Thursday, July 11, 2013

risk Management for T he Individual: The Key To Life Insurer Success In 2020 And Beyond


Enterprise risk management continues to be a major focus 
in many industries and the life insurance sector is no  
exception. In fact, an insurance company’s future survival 
is highly dependent upon the ability to successfully manage 
its various risks. However, to thrive and not just survive, 
an insurance company must take advantage of its exper-
tise in risk management by also addressing the risks faced  
by its individual customers in a much better and more 
comprehensive  way  than  is  done  today.  This  can  be  
accomplished through the development of a single product 
that will allow individuals and families to simultaneously 
identify and manage the risks encountered over a lifetime. 
Companies that can successfully develop such a product will 
see profitable growth and become the dominant force in the 
life insurance sector of the future. 
The value derived from human capital allows individu-
als to meet basic needs such as food, clothing, housing, 
education and health care, both during the working years 
and in retirement. The three primary risks in attempting to 
meet these needs are:
•  Mortality (premature death and longer than expected 
  lifespan),
•  Morbidity (disability, extended  later life health issues  
  requiring  assisted  living  and  long-term  care  and  
  conditions currently covered by comprehensive health  
  benefit plans), and
•  Investment risk (the risk  of loss to retirement and  
  personal investments). 
Although these risks are  well known, for a variety  
of reasons individuals often do not or cannot protect  
themselves. For example, assuming one saves enough of 
current earnings for retirement, investment risk is still a 
large obstacle in achieving a desired retirement income. 
This risk has increased recently by the rapid decline of 
defined benefit pension plans. Most participants in defined 
contribution  plans  have  limited  investment  knowledge  
and often make unwise choices when investing large sums 
of money. Even those who receive investment advice 
or choose life-cycle funds have no guarantee that future  
required returns will be achieved. Although certain com-
plex  and costly option strategies could be employed, there 
is no product that currently offers an easy-to-understand  
and affordable way for the average person to purchase  
insurance protecting the value of retirement or personal  
investments.
Furthermore,  even  though  the  insurance  sector  
currently does offer a vast array of products to mitigate  
mortality  and  morbidity,  separate  policies  must  be  
researched and purchased to cover the variety of risks  
that exist. For example, to protect against the morbidity  
risk  one  would  need  medical  insurance,  disability  
insurance and long-term care. Consumers and their agents 
spend valuable time trying to understand and compare 
features and costs from a laundry list of products rather 
than making optimal risk-based decisions that maximize 
insurance protection and minimize cost. This is due to 
both tradition  and  regulation,  but  it  results  in  many 
consumers feeling frustrated with the process and pur- 
chasing  products  they  may  not  fully  understand  
and that do not efficiently cover all the primary risks.  
Without any significant industry change, as technology  
improves  the  ability  to  compare  costs  and  product  
features,  the  insurance  products  as  offered  in  today’s  
market will become commodities, limiting opportunities 
for future growth.
To grow in the year 2020 and beyond, life insurers will  
need to become personal risk managers for their customers 
rather than just a place where insurance policies are sold. 
Successful companies will offer a policy that provides  
comprehensive risk management services for individuals 
and families. The product will offer lifetime protection 


risk Management  for The Individual: The Key To Life Insurer Success In 2020 And Beyond  by Ken Beckman
from all the primary risks in a single insurance policy using 
the following coverages:
•  Life insurance,
•  Longevity insurance (i.e.,  guaranteed lifetime retire-
  ment income payments),
•  Disability insurance,
•  Long-term care insurance,
•  Investment insurance, and
•  Medical insurance (contingent upon the outcome of  
  national health reform).
An interactive system, using  the latest technology, will 
be used to obtain demographic, financial, health and other 
information. The system will then use this information to 
explain to applicants the implications of the primary risks 
they face, both at present and in the future. Next, customers 
will be provided with a menu of several possible insurance 
policies to choose from, with each policy offering protec-
tion from all the primary risks, but differing in cost and the 
amount of coverage provided. All the policies on the menu 
would be optimized, based on the applicant’s risk tolerance 
and other variables, so that regardless of the policy selected 
it will provide the best possible coverage at the lowest pos-
sible cost. To achieve optimal protection, the coverages 
contained in each policy would be expressed in flexible 
terms. For example, the amount of life insurance would 
vary over time (possibly reaching zero coverage at some 
point) and correlate with specific factors such as income, 
family status, other assets and tax considerations. 
For  each  policy  being  considered,  the  system  will  
illustrate the impact on an applicant’s projected future net 
income and net worth under a variety of scenarios. These 
scenarios would be designed to show prospective insureds 
that insuring for more risks (rather than fewer) and insur-
ing for these risks sooner (rather than later) provide the 
maximum protection at the lowest cost. For example, the 
scenarios would demonstrate the advantages of funding 
long-term care throughout an entire lifetime, increasing the 
proportion of young insureds that currently have long-term 
care coverage. If this strategy is successful, it will provide 
a company the opportunity to expand the size and diversity 
of its risk pool, reducing the average cost of coverage for 
all consumers.
Even after the policy is issued, the risk management 
system will allow the insured to view updated illustrations 
as circumstances and risk tolerances change. The system 
would continuously monitor changes in the family’s risk 
exposure and notify the insured of coverage adjustments 
that might be needed. Selected coverages could be modi-
fied at any time. The actual product details may vary from 
company to company, but the main objective is to enable 
individuals to fully understand the risks they face and pro-
vide an efficient and effective way to protect them from as 
much or as little of that risk as desired. 
In order to create a risk management product for the 
individual and make sure it is financially sound, many  
issues must be addressed. First, companies need to dramati-
cally improve existing enterprise risk management practices.  
Regulators, the public, and company management must 
all be confident that companies will be able to handle the  
additional risks they are accepting. Companies that are  
successful should benefit from a larger pool of offsetting 
and  uncorrelated  risks,  providing  a  reduced  net  risk  
exposure and an improved ability to absorb future extreme  
unexpected events.  
Pricing for morbidity and mortality risk can continue  
to rely on actuarial principles, but must go further by  
considering the combination and interaction of risks at the 
individual and family level. Pricing at this level will make 
coverage less expensive compared to insuring each risk  
individually with a separate product. In addition to pricing 
traditional risks in this new framework, actuaries and other 
insurance professionals must also evaluate and profitably 

price risks that are very prominent, but have not commonly 
been insured. Specifically, the risk of decline in retirement 
investments will need to be addressed with investment  
insurance using both existing and new techniques. This 
coverage might guarantee a minimum return over specified 
intervals, such as a 3 percent return on a stock mutual fund 
at the end of 20 years. Risk-based pricing would be used so 
that insuring riskier investments and having more generous 
guarantees would cost more.
Marketing must be modified to better educate the public  
about these risks that imperil the financial health of individuals  
and families. For this product to work, the public must under-
stand it is more effective and less costly to address these risks 
at the household or individual level rather than in piecemeal 
fashion through a variety of separate policies. Underwriting 
must be flexible and timely, while avoiding anti-selection. 
By 2020, technology and electronic commerce will have  
advanced rapidly, and companies must fully utilize these 
new technologies in all aspects of the marketing and admin-
istration of this new product. Finally, the costs for improved 
risk management, pricing, underwriting, marketing and 
administration all must be kept low in order to provide 
greater insurance coverage at a lower cost. 
Companies, regulators and other interested parties have 
all recognized the need for insurers to manage their own 
enterprise risk, but the industry now needs to focus its ef-
forts on managing the risks of individual customers. As 
the leading experts on risk and insurance, actuaries must 
take the lead in promoting this concept to company man-
agement and employees as well as with regulators and the 
public. If companies can begin to demonstrate they are 
helping manage the risks faced by individuals and families 
in a comprehensive manner while remaining financially 
sound, the existing regulatory and other barriers to change 
will dissipate. A successful implementation of an individual  
risk management product will give the actuarial profession 
a great opportunity to fulfill its responsibility to the public 
and provide a solid foundation for a thriving life insurance 
sector of the future.


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