Steven Wevodau

Unum Group Reports Third Quarter 2009 Results

  • Press Release
  • Source: Unum Group
  • On 4:00 pm EST, Tuesday November 3, 2009

CHATTANOOGA, Tenn.–(BUSINESS WIRE)–Unum Group (NYSE: UNM - News) today reported net income of $221.1 million ($0.66 per diluted common share) for the third quarter of 2009, compared to net income of $108.0 million ($0.32 per diluted common share) for the third quarter of 2008.

Included in the results for the third quarter of 2009 are net realized after-tax investment gains of $9.5 million ($0.02 per diluted common share), compared to net realized after-tax investment losses of $108.9 million ($0.32 per diluted common share) in the third quarter of 2008. Net realized after-tax investment gains for the third quarter of 2009 include an after-tax gain of $28.9 million resulting from changes in the fair value of an embedded derivative in a modified coinsurance contract, compared to an after-tax loss of $44.1 million in the third quarter of 2008. Also included in net realized after-tax investment gains for the third quarter of 2009 is a net realized after-tax investment loss of $19.4 million related to sales and write-downs of investments, compared to a net after-tax investment loss of $64.8 million in the third quarter of 2008.

Adjusting for these items, income on an after-tax basis was $211.6 million ($0.64 per diluted common share) in the third quarter of 2009, compared to $216.9 million ($0.64 per diluted common share) in the third quarter of 2008.

“I am pleased with our results for the third quarter, as well as our continued strong position in our markets, in what remains a challenging economic environment,” said Thomas R. Watjen, president and chief executive officer. “While we expect the environment will remain challenging, we are well positioned to profitably grow our business as general business conditions improve and, in the meantime, continue to generate solid results and maintain a strong balance sheet and capital position.”

RESULTS BY SEGMENT

In the following discussions of the Company’s operating segment results, “operating revenue” excludes net realized investment gains and losses. “Operating income” or “operating loss” excludes income tax and net realized investment gains and losses.

Effective with the fourth quarter of 2008, we made slight modifications to our reporting segments to better align the debt of our securitizations with the business segments and to align the allocation of capital for Unum UK similar to that of Unum US and Colonial Life. Financial results by segment for 2008, as previously reported, have been revised to reflect these reclassifications.

Unum US Segment

 

Unum US reported operating income of $197.1 million in the third quarter of 2009, an increase of 14.9 percent from $171.6 million in the third quarter of 2008. Premium income for the segment declined by 1.9 percent to $1,215.2 million in the third quarter of 2009; premium income in the third quarter of 2008 was $1,239.1 million.

 

Within the Unum US operating segment, the group disability line of business reported operating income of $75.0 million in the third quarter of 2009, compared to operating income of $54.6 million in the third quarter of 2008. The benefit ratio for the third quarter of 2009 was 85.3 percent compared to 89.3 percent in the third quarter of 2008. Improvement in the benefit ratio in the third quarter reflects a generally consistent rate of claim recoveries and net favorable claims experience in the group long-term disability line of business as compared to the third quarter 2008. Results for the group disability line also continue to reflect the on-going strategic shift for the line, from a large case concentration to a balanced mix of business with a focus on increasing exposure to the core market (employee groups with fewer than 2,000 lives); maintenance of pricing discipline, specifically as it relates to the large case market; and the implemented improvements in the claims management process. Premium income in group disability declined 4.4 percent to $537.4 million in the third quarter of 2009, compared to $562.4 million in the third quarter of 2008. Increasing competition, along with softening economic conditions and the Company’s on-going commitment to disciplined pricing, renewals, and risk selection, were contributing factors to the decline in the current premium. Sales of fully insured group long-term disability products in the third quarter of 2009 decreased by 34.1 percent to $20.7 million compared to $31.4 million in the third quarter of 2008. Sales of fully insured group short-term disability products increased by 29.0 percent to $13.8 million in the third quarter of 2009, compared to $10.7 million in the third quarter of 2008. Premium persistency in the group long-term disability line of business was 87.3 percent for the first nine months of 2009, compared to 87.9 percent in the first nine months of 2008. Case persistency for this line was 87.2 percent for the first nine months of 2009, compared to 89.3 percent for the comparable period in 2008. Premium persistency in the group short-term disability line of business was 88.5 percent for the first nine months of 2009, compared to 82.1 percent for the comparable period in 2008. Case persistency for the short-term disability line was 86.2 percent for the first nine months of 2009, comparable to 88.1 percent for the first nine months of 2008.

 

The group life and accidental death and dismemberment line of business reported a 1.8 percent decrease in operating income to $50.0 million in the third quarter of 2009, compared to $50.9 million in the third quarter of 2008. Premium income for this line of business declined 2.3 percent to $293.4 million in the third quarter of 2009, compared to $300.3 million in the third quarter of 2008, reflecting the Company’s ongoing disciplined approach to pricing, renewals, and risk selection, and softening economic conditions. Sales of fully insured group life products increased by 63.7 percent in the third quarter of 2009 to $28.0 million; in the third quarter of 2008 sales were $17.1 million. Premium persistency in the group life line of business was 86.8 percent in the first nine months of 2009, compared to 84.3 percent for the comparable period in 2008. Case persistency in the group life line of business for the first nine months of 2009 was 86.9 percent compared to 88.9 percent for the comparable period in 2008.

 

The Unum US supplemental and voluntary lines of business reported a 9.1 percent increase in operating income to $72.1 million in the third quarter of 2009, compared to $66.1 million in the third quarter of 2008. Premium income for supplemental and voluntary lines increased 2.1 percent to $384.4 million in the third quarter of 2009, compared to $376.4 million in the third quarter of 2008. Relative to the third quarter of 2008, sales in the voluntary benefits line of business decreased by 17.8 percent in the third quarter of 2009, sales in the individual disability – recently issued line decreased by 19.2 percent, and long-term care sales decreased 47.9 percent.

Unum UK Segment

 

Unum UK reported operating income of $58.7 million in the third quarter of 2009, a decrease of 36.5 percent from $92.5 million in the third quarter of 2008. Results for the quarter, when translated into dollars, have been impacted by continuing volatility in the exchange rate of the dollar to British pound sterling. In local currency, operating income for the third quarter of 2009 decreased 26.9 percent, to £35.8 million from £49.0 million in the third quarter of 2008.

 

The benefit ratio in the third quarter 2009 was 50.2 percent, compared to 52.4 percent in the comparable quarter in 2008. The lower benefit ratio for the current quarter is reflective of the impact of lower general inflation on claim reserves associated with group long-term disability policies containing an inflation-linked benefit increase feature as well as a decline in the level of claim incidence in the group long-term disability line. Premium income decreased 24.5 percent to $169.7 million in the third quarter of 2009, compared to $224.7 million in the third quarter of 2008. In local currency, premium income decreased 12.8 percent to £103.4 million in the third quarter of 2009, compared to £118.6 million in the third quarter of 2008. In local currency, net investment income in the quarter declined by 43.2 percent compared to the third quarter of 2008 due primarily to the impact of lower inflation which resulted in lower returns on inflation-indexed bonds. These bonds match the claim reserves associated with certain group long-term disability policies that provide for inflation-linked increases in disability benefits. Premium persistency in the group long-term disability line of business was 87.7 percent for the first nine months of 2009, compared to 87.0 percent for the comparable period in 2008. Premium persistency in the group life line of business was 78.2 percent for the first nine months of 2009, compared to 74.8 percent for the 2008 comparable period. Sales increased 40.2 percent to $32.1 million in the third quarter of 2009, compared to $22.9 million in the third quarter of 2008. In local currency, sales for the third quarter of 2009 increased 63.3 percent to £19.6 million, compared to £12.0 million in the third quarter of 2008.

Colonial Life Segment

 

Colonial Life reported a 6.3 percent increase in operating income to $70.4 million in the third quarter of 2009, compared to $66.2 million in the third quarter of 2008. The benefit ratio in the third quarter of 2009 was 48.2 percent, compared to 47.5 percent for the same period in 2008. The increase in the benefit ratio for the quarter was attributable to a higher level of paid claims in the cancer and critical illness line of business. Premium income for the third quarter of 2009 increased by 3.4 percent to $253.5 million compared to $245.2 million in the third quarter of 2008. Sales increased 3.4 percent to $78.5 million in the third quarter of 2009 from $75.9 million in the third quarter of 2008, as sales growth in the public sector market offset a slight decline in the commercial market segment. New accounts increased 16.7 percent in the third quarter of 2009 compared to the third quarter of 2008 and average weekly producers increased 7.6 percent compared to the third quarter of 2008.

Individual Disability – Closed Block Segment

 

The Individual Disability – Closed Block segment reported operating income of $7.2 million in the third quarter of 2009, compared to $2.5 million in the third quarter of 2008. The interest adjusted loss ratio for the segment was 81.6 percent in the third quarter of 2009, compared to 81.5 percent in the third quarter of 2008. Risk results in this segment remained generally consistent with the trends of the past several quarters. Net investment income for the segment declined 2.6 percent, to $184.4 million in the third quarter of 2009 from $189.3 million in the third quarter of 2008.

Corporate and Other Segment

 

The Corporate and Other segment reported an operating loss of $13.7 million in the third quarter 2009, compared to $7.2 million in the third quarter of 2008, primarily due to a decrease in net investment income resulting from lower levels of assets and lower interest rates on short-term investments as well as an increase in pension costs.

OTHER INFORMATION

Investor Meeting

The Company will hold its annual Investor Meeting on November 9, 2009 at the New York Palace Hotel in New York City. The meeting will begin at 10:00 A.M. (Eastern Time) and will conclude at noon. A live videocast of the meeting, which will also include the meeting presentation, will be accessible from the “Investors” section of the Company’s website, www.investors.unum.com. For additional information on the event, see “Investors” section of the Company’s website, www.investors.unum.com.

Capital Management

At the end of the third quarter of 2009, consolidated risk-based capital was approximately 340 percent for the traditional US insurance companies; leverage was 21.1 percent; and holding company liquidity equaled $864 million.

The holding company liquidity includes the proceeds from the Company’s debt offering of $350 million on September 30, 2009. Leverage is measured as total debt to total capital, which the Company defines as total long-term and short-term debt plus stockholders’ equity, excluding the net unrealized gain or loss on securities and the net gain or loss on cash flow hedges. Leverage also excludes the non-recourse debt and associated capital of Tailwind Holdings, LLC and Northwind Holdings, LLC.

Shares Outstanding

The Company’s average number of shares (000s) outstanding, assuming dilution was 332,622.1 for the third quarter of 2009, compared to 337,912.8 for the third quarter of 2008.

Book Value

Book value per common share as of September 30, 2009 was $24.86 compared to $20.22 at September 30, 2008. Excluding the net unrealized gains and losses on securities and the net gain on cash flow hedges, book value per common share at September 30, 2009 was $22.61, compared to $21.46 at September 30, 2008.

OUTLOOK

The Company is maintaining its previously stated guidance for full year 2009 and anticipates operating earnings per share for the year to be in a range of $2.50 and $2.60 per diluted common share.

NON-GAAP RECONCILIATION

The Company analyzes its performance using non-GAAP financial measures which exclude certain items and the related tax thereon from net income. The Company believes operating income or loss, excluding realized investment gains and losses, which are recurring, is a better performance measure and a better indicator of the profitability and underlying trends in its business. Realized investment gains and losses are primarily dependent on market conditions and general economic events and are not necessarily related to decisions regarding the Company’s underlying business. The Company believes leverage and book value per common share excluding unrealized gains and losses on securities and the net gain or loss on cash flow hedges, which also tend to fluctuate depending on market conditions and general economic trends, are important measures. For reconciliation to the most directly comparable GAAP measures, refer to the attached digest of earnings.

CONFERENCE CALL INFORMATION

Members of Unum Group senior management will host a conference call on Wednesday, November 4, 2009 at 9:00 A.M. (Eastern Time) to discuss the results of operations for the third quarter. Topics may include forward-looking information such as guidance on future results, trends in operations, and other material information.

The dial-in number for the conference call is (888) 213-3710 for U.S. and Canada. For International, the dial-in number is (913) 312-0656. A live webcast of the call will also be available at www.investors.unum.com in a listen-only mode. It is recommended that webcast viewers access the “Investors” section of the Company’s website and opt-in to the webcast fifteen minutes prior to the start of the call. A replay of the call will be available by telephone and on the Company’s website through Wednesday, November 11, 2009.

In conjunction with today’s earnings announcement, the Company’s Statistical Supplement for the third quarter of 2009 is available on the “Investors” section of the Company’s website.

ABOUT UNUM GROUP

Unum (www.unum.com) is one of the leading providers of employee benefits products and services and the largest provider of disability insurance products in the United States and the United Kingdom.

SAFE HARBOR STATEMENT

Statements in this press release that are not historical facts, such as the Company’s earnings per share guidance, constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are made based on management’s expectations, plans and beliefs concerning future developments. These forward-looking statements are not a guarantee of future performance and involve risks and uncertainties that could cause actual results to differ materially from those suggested by the forward-looking statements. These risks and uncertainties include such matters as (1) unfavorable economic or business conditions, both domestic and foreign, including the continued financial market disruption; (2) investment results, including but not limited to, realized investment losses resulting from impairments that differ from our assumptions and historical experience; (3) rating agency actions, state insurance department market conduct examinations and other inquiries, other governmental investigations and actions, and negative media attention; (4) changes in interest rates, credit spreads, and securities prices; (5) currency exchange rates; (6) changes in our financial strength and credit ratings; (7) changes in claim incidence and recovery rates due to, among other factors, the rate of unemployment and consumer confidence, the emergence of new diseases, epidemics, or pandemics, new trends and developments in medical treatments, and the effectiveness of claims management operations; (8) increased competition from other insurers and financial services companies due to industry consolidation or other factors; (9) legislative, regulatory, or tax changes, both domestic and foreign, including the effect of potential legislation and increased regulation in the current political environment; (10) effectiveness of our risk management program; (11) the level and results of litigation; (12) effectiveness in supporting new product offerings and providing customer service; (13) actual experience in pricing, underwriting, and reserving that deviates from our assumptions; (14) lower than projected persistency and lower sales growth; (15) fluctuation in insurance reserve liabilities; (16) ability and willingness of reinsurers to meet their obligations; (17) changes in assumptions related to intangible assets such as deferred acquisition costs, value of business acquired, and goodwill; (18) ability of our subsidiaries to pay dividends as a result of regulatory restrictions; (19) events or consequences relating to terrorism and acts of war, both domestic and foreign; (20) changes in accounting standards, practices, or policies; and (21) ability to recover our systems and information in the event of a disaster or unanticipated event.

For further information about risks and uncertainties that could affect actual results, see the Company’s filings with the Securities and Exchange Commission, including information in the sections titled “Cautionary Statement Regarding Forward-Looking Statements” and “Risk Factors” in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2008 and any subsequently filed Forms 10-Q. The forward-looking statements in this press release are being made as of the date of this press release, and the Company expressly disclaims any obligation to update or revise any forward-looking statement contained herein, even if made available on our website or otherwise.

 
 
 

DIGEST OF EARNINGS

 

(Unaudited)

Unum Group (UNM:NYSE)

and Subsidiaries

 
 
($ in millions, except share data)                
      Three Months Ended September 30   Nine Months Ended September 30
      2009   2008   2009   2008
                   
Operating Revenue by Segment   $ 2,502.6   $ 2,608.5     $ 7,556.8   $ 7,866.8  
Net Realized Investment Gain (Loss)     14.9     (165.8 )     37.6     (208.2 )
Total Revenue   $ 2,517.5   $ 2,442.7     $ 7,594.4   $ 7,658.6  
                   
Operating Income by Segment   $ 319.7   $ 325.6     $ 958.8   $ 979.7  
Net Realized Investment Gain (Loss)     14.9     (165.8 )     37.6     (208.2 )
Income Tax     113.5     51.8       343.2     260.1  
Net Income   $ 221.1   $ 108.0     $ 653.2   $ 511.4  
                   
PER SHARE INFORMATION                
                   
Net Income Per Common Share                
  Basic   $ 0.67   $ 0.32     $ 1.97   $ 1.48  
  Assuming Dilution   $ 0.66   $ 0.32     $ 1.97   $ 1.48  
                   
Weighted Average Common Shares - Basic (000s)     331,411.2     337,236.4       331,132.6     344,440.3  
Weighted Average Common Shares - Assuming Dilution (000s)     332,622.1     337,912.8       331,850.6     345,111.9  
             
             
             
             
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
                   
      Three Months Ended September 30
      2009   2008
      (in millions)  

per share*

  (in millions)  

per share*

                   
After-tax Operating Income   $ 211.6     $ 0.64   $ 216.9     $ 0.64  
Net Realized Investment Gain (Loss), Net of Tax     9.5       0.02     (108.9 )     (0.32 )
Net Income   $ 221.1     $ 0.66   $ 108.0     $ 0.32  
                   

* Assuming Dilution

               
                   
      September 30
      2009   2008
      (in millions)   per share   (in millions)   per share
                   
Total Stockholders’ Equity (Book Value)   $ 8,243.0     $ 24.86   $ 6,735.9     $ 20.22  
Net Unrealized Gain (Loss) on Securities     385.7       1.17     (665.0 )     (2.00 )
Net Gain on Cash Flow Hedges     359.1       1.08     254.5       0.76  
Total Stockholders’ Equity, As Adjusted   $ 7,498.2     $ 22.61   $ 7,146.4     $ 21.46  
                   
                   
      September 30            
      2009            
      (in millions)            
                   
Debt, As Reported   $ 2,580.2              
Exclude Non-recourse Debt     815.8              
Debt, As Adjusted   $ 1,764.4              
                   
Total Stockholders’ Equity, As Reported   $ 8,243.0              

Exclude Net Unrealized Gain on Securities and Net Gain on Cash Flow Hedges

    744.8              
Exclude Northwind and Tailwind Capital     904.7              
        6,593.5              
Debt, As Adjusted     1,764.4              
Total Capital, As Adjusted   $ 8,357.9              
                   
Debt to Capital Ratio     21.1 %            

Contact:

Unum Group
Investors:
Thomas A. H. White, 423-294-8996
or
Madhavi Venkatesan, 423-294-1630
POSTED BY STEVEN WEVODAU

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Wednesday, November 4th, 2009 Steve Wevodau - Accident & Health, UNUM, Unum Group - Steven Wevodau Comments Off

Aflac Lands on List of 100 Best Corporate Citizens

Posted by Steven Wevodau

Insurance Giant Appears on Corporate Responsibility Officer’s List for the First Time in 2009COLUMBUS, Ga., March 10 /PRNewswire-FirstCall/ — Aflac Incorporated was named to Corporate Responsibility Officer (CRO) magazine’s list of 100 Best Corporate Citizens for 2009. The survey ranks Russell 1000® companies on their performance in seven key areas: environment, climate change, human rights, philanthropy, employee relations, financial and governance. Aflac was tied for first place with several other companies under the category of corporate governance. The full list was announced on Friday, March 6, and will appear in the next issue of the magazine.

The 2009 100 Best Corporate Citizens List® methodology is based solely on publicly-available data, putting a premium on companies with high levels of public disclosure and transparency. All members of the Russell 1000 Index were considered for the honor.

“At Aflac we believe that transparency with shareholders and the public is good for business,” Aflac Chairman and CEO Dan Amos said. “We are proud to receive this recognition, which focuses on our company’s enthusiasm for disclosing information and demonstrating strong corporate ethics.”

“In good times, checkbook citizenship can win the day. But in tough times, strong reputations and transparency pack as much punch as a strong balance sheet. In today’s deep recession, human capital and financial capital seek safety — and companies like Aflac that are on the 100 Best Corporate Citizens List® are today’s safest harbors,” said CRO magazine publisher Jay Whitehead.

The Russell 1000 Index measures the performance of the large-cap segment of the U.S. equity universe. It is a subset of the Russell 3000® Index and includes approximately 1000 of the largest securities based on a combination of their market cap and current index membership.

About Aflac:

For more than 50 years, Aflac products have given policyholders the opportunity to direct cash where it is needed most when a life-interrupting medical event causes financial challenges. As the number one provider of guaranteed-renewable insurance in the United States and the number one insurance company in terms of individual insurance policies in force in Japan, Aflac insurance products provide protection to more than 40 million people worldwide. Aflac has been recognized by Ethisphere magazine as one of the World’s Most Ethical Companies for two consecutive years and was also named by the Reputation Institute as the Most Respected Company in the Global Insurance Industry in 2008. In 2009 Fortune magazine recognized Aflac as one of the 100 Best Companies to Work For in America for the eleventh consecutive year. Aflac appears on Hispanic Enterprise magazine’s list of the 50 Best Companies for Supplier Diversity and on Black Enterprise magazine’s list of the 40 Best Companies for Diversity. Aflac was also named by Forbes magazine as America’s Best-Managed Company in the Insurance category. Aflac Incorporated is a Fortune 500 company listed on the New York Stock Exchange under the symbol AFL. To find out more about Aflac, visit aflac.com.

(Logo: http://www.newscom.com/cgi-bin/prnh/20041202/CLTH019LOGO )

 

    Media Contacts:               Analyst and Investor Contact:
    Laura Kane                    Kenneth S. Janke Jr.
    Aflac Incorporated            Aflac Incorporated
    706.596.3493                  1.800.235.2667, Option 3; Fax: 706.324.6330
    lkane@aflac.com               kjanke@aflac.com

    Jon A. Sullivan
    Aflac Incorporated
    706.763.4813
    jsullivan@aflac.com

 

 


Source: Aflac Incorporated

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Tuesday, March 10th, 2009 Aflac Comments Off

Researchers Find Health Insurer Web Sites Lacking - posted by Steven Wevodau

The Web sites of health care insurers were rated much lower than those of hospitals in a new study.

Research firm Foresee Results, Ann Arbor, Mich., found health insurance sites averaged a score of 65 on its 100-point scale, compared to an aggregate score of 74 for hospital sites.

Average online customer satisfaction across industries is 71, Foresee says.

The study examined site visitor satisfaction scores for browsers on more than 25 different healthcare Web sites.

The health insurance industry was quicker than hospitals to go on line to communicate with customers and prospects but haven’t done it as well as have hospital systems, said Larry Freed, president and chief executive of ForeSee.

“Part of that is because it may be more difficult to meet the expectations of a browser on an insurance Web site who may be looking for complex information,” Freed said.

ForeSee Results applied the University of Michigan’s American Customer Satisfaction Index methodology to the online experience of various Web sites, such as navigation and overall site performance.

When compared to less satisfied visitors, highly satisfied visitors to a healthcare Web site are 66% more likely to return to the site, 92% more likely to recommend the site to others and 112% more likely to use the site as a main channel of contact with the company, Foresee said.

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Monday, December 22nd, 2008 Steve Wevodau - Accident & Health Comments Off

HEALTH INSURANCE FACTS & STATISTICS - posted by Steven Wevodau

THE NATION’S HEALTHCARE DOLLAR: 2006
WHERE IT COMES FROM (1)


(1) Does not add to 100 percent due to rounding.
(2) State Children’s Health Insurance Program.

Source: Centers for Medicare and Medicaid Services, Office of the Actuary.

CONSUMER PRICE INDICES FOR INSURANCE AND
RELATED ITEMS AND ANNUAL RATES OF CHANGE, 1998-2007

(Base: 1982-84=100)


 


Cost of living
(all items)


Motor vehicle insurance


Medical care items


Physicians’ services


Hospital services (1)


Year


Index


Percent change


Index


Percent change


Index


Percent change


Index


Percent change


Index


Percent change

1998

163.0

1.6%

254.3

1.1%

242.1

3.2%

229.5

3.0%

105.0

3.2%

1999

166.6

2.2

253.8

-0.2

250.6

3.5

236.0

2.8

109.3

4.1

2000

172.2

3.4

256.7

1.1

260.8

4.1

244.7

3.7

115.9

6.0

2001

177.1

2.8

268.1

4.4

272.8

4.6

253.6

3.6

123.6

6.6

2002

179.9

1.6

291.6

8.8

285.6

4.7

260.6

2.8

134.7

9.0

2003

184.0

2.3

314.4

7.8

297.1

4.0

267.7

2.7

144.7

7.4

2004

188.9

2.7

323.2

2.8

310.1

4.4

278.3

4.0

153.4

6.0

2005

195.3

3.4

329.9

2.1

323.2

4.2

287.5

3.3

161.6

5.3

2006

201.6

3.2

331.8

0.6

336.2

4.0

291.9

1.5

172.1

6.5

2007

207.3

2.8

333.1

0.4

351.1

4.4

303.2

3.9

183.6

6.7

Percent change
1998-2007

 

27.2%

 

31.0%

 

45.0%

 

32.1%

 

74.9%

(table continues below)

NATIONAL HEALTHCARE EXPENDITURES, AVERAGE ANNUAL PERCENT GROWTH
FROM PRIOR YEAR, 1993-2017

(1) Average annual growth from 1970 through 1993; marks the beginning of the shift to managed care.
(2) Projected.

Source: Centers for Medicare and Medicaid Services, Office of the Actuary.

TOP TEN HEALTH INSURANCE GROUPS
BY DIRECT PREMIUMS WRITTEN, 2007 (1)

($ millions)


Rank


Group


Direct premiums written


Market share

1

UnitedHealth Group

$66,768.8

11.70%

2

WellPoint Inc. Group

55,662.3

9.75

3

Kaiser Foundation Group

43,714.2

7.66

4

Humana Group

21,742.1

3.81

5

Aetna Group

21,722.3

3.81

6

HCSC Group

14,857.9

2.60

7

American Family Corp. Group

11,646.5

2.04

8

Highmark Group

11,448.8

2.01

9

Independence Blue Cross Group

   9,832.3

1.72

10

CIGNA Health Group

9,640.8

1.69

(1) Includes data from the property/casualty, life/health, fraternal and health annual statements.

Source: National Association of Insurance Commissioners (NAIC). Reprinted with permission. Further reprint or redistribution strictly prohibited without written permission of NAIC.

SOURCE:  INSURANCE INFORMATION INSTITUTE



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Thursday, December 18th, 2008 Steve Wevodau - Accident & Health Comments Off

Insurers Seek Presence at Health Care Sessions

POSTED BY STEVEN WEVODAU

 

WASHINGTON — When supporters of President-elect Barack Obama hold house parties to discuss ways of fixing the health care system over the next two weeks, they may find some unexpected guests.

The health insurance industry is encouraging its employees and satisfied customers to attend. A trade group representing some of the nation’s largest health care businesses, including drug companies, is organizing several meetings. The American Medical Association and other medical societies are encouraging doctors to get involved.

The Maine Medical Association will convene a community discussion on Dec. 30. Group Health Cooperative of Seattle has sent e-mail messages to 35,000 subscribers encouraging their participation, and one of its doctors plans to lead a session next Tuesday.

The meetings, originally envisioned as a way to make good on Mr. Obama’s commitment to “health care reform that comes from the ground up,” could thus turn into living-room lobbying sessions involving some of the biggest stakeholders in the health care industry.

Stephanie Cutter, a spokeswoman for the Obama transition team, said that more than 4,200 meetings had been scheduled, and more are in the works. The first ones were held on Sunday. Attendance is expected to average at least a dozen people per meeting.

Those who attend are not required to disclose their employers or affiliations. Some Obama advisers have expressed concern that people from the health care industry may try to pack the neighborhood meetings. But Ms. Cutter said they were welcome to attend the gatherings. “These are listening sessions,” Ms. Cutter said. “We are trying to find people who share Obama’s goal of health care reform, even if they disagree on the specifics.”

Some of the people holding health care meetings were volunteers in Mr. Obama’s presidential campaign. Some come from consumer groups like Health Care for America Now or from the Service Employees International Union, a strong, early supporter of Mr. Obama.

Others come from the health care and insurance industries.

Robert Zirkelbach, a spokesman for America’s Health Insurance Plans, the main lobby for insurance companies, said the group was “mobilizing our grass-roots coalitions and encouraging industry employees” to participate in meetings for the Obama transition team.

Mary R. Grealy, president of the Health Care Leadership Council, which represents large health care corporations, said her group intended to hold community meetings in California, Georgia and Oklahoma, among other states. The council is a coalition of chief executives from 40 companies including Aetna, Ascension Health, CVS Caremark, Eli Lilly, Medtronic, Merck and Pfizer.

Before Mr. Obama even takes office, insurance companies are raising questions about a central element of his plan that calls for creation of a new public insurance program to compete directly with private insurers. A public program would, they fear, have inherent unfair advantages.

Insurers are also fighting Mr. Obama’s proposal to cut the Medicare payments they receive for providing comprehensive care to more than 10 million of the 44 million Medicare beneficiaries. Many independent studies have found that Medicare overpays the private plans.

One of the industry’s goals is to galvanize members of its Coalition for Medicare Choices, a group of 750,000 beneficiaries who like their private Medicare Advantage plans.

The industry-sponsored coalition recently told Medicare recipients that if the cuts occurred, “millions of seniors could see their benefits reduced, face higher out-of-pocket costs or lose their Medicare Advantage coverage entirely.”

The Obama transition team has prepared discussion guides for people who participate in the health care meetings to be held in homes, community centers, churches, libraries and coffee shops around the country.

A major purpose of the meetings, as described in the discussion guides, is to identify people with “compelling personal stories that illustrate the need for health care reform.”

People with such stories often make effective advocates and lobbyists, challenging “the special interests” that Mr. Obama attacked in his presidential campaign.

The guides tell discussion leaders how to deal with unruly participants and how to report the results of their deliberations to the Obama transition team. They also provide a summary of Mr. Obama’s plan to “expand coverage to all Americans.” Insurers said they were particularly concerned about Mr. Obama’s proposal for “a National Health Insurance Exchange that offers a range of private insurance options as well as a new public plan option.”

Former Senator Tom Daschle, whom Mr. Obama has chosen to be secretary of health and human services, said the public plan would be “modeled after Medicare” and would have “tremendous clout to bargain for the lowest prices” from health care providers.

But Karen M. Ignagni, president of America’s Health Insurance Plans, and H. Edward Hanway, the chairman of Cigna, said the proposed new public program could lead to higher costs for people who already had private insurance.

Like Medicare and Medicaid, they said, a new public program would probably underpay doctors and hospitals. To make up for the underpayments, health care providers say, they charge more to consumers and employers who buy commercial insurance.

“A new public program similar to Medicare would exacerbate cost-shifting, which already adds $1,500, or 10 percent, to the average premium for a family of four,” Ms. Ignagni said.

Alissa Fox, a vice president of the Blue Cross and Blue Shield Association, asked, “Why do you need a new public program?”

Insurers said last month that they would accept all applicants for coverage, regardless of illness or disability, if Congress required everyone to have insurance. Without such an individual mandate, insurers say, many people will not buy health insurance until they need it.

But Richard J. Kirsch, the national campaign manager of Health Care for America Now, the consumer group, said a new public program was essential.

“Public plans like Medicare do a better job of controlling costs,” Mr. Kirsch said. “Private insurers are always looking for ways to avoid paying claims or covering sick people. Their mission is not to provide health care, but to increase shareholders’ profits.”

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Thursday, December 18th, 2008 Steve Wevodau - Accident & Health Comments Off

40|86 Strategic Income Fund Declares Dividend - Steven Wevodau

CARMEL, Ind., Dec. 16 /PRNewswire-FirstCall/ — 40|86 Strategic Income Fund (NYSE: CFD - News) declared a dividend of $0.0684 per share, payable January 9, 2009 to holders of record at the close of business on December 31, 2008.40|86 Strategic Income Fund is a closed-end investment management company. The Fund’s primary investment objective is to seek high current income. As discussed in the Fund’s prospectus, the Fund intends to distribute substantially all of its net investment income monthly. All net realized capital gains, if any, generally will be distributed to the Fund’s shareholders at least annually, although net capital gains (i.e., the excess of net long-term capital gains over net short-term capital losses) may be retained by the Fund.

The Fund is managed by 40|86 Advisors, Inc., a wholly owned subsidiary of Conseco, Inc. (NYSE: CNO - News). Conseco, Inc.’s insurance companies help protect working American families and seniors from financial adversity: Medicare supplement, long-term care, cancer, heart/stroke and accident policies protect people against major unplanned expenses; annuities and life insurance products help people plan for their financial futures.

 

 


Source: 40|86 Strategic Income Fund

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Thursday, December 18th, 2008 Steve Wevodau - Accident & Health Comments Off

Can we talk? Boomers not explaining employee benefits to gen Y

POSTED BY STEVEN WEVODAU

Survey from Unum shows theyre more likely to talk sex, drugs, even car shopping

 

CHATTANOOGA, Tenn.–(BUSINESS WIRE)–A recent study conducted by Harris Interactive and commissioned by Unum (NYSE: UNM - News) reveals that baby boomers have helped prepare their generation Y kids to deal with life’s risks by discussing tricky topics such as drug use and sex, but they are skipping talks about employee benefits as this young generation enters the workforce.In fact, more have discussed car-buying than have discussed the role of workplace benefits in protecting financial security.

“Parents and mentors have talked to generation Y about the risks they face growing up, but they aren’t completing that process by talking about how they can protect themselves financially in young adulthood,” said Mike Simonds, senior vice president for Unum. “Until this new generation of workers understands the benefits decisions they will have to make, the talking isn’t done.”

 

  • According to the survey, 72 percent of generation Y workers (ages 18 to 30) say their parents or another adult mentor has talked with them about saving money.
  • 61 percent say a parent or another adult has talked with them about drugs.
  • 61 percent say a parent or another adult has talked with them about job hunting.
  • Nearly 60 percent have talked with a parent or another adult about sex.
  • 51 percent have talked car shopping with a parent or other adult.
  • Just 30 percent of generation Y workers have heard from a parent or adult mentor about choosing the workplace benefits that can help protect their health, income and financial stability.

“Generation Y is entering a workplace in which benefits decisions and paying for some coverages are their responsibility,” Simonds said. “These young workers need to be prepared to make the decisions that will help protect their financial security, and this research shows that the generation made up largely of their parents - and bosses – isn’t preparing them.”

The research also shows that this very connected generation does not get the connection between their benefits and their financial stability. Forty-three percent are unfamiliar with supplemental health coverage; 52 percent are unfamiliar with critical illness insurance; and 35 percent aren’t familiar with disability insurance.

And while baby boomers (ages 44 to 62) and generation Y workers both consider the workplace the most important source of information about benefits, parents and family members are also important sources of information for generation Y.

 

  • 76 percent of employed baby boomers and 68 percent of generation Y workers say the workplace is among their most reliable sources of information about benefits.
  • 60 percent of generation Y employees say parents and family are among their most reliable sources for this information.

“The holidays, when families are getting together and we’re all making New Year’s resolutions, present a great opportunity for parents to resolve to talk to their adult children about whether they have the benefits they need to help protect their financial security,” Simonds said.

Baby boomers and generation Y are large and influential groups that represent two very different elements of the American workplace. Boomers, about 80 million strong, entered the workforce at a time when employee benefits decisions were made for them through employer-funded, one-size-fits-all packages. They have seen the approach to benefits change during their careers, and have had to become more active in making benefits decisions.

Generation Y, which numbers about 75 million, is becoming a force in the workplace as the cookie-cutter approach to benefits fades into history. Young workers face an array of benefit choices. They need to understand from the time they enter the job market how to make 401(k) selections, how to choose the right health plan, how much disability coverage and life insurance they might need.

About Unum

Unum (www.unum.com) is one of the leading providers of employee benefits products and services in the United States and the United Kingdom. Through its subsidiaries, Unum provided more than $6 billion in total benefits to customers in 2007.

About the Harris Interactive Survey

This study was conducted online within the United States by Harris Interactive on behalf of UNUM between August 12-14, 2008 among 1,353 adults age 18 years or older, 548 of whom are considered Generation Y (ages 18-30) and 805 of whom were Baby Boomers (ages 44-62). Of those, 363 Generation Y and 555 Baby Boomer respondents were either employed full-time, part-time, or self employed. Results were weighted as needed for age, sex, race/ethnicity, education, region and household income. Propensity score weighting was also used to adjust for respondents’ propensity to be online. No estimates of theoretical sampling error can be calculated; a full methodology is available.

About Harris Interactive

Harris Interactive is a global leader in custom market research. With a long and rich history in multimodal research that is powered by our science and technology, we assist clients in achieving business results. Harris Interactive serves clients globally through our North American, European and Asian offices and a network of independent market research firms. For more information, please visit www.harrisinteractive.com.

 

 

 

 

Contact:

Unum MEDIA: MC Guenther or Mary Fortune, 423-294-6300 Toll free: 866-750-8686

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Thursday, December 18th, 2008 Steve Wevodau - Accident & Health, UNUM Comments Off

New Test Measures Cumulative Effects of Stress on the Body, Predicts Future Wellness or Illness

POSTED BY STEVEN WEVODAU

CINCINNATI–(BUSINESS WIRE)–Allostatix, LLC, a start-up biotechnology company, has developed and launched a health measurement tool that can effectively diagnose and predict an individual’s future wellness or illness – with a level of predictability as high as 88-percent. Using an individual’s blood and biometric measurements to gather data on multiple body systems, the test can determine how the cumulative effects of stress have impacted an individual and can confidently predict health trajectory three to five years into the future and beyond.

The Allostatix Load Test™ is based on the medical concept of allostasis and allostatic load – the science of how the body’s systems adjust to stress—concepts that became well established in the 1980s. As daily stresses continue to build and keep the body’s stress response turned “on,” the body systems weaken and accumulate allostatic load. As allostatic load increases, an individual’s likelihood of developing diseases also increases. Researchers at UCLA, Rockefeller University, Princeton University and the University of Wisconsin, among others, have studied over the last 25+ years how an individual’s health is related to different measures of allostasis. The published research, consisting of thousands of studied participants, shows that measuring allostatic load allows for the confident prediction of an individual’s future health and possible health problems.

In addition to individual blood and biometric markers, the Allostatix Load Test uses information from a database of national and international research—a neural network technology platform that becomes more and more accurate as additional data are entered into the network—to predict an individual’s future health trajectory.

“We have the opportunity to approach health risk assessment in a whole new way,” said Bruce McEwen, Ph.D., a neuroscientist and neuroendocrinologist at Rockefeller University who pioneered research starting in the late 1960s that later became the basis for allostasis and allostatic load, and chair of the Allostatix, LLC, Scientific Advisory Board. Teresa Seeman, Ph.D, of UCLA, an epidemiologist and member of the Allostatix, LLC, Scientific Advisory Board, who pioneered the validation of allostatic load adds, “By measuring allostatic load, we can better determine the cumulative impact of daily life stresses on an individual’s overall health and predict likely future health problems with great confidence. In essence, we can give employees a pretty solid indication of where they’re headed if they don’t act to change their health risks.”

The new test has practical implications for businesses and their employees as it can predict future negative health trajectory, even in individuals who may appear healthy and who have no obvious symptoms of illness. Armed with this information, individuals who are predicted to have future health problems, can take advantage of employer wellness programs and/or make appropriate lifestyle changes to lessen risks or prevent illness altogether. The test differs greatly from traditional Health Risk Assessment (HRA) tools that typically rely on self-reported data.

Allostasis and allostatic load are not new concepts, and there are now numerous longitudinal studies that demonstrate correlation between high allostatic load and poor physical health (*see Editor’s Note). But the Allostatix Load Test is the first commercial health measurement test that measures an individual’s allostatic load and translates the results into a meaningful score and future health implications.

“We know we are on the leading edge of health risk prediction,” said Gordon Horwitz, CEO and founder of Allostatix, LLC. “This is the first time this science has been applied to assess and predict future health status. We’re finding people with in-range lab and biometric values – normal blood pressure, body mass index, cholesterol – who are, in fact, at high risk for developing serious illness because of the way their body is reacting to stress. These people would likely not be identified as ‘at-risk’ if assessed with traditional HRAs or typical blood or biometric tests alone.”

Individuals are given a health status and prediction report (HSTAT™) which identifies their risk level as low (green), medium (yellow) or high (red) risk and provides an overview of how each system is currently being affected by stress. Employers receive an in-depth, aggregate report displaying only summary information and comprehensive wellness recommendations. (Allostatix is HIPAA-compliant, maintaining anonymity of each individual’s protected health information.) The Allostatix HSTATs are customized for employers, driving employees to their company’s wellness program, if applicable, or directing employees to their physician or other wellness partner.

Cost of the Allostatix Load™ test varies depending on an organization’s needs and desired level of predictability. Allostatix customizes its scope of services based on an employer’s current collection of blood and biometric measurements as part of an existing benefit structure (if applicable) and supplements those measures with additional tests to increase predictability. An additional level of service includes Allostatix’s complete coordination of on-site orientation and screening sessions. In general, the cost of the test ranges from $50 to $300 per individual.

About Allostatix, LLC

Cincinnati, Ohio-based Allostatix, LLC, is the creator of the Allostatix Load Test™, a predictive diagnostic tool that measures the cumulative impact of daily life stresses on an individual’s whole body health. The company’s predictive measurement is conducted through a blood and biometric analysis and is based on 25 years of longitudinal medical research. Allostatix’s Scientific Advisory Board consists of industry-leading research MDs and PhDs from UCLA, Rockefeller University, the University of Pittsburgh and the University of Cincinnati. For more information, visit www.allostatix.com

* Editor’s Note: For additional supporting materials, please visit the online news room at www.allostatix.com

Contacts

For Allostatix, LLC

Annie McManis, 513-386-9947

amcmanis@saybrookmarketing.com  

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Tuesday, December 9th, 2008 Steve Wevodau - Accident & Health Comments Off

Insurers propose universal, centralized healthcare - Steven Wevodau

Several consumer groups criticize the early bid by America’s Health Insurance Plans, a trade group that fought an overhaul in the 1990s, to take an active role in Obama’s effort to revamp the system.
By Noam N. Levey
December 4, 2008
Reporting from Washington — Sharpening the emerging debate over how to reshape the country’s healthcare system, the major group representing insurers unveiled a proposal Wednesday for covering all Americans in a more centralized insurance market.

The plan offered by America’s Health Insurance Plans, a trade group representing companies that together insure more than 200 million people, comes a decade and half after the industry helped kill the last major healthcare reform campaign — pushed early in the Clinton administration.

And Wednesday’s proposal for a form of universal insurance coverage reflects the intensifying interest among groups like insurers, businesses and healthcare providers in having an active role in shaping the reform effort.

Democratic lawmakers and President-elect Barack Obama have said that upgrading the country’s healthcare system will be a priority next year.

“The nation is on the eve of a national discussion about healthcare. This comes around once every generation,” said Karen Ignagni, president of AHIP. “We are coming to the table with a specific set of proposals. We believe reform needs to be comprehensive, and it needs to happen now.”

On Capitol Hill, aides to Sens. Edward M. Kennedy (D-Mass.) and Max Baucus (D-Mont.), who have said they plan to push sweeping healthcare legislation next year, also said the AHIP plan would help advance the effort.

But swift criticism of the proposal from several consumer groups Wednesday also highlighted how contentious the debate over systemic changes to the healthcare system could become.

AHIP would require all Americans to get coverage, a new mandate that Obama rejected during the presidential campaign.

In exchange for such a mandate, insurers would agree to longtime demands from consumer advocates that they no longer reject people with preexisting medical conditions.

The group is urging Congress to set up an advisory organization to identify ways to cut the increase in healthcare costs by 30% over the next five years.

It also backs expansions of Medicaid and the State Children’s Health Insurance Program, which Democrats plan to tackle soon after the new Congress convenes in January.

Potentially most controversial, however, is the insurance industry’s call for a new “portable health plan” that would not be subject to the minimum coverage standards set by individual states.

Many states require insurers to cover myriad services such as cancer screenings and obstetric care. Some also guarantee patients the right to an independent medical review if an insurer denies coverage.

But the standards can vary widely from state to state, a longtime complaint of insurers and some businesses that have to deal with 50 different sets of regulations.

AHIP’s Ignagni said Wednesday that the new portable coverage, which the group calls an “essential benefits plan,” would make it easier for small businesses and workers to keep their insurance.

“We want to create more-flexible products for small business but that also provide the . . . safety net for workers,” she said.

That approach is encouraging, said Amanda Austin, who manages legislative affairs in Washington for the National Federation of Independent Business, an influential group that represents about 300,000 small businesses nationwide.

“There needs to be a discussion about the broad variance of mandates across state lines,” Austin said. Like the insurers, NFIB played a key role in defeating Clinton’s healthcare plan in the early 1990s.

Many consumer groups, however, see moves to change the state-based system of insurance regulation as a way to weaken the health coverage that residents of states like California now are guaranteed.

The groups also fear that a mandate requiring Americans to get insurance could force people to buy unaffordable coverage unless state or federal authorities can regulate how much insurers charge. AHIP’s proposal does not address regulation of premiums.

Several consumer groups sharply attacked the insurance group’s plan on Wednesday.

“The health insurance industry’s vision of healthcare reform lets them keep charging whatever they want and increase their profits while sticking families and taxpayers with high costs,” said Richard Kirsch, national campaign manager for Health Care for America Now.

POSTED BY STEVEN S. WEVODAU

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Friday, December 5th, 2008 Steve Wevodau - Accident & Health Comments Off

Saving Employee Health Care Benefits: Impossible? - Steven Wevodau

BOSTON–(BUSINESS WIRE)–December 4, 2008–Automakers and unions take note: an industry study of 4,700 medical plans spanning 137 employer organizations reveals that by making one simple change to their health care planning process, financially-challenged American corporations – such as financial services or automakers – can slash their overall health insurance costs by 16 to 18 percent while preserving employee benefits programs.

The surprising conclusion—that simply putting health plans out to bid, adding healthy free-enterprise competition back into the health care benefits arena – can result in significant savings, was the result of a recent up-to-the-minute HighRoads analysis of plans affecting more than 8.7 covered workers, retirees and their families.

“A great deal of focus has been placed on waste in today’s health care system; however increased financial responsibility can be exercised along the entire health care supply chain to halt rising health insurance costs,” said Michael Byers, CEO, HighRoads. “One of the most rapid and efficient ways to achieve this is to take key health insurance policies out for competitive bid.”

Study Reveals That Putting Health Care Plans Out to Bid Controls Costs and Often Stabilizes or Improves Employee Benefits

Employee health and benefits programs have become the single largest expense for most American companies. According to The National Coalition on Health Care, employer health insurance premiums increased by 6.1 percent in 2007 – two times the rate of inflation. And, since 2000, employment-based health insurance premiums have increased 100 percent, compared to cumulative inflation of 24 percent.

The HighRoads study further discovered that while bidding stabilized or decreased the ratio of health insurance increases, many employee benefits plans were actually ENRICHED by the bidding process. In an economy where American corporations – such as major automakers – are under government and shareholder scrutiny to monitor costs, they are at odds with employees and unions, which want to maintain a status quo.

Conducted by HighRoads using The Lab TM, the only database updated with Fortune 500 health care plans in real time, the study also revealed the following:

The majority of American companies do not regularly conduct fact-based peer-to-peer benefits plan benchmarking because, until recently, no central resource for automated plan comparison was available. Instead, they have relied upon responses to consultant-conducted surveys which, because of the latency of the data and the nature of surveys, could be inaccurate or misleading. For one Fortune 500 manufacturer, using an automated system reduced health care consulting fees alone by $4 million in just 6 months.
While plans that are put out to bid are generally 16 to 18 percent less expensive than those that are renewed, the plan deductibles remain the same. For example, according to The Lab™, 2008 PPO family in-network deductibles for both RFPs as well as renewed plans are $600 per family.
Companies that take their insurance policies out to competitive bid often see millions of dollars in cost savings without reductions in coverage or increases in deductibles. For example, a Fortune 500 retailer saved $1.3 million in insurance premiums and commissions in just 45 days.
Based on a market analysis of 52-week highs/lows, those companies that take their plans to bid tend to be higher-performing than those that simply renew their employee plans.

“Bidding seems to alleviate the dilemma of cutting costs while trying to preserve employee quality of life. I would think it incumbent on any company to put their plans out to bid,” added Byers.

How Companies Can Control Costs NOW

Conducting a simple health care and health and welfare consulting spend audit and leveraging a service such as HighRoads can be a good first step for companies interested in controlling costs. Initial analysis can be done using The Lab™, a live, real-time data repository that includes plan and cost details for thousands of plans covering millions of lives. Information on The Lab™ can be found at www.thehrlab.com.

The Lab arms HR teams to negotiate better pricing and map benefits plans more closely to the needs of their employees with unprecedented access to peers’ employee benefits plans and costs. With this knowledge, companies can then use HighRoads’ automated Procurement Service to take plans out to competitive bid and receive open comparisons from any of HighRoads’ 700 enabled health and welfare and HR vendors.

For more information on how to initiate a HighRoads health care and consulting spend audit or to use The Lab immediately to review your plans and start your benefits financial responsibility program, please visit: www.highroads.com.

About HighRoads

The world’s largest employers – such as General Dynamics, Honeywell, IBM, Kraft, Staples and Boeing – choose HighRoads to gain complete control over their health care costs and compliance. With HighRoads’ service, employers – for the first time — have online access to benefits plan information and pricing, competitive benefits benchmarks, and complete benefits supply chain management. The privately-held company is headquartered in Woburn, Mass.

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Friday, December 5th, 2008 Steve Wevodau - Accident & Health Comments Off