HM Insurance Group's Industry Insights Blog

Industry Insights

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What Does Unlimited Mean?

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

By: Matt Presutti May 22, 2019
Data. Big data, small data – it doesn’t matter. All data is currency in today’s world. In the insurance business, data is the word that sets the hearts of actuaries and underwriters aflutter. It’s the facilitator to their ability to deduce, determine and decide what moves to make. But further, to their Stop Loss companies, data quite likely is the difference between a win and a loss. And I don’t mean just winning an account or not – I mean winning financially or taking a loss – and that extends to everyone involved.
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Integrating RxOps for Cost Management Solutions

By: Jamie Holowka March 27, 2019
As a pharmacist, in the past 20-plus years, I’ve owned my own pharmacy, worked for a PBM (pharmacy benefit manager), served as a consultant to health plans and more. Now, I find myself in the operations department of a Stop Loss carrier. As pharmaceutical costs continue to rise and new drugs debut with million-dollar price-tags, the market is seeing greater catastrophic claims expenses – and I’m working to share my industry knowledge and understanding of pharmaceutical costs and use across the client population.
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Data-Driven Decision-Making: All the Cool Kids Are Doing It

By: Nick Sarneso March 14, 2019
There’s a bit of a change taking place in company circles. After many years of being at the end of a variety of “nerd” jokes, actuaries are gaining some popularity for what we have to offer. The large claims trend is creating a number of challenges in the business, and our knowledge is vital to efforts that can help to minimize the impact. This, dare I say, has caught the attention of those in all segments of the company because actuaries have what everyone needs to make smart decisions in challenging times – the ability to turn data into action.
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What I Learned in the Birthplace of Underwriting

By: Mark Lawrence January 22, 2019

Most people in insurance are familiar with Lloyd’s of London, which started in 1686 in London, England, at Lloyd’s Coffee House, a venue popular with sailors, merchants and ship owners. Lloyd’s originally provided shipping news, but it became an ideal place to obtain marine insurance for ship owners interested in pooling their losses so the impact of losing one ship would be spread across the entire group.

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