic claims and the financial challenges they can create may be keeping you – and your clients – up at night. When statistics show claims growing well beyond the $1 million mark with greater frequency, that fear is certainly founded. It’s also a very real fear for me as the CFO of a Stop Loss insurance company. However, I know that data-backed decisions and having the right approach in place for responding to trends can make all the difference.
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What Does Unlimited Mean?

By: Mark Lawrence July 16, 2019
At HM Insurance Group (HM), we’re very proud of our financial strength. Our Stop Loss paper is rated “A” by A.M. Best, and we have a combined surplus of more than $1,000,000,000. That’s a lot of zeroes. This capital is the financial bedrock of the promise we make to employer groups – we will pay their claims. The Stop Loss market has changed a lot in the past ten years. Prior to the passage of the Affordable Care Act (ACA) in 2010, we issued limited policies, meaning they had annual or lifetime policy maximums of $1,000,000 or $2,000,000. As an underwriter at that time, it was hard to envision claims reaching those policy limits. But now it’s something that happens with frequency.
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