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01 Executive summary 02 Introduction 04 Key technology developments impacting life insurers 13 Impacts on life insurance industry 26 Strategic implications 31 New challenges 39 Conclusion Life insurance in the digital age: fundamental transformation ahead No 6 /2015

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01 Executivesummary02 Introduction04 Keytechnology

developmentsimpactinglifeinsurers

13 Impactsonlifeinsuranceindustry

26 Strategicimplications31 Newchallenges39 Conclusion

Life insurance in the digital age: fundamental transformation ahead

No6/2015

Swiss ResigmaNo6/2015 1

Executivesummary

Technologicaladvanceshavethepotentialtoradicallychangethewaylifeinsurersinteractwithconsumersandalsohelpthembetterassessandpricerisks.Therapidspreadofinternet-enabledwearabledevicesandubiquitousconnectivityareenablingnewwaysofcommunicationandinformationsharing.Theamountofdigitaldatageneratedautomatically,inexpensivelyandnon-intrusivelyisgrowingexponentially.Thenumberoftoolstoanalysethedataandextractusefulinsightsonconsumersisalsogrowingrapidly.Developmentsinartificialintelligenceandcognitivesystemsalsocreateopportunitiesforinnovation.Andadvancesinmedicaltechnologyhavethepotentialtoimprovehealthoutcomesandextendlives,thuschangingriskpools.

Inunderwriting,newdatasourcesandinnovativeplatformstostoreandminedataorsimplyautomateexistingprocessescanreducethelengthandinvasivenessofriskassessment,improveriskselectionandrefinepolicypricing.Automationofunderwriting–agrowingtrend–willbepushedtonewfrontiersbydevelopmentsincognitivecomputing,whileBigDataandnewanalyticaltoolswillprogressthestill-nascentstageuseofpredictiveunderwritinginlifeinsurance.Datasharingplatformsforendconsumerswillreducethecostofcollectinghealthinformationandprovideamorecompleteviewofcustomersformoreaccurateriskassessmentandpricing.

Indistribution,theimportanceofnewchannelsfacilitatedbytheinternet,smartphonesandsocialmediaisincreasing.Newtechnologiescanenhanceconsumerengagementwithlifeinsurancebymakingtheapplicationprocesseasierandbyusingrewardsprogrammesandtechniquessuchasgamification.Newsourcesofdataandpredictivemodellingtoolsofferopportunitiesformoregranularclientsegmentationandbetteridentificationofclients’needs.Inadditiontobettertargetingtheexistingcustomerbase,newtechnologiesalsoofferthepotentialtoreachnewcustomersegments.

Digitalisationandthespreadoftheinternetandmobiletechnologyhavetransformedanumberofindustries.Lifeinsurers,however,havebeenslowadoptersoftheinnovationsthattechnologyadvancesoffer,withchangeshappeningonlygradually.Thesectorlagsbehindotherindustriesinofferingconsumersapositiveonlineexperienceandmeetingcustomerexpectationsinthedigitalage.

Technologyandthedigitaldatarevolutionwillfundamentallychangethebusinessofinsurance.Togrowtheirbusiness,insurerswillneedtoreviewtheirinvestmentsintechnology,rethinktalentstrategyandadapttheirbusinessmodels.Somelifeinsurersarepartneringwithstart-upstobuildtheirowndataanalyticscapabilities.Technologicaldevelopmentscouldspurnewoperatingmodelsforexistinginsurers,allowingthemtobecomepurelydigitalandtoprovidenewservicesbeyondtraditionalinsurance.

Newtechnologypresentsopportunities,butalsogivesrisetonewchallengesthatlifeinsurersneedtoaddress.Oneisregulation,withlackofclarityandconsistencyarounddataprotectionandprivacy.Therearealsoregulatorychallengeswithrespecttotheuseofdigitaltechnologyincross-borderselling.Further,lifeinsurerswillnotwanttoalienateconsumersthroughtheiruseoftechnologyanddataanalytics.Finally,non-traditionalplayersareenteringthemarket,presentinganopportunityforpartnership.However,theycouldalsoeventuallycompetewithtraditionalinsurers.

Newdataandtechnologiescanradicallytransformthewaylifeinsuranceisunderwrittenandsold.

Forunderwriting,thereispotentialtoreducethelengthandinvasivenessofriskassessment,improveriskselectionandrefinepolicypricing.

Newtechnologiescanalsofacilitateimprovementsindistributionthroughstrongerconsumerengagement.

Lifeinsurancehaslaggedbehindconsumerexpectationsinthedigitalage.

Insurerswillneedtoreviewtheirinvestmentsintechnology,rethinktalentstrategyandadapttheirbusinessmodels.

Technologypresentsnewchallengesforlifeinsurersalso.

2 Swiss ResigmaNo6/2015

Introduction

Digitalisationandthespreadoftheinternetandmobiletechnologyhaveimpactedanumberofindustriesinrecentyears,transformingthembeyondrecognition.Sectorswithlowbarrierstoentry,genericproductsandlowmarginalcostssuchasthemusic,publishing,retailandtravelindustries,havebeenmostaffected.Digitaltechnologyisnowrevolutionisingindustrieswithmorecomplexproductionprocessesandhigherbarrierstoentryalso.Inthefinancialservices,forexample,innovationisdrivingdisruptioninpaymentsystems,consumerlendingandwealthmanagement,amongothers,leadingtoimprovedfunctionalityandlowercosts.

Theinsuranceindustryhasbeenslowtoadoptsomeoftheinnovationsthatdigitaltechnologyoffers.Therehasbeengradualacceptanceofcertainaspectssuchasdigitaldistributionoverthepastdecadebutchange,especiallyinthelifesector,hasbeenatthemarginsonly.1Customer-centricityisnotyetthenorminlifeinsurance:a“one-size-fits-all”approachandafocusonagentsratherthanconsumersisstillwidespread,limitingconsumerchoiceandproductcustomisation.Moreover,alengthyandconvolutedbuyingprocessoftenleavesconsumersconfusedandlackingtrustininsuranceproviders.2

Yetconsumerpreferencesandbuyingbehavioursarechangingrapidly,notleastbecausemanyindustrieshavealreadyadoptedmorecustomer-centricandtechnology-inspiredbusinessmodels.Theyoungergeneration(GenerationY,bornbetweentheearly1980sandlate1990s,andsubsequentgenerations)inparticularhavegrowntoexpecteasyandquickaccesstoinformationincommercialinteractions,transparencyaboutcostandvalue,andhigh-qualityservice.Notsurprisingly,consumersurveysshowinsurancelaggingbehindmostotherindustrieswhenitcomestocustomersatisfactionfromonlineexperiences(seeFigure1).

Source:Delivering Digital Satisfaction ©2013,TheBostonConsultingGroup(BCG)

1 sigma2/2014:Digitaldistributionininsurance:aquietrevolution,SwissRe.2 sigma6/2013:Lifeinsurance:focusingontheconsumer,SwissRe.

Digitaltechnologyhasalreadytransformedmanyindustries…

…buttherevolutionhasbeenslowtotakeoffininsurance.

Theindustryalsolagswhenitcomestoofferingconsumersapositiveonlineexperience.

Figure 1 Consumersatisfactionwithonlineexperience,byindustry

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Swiss ResigmaNo6/2015 3

Thedigitaluniverseandtechnologicaladvanceshavethepotentialtoradicallychangethewayinwhichlifeinsurersinteractwithconsumers,andalsohelpthembetterassessandpricerisks.Theirrapidspreadisadisruptiveforce,enablingnewinterfacesandformatsforcommunication,sharingofinformationandinteractingwiththephysicalworld(seeFigure2).Abundanceofdataonconsumersandnewwaystoevaluateitcreateopportunitiestoinnovateinunderwritinganddistribution.Intheemergingmarkets,mobiletechnologyallowsforconnectingwithbillionsofpeople:inmany,communicationsystemshavejumpedfromtherebeingvirtuallynoconnectivitydirecttothemobileandevensmartphoneage.Advancesinartificialintelligence(AI)andnewanalyticaltoolsaremakingitpossibletoaugmentorautomatecertainaspectsoftheworkofinsuranceprofessionals.Also,advancesinmedicaltechnologyhavegreatpotentialtofacilitateearlydiagnosticsandpreventionofdisease,improvethehealthofpeoplewithchronicdiseases,andextendlives.

E=estimates.

Source:ITUWorldTelecommunication/ICTIndicatorsdatabase

Somelifeinsurershaveuseddigitalcommunicationstoofferinsurancethathadbeenunaffordableorunavailablepreviously.Theuseofreal-timedataisenablingcompaniestostreamlinetheunderwritingprocessandreducerelianceoninvasivetestingsuchasbloodsamples.Otherinsurersaretakingactiontocapitaliseontheopportunitiesthatnewtechnologiescanprovideinthefuturebyformingpartnershipswithtechstart-upsasameanstobuildtheirownBigDatacapabilities.Thereisanawfullotmorethatcan,andwill,happen.Thissigmaeditionprovidesanoverviewofkeytechnologicaldevelopmentsrelevanttothelifeinsuranceindustry.Itdiscussesthepotentialimpactofthesedevelopmentsonunderwritinganddistribution,andassessesthelonger-termopportunities,risksandchallengesthatnewtechnologyanddataanalyticspresenttolifeinsurers.

However,thelifeinsurancesectorissettoundergofundamentalchange,drivenbytechnology.

Figure 2 Globalgrowthintechnologyandconnectivity,2001–2015E

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Active mobile-broadband subscriptionsFixed-telephone subscriptionsIndividuals using the InternetMobile-cellular telephone subscriptions

2015E20142013201220112010200920082007200620052004200320022001

Thissigmaassessestheimplicationsofnewtechnologiesforlifeinsurers.

4  Swiss Re sigma No 6 /2015

Key technology developments impacting life  insurers

A wide range of technological changes will affect the future of the insurance  industry. These developments include data and analytics, artificial intelligence and cognitive computing, new medical technologies, wearable devices and digital health, and the Internet of Things. 

Data and analytics

The amount of data generated in the world today is increasing exponentially as  the range of devices capable of sending and receiving data over the internet – computers, tablets and mobile phones and their applications (“apps”), cameras,  embedded sensors and others – continues to expand. According to IDCʼs Digital Universe Study, from 2013 to 2020 the digital universe will grow by a factor  of 10 – from 4.4 trillion gigabytes to 44 trillion – roughly doubling every two years.3 

A large share of the digital data is generated automatically, inexpensively and  non-intrusively by devices capable of sending and receiving information, and from transaction records, social media platforms and web logs. Much is unstructured,  collected in real time, updated frequently, variable and not always useful. For  example, the IDC study said that in 2013, only 22% of the digital data bits generated would have provided value if tagged and analysed.4 Two-thirds of the data were  generated by use of devices by consumers and workers, but enterprises had liability or responsibility for 85% of that.5 Of the data generated in 2013, only 5% was  actually analysed, according to the IDC. It is a widely-held belief that the competitive advantage in business will go to those firms able to use Big Data and predictive  analytics to identify consumer preference trends early, to gain insights into consumer preferences and make operations more efficient. 

However, the ability to gain useful insights from the ever-increasing amounts of data is challenging. Big Data broadly refers to data sets so large or complex that it is  critical to have the right tools and techniques to manage and analyse them  effectively.6 As data variety and diversity push the limits of technological innovation, new data management techniques and frameworks are being developed. This  discipline is called “data science”, loosely defined as the extraction of knowledge from large volumes of structured and unstructured data. Many firms recognise the strategic importance of Big Data analytics and are building large teams of data  scientists.7 

3  In the report, the estimates consider data generated by more than 40 types of devices including radio-frequency identification devices (RFID), sensors, supercomputers, supercolliders, PCs, servers, cars and planes. See The Digital Universe of Opportunities: Rich Data and the Increasing Value of the Internet of Things, White Paper, IDC (sponsored by EMC Corporation), April 2014.

4  By 2020, it is thought that the useful percentage could grow to more than 35%, mostly because of the growth of data from systems embedded in computers and small devices.

5  For example, Facebook’s users had uploaded more than 250 billion photos on its website by 2013, and an additional 350 million new photos were being uploaded each day. See "A Focus on Efficiency - A White Paper from Facebook, Ericsson and Qualcomm", internet.org, 16 September 2013, http://www.meducationalliance.org/sites/default/files/internet.org_-_a_focus_on_efficiency.pdf

6  There is no one definition of the term Big Data. For an overview of definitions, see J. S. Ward and A. Barker, Undefined by Data: A Survey of Big Data Definitions, School of Computer Science, University of St. Andrews, 20 September 2013.

7  T. H. Davenport and D.J. Patil, “Data Scientist: The Sexiest Job of the 21st Century”, Harvard Business Review, October 2012.

New technologies to transform the industry.

The amount of information generated through various devices is set to roughly double each year.

Digital data can be a competitive advantage in business but currently, much of the information generated is not useful.

That’s why many firms are hiring data scientists with the ability to extract useful insights from large volumes of digital information.

Swiss ResigmaNo6/2015 5

What is data science? Datascienceisaninterdisciplinaryfieldincorporatingcomputerscience,modelling,statistics,businessanalyticsandmathematicstoanalysemassiveamountsofdatatoextractinsightsandknowledge.8Inadditiontotechnicalskills,datascientistsmusthavesufficientexpertisetoformulatethequestionstobeaskedofthedataandtointerprettheresults.

Theprocessiscircular,startingwithobtainingasufficientamountofdatafrommultiplesources,thenatureofdatabeingsearchedforitselfdeterminedbyexistingbusinessinsightsandobjectives.Thedatathenneedstobecleanedandputintousableformat.Thisisespeciallychallengingforunstructureddata(eg,datafromTwitter)duetoitscomplexityandnon-representativeness.

Themodellingstage,whichcaninvolvestatisticalanalysis,dataminingandmachinelearning9,comesnext.Thechoiceofanalysistechniquedependsonthenatureoftheendgoal,forinstancewhethertheaimistoexplaincausalrelationshipsortopredict.Exploratorydataanalysisoftenusesstatisticaltoolstofitthemodelandinvestigatecausalityrelationships.Predictivemodels,ontheotherhand,usemachinelearningalgorithmsanddataminingtoolsthatautomaticallysearchthroughthedataandlearnhowtorecognisepatternsanddiscoverusefulrelationships.Theseareusedtotrainthemodelandimproveitsabilitytomakepredictions.Inthefinalstage,theresultsfromthedataanalysisareinterpreted,visualisedandreportedsoastobeusefulforbusinessdecision-makingpurposes.Theseinsightsarealsousedtoinformthefocusofdatasearchesforsubsequentbusinessinitiatives.

Source:SwissReEconomicResearch&Consulting(adaptedfromvarioussources).

Todate,thenumberoffirmsacrossallsectorsactuallydeployingsolutionsderivedfromBigDatatechnologiesarerelativelyfew.AccordingtoasurveybyGartner,theshareofcompaniesthatinvestedorplannedtoinvestinBigDatainthenext24monthsgrewto73%in2014,from64%in2013.However,only13%ofthosehaveactuallydeployedapplicationsandsolutions,withmuchoftheworkrevolvingaroundstrategydevelopment,thecreationofpilotsandexperimentalprojects.10

8 SeeWhat is Data Science?,NYU,http://datascience.nyu.edu/what-is-data-science/andH.MasonandC.Wiggins,"ATaxonomyofDataScience",dataists.com,25September2010,http://www.dataists.com/2010/09/a-taxonomy-of-data-science/

9 Machinelearningisasubfieldofcomputersciencewhichdealswithalgorithmsthatcanlearnfromandmakepredictionsondata.Inabusinesscontext,machinelearningmethodsareoftenreferredtoaspredictiveanalyticsorpredictivemodelling.SeeWikipedia,https://en.wikipedia.org/wiki/Machine_learning.

10Gartner Survey Reveals that 73 Percent of Organizations Have Invested or Plan to Invest in Big Data in the Next Two Years,Gartner,17September2014,http://www.gartner.com/newsroom/id/2848718

Datascienceisaninterdisciplinaryfieldfocusedonextractingknowledgefromdata.

Theprocessinvolvesmultiplesteps,includingdatacollectionandcleaning,…

…modelling,reportingandvisualizationofresultstosupportbusinessdecision-making.

Figure 3 Thedatascienceprocess

OnlyarelativelyfewcompaniesfromallindustrieshavesuccessfullydeployedBigDataapplications.

Reportingandvisualization

Modelingandcomputation

Datamanagementand

transformation

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Businessinsights

6 Swiss ResigmaNo6/2015

Key technology developments impacting life insurers

Theinsurancesectorhasbeenslowerthanmanyothersectors,butmanyinsurerssaytheywillmakemoreuseofdataanalytics.AccordingtoaStrategyMeetsAction(SMA)surveyofinsurersinNorthAmerica,theshareofcompaniesthatinvestedinBigDatainitiativesmorethandoubledto25%in2014from10%in2013.11ThemostpronouncedincreasewasatfirmswritingmorethanUSD1billionofpremiumsannually.Inthissegment,39%reportedinvestinginBigDataprojectsin2014,upfrom14%theyearbefore.AsFigure5shows,insurersusedataanalyticsmainlyforsalesandmarketingpurposesbutexpecttoincreaseitsuseacrossallfunctionsinthenext3–5years.

Source:Big Data in Insurance,SMAResearch,June2014.

Note:Note:ifaninsurerchose“today”butnot“in3–5years”,the“3–5years”optionwasconsideredtobechosenaswell.

Source:Global Digital Insurance Benchmarking Report 2015,Bain&Company,2015.

11 In2014,SMAconductedastudyonbigdataininsurance.75NorthAmericaninsurersparticipatedinthesurvey,representingalltiersandmajorlinesofbusiness.Formoreinformationsee:M.Breading,Big Data Takes Off in Insurance,SMA,10September2014,https://strategymeetsaction.com/news-and-events/sma-blog/big-data-takes-off-in-insurance/

Surveyevidencesuggeststhatmanyinsurersexpecttomakemoreuseofdataanalyticsinthecomingyears.

Figure 4ShareofallNorthAmericaninsurersinvestinginBigData

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Survey question:TowhichfunctionsdoyouapplyBigDataanalytics?

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Swiss ResigmaNo6/2015 7

Artificialintelligenceandcognitivecomputing

Softwareintelligenceorcognitivecomputingisthesimulationofhumanthoughtprocessesinacomputerisedmodel.Cognitivesystemsapplyartificialintelligence(AI)12andmachinelearningalgorithmsencompassingvariousdatamining,patternrecognitionandnaturallanguage13processingtechniquestomimictheworkingsofthehumanbrain.Cognitivetechnologyisnotanewconcept.AIemergedasafieldinthelate1950sandbecameahottopicinthe1960swhencomputerscientistssetouttobuildintelligentsystems.Therewasapushtodeveloping“expertmachines”inthe1980sbutlimitationstocomputingpowerbroughtprojectstoahalt.Sincethelate1990s,theAIandcognitivecomputingfieldshaveseenrapidbreakthroughsenabledbyseveralkeydevelopments,includinganexponentialincreaseincomputationalpower,14adeclineinrelatedcosts,andtheavailabilityofvastquantitiesofdigitalinformation.Thesehavefacilitatedthedevelopmentofadvancedmachinelearningtechniquessuchaspatternrecognitionsystems.

Cognitivesystemscontinuallylearnfromlargesetsofdataandapplythatknowledgetofuturesituations.Theexpectationisthatthesystemswillbeabletoanswercomplicatedquestionsinfasterandmoreefficientwaysthanhumansinallsortsofindustries,includinghealthcare,pharmaceuticals,finance,insuranceandlaw(seeBox:“It’selementary,mydearWatson”).

Importantly,cognitivesystemscanaddvaluebyovercominglimitationsinhumancognitiveabilities.Forexample,itcanbedifficultforhumanstoprocesslargeamountsofdatarapidly,andtounderstandtheinteractionsofelementsinlarge,complexsystems.Cognitivesystemscanvastlyextendtheabilitytogatherandprocessinformation,andalsotodiscovernewandcontrarianideas,hiddenpatterns,identifypreviouslyundetectedrelationshipsandtomakemoreaccuratepredictions.Theycanalsohelpsubject-matterexpertskeepupwithlatestknowledgeandresearchbyquicklyanalysingandsynthesisingmillionsofdocumentsforrelevantinformation.Andlastly,cognitivesystemscanbemoreobjectivethanhumansinformulatingandtestinganumberofhypotheses.Humans,incontrast,arepronetobiasbasedonexperience,professionalbackgroundandintuition.

Cognitivesystemscarrythepromiseofvastlyenhancingmanyareasofhumanactivity,freeingupresourcestoberedirectedtocapacitieswherecomputersremaininferiortohumans.Theywillinevitablyreplacesometypesofknowledgework.Forexamplealreadytoday,financialadvisersfacecompetitionfromrobo-advisersbuiltonthealgorithmsthatoriginallyservedthetraditionalfinancialadvisorcommunity.Cognitivecommunicationsystemsabletoconductaquestion-and-answerdialoguewithconsumershavethepotentialtocreatenewareasofinnovation.Thisincludestheworktraditionallycompletedbyinsuranceagents,advisorsorclaimshandlers.Technologycanmaketheseindividualsmoreproductiveandtakeawaysomeoftheirmoremundanework.

12Artificialintelligenceiscomputersandcomputersoftwarecapableofintelligentbehaviour.ThemaingoalsofAIinclude"reasoning,knowledge,planning,learning,naturallanguageprocessing(communication),perceptionandtheabilitytomoveandmanipulateobjects.”SeeWikipedia,https://en.wikipedia.org/wiki/Artificial_intelligence

13 “Naturallanguageorordinarylanguageisanylanguagethatdevelopsnaturallyinhumansthroughuseandrepetition.”SeeWikipedia,https://en.wikipedia.org/wiki/Natural_language

14 Inthelast50years,thepowerorcomputing(chip)performancehasdoubledapproximatelyeverytwoyears.Thistrendisdubbed“Moore’slaw”,afterGordonE.Moore,co-founderoftheIntelCorporationandFairchildSemiconductor,whoina1965paperdescribedadoublingeveryyearinthenumberofcomponentsperintegratedcircuit.SeeWikipedia,https://en.wikipedia.org/wiki/Moore’s_law

Cognitivecomputingisthesimulationofhumanthoughtprocessesinacomputermodel.

Cognitivesystemscanbefasterandmoreefficientthanhumansin…

…gatheringandprocessinginformation.

Cognitivesystemscancreatenewareasofinnovationinlifeinsurance.

8 Swiss ResigmaNo6/2015

Key technology developments impacting life insurers

“It’s elementary, my dear Watson”15

OneexampleofcognitivecomputingfromIBM’sWatson16computingsystem.Watsonisanartificialintelligencecomputersystemcapableofansweringquestionsposedinnaturallanguage.ThesystemwasshowcasedintheTVquizshowJeopardy!whereitcompetedin2011andwonagainstallhumancompetitors.

WatsonisacombinationofAI,machinelearningandnaturallanguagetechnologies.Itdecomposesquestionstounderstandthecontextofwhatisbeingasked,analysesallavailableinformationinresearchandarticles,andcomesupwithplausibleanswers.Ithastheabilitytoquicklyexecutehundredsofprovenlanguageanalysisalgorithmssimultaneously.Itisprobabilisticandgeneratespotentialanswerswithalevelofconfidence.Themorealgorithmsthatfindthesameanswerindependently,themorelikelyWatsonistobecorrect.Watsoncansiftthroughthedataequivalentofabout1millionbooks,analysetheinformationandprovideresponsestocomplicatedquestionsinlessthanthreeseconds.

CommercialapplicationsofWatsontechnologyaregrowing.Inhealthcare,aversionofWatsonisbeingusedtoaccelerateandincreasetheaccuracyofthetreatmentprocessbasedonananalysisofthousandsofpagesofmedicalpapers,treatmentguidelines,electronicmedicalrecorddata,notesfromphysiciansandnurses,researchmaterial,clinicalstudies,journalarticlesandpatientinformation.IBMhaspartneredwithpharmaceuticalcompaniestohelpunderstanddruginteractionsbymakingconnectionsacrossmillionsofarticles,journalsandstudies.Firmsfromarangeofotherindustries,includingfinancialservices,travel,telecomandretail,areworkingwithIBMtocreateappsandservicesembeddedwithWatson’scapabilities.

Medicaltechnologies

Medicalinnovationistransformingthewayhealthcaresystemsoperate.Disruptivetechnologiesinhealthcarearebasedoninterdisciplinaryadvancementsacrossthenaturalsciences,medicineandtechnology.Theyspanmanydomains,includingtheuseofelectronicprocessesanddevices(eHealth),genomics,regenerativemedicine,roboticsurgery,diagnosticandtherapeuticmethodsbasedonmicrosystemsornanotechnology,newmedicaldevices,drugdeliverytools,andothers.Thesedevelopmentsareforcingashiftinhealthcaretowardprevention,earlydiagnosisandmoreeffectivetreatmentoutcomes,whichcouldhavesignificantinfluenceonhealthrisks.Theyarealsohelpingconsumersgainbetterinsightintotheirownhealthstatus,andmotivatingthemtoactionhealthierlifestyles.Thiscouldalsobeanotherimportantconsiderationinthedesignoflifeandhealthinsurancepolicies.Amongthedisruptivemedicaltechnologies,eHealth,genetictesting,andwearablesbearmostrelevanceforlifeinsurancebecauseoftheirdirectimplicationsforriskassessmentandunderwriting.

15ThemostfamousofquotesattributedtheSirArthurConanDoyle’sfictionaldetectivecharacterSherlockHolmes,eventhoughDoyleneveractuallywrotethosewordsforSherlockHolmes.See“SherlockHolmeQuotes”,sherlockholmesquotes.com,http://sherlockholmesquotes.com/Elementary-My-Dear-Watson.html.

16TheIBMWatsoncomputingsystem,however,wasnamedafterIBM'sfirstCEO,ThomasJ.Watson.

AnexampleofcognitivecomputingisIBM’sWatson.

Watsoniscapableofunderstandingquestionsandprovidinganswersbasedonanalysisofallavailableinformation.

Commercialapplicationsaregrowingrapidly.

Medicalinnovationspansmanydomains.

Swiss ResigmaNo6/2015 9

eHealthThetermeHealthisrelativelyrecentandreferstoarangeofservicesorsystemsattheedgeofmedicine,healthcareandinformationtechnology(IT).Keyhealthcarepracticessupportedbyelectronicprocessesinclude:

Systemsforelectronichealth(ormedical)records(EHR),17patientdatamanagement,diagnostictestsandtreatments,andtransmissionofprescriptionsfromdoctorstopharmacists.

Telemedicine,whichisphysicalandpsychologicaldiagnosis,andtreatment,atadistance,includingtele-monitoringofpatientsfunctions.

mHealth,whichincludestheuseofmobiledevicestocollecthealthdata,providehealthcareinformationtopractitioners,researchersandpatients,andtomonitorpatients’vitalsinrealtime.

Healthknowledgemanagementsystems,providinginformationtohealthcarepractitionersforuseinclinicaldecision-making,andalsobest-practiceguidelinesandepidemiologicaltrackingofmedicalresearch.

Note:MultifunctionalhealthITcapacity–useselectronicmedicalrecordandatleasttwoelectronicfunctions:fororderentrymanagement,generatingpatientinformation,generatingpanelinformation,androutineclinicaldecisionsupport.Source:The Commonwealth Fund 2012 International Health Policy Survey of Primary Care Physicians,TheCommonwealthFund,November2012.

17 EHRsystemsenableelectroniccollectionofhealthinformationwiththeprimarypurposeofprovidinghealthcareandrelatedservices.Theinformationcanbetransmitted,updatedorretrievedsecurelyandinreal-timebothatthepointofcareandinremotelocations.

eHealthcoversarangeofsystemsattheedgeofmedicine,healthcareandIT.

Figure 6 InternationaladoptionofelectronicmedicalrecordsandhealthITcapacity

Doctors with electronic medical records and multifunctional health IT capacity, % of total

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Uses EMR Uses EMR with multifunctional health IT capacity

10 Swiss ResigmaNo6/2015

Key technology developments impacting life insurers

ThereisgrowingevidencethattheuseoftechnologyinhealthITleadstolowercostsandimprovedhealthoutcomes.This,andpressurestocontainmedicalcostincreases,createsincentivesforeveryoneinthehealthcaresectortousehealthIT.AdoptionofEHRsystemsvariesfromcountrytocountryformanyreasons(seeFigure6),includingtypeofhealthcaresystem,technicalandfinancialbarriers,andconcernsaboutprivacyandsecurity.18IntheUS,theHealthInformationTechnologyforEconomicandClinicalHealth(HITECH)Actfrom2009madeasubstantialcommitmentoffederalresources(USD27billion)tosupportadoptionofEHR.19InEurope,wherehealthcarepracticesarelargelylocalised,areportcommissionedbytheEuropeanCommissionfoundthatapan-EUEHRsystemwouldnotbetechnicallyfeasibleandcost-effective.IthasinsteadurgedmoreemphasisondecentralisedeffortstocreatesmallerscaleeHealthsystems.20

Genetic testingAdvancementsingenomicsholdgreatpotentialtotransformmedicine,bymakingitpossibletoscanaperson’sgeneticprofiletopredictriskareasandcustomisemedicaltreatments.Genetictestingidentifieschangesinchromosomes,genesandproteinstodetectpossiblepresenceofgeneticdiseases,ormutantformsofgenesassociatedwithincreasedriskofdevelopinggeneticdisorders.Mostgenetictestsareusedtoconfirmorruleoutasuspectedgeneticdisease,andtodetectthepresenceofgenesthatpredisposeapersontoaparticularillnessorcondition.

Theavailabilityandvarietyofgenetictestshasexpandedgreatlyovertime,andthecoststhereofhaveplummeted.Nottoolongago,onlysomeresearchlaboratorieswerecapableofconductinggenetictesting.Today,intheUSalonethereareover500laboratoriesthatdoso.21Fifteenyearsago,thecostofsequencingahuman-sizedgenomewasclosetoUSD100million;nowit’saroundUSD400022andisexpectedtofallbelowUSD1000soon.23

Wearables,InternetofThingsanddigitalhealth

Wearabledevicesorsimply“wearables”aremini-computersandsensorsincorporatedinitems(eg,wristbands,watches,glassesorclothes)thatcanbewornonthebody.Similartohandhelddevices,wearablescandisplay,processandstoreinformationandusuallyhavesomecommunicationcapabilities.Forexample,California-basedAugmedixhasdevelopedsmartglassesbasedontheGoogleGlassplatformthatdocumentdoctors’visitstopatients,includingdataentryassociatedwithapatient’sEHR.24Inaddition,patienttestresultscanbedisplayeddirectlywithoutthedoctorhavingtolookatacomputerscreen.Thisgivesthephysicianmoretimetofocusonthepatient.Theglassesalsohavesensoryfeatures,suchastrackingofvitalsthatgobeyondthoseofhandhelddevices.

18MollyPorter,“AdoptionofElectronicHealthRecordsintheUnitedStates”,Kaiser Permanente,February2013.

19Thedeadlineforimplementationis2015andthosewhodonotmeetitwillhavetopaypenaltiestothegovernmentintheformofreducedMedicarepayments.PhysicianswhohavenotadoptedEHRsystemsby2015willreceiveMedicarereimbursementsreducedby1%.Thedeductionrateincreasesto2%in2016,3%in2017,and4%in2018.

20K.A.Stroetmann,J.Artmann,V.N.Stroetmannetal.,European countries on their journey towards national eHealth infrastructures – evidence of progress and recommendations for cooperative actions,EuropeanCommission,DGInformationSocietyandMedia,ICTforHealthUnit,2011.

21Genetic Testing: How it is Used for Healthcare,NIHFactSheet.October2010.22DNA Sequencing Costs – Data from the NHGRI Genome Sequencing Program (GSP),NationalHuman

GenomeResearchInstitute,http://www.genome.gov/sequencingcosts/23RobertKlitzman,“Doctor,HaveYouHadYourDNATested?”,New York Times,5February2015.24ThecommercialviabilityofGoogleGlasshasbeenunderquestion,butAugmedix’ssmartglassesareone

ofseveralin-the-workplaceapplicationsthatareseenasgivingrenewedlifetothetechnology.“GoogleGlassFindsaSecondActAtWork“,MIT Technology Review, 24 July 2015,http://www.technologyreview.com/news/539606/google-glass-finds-a-second-act-at-work/

Governmentsarepushingforadoptionofelectronichealthrecords.

Advancementsingenomicsholdgreatpotentialtotransformmedicine.

Availabilityofgenetictestinghasexpandedgreatlyandcostshaveplummeted.

Wearablesaremini-computersandsensorsincorporatedinitemsthatcanbewornonthebody.

Swiss ResigmaNo6/2015 11

Wearableshavebeenusedinhospitalsforalongtime,forexampletodetecthealthdisorderslikesleepapnoea.Recently,wearableshaveexpandedintotheconsumersegmentalso,forinstancefitnesstrackersandsmartwatches(seeFigure7).25Typicalfeaturesincludetrackingofsteps,caloriesspentandheartrate.

By2025,thenumberofconnecteddevicesinuseisexpectedtototalaround25billion,upfrom5billiontoday.26Theincreasewillcomewiththesignificantdropinhardwareprices,whichisputtingsensors,processingpower,networkbandwidthandcloudstoragewithinreachofmoreusersandmakingawiderrangeofIoTapplicationspractical.Progresstowardubiquitouswirelesscoverageatalowcostandadvancesindataanalyticshavefurtherfuelledthegrowthofand,importantly,willsupporttheproductiveuseofdatageneratedbytheIoT.

Note:Totalnumberofdevices:347,asof9September2015.Source:WearableTechnologyDatabase,VandricoInc.

Thealreadymentionedconsumerapplications,gadgetsthatcreate“smarthomes”withsensorsthattrackoccupants’usagepatternsandadaptenergyconsumptionlevelsaccordingly,andtheself-drivingcarhavesofarattractedthemostattention.However,accordingtoMcKinsey,business-to-businessapplicationsareexpectedtoaccountfornearly70%oftheestimatedvaluethatwillflowfromtheIoTtechnologyinthenext10years.27Thehealthcaresectorwillbeamainbeneficiary.WearablesandIoTtechnologyhavethepotentialtoradicallychangecareservicesandtreatmentoutcomes.Forexample,thetechnologycanmakethediagnosis,preventionandtreatmentofchronicdiseasesmoreefficientwithimprovedremotemonitoringtechniques.Untilnow,mostdoctorshavehadalimitedabilitytocollectandmonitorinformationonhealthstatusonceapatientleavesahospitalormedicalfacility.Inthefuture,theywillbeabletomonitorpatients’heartratesremotelywitheasy-to-usepatchesattachedtotheskin,thusimprovingearlydetectionofheartattackrisk.

25Foradetailedlistingofwearabledevicesareasofmarketfocus,seeVandricoInc’swearabletechnologydatabaseathttp://vandrico.com/wearables

26Disruptive technologies: Advances that will transform life, business, and the global economy, McKinsey Global Institute, 2013.

27 Ibid.

TheInternetofThingsisexpandingtheworldofpossibilitiesforremotedevices.

Thenumberofconnecteddevicesinuseintheworldisforecasttogrowfivefoldinthenext10years.

Figure 7Wearabledevicesbyareaofmarketfocus,%oftotal

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Key technology developments impacting life insurers

Likewise,formanyyearsdiabetespatientshavehadtohavetheglucoselevelsintheirbloodtestedseveraltimesaday.Newcontinuousglucosemonitoringsystems(patchesbearingatinyneedleundertheskin)allowforreal-timemeasurement24/7.Meanwhile,GoogleandAlconareworkingonacontactlensthatmeasuresglucoselevelsintears.28AnotherexampleisSoteraWireless’ViSiMobilesystem,whichhasbeengrantedFDAapproval.29Thesystemallowsclinicianstomonitorpatients’bloodpressureandothercorevitalsignsincludingpulserate,skintemperature,electrocardiogram,bloodoxygenationandrespirationrates.

Anotherareainwhichwearablesofferpotentialforimprovementisadherencetomedicalprescriptions.AccordingtotheCentersforDiseaseControlandPreventionintheUS,inabout50%ofcasesmedicationisnotcontinuedasprescribed,limitingtheeffectivenessoftherapies.30ProteusDigitalHealth,aCalifornia-basedcompany,hasdevelopedingestiblesensortechnology,which–whenusedwithamedication–marksactualintaketime.Thesensorcommunicateswithanadhesivepatchwornonthetorso,whichinturntransmitsthedatatoamobileapp.Inaddition,thewearablesensorcanrecordbasicphysiologicaldatasuchasheartrateandactivity/rest,generatingsomerecordofdrugresponse.31Suchtechnologiescanhelpfine-tuneandpersonalisedrugtreatment,leadingtobetterhealthoutcomesandreducedhealthrisks.Thenewinformationcouldalsobeusedtodeterminethescopeofcoverandpricingofinsurancepolicies.

28Novartis to license Google “smart lens” technology,Alcon,15July2014,http://www.alcon.com/news-center/news-item.aspx?id=307

29“FDAApprovesViSiMobileSystemforCuffless,Non-InvasiveContinuousBPMonitoring”,medgadget.com,10October2013,http://www.medgadget.com/2013/10/fda-approves-visi-mobile-system-for-cuffless-non-invasive-continuous-bp-monitoring.html

30Medication Adherence,CentersforDiseaseControlandPrevention,27March2013,http://www.cdc.gov/primarycare/materials/medication/docs/medication-adherence-01ccd.pdf

31Withtheincreaseduseofwearablesformedicalpurposes,therehasbeensomedebateaboutwhethersuchdevicesshouldbeunderregulatoryscrutiny.IntheUS,theFoodandDrugAdministration(FDA)issuedadraftguidanceinJanuary2015,suggestingthatlowriskdevicesintendedforonlygeneralwellnessuseshouldbeexemptfromregulatoryoversight.Thevastmajorityofwearabledevices,suchasstepcountersandcalorieintakemonitors,willthereforenotberegulated.Devices,marketedfortreatingdiseases,however,willfallunderFDAscrutiny.Seehttp://www.fda.gov/downloads/medicaldevices/deviceregulationandguidance/guidancedocuments/ucm429674.pdf

…forexampleintheareaofremotepatientmonitoring…

…andbyimprovingadherencetomedicalprescriptions.

Swiss ResigmaNo6/2015 13

Impactsonthelifeinsuranceindustry

Technologywillhaveanenormousimpactontheinsuranceindustryoverthenextdecade,acrossthevaluechainfromproductdevelopmentandunderwritingthroughtodistribution,servicesandclaims.Inthenearterm,thelargestimpactislikelytobeonunderwritinganddistribution(broadlydefined).

Impactonunderwriting

Advancesintechnologyhavethepotentialtoradicallytransformunderwritinginlifeinsurance.Lengthy,complexandinvasiveunderwritingprocesseshavelongbeenviewedasanimpedimenttoreachingandengagingwithmoreoftheun-andunderinsured.Traditionalunderwritingtechniquestodifferentiateandselectrisksareeffective,buttheprocessistimeconsumingandinvolveshighcosts.Newdatasources,platformstostoreandanalysedata,andfast,innovativetechnologiestominethedataorsimplyautomateexistingprocesseshavethepotentialtoreducethelengthandinvasivenessofriskassessment,improveriskselectionandrefinepolicypricing.

Automated underwritingAutomatedunderwritinghasbeenagrowingtrendinlifeinsurance.ASelectXandHankGeorgeInc.surveyfoundthataboutathirdoflifeinsurersgloballyusedautomatedunderwritingin2011,andanotherthirdwereconsideringdoingso(seeFigure8).32ThefindingsareconsistentwithamorerecentglobalsurveybyBainandCompany,33accordingtowhichaboutathirdofthefirmssurveyedsaidtheycanauto-underwritelifeprotectionandsavingsproducts,andslightlymorethanhalfexpecttobeabletodosointhreetofiveyears(seeFigure9).

Source:Underwriting engines: the new strategic imperative in life and disability business, SelectXandHankGeorgeInc.,2011.

32Underwriting engines: the new strategic imperative in life and disability business,SelectXandHankGeorgeInc.,2011.

33Global Digital Insurance Benchmarking Report,Bain&Company,2015.

Changebeckonsacrossthelifeinsurancevaluechain.

Underwritingisgoingtobecomeeasierandmoreeffective.

Automationofunderwritinghasbeenagrowingtrendinlifeinsurance.

Figure 8Currentuseofunderwritingengines

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14 Swiss ResigmaNo6/2015

Impacts on the life insurance industry

Thetechnologyinautomatedsystemsperformsallorsomeofthescreeningfunctionstraditionallycompletedbyunderwriters,thusreducingthehumaninvolvement,timeand/ordatanecessarytounderwriteaninsurancepolicy.Differentlevelsofautomatedsystemsarecurrentlyavailable.Atabasiclevel,automationisusedtoscreenanapplicant’sinformationandflagriskfactorsthatanunderwritermustreviewmorecarefullybeforemakingadecision(forexample,resultsinabloodtestthatareoutsideacceptableboundaries,suchashighcholesterollevels).Thenextlevelofautomationaresystemsdesignedtocompletesimplifiedunderwritingforsmallerfaceamounts(oftenintherangeUSD100000toUSD250000),withoutmedicaltesting.Thesesystemshavebecomemorewidespreadinrecentyears.Theycanacceptorrejectanapplicationforinsurancecover.Insomecases,thesystemcanplaceanapplicantintoastandard,smokerorpreferredcategory,orreferhim/herforfurtherassessment.

Athirdcategoryofautomatedsystemsallowsforfullunderwritingbyessentiallytranslatingacompany’sunderwritingmanualintoprogrammedrules.Applicantscompleteaquestionnaireandundergothecompany’sstandardcriteriaassessment(eg,ageandamountofcoverrequired).Theapplicationisprocessedautomatically,thesystemalsopullinginthird-partyinformationandlaboratoryresults.Thesysteminterpretstheinformationanddetermineswhethertoissue,declineorforwardanapplicationtoanunderwriterforfurtherevaluationifnecessary,forexampleifaphysician’sstatementisrequired..

Developmentsincognitivecomputingwilladvanceautomatedsolutionsbybringingmoreconsistencytounderwritingdecisionsandbymakingtheprocessfasterandmorecost-effective.Integrationofthelearningcapabilitiesofcognitivesystems,andalsotheirvoicerecognitionandtextreadingalgorithms,willmakeitpossibletoextractmeaningfulinformationfromallsourcesofdata,includingunstructuredmedicalreports.Cognitivesystemscanbedevelopedtoreadanapplicant’sinformation,putitincontext,extractallrelevantfacts,comparewiththerulesandguidelinesinunderwritingmanuals,makeadecisionontheapplication,andsetapremiumforcoveriftheapplicationisaccepted.However,giventhatcognitivecomputingisbasedonprobabilitiesanduseofunstructureddata,insurersaremorelikelytouseitasanadvisorytoolratherthantomakefinaldecisiononwhethertoacceptorrejectanapplicationforcover.Insurerswilllikelyuseacombinationofcognitiveandrule-basedlogictostreamlinetheunderwritingprocessforsomewhileyet.DigitalisationinhealthcareandwideavailabilityofEHRwillmaketheuseofcognitivesystemsmoreeffectivetothisend.

Source:Global Digital Insurance Benchmarking Report 2015,Bain&Company,2015.

Automatedsystemscanflagriskfactorsandcompletesimplifiedunderwritingforsmallamounts.

Moreadvancedautomatedsystemsenablefullunderwriting.

Cognitivecomputingwillpushautomatedunderwritingtonewfrontiers.

Figure 9 Percentofinsurerswhocanauto-underwritelifeandhealthproducts.

Survey question:Whatshareofyourbusinesscanyouauto-underwrite?

Medical/healthLife savings and investmentsLife protection

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Swiss ResigmaNo6/2015 15

Opportunities from new data sourcesThetraditionalmodelofunderwritinginlifeinsuranceinvolvingevidencefromconsumersontheirownandtheirfamily’smedicalhistory,alongsidethird-partyinformation,hasbeenslowtoevolve.Therapidlyexpandinguniverseofdataindigitalform–fromEHR,connecteddevices,socialmediaandothersources–providealternativedatasourceswhichinsurerscouldusetobetterassessandpricerisk,andindifferentways.Useofnon-traditionaldatawilllikelybecomemoreprevalentandmayeveneliminatetheneedformedicalexamsformanycustomers.

SomecommentatorsbelieveEHRholdthegreatestpotentialtotransformunderwritinginlifeinsurance.EHRcontainvarioustypesofdataincludinglifestylecharacteristics,medicalhistory,familyhistory,clinicalbiomedicalindicatorsandprospectivemedicaltreatments.Gettingthemedicalrecordsofanapplicanttounderwriteapolicyiscurrentlyacumbersomeandtime-consumingprocess,withmostoftheinformationprovidedinprintformat.Becauseofthevastamountsofunstructureddata,thesystemsaremorefocusedonprovidingasynopsisforpresentationtotheunderwriterratherthandecisionmaking.Abilitytoinstantaneouslyaccessmedicalhistorywiththeindividual’sconsentindigitalformeliminatestheneedforunderwriterstosearchandwaitforcriticalinformation,greatlystreamliningandspeedinguptheunderwritingprocess,andsignificantlyreducingcosts.

DatafromhealthmonitoringdevicessuchasApple’sHealthKitandJawbone’sUPonphysicalactivitylevels,diet,sleeppatternsandheartrateetcmayalsobecomeuseful.Itiscurrentlychallengingtointerpretthesedataforunderwritingpurposesbecausethereisnotenoughresearchandexperiencetolinktheindicatorstohealthoutcomeswithacomfortabledegreeofconfidence.Companiesarelaunchingproductsthatmakeuseofthesedata(eg,theVitalityprogramme-seeBox:Vitalityrewardsprogrammeonpage26)thoughatthemomenttheyhavealowlevelofcredibilityontheunderwritingsideandaremoreofacustomerengagement/retentiontool.Butintimethisshouldimprove.Growingabilitytomeasureandmonitorrisksonanongoingbasiscouldalsoopenopportunitiesforlifeinsurerstopersonalisepricinginrealtime,adaptproductsovertime,andexpandinsurabilityoraugmentpricingforconditionswherelifeandhealthriskscanbemitigatedbyhealthierlifestylesandbehaviours.Forexample,ahealthydietandincreasedlevelsofexerciseareknowntoimproveoutcomesforpeoplesufferingfromchronicconditionssuchashighbloodpressureanddiabetes.Peoplewhoaltertheirbehavioursinapositivewaymayqualifyforlowerpremiumsrates.

Anotherprospectivesourceofinformationisthegeneticprofileofanindividual.Genomicknowledgeisevolvingrapidlyandgeneticdata,ifavailabletoinsurers,couldfacilitatemoreaccuratepredictionofrisksbyilluminatingdiseasesusceptibility,disease-specificgenesandpre-dispositiontocertainconditions.Genetictestingisalreadyaidingthediagnosis,preventionandtreatmentofcertaindiseases.Asitsbenefitsbecomemorewidespread,healthrisksformanyindividualsmaybelowered,makingtheminsurableatabetterrate.

Oneofthechallengesforinsurersislackofconsistentregulationontheuseofgeneticdataforunderwritinginlifeandhealth.InEurope,manycountrieshavebannedtheuseofgeneticdatabyinsurers.Forexample,intheUK,thereisamoratoriumontheuseofgeneticinformationuntil2019.MeanwhileinAustria,Belgium,Denmark,France,NorwayandPortugal,theuseofpredictivegenetictestresultsforinsurancepurposesisnotallowed.IntheUS,theGeneticInformationNondiscriminationAct(GINA)barsuseofgeneticinformationinhealthinsuranceunderwritingdecisions,butnotforlife,long-termcareordisabilityinsurance.Nonetheless,somestatesintheUSbartheuseofgenetictestresults,othersprohibitdecisionsbasedongeneticinformation,andsomerequireinformedconsent.Amoreunifiedapproachwouldbenefitallconcerned.

New,alternativedatasourcescanbeusedtoassessriskandunderwritelifeinsurance.

EHRmaybegintotransformunderwritingfairlysoon.

Datafromhealthmonitoringdevicescouldbepartoftheriskassessmentandpricingequation.

Likewisegeneticdata…

…althoughfirstthereneedstobemoreconsistentregulationontheuseofgeneticprofileinformationinunderwritingdecisions.

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Impacts on the life insurance industry

Platforms for sharing of data by end consumers Anotherareaoftechnologicaladvanceexpectedtoenhanceunderwritingefficiencyareinterfacesforautomateddeliveryofinformationanddatatoinsurersbyendconsumers.Withtheproliferationofdatagatheredonandviadifferentdevices,severalfirmsaredevelopingsoftwareplatformsthatallowconsumerstoaccessandsharetheirdata.Theideaistogiveconsumerscontroloftheirdataandtheabilitytosharethemwithotherpartiessuchashealthcareprovidersandinsurancecompanies,whileprotectingtheirownprivacy.Forinsurers,theplatformswillreducethecostofcollectinghealthinformationandprovideamorecompleteviewoftheircustomersforuseinriskassessmentandpricing.

Examples of consumer controlled data-sharing platformsDigi.memeisastart-updevelopingsoftwaretoprovideaninterfaceforconsumerstocompileandmanagetheirpersonaldata.34Atpresentdigi.mefocusesonretrievinginformationaboutaconsumerfromhis/herpersonaldataonsocialmediasitessuchasFacebook,Twitter,InstagramandLinkedIn.Itanalysestheinformationtoprovidenewinsightstotheconsumer.Theintentionistoexpandthecapabilitytoretrievingandanalyzinginformationaboutanindividuals'healthandfinancialstatus,amongothers,fromdatastoredinotheronlinesites.Thirdpartieswillalsobeabletopurchaseinformationaboutaconsumerfromdigi.me,withtheconsumer'sconsent.

Human API35isastart-updevelopingasoftwareplatformtoretrieve,cleanandstructurehealth-relateddatafromvarioussources,anddeliveritautomaticallyinrealtimetothirdpartiessuchashealthcareprovidersorinsurancecompanies,withtheexplicitpermissionoftheindividualconcerned.Accordingtoitsfounder,HumanAPIwantstointegrateandautomatedeliveryofhealth-relateddatastoredindigitalformatinmanydisparatedatasets(eg,wearables,traditionalclinicalandlabdata,hospitalsanddoctors’offices,andgeneticlabs).36Thestart-upispartneringwithcompaniesprovidinghealthandactivitymonitoringdevicesincludingFitbit,iHealthandJawboneandhealthcareproviderstomaketheintegrationpossible.HumanAPIwillchargeafeeeachtimeadatauserretrievesinformationusingitsplatform.

Predictive analytics Predictivemodellingistheuseofadvancedstatisticaltechniquesanddataanalysistomakeinferencesoridentifymeaningfulrelationshipsinordertopredictfutureoutcomes.Withadequatedata,predictivemodellingcanbeanalternativemeanstodifferentiateandselectrisks.Forexample,itcanhelpidentifylower-riskindividuals,leadingtoastreamlinedunderwritingprocessthatismoreconvenientandcustomerfriendlyforhealthyapplicants.Useofpredictiveanalyticsinunderwritingcanleadtolowercostsandimprovetheoverallmortalityexperience.Itcanalsobeusefulinclientsegmentation,marketing,claimsmanagementandinforcebusinessretention.

34R.Moore-Colyer,“V3StartupSpotlight:Socialnetworkdatalibrarydigi.me”,V3.co.uk,21July2015,http://www.v3.co.uk/v3-uk/interview/2418321/v3-startup-spotlight-social-network-data-library-digime

35APIstandsforApplicationProgrammingInterface.36“HumanAPICEOOnUnifyingHealthData”,informationweek.com,5November2014,

http://www.informationweek.com/healthcare/electronic-health-records/human-api-ceo-on-unifying-health-data/a/d-id/1317195

Softwareplatformsthatallowconsumerstosharetheirdatawiththirdpartiesarebeingdeveloped.

Examplesofconsumercontrolleddata-sharingplatformsincludedigi.meand…

…HumanAPI.

Predictiveanalyticscanstreamlineandcutthecostsofunderwriting.

Swiss ResigmaNo6/2015 17

Thelifeindustryhasbeenslowtoimplementadvanceddataminingandpredictiveanalyticstechniques,butthiswilllikelychange.A2009study,sponsoredbytheSocietyofActuaries,foundthatonly1%ofNorthAmericanlifeinsurerssurveyedwereutilisingpredictivemodellingintheirunderwriting.37Inotherindustries,suchasbanking,P&Cinsuranceandbancassurance,thesetechniqueshavebecomewidespread.38IntheP&Csector,forexample,manycompaniesusefinancialandcredithistorydatatounderwritepersonalautoandhomeownersinsuranceproducts.

Theuseofpredictiveanalyticsinlifeinsurancehasbeenhamperedbychallengestomodellingrisksthatstemfromthelongerpolicydurationandlowerclaimsfrequency.Sufficient,high-qualityhistoricaldata–acriticalfirstcomponentofanymodel–areoftennotreadilyavailable.39Moreover,itisdifficulttocomeupwithrobustpredictorsofthemortalityrate,whichistheultimatetargetvariable,especiallyatyoungerages.Thuslifeinsurershavefocusedonbuildingmodelstopredictrelatedproxyvariables,suchasunderwritingclass/riskcategory(eg,standardvsnon-standardrisk)orsmokerstatus.Modelsfrequentlyaimtoidentifycustomersmostlikelytobeinthestandardriskcategoryandofferthemcoverwithreducedunderwritingrequirementsatfullyunderwrittenrates.Accordingtoa2014KPMGInternationalsurvey,capturingreliabledataandimplementingtherightsolutionstoanalyseandinterpretthedataarekeychallengesforinsurersusingdataanalytics(SeeFigure10).

Source:Digital Technology’s Effect on Insurance survey,KPMGInternational,May2014.

InsomemarketssuchastheUS,lifeinsurershavebeenmorecomfortableusingpredictivetechniquestotriageapplicationsandofferstreamlinedunderwritingthatavoidsexpensivemedicaltestsforhealthypeople.40Companiestakingthisapproachuseanalyticalmodelstoreplicatefully-underwrittendecisions.Whereamodel’spredictionsaligncloselywithfullyunderwrittendecisions,itsalgorithmscanbeusedtopredictunderwritingdecisionsforfutureapplicants,bypassingmedicaltestsandstreamliningthepurchaseprocessforsomeapplicants.Forexample,PrincipalFinancialhasintroducedapredictiveunderwritingprogramthatreliesondatafromtraditionalsources.AndAvivaintheUShasusedapredictivemodellingsystembasedpartlyonconsumer-marketingdata,reportedlygettingresultsthatmimickedwelltraditionalunderwritingtechniques.Themodelwasbuiltonthepremisethatmanydiseasesrelatetolifestylefactorssuchasexercisehabitsandfast-fooddiets.41

37Automated Life Underwriting, A Survey of Life Insurance Utilization of Automated Underwriting Systems,SOAandDeloitte,December2009.

38Predictive Modeling for Life Insurance, Ways Life Insurers Can Participate in the Business Analytics Revolution,Deloitte,April2010.

39Ibid.40Ibid.41L.ScismandM.Maremont,“InsurersTestDataProfilestoIdentifyRiskyClients”,Wall Street Journal,19

November2010.

Adoptionofpredictivemodellinghasbeenslowinlifeinsurance.

Challengesstemfromthelongerdurationoflifeinsurancepoliciesandlowerclaimsfrequency.

Figure 10 Challengesfacedbycompaniesusingdataanalytics

Keeping data secureReacting in a timely fashion as insights are identifiedIdentifying the right risk indicators/parameters

Balancing human judgement with data-driven decision making

Implementing the right solutions to analyze and interpret the data

Capturing reliable data

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Somelifeinsurersusepredictivemodelstocutbackontheamountoftraditionalunderwritinginformationrequired.

18 Swiss ResigmaNo6/2015

Impacts on the life insurance industry

Predictive analytics in underwriting: the Principal Financial exampleIn2014,PrincipalFinancialintheUSrolledoutanacceleratedunderwritingprogramthatreliesontraditionalsourcesofinformationtoidentifygoodrisksandmaketheunderwritingprocessquickerandeasier.TheprogramusesdatafromtheMIBGroup,42motorvehiclereportsandprescriptionrecords.ApplicantsgothroughaphoneinterviewthatusesPrincipalFinancial’sTeleAppelectronicapplicationtocollecttheirpersonalhistory.Qualifyingindividuals’applicationscanbeapprovedwithin48hourwithasuper-preferredorpreferredrating.Eligibleapplicantsincludeindividualsaged18-60applyingforanyretaillifeinsuranceproductwithfaceamountuptoUSD1million.43

Otherlifecompaniesoffersimplifiedunderwritingprocesseswithashortlistofquestionsandinstantapproval,butathigherpremiumratesthanthoseoffullyunderwrittenproducts.WhatdifferentiatesPrincipalFinancial’sapproachisthatitofferseligibleapplicantsthesameproductcharacteristicsandpremiumasafullyunderwrittenproduct.Accordingtocompanysources,50–60%ofeligiblepreferredandsuper-preferredapplicantsqualifyforacceleratedunderwriting.44

Inthefuture,easieraccesstodataindigitalformandfromnon-traditionalsourceswillenableamorewidespreaduseofpredictiveanalyticsinunderwriting.Abilitytoretrievemedicalrecordsinstantaneouslyholdsbigpromise.Itwillacceleratetheprocessandleadtobetterunderwritingdecisions,becauseelectronicmedicalrecordscaneasilygothroughpredictivealgorithmstoproducemoreconsistentresultsthanhumandeliberation.Newtoolsfordataanalysiswillalsohelp.Thepremiseisthattherearecorrelationsbetweenlifestylefactorsandmortality,andthatmoredataandnewdataminingtechniqueswillunearththese.Someearlyexperimentshaveshownthistobethecase,althoughsimplifyingtheunderwritingusingamodelbasedonsuchtechniquesdidnotinducemorecustomerstobuytheproduct.Lifeinsurerscurrentlydonotmakewidespreaduseofthird-partydataonconsumersbeyondthetypesusedtraditionally(eg,fromMIBGroup,motorvehiclereportsandprescriptionrecordsintheUS)duetoconcernsaboutregulatoryandreputationalrisks,buttheacceptanceofusingsuchdatashouldimproveovertime.

Pushing the boundaries of insurabilityTechnologicaladvancementsandafloodofdatawillleadtobetterunderstandingofrisksandashiftfromtraditional,experience-basedunderwritingtoareal-time,exposure-basedapproach.Lifeinsurershavetraditionallyassessedhealthrisksandaskedquestionsaboutlifestylebehaviourslinkedtoahigherriskofmortalityjustonce–atthepointofsellingapolicy.Technologynowallowstrustedinsurerstoaccessdataregularlywiththepermissionofhigh-riskcustomersinexchangeforinsurancethathadatonepointbeenunaffordableorunavailable.Nowitcanbeofferedasarenewableproductwherethepatientneedstoprovidecontinuousproofofgoodhealth.Conversely,low-riskcustomersmaywanttopushdatatotheirinsuranceprovidersinexchangeforlowerpremiumrates.

42MIBGroup,Inc(formerlyTheMedicalInformationBureauInc.)isacooperativedataexchangeformedbytheNorthAmericanlifeinsuranceindustryin1909.MIBistheonlyinsuranceconsumerreportingagencyinNorthAmericaandoperatesadatabaseofmedicalinformationonsomeindividualswhohavepreviouslyappliedforhealthinsurance,lifeinsurance,disabilityinsurance,criticalillnessinsuranceandlong-termcareinsurance.

43A.R.O’Donnell,“ThePrincipalSpeedsLifeInsuranceUnderwritingtoWithin48HoursWithoutLabs,Insurance Innovation Reporter,3March2014,http://iireporter.com/the-principal-speeds-life-insurance-underwriting-to-within-48-hours-without-labs/

44Accelerated Underwriting Program,ThePrincipalFinancialGroup,www.principal.com

PrincipalFinancialusespredictivemodellingtospeeduptheunderwritingprocessforhealthyapplicants…

…andofferthemcoverageatfullyunderwrittenrates.

Newtypesofdataandanalyticaltoolswillhelpexpandtheuseofpredictiveunderwriting.

Betterunderstandingofriskswillpushtheboundariesofinsurability.

Swiss ResigmaNo6/2015 19

Somelifeinsurershavebeenabletounderwriterisksthatpreviouslycouldnotbecoveredprofitably.AnexampleisAllLife,alifeinsurerinSouthAfricawhichhasusedbetterdataandmonitoringtoofferinsurancetopeoplesufferingfrommanageablediseaseslikeHIVanddiabetes.45Tomaintaintheircover,policyholdershavetogoforregularbloodtestsand,inthecaseofHIV,takeantiretroviralmedicationasprescribed.AllLifesendsremindersfortestsandmonitorsresults,pullingdatadirectlyfrommedicalproviderswithaclient’spermission.UnderSouthAfricanlaw,ifapolicyholderdoesnotfollowtreatmentprotocol,benefitsorcoveragecanbeloweredorcancelled.Thecompanyassessesitsriskeverythreetosixmonths.

Impactondistribution

Inthecontextofthissigma,distributionisdefinedastheactualpurchase/saletransactionandallotherinteractionsaninsurerhaswithitscustomers.Theseinclude,forexample,theprovisionofandaccesstoinformationonproductsandprices,negotiationswithconsumers,andafter-salesandcustomerretentionactivities(seeFigure11).

Source:sigma2/2014–Digitaldistributionininsurance:aquietrevolution,SwissRe.

Traditionally,specialistfirmshavebundledtogethersomeorallofthesedistributionactivitiesandintermediatedbetweencustomerandinsurer.Intermediariescontinuetodominatedistributionoflifeinsurancearoundtheworld.Directsalesintermsofpremiums,includingthosebyinsurers’ownsalesforces,typicallyrepresentlessthanaquarteroflifeinsurancesales.Butnewtypesofintermediariesfrombothwithinandoutsideinsurancearebecomingmoreprominent,challengingthetraditionalagent-brokermodel.46

45E.Brat,PClarket.al."BringingBigDatatoLife:FourOpportunitiesforInsurers”,bcgperspectives.com,17July2014,https://www.bcgperspectives.com/content/articles/insurance_digital_economy_Bringing_big_data_life/

46Foradetaileddiscussion,seesigma 2/2014Digitaldistributionininsurance:aquietrevolution,SwissRe.

Withnewtechnology,somelifeinsurersareunderwritingriskspreviouslydeemeduninsurable.

Distributionismorethantheactualpurchase/saletransaction.

Figure 11Activitiesintheinsurancedistributionchain

Intermediariescontinuetodominatedistribution.

Preliminary information search

Other pre-sales activity

Completing the purchase/sale

Post-sales activity

Marketing Basicsearch/

informationgathering Productdesign

Assessmentofrisk/underwriting

Advice Personalisedquote Negotiation

Contractsigning Policyissuance Premiumpayment

Policyadministration Claimsmanagement Riskmanagement

20 Swiss ResigmaNo6/2015

Impacts on the life insurance industry

Theimportanceofnewdistributionchannelssuchastheinternet,smartphonesandsocialmediainlifeinsuranceisincreasing.Accordingtoarecentstudyofconsumerviewsabouttheimportanceofvariousdistributionchannels,theinternetandmobilechannelsexhibitedthelargestincreasesinimportancebetween2012and2014.47Forthoseaged34yearsandolder,thetraditionalagent-baseddistributionchannelremainsmostimportantbutfor18-34yearolds–thekeyageforbuyinglifeinsurance–onlinedistributionisasimportantastraditionalagents(seeFigure12).

472015 World Insurance Report,CapGemini/Efma,2015.

Theinternetandmobile-baseddistributionchannelsarebecomingincreasinglyimportantininsurance…

Latin America

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Agent Phone Internet-PC Internet-mobile Social media

Figure 12Importanceofdistributionchannelbyageandregion,lifeinsurance,2014

Source:World Insurance Report 2015,CapGemini/Efma,2015.

Thiscontrastswiththesatisfactionoflifeinsurancecustomerswithdifferentdistributionchannels.Acrossallregions,theinsuranceagentprovidesthehighestlevelofpositivecustomerexperience(seeFigure13).Today’sconsumers,particularlyyoungerpeople,havebecomeusedtoaninnovativeandcustomer-friendlydigitalexperiencethroughtheirdealingswith,forinstance,onlineretailersandthetravelsector.Theyexpectthesamefrominsurersbutarenotgettingit,yet.Thereisaneedfortheinsuranceindustrytoimproveitsdigitaldeliverycapabilities.

Effectivedistributionisnotaboutfocusingononechannel.Rather,strategyshouldbegearedtowardsreachingpotentialcustomersinatimelyfashionwithrelevantcontentthroughpreferredconsumerchannels.Newtechnologiesandincreaseddataavailabilitycanhelpinsurerstailoramulti-channeldeliveryapproachtooptimaleffect.

…butcustomersatisfactionwiththesenewchannelsisstilllow.

Amulti-channelapproachisneededforeffectivedistribution.

Swiss ResigmaNo6/2015 21

Figure 13Positiveexperiencelevelsbydistributionchannelandregion,lifeinsurance2014

Latin America

Developing APAC

Developed APAC

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North America 51%

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Agent Phone Internet-PC Internet-mobile Social media

Associating positive emotions with the purchase of a life insurance policySellinglifeinsurancecanbechallenginggiventhecomplexnatureofsomeoftheproductsandlengthyunderwritingprocedures,ofteninvolvingmedicalassessment.AccordingtoarecentstudyinEurope,manypeopledohaveagoodunderstandingoftheriskstheyfaceintheirlives,butthisdoesnotmakethemmorelikelytobuyinsuranceproductstomitigatethoserisks.48

Onewaytoextendthereachoflifeinsuranceistomakethebuyingprocesseasier,andheretechnologycanhelp.Forexample,theapplicationprocessforsimpletermlifecovertypicallytakesseveralweeks,involvesapersonalmeetingorphoneconversationwithanagent,amedicalassessmentandextensivepaperwork.Someinsurersaretryingtochangethat.Forexample,HavenLife,astart-upfully-ownedbyMassMutual,offersafirst-fullyunderwrittentermlifeproductonline.Theapplicationproceduretakesjust20minutesofaconsumer’stime.Thewebsitealsooffersafinancialneedscalculator,andpreliminarycoveragemaystartimmediately.Applicantsstillhavetogothroughamedicalexamination,buttheyhave90daystosoandarecoveredduringthattime.Makingthepolicysimpler,cheaperandusingplainlanguagetodescribecoveragearealsoimportantconsiderations.

48European Insurance Report 2015, Next Generation Insurance,SwissRe,2015.

Sellinglifeinsurancecanbeachallengingbusiness.

Newtechnologiescanfacilitateconsumerengagementwithlifeinsurance,forinstancebymakingtheapplicationprocesseasier.

Source:2015 World Insurance Report,CapGemini/Efma,2015.

22 Swiss ResigmaNo6/2015

Impacts on the life insurance industry

Atechniqueincreasinglyusedbylifeinsurerstoengagecustomersis“gamification”.Thisistheuseofgamethinkingandmechanicsinanon-gameenvironmenttoincreasecustomerengagementandstimulatedesiredbehaviourthroughchallenges,incentivesandrewards.49ForinstanceUSinsurerCUNAMutualGrouphasdevelopedvariousappsdesignedtoengagemembersinthecomplexprocessofretirementplanningandproductchoice.“TheZone”isanipadapplicationthathelpsfinancialadvisorssellacomplexannuityproductbyvisualisingtherisksandbenefitsofdifferentproductfeaturesandbyincreasingclientengagementintheadvisoryprocess.50Theappappealstoayoungercustomerbasewhenappliedintherightcontextandwithappropriateadvisoryservices.AsFigure14demonstrates,thereissignificantpotentialinterest,particularlyamongyoungerpeople,ingamesandappsthatcanhelpthembetterunderstandtheirrisksandinsuranceneeds.

Source:Accenture Consumer-Driven Innovation Survey: Playing to Win,Accenture,2013.

Big data offers new opportunities for customer segmentationMarketingofinsurancehastraditionallyreliedheavilyonfairlybasicapproachestocustomersegmentation,ie,aggregatingprospectivebuyersintogroups(segments)likelytohavecommonneedsandrespondsimilarlytomarketing.Typicalcustomerattributesincludegeography,demographics,psychographics(eg,values,attitudes,lifestyles)andbehaviouralaspects(eg,pricesensitivity).Thedisadvantageofthisapproachisthatthegroupsarerelativelybroad,whichcanhindereffectivetargetingofconsumers.IntheageofBigData,manynewdatatypesareavailable,whichcanbecombinedandanalysedtodefineamoregranularclassificationofexistingandprospectivecustomers.Thesenewdatatypesincludewebsitetrackinginformation,purchasehistories,callcentreandcustomerservicerecords,datafrommobilephonesandwearablesandalsosocialnetworkprofiles.

49Digital Insurance Benchmark,Deloitte,2014.50Seeforexample:K.Burger,“FromFeelingProcessedtoFeelingValued”,Insurance & Technology,

June2014,pp4–6.

Gamificationcanalsohelpcaptureconsumerengagement.

Figure 14Consumerinterestingamification,lifeinsurance.

Survey question:Wouldyoubeinterestedinacomputergamethatyourinsuranceproviderofferedtohelpyoubettermanagetherisksyoufaceandtooptimizeyourinsurancepremiums?

Very interested Somewhat interested

43%43%

35%

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55+35–5425–3418–24

Newsourcesofdataofferopportunitiesformoregranularclientsegmentation.

Swiss ResigmaNo6/2015 23

TheUSmutualinsuranceandfinancialservicescompanyUSAAisamongtheleadersinleveragingitsvastmemberdatabasetomakepersonalisedoffers.Thecompany,whosemembersareactiveorformermembersoftheUSmilitary,hasrecentlyenteredapartnershipwithSaffron,aCalifornia-basedtechnologycompany,tocomeupwithanalgorithmthatanticipatesmembers’upcomingneedsforfinancialproducts.ItisbasedonpredictivemodellingtechniquesandallowsUSAAtodeterminetherightproductofferattherighttime.Dataanalysedincludedemographicattributes,historyofpurchasesofinsuranceandotherfinancialproducts,channelpreferences,recordsfromcallcentres,websitetrackinginformationanduseofmobileapplicationsetc.Accordingtothecompany,Saffron’sproductrecommendationsresultedinovera50%liftinpredictiveperformanceoverothermethodspreviouslyapplied.51

Inadditiontobettertargetingtheexistingcustomerbase,newtechnologiesalsoofferthepotentialtoreachnewcustomersegments.Inemergingmarkets,thedistributionofinsuranceviamobiledeviceshasgrownexponentiallyoverthelastdecade,supportedbytherapidspreadofmobilephoneuse.52Thetwolargestcompaniesdedicatedsolelytomobileinsurancedistribution,MicroEnsureandBima,havealreadyreached15millionand13millionpeople,respectively.StartinginSub-SaharanAfrica,whichhasbeenattheforefrontofmobileinsurancedistribution,theyhavemovedrapidlyintonewmarketsinAsiaandLatinAmerica.Muchoftherecentexpansionofmobiledistributioninemergingmarketshasreliedontherapidgrowthofthird-partytechnologyserviceproviderswhichhaveessentiallytakenoverinsurancefunctionssuchasproductdesign,underwriting,policyadministrationandclaims.53Thedownsideforinsurersisthattheydonothavedirectaccesstotheircustomersandareusedmainlyforlicensingandcapitalrequirements.

Improving customer retention by increasing engagementCurrently,thecompletionofalifeinsurancesaleoftenmarkstheendofcustomerinteractioninmanydistributionmodels,withtheremaininginteractionfocusedonbillingandclaimshandling.However,thiskindofrelationshipmissesopportunitiesforinsurerstoaddressthefullrangeofcustomerneedsovertheirlifetime.Customerrelationshipsneedtobecomemoreinteractiveaftersigningofthecontract,andnotonlyinthecaseoftherebeingaclaim.Frequentaccesstothecustomerandtheirdataprovidesinsurersandintermediarieswiththeopportunitytospotevolvingneeds.

Technologycanfacilitatenewwaysofinteraction.Forexample,somelifeinsurersareengagecustomersthroughprogrammesthatrewardthemforhealthylifestyleactivitiesandchoices,suchasexercising,regularcheck-upsandgivingupsmoking.TheVitalityprogramme,developedbySouthAfricaninsurerDiscoveryhasbeenaleadingexampleofhowtoretaincustomersbykeepingthemengaged(seeBox:Vitalityrewardprogramme).

51 “USAAandSaffrontoSpeakatWharton’sCustomerAnalyticsConference”,reuters.com,28April2015,http://www.reuters.com/article/2015/04/28/idUSnMKWdJPM7a+1dc+MKW20150428

52Mobilesubscriptionsworldwideincreasedfromlessthan1billionin2000toover6billionin2011,ofwhichnearly5billioninemergingmarkets.See:Information and Communications for Development 2012: Maximizing Mobile,TheWorldBank,2012.

53Fordetails,seeMobile insurance distribution in emerging markets: African innovations spreading globally,November2015,SwissRe.

Predictivemodellingtechniquesmayhelpinsurersbetteridentifytheirclients’needs.

Mobiletechnologyoffersthepotentialtoreachnewcustomersegments,particularlyinemergingmarkets.

Lifeinsurersneedtohaveamoreinteractiverelationshipwiththeircustomers.Accesstocustomerdatacanhelpthemdoso.

Someinsurerstrytoincreasecustomerengagementwithrewardprogrammes.

24 Swiss ResigmaNo6/2015

Impacts on the life insurance industry

Vitality reward programme

VitalityisarewardprogrammedevelopedbySouthAfricaninsurerDiscoveryandlaunchedin1997.Theprogrammeencouragesconsumerstoengageinhealthyactivitiessuchasexercising,stoppingsmokingandhavingregularmedicalcheck-ups.Inreturn,theygainVitalitypointswhichcanberedeemedfordifferentbenefits.Thosemayincludediscountsongymmembership,healthyfoodpurchases,flightsandhotels,andstorevouchersandcinematickets.Activeclientsmayalsobenefitfrompremiumreductions.Butthekeyisthatmoreengagedhealthycustomerskeeptheirpoliciesforlonger,apositiveinfluenceonportfolioprofitabilityfortheinsurer.

In2004,DiscoveryenteredajointventurewithPrudentialUKtocreatePruHealthandPruProtecttoexpanditsbusinessandtheVitalityprogrammeintheUK.In2010,itpartneredwithChineseinsurerPingAn,beforelaunchingineightAsiancountriestogetherwithAIA,thepan-Asianlifeinsurancegroup,in2013.Andin2015,VitalityexpandedtotheUSbyenteringintoapartnershipwithJohnHancock.VariousstudieshaveexaminedthehealthoutcomesofVitalityprogrammeparticipation.Onestudyshowedthatrebatesof10%and25%forhealthyfoodsareassociatedwithanincreaseintheratioofhealthytototalfoodexpenditureby6%and9.3%,respectively.54AnotherfoundthatthoseparticipatinginVitality’sincentive-basedwellnessprogrammehadlowerhealthcarecosts.55However,clientinvolvementinfitness-relatedactivitiesisgenerallylow.WhereasaboutaquarterofallVitalitymembersintheUKengagedinonlineactivitiessuchascompletinghealthandwellnesssurveys,onlyabout8%hadactivegymmembershipsandlessthan3%engagedinotherphysicalactivitiesin2013.56

Vitalityaimstoimprovepolicyholders’healthandpersistencybehaviouraswellasclaimsexperience.TheynowuseFitbitsintheirprogrammestomotivatememberstostayactive.Note,however,thatpolicyholdersstillhavetogothroughatraditionalunderwritingassessment.Assuch,theprogrammeispredominantlyaclientloyaltyprogrammeratherthanbeingpartofDiscovery’sunderwritingprocess.

The changing role of insurance intermediariesWiththehugeamountofinformationavailableontheinternet,customersareincreasinglywell-informedaboutinsuranceoffersfromdifferentproviders.Astheyalso(slowly)becomemorecomfortablewithbuyinginsuranceonline,theroleoflifeinsuranceintermediarieswillneedtoevolve.

Independentadvisorshavetraditionallyprovidedguidancetoconsumersaroundchoiceoflifeinsuranceproviderandproduct.Theywilllikelycontinuetodoso,particularlyforthepurchaseofmorecomplexproducts,sincecustomersstillderivevaluefromtheiradviceandexpertise.Eveninthecaseofmorestandardisedproducts,someclientswillpreferpersonalinteractionoveronlinemarketresearch,butthisislikelytobecomemoretheexceptionthantherule.

54R.Sturm,R.An,D.SegalandD.Patel,“ACash-BackRebateProgramforHealthyFoodPurchasesinSouthAfrica,ResultsfromScannerData”,American Journal of Preventive Medicine,vol44,no62013,pp567-572.

55D.Patel,E.Lambertet.al.,“TheAssociationbetweenMedicalCostsandParticipationintheVitalityHealthPromotionProgramamong948,974MembersofaSouthAfricanHealthInsuranceCompany”,American Journal of Health Promotion,vol24,no32010,pp199–204.

56TheseresultsrefertoactivitieswithinonemonthafterpolicyinceptionfromMarchtoJune2013.SeeN.Read,Vitality – Managing Risk through the Use of Incentives,TheGenevaAssociation,November2014,https://www.genevaassociation.org/media/908577/ga_11th_healthageing_conference_read.pdf

Vitalityhasarewardsprogrammetoengagetheircustomers.

VariousstudiesfoundbeneficialimpactsofVitality’sprogramme.

Theclient-loyaltyprogrammeaimstoimprovepolicyholders’healthandclaimsexperience.

Ascustomersbecomebetterinformed,theroleofintermediarieswillneedtoevolve.

Advisorswillcontinuetoplayanimportantrole,particularlyinthedistributionofmorecomplexproducts.

Swiss ResigmaNo6/2015 25

Bytakingadvantageofdigitaltechnology,independentadvisorscancombinetheadvantagesofautomationandpersonalisedadvice.Thelifeinsuranceindustryhasputalotofeffortintoautomatingtheunderwritingprocess.Forexample,SwissRe’sautomatedunderwritingsystem“Magnum”allowsforanefficientunderwritingandimprovedcustomerexperienceatthepointofsale.57Inaddition,otherapplicationshavebeendevelopedthatallowindependentagentstoenterclientriskparametersintoasinglesystem,getabindingquotefromseveralinsurersandconcludethetransactionimmediately.58Thisremovestheneedforadvisorstobasetheirassessmentonpreliminaryquotes,dealwithseveraldifferententryformsandtogetbindingquotesfromdifferentinsurers.Streamliningdatacollectionandacceleratingtheunderwritingprocesshelpsavoidinterruptionsandislikelytoincreasethenumberoftransactionsthatreachtheclosingstage.Technologycanbeusedtofurnishagentswithallthedatatheyneedtomakethenextsale.

Tomaintaintheirraisond’être,someintermediariesareprovidingadditionalservicestocustomers.Forexample,Swissstart-upcompany“Knip”haslaunchedamobileappthatallowscustomerstostorealltheirinsurancepoliciesindigitalformat.Besidesprovidingaconvenientoverviewofallinsurancecontractsinoneapp,theserviceallowsforchanging,cancellingandbuyingnewpoliciesaswellasreportingclaimsviatheapp.Knipactsasaninsurancebrokerandreceivesmanagementfeesandcommissionsfrominsurancecompanies.59

Theincreasinguseofmultipledistributionchannelsandthepotentialforconflictsthismaycausemayleadinsurersandagentstorethinktheirtraditionalcooperationmodels,includinghowintermediariesarecompensated.Forexample,aclientacquiredonlinemayrequireadvicefromanagent.Acompensationmodelthatrewardsagentsfortheseservicesviaadvisoryfeesthatconsumersarewillingtopaymayhelpalleviatechannelconflictsthatcouldarisewithinapurecommissions-basedsystem.

57MagnumisSwissRe’sautomatedunderwritingsolutiondesignedspecificallyfortheunderwritingoflifeandhealthinsurance.Itincludesaninnovativeunderwritingapp.formobiledevices.Manyapplicationsareacceptedautomaticallywithconcise,relevantcustomerinformation,makingMagnumMobilestraightforwardfortheagentandtheconsumer.

58Examplesinclude:“UnderwriteMe”,“vers.diagnose”and“EQuot”.59"SwissMobile-FirstInsuranceBrokerKnipPicksUp$15.7MSeriesB",techcrunch.com,26October

2015,http://techcrunch.com/2015/10/26/knip/

Digitaltechnologyallowsforintegrationofunderwritingandsalesprocesses.

Intermediariesalsoofferadditionalservicestotheirclients.

Rethinkingcompensationstructuresmayhelpalleviateconflictsbetweentraditionalanddigitalchannels.

26 Swiss ResigmaNo6/2015

Strategicimplications

Technologyandthedigitaldatarevolutionwillfundamentallychangethebusinessofinsurance.Thechallengeforinsurerswillbetooptimisetheirdatamanagementcapabilitiesandpracticestobestengageconsumers.Togrowtheirbusiness,theywillneedtoadapttheiroperatingmodels,reviewtheirinvestmentsintechnology,andrethinktheirtalentstrategy.

Potentialnewbusinessmodels

Newtechnologiesanddigitaldataprovideinsurerswithanopportunitytoconsidernewoperatingmodels.Theoptionsinclude: Tospecialiseinapartoftheinsurancevaluechain; Tocreateafullydigitalplatformforthewholevaluechain:and Providenon-traditionalservicesaspartoftheinsurancepackage.

Technologycanunbundlethevaluechainsothatinsurerscanprovideone,someorallofproduct,underwritingandclaimsservices.Someinsurersalreadyoffer“white-labelled”productsinspecificsegmentsonly.60Thiscanappealtofirmswantingtospecialiseincertainpartsofthevaluechainoramarketsegmentsuchas,forexample,insurerswithstrongunderwritingbutweakdistributioncapabilities.

Havingadigital-onlybrandisalsoapossibility.Traditionalinsurerswantingtotransitionfromtheirbrick-and-mortarworldfinditdifficulttojettisonlegacysystems,adoptcompletelynewones,andattracttech-savvytalent.Onewaytodealwiththisistoestablishanindependent,self-manageddigitalbusinesswithfullP&Lresponsibility.Someinsurershavedonethis.Forexample,since2010SumitomoLifehasrunasubsidiaryofferingmedicalinsuranceinternetproducts,61andin2013KyoboLifelaunchedKyoboLifenetasastandaloneno-frillsbrand.62

Amanagementchallengehereistoallowtheindependentbusinesstorunitself,effectivelyasastart-up,andtoavoidthetemptationofsubjectingittothebureaucracyofthelegacybusiness,ortakeitbackin-housetoosoon.Also,whileastandalonedigitalbusinessiseasiertomanagefromaninsurer’spointofview,therecanbechannelconflictsanddifficultyinupsellingtraditionalproductstopolicyholdersastheyage.Finally,thereissomeevidencethatcustomersdesirebothdigitalandphysicalinteractionespeciallyforcomplexproductslikelifeinsurance.Bain&Companyfoundthatcustomerswhousebothdigitalandphysicalchannelsassigninsurersamuchhigher“netpromoterscore”thandocustomerswhouseonlydigitalchannels.63

Insurerscanalsousetechnologytoofferservicesoutsidetheboundsoftraditionalinsurance.Somelifeinsurersalreadyofferhealthscreenings,preventativeconsultations,discountcardstopharmaciesandothertypesofassistance,positioningthemselvestoprovidefamily,healthandwealthservicestoconsumers.Figure15depictsarangeofabravenewworldofservicesthatsophisticatedtechnologyplatformscouldopenuptoinsurers.

60Whitelabellingreferstotheprovisionofproduct,underwritingandclaimsthroughanindependentdistributionchannel.Foranexample,see“UforLifelaunchesindustry’sfirstonlinelifeinsuranceplatform”,theSundaily.my,7May2015,http://www.thesundaily.my/news/1410755

61Annual Report,SumitomoLife,2014,p21.62“Korea’sFirstInternet-onlyLifeInsurertoBeginBusinessinDecember”,The Korea Economic Daily,

31October2013,http://english.hankyung.com/news/apps/news.view?c1=02&newscate=1&nkey=201310311224381.

63Leading a Digical® transformation in insurance,Bain&Company,2014.

Insurerswillneednewbusinessmodels,andgreaterinvestmentintechnologyandtalentmanagement.

Technologycouldspurnewdirectionsforinsurers,fromspecialisationorpuredigitaltotheprovisionofadditional,non-traditionalservices.

Technologycanunbundlethevaluechainininsurance.

Anotheroptionistocreateapurelydigitalbusinesswithcompletelynewsystemsinastandalonesubsidiary…

…butthiscanresultinmanagementchallenges,channelconflicts,andcross-sellingdifficulties.

Insurerscouldoffernon-traditional,complementaryservices.

Swiss ResigmaNo6/2015 27

Source:SwissReEconomicResearch&Consulting.

Artificialintelligencecanenableandenhancethenewpossibilities,suchastheprovisionofpersonalisedclientservices.Forexamplein2014,USAAlaunchedapilotusingWatson’scognitivecomputingplatformtoadviseUSmilitarypersonnelonarangeofdecisions,includingjobsearches,moving,insurancebenefitsandsupportwhentheytransitiontocivilianlife.Theservicewasinitiallyweb-basedandrequiredmemberstotypeintheirquestions.ButasAIandvoicerecognitionimproves,membersmayeventuallybeabletohaveaconversationwithadigitalagent.64

Insurerscanenableaccesstonewer-agetechnologies,suchasplatformsforon-demandaccesstohealthcareandconsultationswithlicensedhealthpractitioners.65Theycouldexplorehomemobilityserviceslinkedtoroboticsandsimilarcapabilities.Exoskeletons–wearableroboticdevicesthatenableindividualswithinjuries(eg,spinalcorddamage)tostandupright,walk,turn,andclimbanddescendstairs–severalofwhicharebeingbuilttoday,couldbepartofaserviceallowingpeopletohaveahigherqualityoflifeastheyageorbecomedisabled.Adeviceofferedbystart-upReWalkisnowbeginningtobecoveredbyinsurers,andhopefullycanhelpinjuredworkersreturntogainfulemployment.66Insurerscanalsoconsiderpartnershipstoofferseniorcareproductslikeedgedetectiontechnology(imagingtechnologythathelpsspothomehazards,eg,steps,sharp-cornertables,etc.),indoornavigation,technologicalmattresspads,andhipprotection.67

Insurersarestillexploringhowtomonetisetheseinteractionsandrecoverthecostofservices,especiallyinprice-sensitivemarkets.Oneoptionisrevenuesharingarrangementswithexternalpartnerswhobundletheirofferingswithtraditionalinsuranceservices.Anotheristoworkwithemployers,sincetheytypicallyhavedeeperpockets.Forexample,GrandRounds,aBigDatadoctor-matchingservicefoundthatemployerswereopentopayfortheserviceaftertheyfoundthat

64USAA and IBM Join Forces to Serve Military Members,IBM,23July2014,http://www-03.ibm.com/press/us/en/pressrelease/44431.wss

65On-demandaccessplatformsincludeDoctoronDemand,HealthTap,FirstOpinion,Talkspace.OtherservicesincludewearableheadsetsthatslowtheeffectsofAlzheimer’s,andhelpingpeoplewholosemusclecontroluseconnectedproductsathomethroughbraincommands(developedbyEmotivandPhilips;seehttp://www.usa.philips.com/healthcare/innovation/research-and-exploration/als-mind-control).

66E.Micucci,“CommercialinsurancebeginsforReWalk”,WBJournal.com,23July2015,http://www.wbjournal.com/article/20150723/METROWEST01/150729971/commercial-insurance-begins-for-rewalk-with-spaulding-patient

67C.Tuohy,“Howtechnologycankeepgrandmaoutofthenursinghome”,insurancenewsnet.com,15June2015,http://insurancenewsnet.com/innarticle/2015/06/15/how-technology-can-keep-grandma-out-of-the-nursing-home.html

Figure 15 Possibletech-enabledproductandserviceofferingsopentoinsurers

Tailoredvalue

addedservices

Conciergeandotherassistanceservices

Accessphysiciansoutsidetheirarea

Chronicdiseasemanager

Vitalsignmonitoring/interventionservice

Hirebabysitters,petsitters

Platformtoconnectthedisabled

Mobilesecurity Edgedetection

technology

Secondopinions Preventative

consultations Discountcardsto

pharmacies

Findingahome Electronichealthvault Accessdoctor’snotes Automatedfinancial

planning

Familytracking “Assistivejogger”

contraptions Robotics

exoskeletons

Coreproducts

Current model Traditional

Life&Health

Just-in-timeinsurance No-medical-exam

Lifecycle-basedpolicies,basedonsocialmediaengines

Offline,non-digitaldeliverymodels

Nextgenerationofconnectedtechnology

Artificialintelligencetechnologycanbeusedtoprovideautomatedyetpersonalisedclientservices

Awiderangeofservicescouldbeprovidedaspartoftheoverallinsurancepackage.

Thesenewserviceswouldneedtobemonetised.

28 Swiss ResigmaNo6/2015

Strategic implications

better-chosentreatmentsoftensavemoney.68Insomecasesthecostofimplementationcouldbeoffsetbylowerinsurerpay-outs,asaUSSenatehearingin2015ontheuseoftechnologyinagingheard.Atthehearing,aparticipantestimatedthathesavedUSD327000onnursinghomeandhealthaideservicesforhis76-yearoldmother-in-lawoveratwo-and-a-halfyearperiod.HedidsobywiringherhomeforaninstallationcostofUSD2189andamonthlyfeeofUSD59.69

NextgenerationofITplatforms

ThedigitalagewillnecessitateanewviewofITarchitecture.Lifeinsurersneedtobuildcapabilitytoseamlesslybundleproductsandservices,anddeliverthemthroughamulti-channelfront-endthatoffersasingleviewofthecustomerandofhis/herexperienceacrossalltouchpointsintheinsurancevaluechain.Anintegrationengineshouldbeabletoviewthecustomerasa“clusterofone”andassesswhatcombinationofproductsandservicestopitch.Ideally,newpredictivemodelscanbebuilttoadviseonproductstopitchandevenberefinedautomatically.Suchtechnologyisalreadybeingdevelopedbystart-ups,someofwhichhavethefinancialbackingoflargeinsuranceplayers.70

Insurersshouldalsocreatealayerwhereacentralisedviewofthedataisstored.Thedatacouldcomefromcustomer’srecordsavailableinthepolicyadministrationsystem,socialmediaanddigitalfootprints,recentpurchases,GPSnavigation,dataonlikes,dislikesandeventsplannedetc.Thedatawillneedtobeanalysedasitstreamsintogenerateinferencesaboutnewsellingopportunities.Thesystemsshouldalsobecapableofdealingwithnewdatatypesfromsocialmedia,blogs,videos,audiosandlocationapps.

Harmonisingdatafromdisparatedatasourceshasprovenchallenging.Lifeinsurershavelongbeentryingtocreateasingleandcomplete360°viewofthecustomer,updatedinrealtime.71AccordingtoresearchfromSMA,35%ofinsurerssaytheyhaveassembledthatview,butonly8%canpresentitinreal-timetotheindividualsinteractingwithapolicyholder.Almosthalf(46%ofinsurers)donotyethavethesingleview.72Someinsurersareworkingwithestablishedtechnologyvendorstobuildthatcapability,whileothershavejoinedforceswithstart-upsfocussedondataharmonisationandplatformsthatuseAItoattempttodoso.73Incidentally,insurershavealsostruggledwithcreatingacomplete,masterversionofcustomers’contactinformation,andarelookingforinnovativesolutionstothischallengetoo.74

68J.Tozzi,“Start-upsthatgiveyouasecondopiniononcostly-surgery”,Bloomberg,20August2015.http://www.bloomberg.com/news/articles/2015-08-20/the-startups-that-give-you-a-second-opinion-on-costly-surgery

69C.Tuohyop.cit.70Forexample,NewYorkLifehasinvestedinastart-upthatisautomatingpredictivemodelcreation.

“ContextRelevantAnnounces$13.5MillioninSeriesB-1Funding”,Business Wire,25September2014,http://www.businesswire.com/news/home/20140925006190/en/Context-Relevant-Announces-13.5-Million-Series-B-1.TransAmericahasinvestedin0xdatawhoseproduct,H2O.ai,isanopensourcepredictiveanalyticsplatformfordatascientists.0xdata is now H2O.ai, Announces Production Customers including PayPal, Nielsen, and Cisco,H20.ai,17November2014,http://h2o.ai/news/2014-11-17-Press-Release/

71The360°viewisofacustomerisobtainedbyaggregatingdatafromthevarioustouchpointsthatacustomermayusetocontacttheinsurer,notjusttopurchasepoliciesbutalsotoaskforserviceandsupport.

72M.Breading,“SingleViewandtheCustomerExperienceinInsurance”,strategymeetsaction.com,9June2015,https://strategymeetsaction.com/news-and-events/sma-blog/single-view-and-the-customer-experience-in-insurance/

73Forexample,Tamr,astart-upinwhichMassMutualisaninvestor,aimsforaunifiedviewofthecustomerbyhelpingunifysiloed,fragmenteddatabasesacrossthefirm.SeeTamr Receives $25.2 Million in Financing from Hewlett Packard Ventures, Thomson Reuters, MassMutual Ventures and Others,Tamr,19June2015,http://www.tamr.com/tamr-receives-25-2-million-in-financing-from-hewlett-packard-ventures-thomson-reuters-massmutual-ventures-and-others/

74Forexample,AXAhasinvestedinEvercontact,afully-automatedcloudservicethatfindsandupdatescontactinformationirrespectiveofwhichchannelitcamefrom.Itdiscoversmissingcontactsinemails,allowsthemtobesharedwithcollaboratorsandkeepsCRMsandaddressbooksautomaticallyuptodate.SeeAXA Strategic Ventures invests in Evercontact,AXA,8April2015,http://www.axa.com/en/news/2015/axa-strategic-ventures-invests-in-evercontact.aspx

Forstarters,lifeinsurersneedtoreconfiguretheirtraditionalITarchitecture…

…toenableasingleandcentralisedviewoftheconsumeracrossalltouchpointsintheinsurancevaluechain.

Gettingtothesingleviewfromexistingdisparatedatasourcesandrepositoriesisnomeanfeat.

Swiss ResigmaNo6/2015 29

Insurers as venture investors in Fin-Tech start-upsToleverageinnovation,insurers’ITdepartmentswillneedtoacquireadaptivesourcingskills.Procurementteamshavetraditionallyworkedwithafewwell-knownvendors,andhavelittleexperienceofworkingwithspecialiststart-ups.Somelifeinsurershavebegunexploringpartnershipswithsmallertechnologycompanies.Table1hassomeearlyexamplesofinsurerspartneringwith–acquiringorinvestingin–suchstart-upsthatcouldhelpthemleadtheirowndigitaltransformation.75

Source:CBInsights,SwissReEconomicResearch&Consulting.

Sometimesnon-insurancecompaniesbuystart-upsthatcouldpotentiallybeusefultoinsurers.Forexamplein2013ClimateCorp,astart-upfocusedonweatherrisk,wasboughtnotbyalargeP&Cinsurer,butbytheagriculturalsolutionscompanyMonsanto,forUSD930million.76

75Formoreinsightoninvestorsintheinsurancetechmarket,see“Insurance-TechStart-upsAreInvadingTheMulti-TrillionDollarInsuranceIndustry”,CB Insights,5June2015,https://www.cbinsights.com/blog/insurance-tech-startups-investment-growth/

76Monsanto to Acquire The Climate Corporation,Monsanto,2October2013,http://news.monsanto.com/press-release/corporate/monsanto-acquire-climate-corporation-combination-provide-farmers-broad-suite.SubsequentlyinJuly2015,MonsantodecidedtofocusonlyonthedigitalagricultureplatformandsoldtheagricultureinsurancebusinessofClimateCorp.toAmTrustFinancial.SeeThe Climate Corp. Sells Crop Insurance Business to AmTrust Financial Services,Monsanto,31July2015,http://news.monsanto.com/press-release/climate/climate-corporation-sells-crop-insurance-business-amtrust-financial-services-i

Somelifeinsurersarepartneringwithstart-upstobuildtheirowndataanalyticsandtechnologycapabilities.

Table 1 Activeventureinvestorsininsurancetechnologyenterprises

Theme Insurers and start-ups

Financingandinvestingplatforms

USAA:PersonalCapital,Coinbase,ProsperMarketplace PingAn:e-Toro,Payoneer,Lufax Axa:Widmee,Particeep,FundShop TransAmerica:Auxmoney,NextCapital MassMutual:IEXGroup NorthWesternMutual:Betterment,LearnVest

Nextgenerationcustomerexperience

AmericanFamily:ImageVision,MobileIgniter,Shoutlet,Quietyme,ReviewTrackers,MootLabs,NetworkedInsights

USAA:ExpectLabs,NarrativeScience,CafeX,SaffronTech,MXTech

Axa:VolunteerSpot,Evercontact MassMutual:Tamr

Valueaddedservices AmericanFamily:Abodo,Life360 USAA:Vast,Care.com,CarteraCommerce PingAn:Trafree,Mogoroom Axa:EasyPropreitaire,FLYR

Threatidentification,datascience,security

AmericanFamily:XORData,Airphrame, WirelessRegistry,ZeroLocus USAA:ID.me Axa:ClimateSecure TransAmerica:CipherCloud,H20.ai MassMutual:RecordedFuture,ContextRelevant NewYorkLife:Skycure, AIG:K2Intelligence,AlgebraixData

Healthtechnologies PingAn:JMDNA,HealthcareCN,RainbowMedical Axa:LimelightHealth MassMutual:Picwell

Thereiscompetitionforbuyinginnovativerisk-managementstart-ups.

30 Swiss ResigmaNo6/2015

Strategic implications

Newtalentstrategiestoembracetechnologyinnovation

Attractingandretainingtalentiskeytothesuccessofatechnology-drivenstrategy.Someinsurershaveplacedcertainhumanresourcesresponsibilitiesinthehandsofindividualbusinessunits,andothershavecentralisedthefunctionwithChiefInformationOfficers(CIO)orChiefDigitalOfficers(CDO).AccordingtoaGartnersurvey,9%ofinsurersalreadyhaveaCDO,77taskedwithdevelopingastrategicvisionofhowtechnologywilltransformthebusiness.Thestrategymayincludethecreationofanopen-innovationenvironmentthroughcollaboratingwithresearchinstitutionsandtechnologyvendors.

Insurersneedtorebrandthemselvesastechnologyemployersofchoice,especiallyfortheyoungergeneration.ITgraduatesmayhesitatetojoininsurersheavilydependentonmainframe-basedapplicationswrittenwitholderprogramminglanguages.Thus,partneringorbuyingmoretech-savvycompaniesmaybeanecessarypartofanewstrategy.Insurersalsoneedindustryexpertswhocantranslatetechnologyintoeffectiveuseacrosstheinsurancevaluechainandthismayneedtobedevelopedin-house.

Developingafuturetalentpoolwithskillsin"people-centereddesignprocess"78,datascienceandstart-upengagement,isalsocritical.InsurerslikeAXAhavesetupacceleratorprogramstoattractentrepreneurswithinterestingideas.79Aviva80andAllianz81run“hackathon”eventstoattracttechnologytalenttoinsurance-specificissues.AndMassMutualpartnerswithcolleges,hopingtoattractgraduateswithanaffinityfordatascience.82

InsurersarebringingtalentintoinnovationlabsandinternalA-teamsthatoperateoutsidethefourwallsofday-to-daybusiness.Theaimistoenablenewthinking,whileallowingfortheluxuryoffailure.Theteammemberscouldcomefromotherindustrieswhereinnovationisapre-requisite,soastobeunimpededbytraditionalinsuranceindustrythinkingandproblemsolving.Someinsurershavetakenthefirststepsinthisdirection.AvivabuiltitsfirstdigitalgarageinLondonin2014,andhasbroughttheideatoAsia.83ThisyearMetLifesetupadisruptiveinnovationlab,alsoinSingapore,tocreatenewbusinessmodelsinhealth,wealthandretirementservices.84

77Taming the Digital Dragon: The 2014 CIO Agenda,Gartner,2014,p5.https://www.gartner.com/imagesrv/cio/pdf/cio_agenda_insights2014.pdf

78ThisisatermusedbyGartner.Seehttp://www.gartner.com/smarterwithgartner/digital-humanisms-impact-on-customer-experience/

79AXA Launches Venture Capital Fund to Foster Entrepreneurial Discovery in Insurance and Financial Services, Improve Customer Experience,AXA,25February2015,https://us.axa.com/news/2015/axa-announces-venture-capital-fund-launch.html

80SeeAvivawebsite:http://www.aviva.co.uk/innovation/81SeeAllianzHackRiskappwebpage:http://hackrisk.bemyapp.com82NathanGolia,“HowMassMutualBuildsaDataSciencePipeline”,insurancetech.com,23October2014,

http://www.insurancetech.com/data-and-analytics/how-massmutual-builds-a-data-science-pipeline/d/d-id/1316902

83Aviva announces ‘Digital Garage’ in Singapore,Aviva,27July2015,http://www.aviva.com/media/news/item/aviva-announces-digital-garage-in-singapore-17510/

84“MetLifeLaunchesLumenLab–theFirst-of-its-KindInnovationCentreinSingapore,fortheLifeInsuranceIndustryinAsia”,businesswire.com,16July2015,http://www.businesswire.com/news/home/20150716005707/en/MetLife-Launches-LumenLab---First-of-its-Kind-Innovation-Centre

ManylifeinsurancecompaniesarehiringChiefDigitalOfficers.

Theindustryneedstorebrandtobeseenasanemployerofchoiceforyoungengineeringtalent.

Italsoneedstodevelopapipelineoftalentinotherspecialistareas.

Insurersaresettingupinnovationlabs,anddevelopingfast-fastiterativeapproachestoinnovation.

Swiss ResigmaNo6/2015 31

Newchallenges

Newtechnologypresentschallengesaswellasopportunities.First,thereareissuesarounddataprotectionandprivacyandhowthisisregulated.Second,insurerscouldcollaboratewith,orfacecompetitionfromnon-traditionalplayers(NTPs).

Usingdataresponsibly

Data protection and privacyInmonetisingthepotentialofdigitaltechnology,lifeinsurerscouldhaveproblemsfromdataprotectionandprivacy,cybersecurity,fraud,recordsretentionandauthentication.Personaldatacollectedbythirdpartiessuchasdataaggregatorsandretailershasbeenminedforcommercialpurposesformanyyears.Thishasbeenanacceptedpracticeinmanyindustries,butnotsofarbylifeinsurers.Eventhoughtherearenoexistinglegalrestrictions,lifeinsurershavebeenreluctanttoutilisethesedatabecauseofethicalconcernsthatitsusecouldbeviewedasoverlyinvasiveandthusposeareputationalrisk.85Intheabsenceofregulatoryguidanceondataprivacyinthedigitalage,thiscautiousapproachhasbeenprudent.

However,newregulationsarebeingdevelopedinmostcountries.Atthebeginningof2015,109countrieshaddataprivacylawsand,forthefirsttime,mostofthosecountries(56)wereoutsideEurope.86Thescopeofnationallaws,however,differconsiderably(seeFigure16).87Thereisadifferenceintheunderstandingofdataprivacyandthedurationthatthedatashouldbestored.IntheEU,forexample,citizenshavetherighttobeforgotten,anewconceptforUSandAsianinsurers.Thedifferencesraisecomplications,becauseofthelackofinternationalstandardsonconsistentuseandreportingofdatabylifeinsurersoperatingindifferentcountries.

Source:Data Protection Laws of the World Handbook,DLAPiper,2015.

85Consumerreactionstocommercialuseofpersonaldataarenotuncommon.Target,oneofthelargestretailersintheUS,quicklydiscoveredthatpracticesinfullcompliancewithallprivacylawscanmakeconsumersqueasy.See“HowTargetFiguredOutATeenGirlWasPregnantBeforeHerFatherDid”,Forbes,16February2012,http://www.forbes.com/sites/kashmirhill/2012/02/16/how-target-figured-out-a-teen-girl-was-pregnant-before-her-father-did/

86G.Greenleaf,Global Data Privacy Laws 2015:109 Countries, with European Laws Now a Minority,UniversityofNewSouthWales,FacultyofLaw.Report,30January2015availablefromSocialScienceResearchNetworkwebsite,http://ssrn.com/abstract=2603529

87Regulatorydevelopmentsinthefieldofdataprotectionaredynamic.ContactDLAPiper([email protected])forthemostupdatedversionofthedataprotectionregulationmap.

Thenewtechnologyanddataanalyticsalsopresentchallengesaswellasopportunities.

Amainchallengeisdataprotectionandprivacyand,todate,differingnationalregulationinthisarea.

Thingsarechangingwiththedevelopmentofdataprivacylawsinmanycountries,althoughthesestillvarywidelyinscope.

Figure 16 Overviewofdataprotectionlawsoftheworld

Heavy

Robust Moderate

Regulation&

enforcementLimited

Heat map of global regulation and enforcement

32 Swiss ResigmaNo6/2015

New challenges

Insurersaregrapplingwithanumberofotherdataprivacychallenges(seeTable2).Thefirstisaclashwiththeprincipleofdataminimisation.Ratherthanstorelimitedamountsofinternalstructureddata,BigDataresearchrequiresfirmstostoreasmuchdataastheycan.Itishardtoapplydataprotectionlawswithoutknowingthenatureofthedatabeingstoredandhowitoriginated.Afurtherissueisthatanindustrythathasprideditselfonworkingprimarilywithhigh-qualitydataisnowdrawingconclusionsfrommodelsbuiltonmessydata.

TheEUGeneralDataProtectionRegulation,expectedtobepublishedin2016,mayhaveastricterregulationontheuseof“pseudonymised”data.Pseudonymisationmeansreplacingoneorafewattributes(eg,name)byanothervalue(eg,randomlygeneratednumber).Anonymisationmeanstransformingpersonalinformationintodatathatcannolongerbeusedtoidentifyaperson.Despitepseudonymisation,thepersonmaybeabletobeidentifiedthroughleveragingotherinformation.Anonymisationismeanttobemoresecure.

Insurersoftenpseudonymisedatabyreplacingthenameofthepolicyholderwithanumberforcertaintypesoftrendanalysis.Initscurrentform,theDataProtectionRegulationisveryrestrictiveontheuseofpseudonymisationandinsurersmayneedtocarryouttheoneroustaskofreachingouttoindividualpolicyholdersforconsenttousedatabeforeperformingananalysis.88Finally,asinsurers’shareandpurchasedatafromexternalproviders,theywillfinditdifficulttotrackhowandwhythedatawasoriginallycollected.Thisinformationmaynotevenbeknowntothedataprovider.

Source:SwissReEconomicResearch&Consulting.

88Caution, Data Protection!,TopicsMagazineIssue1/2015,MunichRe,2015.

Thereareanumberofotherprivacyissues,suchastheclashbetweentheBigDatamindsetandthetraditionalprincipleofdataminimisation.

Further,regulationsaroundpseudonymisationaresettobetightenedup…

..andinsurersmayneedconsentfrompolicyholderstousedatabeforeperformingananalysis.

New world Old world Challenges faced by insurers

Shift in data initiatives

Correlation Causation Shift from rigid principle of causation

to correlation. Accuracy was key, now conclusions from messy data.

Pseudonymisation Anonymisation Re-identification risk. EU directive could restrict pseudonymisation; need to ask for consent.

Big Data (as much as possible) Data minimisation Fundamental tension on central data protection

tenet that data collection must be minimised.

Data sharing Data collection Challenges the principles of purpose limitation and transparency.

Table 2 Changingworldviewsondatacollection

Swiss ResigmaNo6/2015 33

Keeping consumers onsideAlso,lifeinsurerswillnotwanttoalienateconsumersthroughtheiruseoftechnologyanddataanalytics.Forexample,insomecountries,peoplemaybeuncomfortablewithinsurersusinginformationaboutthemstoredinthedigitaluniversetoformulateandmakeunsolicitedandpersonalisedoffersforcoverage.Thisseemstobemorethecaseindevelopedcountriesthanintheemergingmarkets.AsFigure17shows,a2013surveybyAccenturerevealedthatlifeinsuranceconsumersinemergingmarkets(China,BrazilandSouthAfrica)werelesshesitantthanthoseindevelopedmarketstoshareusageandbehaviourdatawithinsurersinreturnformoreoptimisedcoverage,pricingandpersonalisedproducts.89

Source:Accenture Consumer-Driven Innovation Survey: Playing to Win,Accenture,2013,SwissReEconomicResearch&Consulting.

Digital distribution and regulatory concerns Insurerswillneedtomonitorregulatoryconcernsarounddigitaldistribution,especiallyastheindustryisstilldealingwithissuesaroundmis-sellingoflifepoliciesandinadequateadvice.Forinstance,inanopinionpaperthisyear,theEuropeanInsuranceandOccupationalPensionsAuthority(EIOPA)saidthatwithrespecttosalesviatheinternetofinsuranceandpensionproducts,“sufficientadviceisnotalwaysprovidedortheinformationdisplayedisnotfairenough.”90TheEIOPAalsoobservedthatconsumersmaychooseaninsurancepolicybasedsolelyonthepriceoffered,ratherthanonmaterialdifferencesinquality.Anadditionalconcernisthatconsumersmayinadvertentlyenterintounsolicitedcontracts,giventhevariousoptionsandtick-boxfieldsthattheyneedtocomplete.Finally,itcouldbedifficultforregulatorstomonitordigitaltransactionsinrealtimeandgatherthenecessaryinformationtofulfiltheirsupervisorytasksatthenationallevel.

89Accentureinterviewed6135insurancepolicyholdersacross11countriesinJuly2013,intheautomotive,homeandlifesectors.ThedatainFigure17issourcedfromlifeinsuranceconsumerresponsestoQuestion18inAccenture’ssurvey,ie,“Wouldyoubecomfortableforyourinsuranceprovidertoaccessinformationonyourusage/behaviourinordertooptimizeyourinsurancecoverage&insurancepremium,aswellasofferyoumorepersonalizedproducts?”See Accenture Consumer-Driven Innovation Survey: Playing to Win,Accenture,2013,https://www.accenture.com/us-en/consumerdriveninnovation.aspx

90EIOPA Opinion on sales via the Internet of insurance and pension products,EuropeanInsuranceandOccupationalPensionsAuthority,BoS-14/198,28January2015.

Unsolicited,personalisedoffersofinsurancearenotalwayswelcome.

0

20

40

60

80

100

EmergingAdvancedEmergingAdvancedEmergingAdvanced

No

To optimise your coverage

To optimise your premium

To optimise your products

Depends on the information Yes

Figure 17 Consumerscomfortwithinsurersaccesstoinformationonusage/behaviour

Survey question:Wouldyoubecomfortableforyourinsuranceprovidertoaccessinformationonyourusage/behaviourinordertooptimiseyourinsurancecoverage&premium,aswellasofferyoumorepersonal-isedproducts?

Regulatorshaveraisedanumberofconcernsaboutdigitallysoldlifeinsuranceproducts.

34 Swiss ResigmaNo6/2015

New challenges

Insurersmayalsoneedtokeepabreastofregulationswithrespecttotheuseoftechnologyincross-bordertransactions.Cross-bordersellingisbecomingeasierwithnewtechnologybuttherecouldbephysicalrestrictions,suchasarequirementtohavecustomerssignapolicyinpersonratherthanbye-signatures.Also,insurersmaynotbeallowedtostorecertaintypesofdatainlocationsoutsidetheirhomejurisdictions.Thiscouldbearisingconcernintheageofcloudcomputing:whereexactlydoesthecloudsit?

Broader cyber risksCurrently,thecloudisnotabigpartofinsurers’technologystrategybecauseofsecurityissueswithcloudusage.However,muchofthedatageneratedfromwearables,forexample,willbestoredinthecloud.Toutilisecloud-storeddata,insurerswilleitherneedtoadapttheirtechnologystrategiestoacceptahigherriskthresholdorformulatemoresecurewaysofaccessing/storing/usingthedata.

Additionally,customersoftendependonthewisdomofthemanyratherthanthatofexperts.Tomanagethisrisk,insurerscandevelopsociallisteningtoolsanduseplatformsthatofferpeer-to-peerunderstandingofhowtheyhavefared.ForexampleintheUS,AmericanFamilyhasinvestedinReviewTrackers,asoftwarethathelpsmanagecustomeronlinereviews.Ittracks,generatesandanalysesconsumer-generatedreviewsonallmajorreviewsites,enablinginsurerstolistencloselyandrespondpromptlytowhattheircustomersaresayingonline.91

Assmartphonesandtabletsfindwidespreaduseamongemployeesandagents,theybecomemorevulnerabletocyberattacks.Anadditionalriskcomeswiththebring-your-own-device(BYOD)movement,wherebyemployeesarepermissionedtousetheirowndevicesforbusinesspurposes,alongsideusageforprivatematters.Lifeinsurersneedtocloselymonitortherisksposedbythesedeviceswithoutcompromisingdeviceperformanceinthefield.OneexampleisNewYorkLifewhichispartneringwithanIsraelimobilethreatdefencestart-up,Skycure,toprovideprotectionforits35000mobiledevices.Skycureleveragesmassiveamountsofcrowddatatohelppreventormitigateattacksonmobiledevices.92

91SeeAmericanFamilyVentures’portfolioonhttp://www.amfamventures.com/92Skycure Secures $8 Million Series An Investment From Shasta Ventures for Mobile Threat Defense,

Skycure,24May2015,https://www.skycure.com/pr/skycure-secures-8-million-series-a-investment-from-shasta-ventures-for-mobile-threat-defense/.Crowddatainthiscasewouldbe,forexample,publiclyavailableinformationonmobilephoneactivitywhichcouldbeusedtomonitorgeneralortargetedcyber-attacksonmobiledevices.

Therecouldbealsoberegulatorygreyareaswithrespecttocross-bordersales.

Insurerswillneedtofitcloudusageintotheirtechnologystrategy,fordatafrom,forexample,wearables.

Insurersaredevelopingsociallisteningskillstomanagereputationalriskonsocialmedia…

…andsecuritystrategiesfortheBYODdevicesthatemployeesfavour..

Swiss ResigmaNo6/2015 35

Anti-selectionOntheflipsideoftheinsurer-consumerrelationship,lifeinsurersaresusceptibletorisingrisksofanti-selection93(oradverseselection)asconsumersbuildmoreunderstandingoftheirownhealthstatuswiththedifferenthealthy-livingappsandhealthtestingdevicesavailableonthemarket.Withthespreadofgenetictesting,forexample,individualswhodiscovertheyareathigherriskofdisabilityordeathmaydisproportionatelyseektopurchaseinsurance,complicatingactuarialriskassessments.Theriskofanti-selectioncouldfurtherincreasegiventheanticipatedmoveofcontrolofpersonaldatafrombusinessestoindividualswiththeriseofaforementioneddatasharingplatformssuchasdigi.meandHumanAPI.94Thiscouldalsoraiseethicalquestions.Ifaninsurerdiscoversthatapolicyholderhasahighprobabilityoffacingmedicalcomplications,isthefirmdutyboundtoinformthepolicyholder.Whataretherisksofbeingwrong?Lifeinsurersarecurrentlydebatinghowtoapproachtheseissues.

Non-traditionalplayers:collaboratorsorcompetitors?

Non-insurancefirms,referredtohereasNTPs,couldbecollaborativepartnersorperhapscompetewithtraditionalinsurers.SomeNTPshaveaccesstohugeamountsofdataaboutindividualsgatheredfromconsumeruseofsmartphones,searchenginesandsocialmedia.Someareestablishedbrandnameswithlargeconsumerfollowings.TheNTPshavethepotentialtomonetisethedatatheyhaveonconsumersandtherebydisruptestablishedindustries.95

ThereareatleastfourareasoftheinsurancevaluechainwhereNTPscanhaveanimpact:Leadgeneration,datamonetisation,distributionanddirectunderwriting.UnderwritingiscurrentlyperceivedtobethemostchallengingtoNTPs.

93Theadverseimpactonaninsurerwhenrisksareselectedthathaveahigherchanceoflossthanthatreflectedintheapplicableinsurancerate.

94Notetoo,forexample,theEuropeancommissionisdraftingnewdataprotectionlegislationthatwillgiveconsumersmorerightstotheirdata.Publicationtargetis2016.

95Thisdiscussiononnon-traditionalplayersfocusesontheimpactoninsurersofinternetgiantsusingnewBig-Datatechnologies.Firmsinothersectors,however,suchastelecoms(particularlyintheemergingmarkets)andretailers,alsocanandalreadydoofferinsuranceservices.

Riskofanti-selectionduetogreaterconsumerknowledgeoftheirownhealthstatusisanotherconcernforinsurers.

NTPsarenon-insurancefirmsmakinganentryintotheprimaryinsurancemarket.

Theycanmakeanimpactinfourareas.

Table 3 RoleofNTPsintheinsurancevaluechain

Presence in the value chain Barriers to greater involvement

Lead generation Alreadyplayakeyrole(eg.AdWords) Allownewentrantsandsmallplayerswider

reachandabilitytocompete Insurersarekeycustomers

Dealwithinvestigationsintoanti-competitivepractices

Fearthatprivilegeddataaccessgivesunfairadvantageovercompetition

Monetisation of data Collaborativeratherthancompetitive. Hassignedpartnershipswithinsurerstomake

betteruseofsocialmedia

Dataprivacyconcerns Righttobeforgotten Falseprofilescreated

Distribution TakingfirststepsinP&C(eg.Alibaba,Overstock,GoogleCompare)

Lowpresenceinlifeinsuranceyet

Limiteduptake(stillsmallvolumes) Needforagencysupport Researchonline,purchaseoffline

Underwriting Unlikelytotakeonunderwritingrisk Businessmodelisthatofmiddlemen

Claimsdatanoteasilyaccessible Cannibaliseexistingbusinessmodel

Source:SwissReEconomicResearch&Consulting.

36 Swiss ResigmaNo6/2015

New challenges

NTPswhichoperatesearchandsocialmediaplatformsalreadyplayaroleinleadgenerationinbothlifeandP&Cinsurance.Theirtargetedadplatforms,amainfeatureoftheirbusinessmodel,provideinsurerswithavehicletoreachcustomersdirectly.NTPswillcontinuetogenerateleadsforinsurers,ascompetitivepressurespushinsurerstospendheavilyonadvertising.

NTPsandinsurerscouldmakefurtheruseofBigData.Insurersarebuildingcapabilitiestomakebetteruseofsocialmediaformarketingandtoengagewithconsumers.Forexample,theyhavepartnershipstoaccesstheskillsandknowledgeofFacebookanalyticsandinnovationexpertsinthemobilefield.96Innovativeproductsarebeingdesignedspecificallyforsocialmedia.AninsurerinAsiaPacificoffersusersfreelifeinsuranceforuptoUSD10000onFacebookforsixmonths.97And,socialmediaplatformsnowownfitness-trackingappswhichcouldbeofferedtopolicyholders.98Collaborationcouldopenupseveralopportunitiesasinsurersbecomeawareofcustomer’slifecyclechanges,andaccordinglyrecommendproductsandvalue-addedservices.

Thiscouldtouchunderwriting,alsoassocialmediadatacanbeusedforcross-checkingpurposes.Forexample,ifaconsumerapplyingforano-medical-exampolicyclaimstobeanon-smokerandthereissocialmediaevidencetocounterthat,theconsumercouldbereferredforamedicaltest.However,itwilllikelybeawhilebeforethispracticeisrealitygivenexistinglimitationsinsettinguptechnicalsystemsthatcananalysethedatainpicturesorvideoscurrentlyavailablefromdifferentsocialmediaplatforms,andindeterminingthecontextinwhichtextphrasesareused.99Astechnologyanddataanalyticsimprovethough,lifeinsurersmaywellinitiatepilotschemesinwhichtheymakeuseofsocialmediatopredictindividuals’riskprofiles.100Atthatpoint,NTPswillbeanimportantsupplierofinformationandplayamuchlarger(ie,potentiallydisruptive)roleintheinsurancevaluechainthantheydotoday.

NTPscanalsoimprovedistributionininsurance,whetherthroughonlinepricecomparisonsites(eg,GoogleCompare)orbydirectsellingfrome-commerceplatforms(Alibaba,Overstock).Inrecentyears,thesefirmshavelaunchedplatformsthroughwhichconsumerscanreceivelivequotes,pickcoverageandtakeoutapolicy.SofarthishasbeenrestrictedtotheP&Csector.Thereisnoevidenceofthesameinlifeinsurance,probablyduetothemorecomplexnatureoflifeproducts,butitcouldhappeninthefuture.AsNTPsincreasinglybecomeafirstpointofcontactforconsumers,theycouldexpandtheirinfluencebeyondpricecomparisontoalsointroducefeaturessuchaspeer-to-peerratingssystems,bywhichconsumerscanratelifeinsuranceprovidersonaspectssuchascustomerserviceandsatisfactionwiththeclaimsprocessingexperience.101Thiswillincreasethetransparencyoftheindustry,posinganewreputationmanagementchallenge.

96AXA announces a strategic partnership with Facebook to further develop its digital, social and mobile footprint in France and globally,AXA,11April2014,http://www.axa.co.uk/newsroom/2014/media-releases/axa-announces-a-strategic-partnership-with-facebook-to-further-develop-its-digital-social-and-mobile-footprint-in-france-and-globally/.

97M.Gray,“InsurergivesawayfreeinsuranceonFacebook”,Insurance Business New Zealand,8June2015.

98MovesisafitnessappownedbyFacebookthatcanbeusedbyVitalitymemberstotracktheirprogressandearnpoints.ForalistofappsanddevicesthatVitalitymemberscanchoosefrom,see:http://www.pruhealth.co.uk/vitality/partners/vitality-activity-tracking/.

99Digital Underwriting and Fulfilment, Latest Trends in Digital Underwriting,TheDigitalInsurerandSwissRe,2014,pp9-14,http://www.the-digital-insurer.com/exclusive-digital-underwriting-fulfilment-report-produced-digital-insurer-swiss-re/.

100In2015SocialIntelligence,aproviderofsocialmediariskassessmenttoolsanddata,beganofferingaSocialMediaRiskScoringsolutionforinsurers.See“SocialIntelligenceLaunchesSocialMediaRiskScoringforP&CInsurers”,Business Wire,22April2015,http://www.businesswire.com/news/home/20150422005849/en/Social-Intelligence-Launches-Social-Media-Risk-Scoring.

101AsGoogleCompareisalreadydoingintheP&Csector.SeeD.Jergler,“AgentSupport,RatingsAddedtoExpandingGoogleCompare”,Insurance Journal,5May2015.

NTPscanmakeuseoftheirproximitytocustomerstogenerateleads…

…andopendoorsthroughnewanalyticsandinnovationexperts.

NTPscouldbecomeamuchstrongerlinkinthedatasupplychain,andevenvalidatedataintheunderwritingprocess

DistributioninP&ChasalreadybeeninfiltratedbyNTPs,butthesameisnottrueinthelifesector…yet.

Swiss ResigmaNo6/2015 37

Peer-to-peerinsuranceandhybridmodelssuchasFriendsurance102areunlikelytodevelopasaviablealternativetotraditionallifeinsurance.Thesemodelsworkbestinhighlycommoditisedproductlines,suchasmotor.Lifeinsurancecontractsarefundamentallydifferentduetotheircomplexity,multi-yearnature,potentiallylargeclaimsandtheneedfordiversificationthroughasignificantnumberofcustomerstomaketheinsuranceviable.

NTPscouldalsoenterdirectunderwritinginlife,buttheyareunlikelytodosointhenearfuture.NTPs’maincompetitiveadvantageisaccesstodata,andexpertiseindataanalytics,whichcanhelpinunderwritingbutisprobablyinsufficientforaccuratepricingoflifeinsurancepolicies.Theycannoteasilymatchtheinsuranceindustry’sknowledgeofcausalitywithouttheclaimsdataandhealthinformationhistorythatinsurerspossess.Thus,NTPsarebestpositionedtohelpinsurersindistributionandsharetheprofitsofbetterriskselectionfromcustomersegmentation.

ThereisalsoaquestionofstrategicfitofunderwritingforNTPs.Theyhavebuiltplatformsthatallowthemtofunctionasmiddlemen,connectingbuyerswithsellersandmonetisingthatinteraction.Thisremainstheirdominantrevenuestream,whichtheymaybereluctanttounderminebygoingintonon-coreareas.Thefollowingtableoutlinestheexistingareasofinvolvementofafewcompaniesalreadyinvolvedintheinsurancemarketandtheirpotentialfutureroleininsurance.Theanalysisisbasedonpubliclyavailableinformationfrommediaarticles,journalsandcompanywebsites.

102Friendsurancehasdevelopedapeer-to-peerinsuranceconcept,whichrewardssmallgroupsofuserswithacash-backbonusattheendofeachyeartheyremainclaimless.Seehttp://www.friendsurance.com/.

Peer-to-peermodelswillnotbeviableinlifeinsurance.

NTPscouldgointodirectunderwritinginlifeinsurance,butareunlikelytodoso.

Theircompetitivestrengthistoactasdatabrokers,connectinginsurancebuyerswithsellers.

38 Swiss ResigmaNo6/2015

New challenges

Table 4 Non-traditionalplayersandtheircurrentandpotentialfutureinvolvementininsurance

Current role in insurance Potential future role in insurance

Google Playsakeyroleinleadgeneration.“Insurance”isoneofthemostexpensiveofallitskeywords.103PlaysroleinP&CdistributionthroughGoogleComparelaunchedintheUK(2012)andUS(2015).Nolifeinsurancesupportasyet.104

Couldenterthemarketwitharegulatedinsurerandleverageitssearchdataforimproveddistributionandunderwriting.

Facebook Offersinsurersdedicatedresources,includinginnovation&analyticsteamstodevelopbrandpresenceonFacebook,particularlymobile.105InsurershavebegunusingFacebookasadistributionchannel.Facebookhasalsoboughtafitness-trackingappstartup(Moves),whichinsurersmayrecommendtopolicyholders.106

Couldleveragegroupbuyingpower,especiallyforsimpletypesofinsurance.Overtimecouldgainaccesstoactivitydatafromthefitnesstrackingappsthatitowns.Hasbeguntoofferadstoconsumersbasedontheiractivitiesonother,non-Facebookonlineportals.107

Apple HealthKitisApple’sconnectedhealthhub.Collateshealthandfitnessdatafromvariousappsandprovidesuserswithanoverviewoftheirhealth.108

InsurerscouldsupportHealthKitandAppleWatchfordatacollectionandmaysubsidisetheWatch.Watchcouldbeusedforremotemonitoringofhealthormoreaccuratepricingoflifeandhealthinsurancerisks.

Amazon Amazonhasgooddataonactualandintendedpurchasingbehaviouronmillionsofcustomers.Smallpresenceinadvertisinghistorically,butisnowbuildinganadnetworkthatreachesontomanyothersites.109

Couldgiveinsurersdirectaccesstoinformationaboutindividuals’browsing,purchasing,andproductreviewhistories,butthiscurrentlyseemsunlikely.Instead,couldcreatetargetaudiences,e.g.peoplewhorecentlypurchasedorganichealthfoods.AninsurercouldthenuseAmazon’stechnologytobidfortheabilitytoshowadstoapersoninthatcategory.

Alibaba AntFinancial(affiliateofAlibaba)hassetupanonlineinsurer(ZhongAn),withTencent(asocialmediafirm)andPingAn.ZhongAnunderwritesrisksandalsomanagespolicies.110AlsohasZhaoCaiBao,apeer-to-peerplatformthatallowsSMEsandindividualsaccesstoloansanduniversallifeinsurance.

Itsintegratedplatformisakeycapability.Alipay(onlinepaymentplatform)tomoveintomedicalcareandpharmabyleveragingitsmobileplatformandenablinguserstoregisterforconsultations,monitorqueuesandconductpayments.Canselllowcostmicro-insurance.Distributioncostswouldbeminimal.111

Overstock Offersapricecomparisonserviceforautoandhomeownersinsurance,aswellascommercialpoliciesforsmallbusinesses.112

Seesinsuranceaspartofextendedofferings.Slowuptakeinthecourseoffirstninemonths.Onlyabletosellasmallnumberofpoliciesin2014.113

Source:SwissReEconomicResearch&Consulting.

103 L.Kim,“HowDoesGoogleMakeItsMoney:The20MostExpensiveKeywordsinGoogleAdWords”,wordStream.com,http://www.wordstream.com/articles/most-expensive-keywords

104 CBInsights“Google’sRisingInvestmentsandPartnershipsinInsuranceTech”,cbinsights.com,21October2015,https://www.cbinsights.com/blog/google-insurance-tech-investments/

105 AXAannouncesastrategicpartnershipwithFacebooktofurtherdevelopitsdigital,socialandmobilefootprintinFranceandglobally,AXA,11April2014,http://www.axa.co.uk/newsroom/2014/media-releases/axa-announces-a-strategic-partnership-with-facebook-to-further-develop-its-digital-social-and-mo-bile-footprint-in-france-and-globally/

106 MovesjoinsFacebook!,Moves,24April2014,https://www.moves-app.com/press107 MakingAdsBetterandGivingPeopleMoreControlOvertheAdsTheySee,Facebook,12June2014,http://newsroom.fb.com/news/2014/06/making-ads-

better-and-giving-people-more-control-over-the-ads-they-see/108 HealthKitallowsappsthatprovidehealthandfitnessservicestosharetheirdatawithApple’sHealthappandwitheachother.SeeHealthKithomepageon

https://developer.apple.com/healthkit/109 L.O’Reilly,“Amazonisworkingwiththeadvertisingindustrytomakealladsonthewebbetter”,BusinessInsider,24March2015,http://uk.businessinsider.

com/amazon-dan-wright-interview-ad-week-europe-2015-3?r=US&IR=T110 AsiaInsuranceReview“China:OnlineinsurerZhongAnraisesUS$935mln”,asiainsurancereview.com,12June2015,http://www.asiainsurancereview.com/

News/View-NewsLetter-Article?id=32985&Type=eDaily111 ForadetailedanalysisofAlibaba’sinvolvementininsurance,see:InsuranceandTechnologyInsight:TheEmergingRoleofEcosystemsinInsurance,Morgan

StanleyandBCG,23March2015,pp20-21,https://www.bcgperspectives.com/content/articles/insurance-technology-financial-institutions-disruptive-force-ecosystems/

112 ForanoverviewofOverstock’sinsuranceofferings,seehttp://www.overstock.com/insurance113 AccordingtoOverstock’sCEOPatrickByrne,itsecommerceplatformsoldonlyafewthousandpoliciesin2014,or“theequivalentofasmall-townbrokerage”.

SeeC.Dougherty,“InsuranceviaInternetIsSqueezingAgents”,NewYorkTimes,18January2015,http://www.nytimes.com/2015/01/19/technology/insurance-via-internet-is-squeezing-agents.html?ref=business&_r=2

Swiss ResigmaNo6/2015 39

Conclusion

Thelifeinsurancesectorissetforfundamentaltransformation,broughtaboutbytechnologicaladvancementsandnewdigitaldataanalytictechniques.Theimpactisexpectedtospantheentireinsurancevaluechainfromproductdevelopmentandunderwritingthroughtodistribution,servicesandclaims.Todate,thesectorhasbeenslowtoadoptnewtechnologies,butthisischanging.

Therapidspreadofinternet-enableddevicesanduniversalconnectivityhasresultedinachangeinconsumerbehaviourandexpectationsacrossallindustries,particularlyamongtheyoungergenerations(ie,futurecustomers).Thedigitalagehasalsobroughtanexplosionofheterogeneousdatafromdifferentsourcesandplatforms,whichissomethingthatlifeinsurerscanutilisetobroadentheirreachandalsopushtheboundsofinsurability.However,toharnessthepowerofdigitalcapabilitiestobeabletoidentifytrendsearly,gaininsightsintoconsumerpreferencesandmakeoperationsmoreefficient,theywillneedtoinvestinBigDataandpredictiveanalytics.

Technologywillfundamentallychangethebusinessofinsurance.Toremaincompetitiveinthedigitalage,lifeinsurerswillneedtoreconfiguretheirtraditionalITsystemsintoopeninnovationplatformsinordertoaccessthenewdatasources,obtainaunifiedviewofthecustomer,andofferaconsistentexperienceacrossconsumertouchpoints.Theywilldowelltokeeptrackofongoinginnovationbypartneringwithestablishedand/orstart-uptechnologyvendors,andtakelessonsfromhowotherindustriesmakeuseofthenewtoolsandemergingcapabilities.Importantly,insurersshouldalsofocusonsourcingspecialisttalent.

Newtechnologies,however,alsobringnewchallenges.Lifeinsurerswillneedtoimplementnewriskmanagementprocedures,importantlyaroundconsumerdataprotection.Theywillalsoneedtomonitorandadapttoregulatorychangeswithrespecttotheuseofdigitaldataandanalyticsinunderwriting.Theriseofnon-traditionalplayersisanotherdevelopmentlifeinsurersneedtorespondto.Thenewentrantspresentopportunitiesformutuallybeneficialpartnerships,buttheycouldalsoeventuallybecomedirectcompetitors.

Theentirelifeinsurancevaluechangewillbeimpactedbytechnologyanddataanalytics.

Thedigital-ageconsumerhasdifferentexpectations,whichlifeinsurerscancapitaliseon…

…byinvestinginafundamentalreworkoftheiroperatingandITsystems,andspecialisttalent.

Lifeinsurerswillalsoneedtoimplementnewriskmanagementprocedures,andrespondtotheriseofnon-traditionalindustryplayers.

40 Swiss ResigmaNo6/2015

Recentsigmapublications

2015 No1 Keepinghealthyinemergingmarkets:insurancecanhelp No2 Naturalcatastrophesandman-madedisastersin2014: convectiveandwinterstormsgeneratemostlosses No3 M&Aininsurance:startofanewwave? No4 Worldinsurancein2014:backtolife No5 Underinsuranceofpropertyrisks:closingthegap No6 Lifeinsuranceinthedigitalage:fundamentaltransformationahead

2014 No1 Naturalcatastrophesandman-madedisastersin2013:largelossesfromfloodsandhail;HaiyanhitsthePhilippines

No2 Digitaldistributionininsurance:aquietrevolution No3 Worldinsurancein2013:steeringtowardsrecovery No4 Liabilityclaimstrends:emergingrisksandreboundingeconomicdrivers No5 Howwillwecare?Findingsustainablelong-termcaresolutionsforanageingworld

2013 No1 Partneringforfoodsecurityinemergingmarkets No2 Naturalcatastrophesandman-madedisastersin2012: AyearofextremeweathereventsintheUS No3 Worldinsurance2012:Progressingonthelongandwindingroadtorecovery No4 Navigatingrecentdevelopmentsinmarineandairlineinsurance No5 Urbanisationinemergingmarkets:boonandbaneforinsurers No6 Lifeinsurance:focusingontheconsumer

2012 No1 Understandingprofitabilityinlifeinsurance No2 Naturalcatastrophesandman-madedisastersin2011: historiclossessurfacefromrecordearthquakesandfloods No3 Worldinsurancein2011:non-lifereadyfortake-off No4 Facingtheinterestratechallenge No5 Insuringever-evolvingcommercialrisks No6 Insuranceaccountingreform:aglasshalfemptyorhalffull?

2011 No1 Naturalcatastrophesandman-madedisastersin2010: ayearofdevastatingandcostlyevents No2 Worldinsurancein2010 No3 Stateinvolvementininsurancemarkets No4 Productinnovationinnon-lifeinsurancemarkets:wherelittle“i”meetsbig“I” No5 Insuranceinemergingmarkets:growthdriversandprofitability

2010 No1 Naturalcatastrophesandman-madedisastersin2009:catastrophesclaimfewervictims,insuredlossesfall

No2 Worldinsurancein2009:premiumsdipped,butindustrycapitalimproved No3 Regulatoryissuesininsurance No4 Theimpactofinflationoninsurers No5 Insuranceinvestmentinachallengingglobalenvironment No6 Microinsurance–riskprotectionfor4billionpeople

2009 No1 Scenarioanalysisininsurance No2 Naturalcatastrophesandman-madedisastersin2008:

NorthAmericaandAsiasufferheavylosses No3 Worldinsurancein2008:lifepremiumsfallintheindustrialisedcountries–strong

growthintheemergingeconomies No4 Theroleofindicesintransferringinsuranceriskstothecapitalmarkets No5 Commercialliability:achallengeforbusinessesandtheirinsurers

2008 No1 Naturalcatastrophesandman-madedisastersin2007:highlossesinEurope No2 Non-lifeclaimsreserving:improvingonastrategicchallenge No3 Worldinsurancein2007:emergingmarketsleadingtheway No4 Innovativewaysoffinancingretirement No5 Insuranceintheemergingmarkets:overviewandprospectsforIslamicinsurance

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