AUTOMATED SYSTEM AND METHOD FOR EVALUATING INSURABLE RISKS AT POINT OF SALE
A system and method for evaluating an insurable risk and providing an immediate, binding insurance offer to cover that risk, includes the collection of self-reported and objective information relating to the risk. The information is provided to an automated underwriting program that evaluates and rates the insurable risk and produces a binding insurance quote. Certain embodiments of the system and method utilize an automated application form and information gathering apparatus to collect the self-reported information. Objective information is obtained by a variety of means, including the direct measurement of certain physical and medical parameters. Certain embodiments may provide for the collection of information relating to payment for the insurance product, and the obtaining of an electronic signature from an applicant.
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This application is a divisional application of, and claims the benefit of priority under 35 U.S.C. §120 from U.S. application Ser. No. 10/697,410, filed Oct. 30, 2003, herein incorporated by reference.
TECHNICAL FIELDThe present invention relates generally to evaluation of risks. In certain embodiments, the invention related to an automated method and/or system for evaluating risks at the point-of-sale, and for providing a binding offer for an insurance product to cover such risks. In one embodiment, the invention is particularly applicable in the field of mortality (life) insurance.
BACKGROUND AND SUMMARYAn array of insurance products are available in the market place. One class of products may be described as “fully underwritten” products. That is, the parameters and costs of coverage are determined by an underwriter (usually having a relatively high degree of expertise and experience) after evaluating information from various sources and of varying types. Fully-underwritten products are typically used when face values of coverages are relatively large, or when an insurer is attempting to price products precisely by collecting and evaluating more information relating to the underlying risks.
Other types of insurance products are so called “simplified-issue” products. Such products may be priced and issued based upon relatively little information, and with relatively little involvement on the part of a professional underwriter. Such products may be limited to smaller face values, and may be limited in duration, as well. The pricing of such products is less precise and, when compared to a comparable, fully-underwritten product, usually relatively higher. This is a result of the
additional uncertainty faced by the insurer in the absence of additional information relating to the subject risk, and a reflection of the often lower quality of the information evaluated. Such products may also be referred to as “instant-issue” or “immediate-issue” products.
With continued reference to
Other insurance products may be characterized by similar comparisons. For instance, auto insurance coverage for certain individuals and/or with certain features and coverage limits may be offered with, or without, the benefit of information from sources other than the applicant. Property and casualty insurance products, and other types of insurance products may be similarly designed and priced. Advantages of products which are fully underwritten (or at least relatively so) are more precision and less uncertainty with regard to occurrence of the event insured against, greater profitability to the insurer and the ability to more competitively price products. Disadvantages include the time required and expense associated with obtaining the information required for the full underwriting process.
Advantages of the simplified issue products include the ease and relatively low cost associated with collecting the limited amount of information considered by the insurer. As discussed above, disadvantages include a higher probability of occurrence of the event insured against, and associated pricing and profitability ramifications.
There exists a need for methods and systems for evaluating risks, and for providing insurance products to cover risks, which combine the ease and convenience of simplified-issue products with the precision and advantageous features of fully-underwritten products.
The remainder of this disclosure describes such systems and methods. For purposes of illustration only, a method and system are described in the context of life insurance. However, the invention in its broader forms is not limited to this particular application. While the subject system and method may provide particular advantages in the field of life and/or health insurance, similar techniques may also be applied in other contexts (e.g., property and casualty insurance, automobile insurance, etc.).
One embodiment of the present invention comprises an automated method of evaluating an insurable risk and providing an immediate binding insurance offer to cover that risk. The automated method comprises the steps of collecting self-reported information relating to the risk from an applicant, collecting objective information relating to the risk, providing the self-reported information and the objective information to an automated underwriting system, evaluating and rating the risk using the automated underwriting system, and providing an insurance offer relating to a specific insurance product for review and acceptance by the applicant. The method may also include the step of obtaining, via electronic means, consent from the applicant to provide the self-reported and objective information to the automated underwriting system. An additional step of obtaining an electronic authorization from the applicant for the immediate release of objective information from at least one of a health care provider, pharmacy or pharmacy benefit manager, a consumer reporting agency and the Medical Information Bureau, and for evaluation of such objective information by the automated underwriting system may also be provided.
Certain embodiments of the invention further comprise the step of producing a preliminary rate quote for the applicant based upon the self-reported information. Information gathering apparatus may be provided for the applicant's use in reporting the self-reported information. That apparatus may include at least one of a keyboard, a display, a touch screen display, and a pointing device. The information gathering apparatus may further include an automated application to elicit the self-reported information from the applicant. The automated application has, in certain embodiments, multiple screens and multiple levels of screens for eliciting the self-reported information. At least one of the screens presented to the applicant in at least one of the multiple levels is selected in response to information reported by the applicant in a preceding level.
The self-reported information may include at least one of age, address, citizenship, medical history, family medical history, nicotine usage, alcohol usage, drug usage, motor vehicle information, aviation information, and hazardous activities information. The objective information may include at least one of height and weight, blood pressure, pulse rate, blood cholesterol, blood glucose, evidence of drug usage, HIV exposure, tumor markers, evidence of tobacco usage, lung capacity, evidence of kidney disease, information from the Medical Information Bureau, information relating to prescribed drugs, consumer credit information, and motor vehicle information.
Certain embodiments of the subject method include the step of collecting information relating to a beneficiary of the insurance product. These and other embodiments may further include the step of producing an immediate, final rate quote for the applicant based upon the self-reported and objective information. An insurance application relating to the insurance product may also be provided. Payment information may be collected from the applicant for the insurance product if the final rate quote is accepted. Provision may be made for obtaining an electronic signature from the applicant, and for producing a printed copy of the application and providing the copy to the applicant.
Another embodiment of the present invention comprises a system for evaluating an insurance risk and providing an immediate binding insurance offer to cover that risk. The system comprises means for collecting self-reported information relating to the risk from an applicant, means for collecting objective information relating to the risk, an automated underwriting program, and means for providing the self-reported information and the objective information to the automated underwriting program. The automated underwriting program evaluates and rates the insurable risk and produces a binding insurance rate quote relating to an insurance product to cover the risk.
In this and other embodiments, the means for collecting self-reported information may include an automated application, an information gathering apparatus, such as a keyboard, a display, a touch screen display, a pointing device, or other devices used for entering information into a computing device. The automated application may include multiple screens and multiple levels. At least one of the screens presented to the applicant in at least one of the levels is selected in response to information reported by the applicant in a preceding level.
The self-reported information includes the same type of information referred to above in connection with the automated method. The means for collecting information comprises various pieces of apparatus for collecting the same type of objective information referred to above. Some apparatus may be manually operated, and may be used by a technician. The information produced is then manually inputted into the system by the technician. Alternatively, apparatus which automatically gathers the objective information, with or without active participation by the applicant, and which automatically communicates the information to the automated underwriting program, may also be used.
In these and other embodiments of the system, the means for collecting objective information may further comprise means for obtaining information from the Medical Information Bureau, and means for obtaining information relating to prescribed drugs, consumer credit information and motor vehicle information. The subject means may include databases maintained for these purposes, and digital communications networks for transmitting the information.
In certain embodiments of the system, the automated underwriting program produces a final rate quote for the applicant based upon the self-reported and objective information. An insurance application may be produced and displayed to the applicant, and a copy may be produced for the applicant's benefit.
One embodiment of the present invention comprises a system for evaluating an applicant for life insurance and for providing an immediate binding insurance offer for review and acceptance by the applicant. The subject system comprises information collecting apparatus for use by an applicant entering self-reported information, one or more stations for collecting objective information from the applicant, a processor, apparatus for communicating and inputting the self-reported and objective information to the processor, a display, and one or more input devices. The information collecting apparatus comprises at least a display, an automated life insurance application which can be viewed by the applicant using the display, and an input device for use by the applicant in entering the self-reported information. The processor hosts a life insurance underwriting program. The self-reported information and the objective information is communicated to the processor by one or more data communications links for use by the life insurance underwriting program. In certain embodiments, a preliminary report based on the self-reported information is displayed to the applicant, and a final quote based upon both the self-reported information and the objective information is subsequently displayed. The input device is provided for use by the applicant in acknowledging one or both of the quotes.
In some embodiments, the life insurance underwriting program provides an insurance application for review and acceptance by the applicant. Also in certain embodiments, the one or more stations for collecting objective information includes at least one of the following: apparatus for measuring height and weight; apparatus for measuring blood pressure; apparatus for measuring pulse rate; apparatus for measuring blood cholesterol; apparatus for measuring blood glucose; apparatus for detecting evidence of drug usage; apparatus for detecting HIV exposure; apparatus for detecting tumor markers; apparatus for detecting evidence of tobacco usage; apparatus for measuring lung capacity; and apparatus for detecting evidence of kidney disease. Apparatus may also be provided for obtaining information from the Medical Information Bureau, obtaining information relating to prescribed drugs, obtaining consumer credit information and/or obtaining motor vehicle information.
One embodiment of the invention comprises a computer based system for capturing data at a point of sale relating to mortality or morbidity risk assessment, and a related insurance product. The computer based system comprises a processor, a memory, an input device, a plurality of stations for collecting medical and/or physical data relating to the applicant, and at least one data communications link connecting the stations to the processor. The processor is programmed to receive the medical and/or physical data via the data communications link, and to store the received data in the memory. The input device is connected to the processor for use in entering data relating to an applicant, including the applicant's age, for storage in the memory. The data communications link may be a wired or wireless link.
Certain embodiments comprise a risk assessment program for assessing a mortality or morbidity insurance risk using the stored data in the memory. A data communication link may be provided for use by the processor in transmitting the data stored in the memory to the mortality or morbidity risk assessment system, and for receiving a risk assessment from the system. The system may further comprise a program for generating a life insurance policy using the information stored in the memory, means for confirming an identity of the applicant, and means for receiving an electronic signature of the applicant.
One or more of the plurality of stations for collecting medical and/or physical data relating to the applicant may include apparatus for analyzing and/or measuring various factors. For example, one or more of the stations may include apparatus for analyzing saliva, blood, urine and hair samples. One or more of the stations may further comprise apparatus for measuring blood cholesterol, blood glucose, blood pressure, heart rate and lung capacity. Further, one or more of stations may include apparatus for detecting drug or tobacco usage, tumor markers, exposure to HIV and/or kidney disease. One or more of the stations may include apparatus for measuring weight and height of the applicant.
Additional embodiments, features and advantages will become apparent to those skilled in the art upon consideration of the following detailed description of the illustrated embodiments exemplifying the best mode of carrying out the invention as presently perceived.
The present disclosure will be described hereafter with reference to the attached drawings which are given as non-limiting examples only, in which:
Corresponding reference characters indicate corresponding parts throughout the several views. The discussion which follows is intended to illustrate embodiments of the subject method and system, and is not intended to and should not be construed as limiting the scope of the subject invention. The scope of the invention is defined by the claims which follow this description.
DETAILED DESCRIPTION OF THE DRAWINGSIn addition to the self-report information, applicant 14 may also provide, via terminal 18, certain consents and authorizations. For example, a consent may be obtained from applicant 14 which allows the system to forward the self-reported information from terminal 18 to other parts of the system. (Specifically, an automated underwriting system, as discussed below). Authorizations may also be obtained, via terminal 18, from applicant 14 for the immediate release of information from a health care provider, a pharmacy or pharmacy benefit manager, a consumer reporting agency or other information sources, such as the Medical information Bureau. Consents are obtained, if necessary, for use of such objective information by the system.
Terminal 18 is connected, via data communications link 20, to a processor 22. Processor 22 may be a general purpose computing system which includes a central processing unit, a memory, input devices, a display, and output devices. An automated underwriting system capable of evaluating and rating insurable risks is resident in the memory of processor 22. An example of an underwriting system is shown in U.S. Pat. No. 4,975,840 which is assigned to the present Assignee. To the extent necessary for a complete understanding of the system of
In certain embodiments, a preliminary rate quote may be prepared by processor 22 and transmitted to terminal 18 for review by participant 14 based upon the self-reported information. An example of such a preliminary quote is discussed in additional detail below in connection with
Data communications link 20 is preferably a two-way link, allowing information to flow from terminal 18 to processor 22, and vice versa. Link 20 may be a “wired” link (for instance, cable, coaxial cable, fiber optic cable, or other physical connection). Alternatively, link 20 may be a wireless data communications link. It should also be understood that more than one link 20 may be provided to connect terminal 18 to processor 22 or to connect additional terminals to processor 22 and/or other comparable processors. Processor 22 may be located in the general vicinity of terminal 18 and other elements of the subject system. Alternatively, processor 22 may be remotely located. The specific location of server 22 relative to terminal 18 and other elements of the system is not critical.
Assuming proper authorizations have been obtained, either terminal 18 or processor 22 may initiate orders for third party information via, for instance, the Internet. Such information, when received, is stored in a memory element of processor 22 along with the information entered to terminal 18 by the participant.
After entering the self-reported information, consents and authorizations via terminal 18, applicant 14 proceeds as indicated by arrow 24 to a second station, generally identified by reference numeral 26. At station 2, objective information about applicant 14 is collected. Although a single station is shown in the illustration of
At station 26, objective information is collected from applicant 14 by one or more technicians, or by one or more self- or technician-operated devices, such as those described in additional detail below. The technician may be a medical professional or paraprofessional. Objective information is collected from applicant 14, including one or more of the following: height and weight, blood pressure, pulse rate, blood cholesterol, blood glucose, evidence of drug usage, HIV exposure or tumor markers, evidence of tobacco usage, lung capacity, evidence of kidney disease. A technician may also initiate collection of information from the Medical Information Bureau, information relating to prescribed drugs, consumer credit information, and motor vehicle information.
As or after the objective information is collected, the information is transmitted to processor 22 by data communications links, generally represented in
Following the collection of objective information at station 26 (and/or other stations), applicant 14 proceeds to the station generally identified in
Similar devices and/or other more conventional techniques may be used to collect objective information relating to the applicant's height and weight, blood pressure, pulse rate, blood cholesterol, blood glucose, evidence of drug usage, HIV exposure, tumor markers, evidence of tobacco usage, lung capacity and evidence of kidney disease. Information from the Medical information Bureau, information relating to prescribed drugs, consumer credit information, motor vehicle information or other relevant information may also be obtained by the generation of automatic requests, or through action of the technician. Blocks 52-72 of
Should the applicant choose to continue, a privacy notice will be displayed (block 102). An example of a privacy notice is shown in
In one embodiment of the invention, the subject system may be used in connection with a “health fair” or other event designed to provide health information to applicant 14. Purchase of insurance is not mandatory for participation. However, in the embodiment illustrated, applicant 14 is presented with a screen which requests an indication of possible interest in purchasing a life insurance product (block 108). Access to additional information, by way of a “FAQs” screen, an insurance estimator, and/or a rate comparator, may be provided to applicant 14 at this or some other juncture (blocks 110-114).
In the illustrated embodiment, the next screen presented to applicant 14 solicits personal information. The screen is represented in
Following entry of information relating to medical conditions, a screen requests information from applicant 14 regarding drug, tobacco and alcohol usage (block 146). A sample screen used for this purpose is shown in
Following entry of this information by applicant 14, the system confirms continued interest in obtaining insurance (decision block 152). If applicant 14 is not interested, a termination or “thank you” screen is displayed (block 154). If applicant 14 is interested, an authorization is requested regarding disclosure of the information entered (block 156). An example of an authorization screen is shown in
If authorization is granted, the system produces, with the aid of processor 22, a preliminary quote for insurance coverage based upon the information reported by applicant 14. This step is represented in
The technician collects additional information from applicant 14. This operation is represented generally by block 176. As previously discussed, such additional objective information may take many forms. Illustrated in
This operation is generally represented by block 178. In the illustrated embodiment, an expression of continued interest in insurance is requested by the system, and a response may be entered by either applicant 14 or the technician (block 180). Assuming applicant 14 indicates continued interest, an oral fluid (saliva) specimen is gathered and analyzed (for example, by the OraSure UPlink device referred to above). This operation is represented by block 182 in
If applicant 14 indicates that the policy is intended as a replacement, the system generates a “referral” screen to refer applicant 14 to a live underwriter (block 208). If applicant 14 indicates that the policy is not a replacement policy, the system generates a summary of all information previously provided (block 210). These alternative courses are represented in the flow chart of
The system periodically checks to see if the blood test and/or other “lab” analyses are complete. This operation is represented by decision block 216. If not, the system generates a screen which advises applicant 14 that the system is “waiting for laboratory results.” This screen is represented in
The system determines whether applicant elects to purchase this insurance in a decision operation represented in
This concludes the process. The system generates a “thank you” screen (block 236) which is illustrated by the screen shown in
Although the present disclosure has been described with reference to particular means, materials and embodiments, from the foregoing description, one skilled in the art can easily ascertain the essential characteristics of the present disclosure and various changes and modifications may be made to adapt the various uses and characteristics without departing from the spirit and scope of the present invention as set forth in the following claims.
Claims
1. (canceled)
2. A method of evaluating an insurable risk and providing an insurance offer to cover the risk, comprising the steps of:
- a. collecting self-reported information relating to the insurable risk from an applicant;
- b. collecting a plurality of measurements of objective information relating to the insurable risk from the applicant;
- c. providing the self-reported information and the objective information to an underwriting system located in a point of sale kiosk;
- d. evaluating, rating and underwriting, by processing circuitry at the point of sale kiosk, the insurable risk of the applicant based on the self-reported information and the objective information; and
- e. providing an insurance offer relating to a specific insurance product based on the rated insurable risk.
3. The method of claim 2, further comprising obtaining consent from the applicant to provide the self-reported and objective information to the underwriting system.
4. The method of claim 2, further comprising producing a preliminary rate quote for the applicant based only upon the self-reported information.
5. The method of claim 2, further comprising obtaining authorization from the applicant for the immediate release of further objective information from at least one of a health care provider, pharmacy or pharmacy benefit manager, a consumer reporting agency and insurance company for evaluation of such objective information by the underwriting system.
6. The method of claim 2, wherein the point of sale kiosk includes an information-gathering apparatus for use by an applicant in reporting the self-reported information.
7. The method of claim 6, wherein said information-gathering apparatus includes at least one of a keyboard, a display, a touch screen display, and a pointing device.
8. The method of claim 2, wherein the self-reported information includes at least one of applicant's age, address, citizenship, medical history, family medical history, nicotine usage, alcohol usage, drug usage, motor vehicle information, aviation information, and hazardous activities information.
9. The method of claim 2, wherein the objective information includes at least one of height and weight, blood pressure, pulse rate, blood cholesterol, blood glucose, evidence of drug usage, HIV exposure, tumor markers, evidence of tobacco usage, lung capacity, evidence of kidney disease, information relating to prescribed drugs, consumer credit information, and motor vehicle information.
10. The method of claim 2, further comprising collecting information relating to a beneficiary of the insurance product.
11. The method of claim 2, further comprising producing an immediate final rate quote for the applicant based upon the self-reported and objective information.
12. The method of claim 11, further comprising providing an insurance application relating to the insurance product.
13. The method of claim 11, further comprising collecting information relating to payment for the insurance product when the final rate quote is accepted by the applicant.
14. The method of claim 11, further comprising obtaining an electronic signature from the applicant, producing a printed copy of the application, and providing the copy to the applicant.
15. A point of sale kiosk that evaluates an insurable risk and provides an insurance offer to cover the risk, comprising:
- circuitry configured to collect self-reported information relating to the insurable risk from an applicant; collect a plurality of measurements of objective information relating to the insurable risk from the applicant; provide the self-reported information and the objective information to an underwriting system located in a point of sale kiosk; evaluate, rate and underwrite the insurable risk of the applicant based on the self-reported information and the objective information; and provide an insurance offer relating to a specific insurance product based on the rated insurable risk.
16. The kiosk of claim 15, wherein the circuitry is further configured to obtain consent from the applicant to provide the self-reported and objective information to the underwriting system.
17. The kiosk of claim 15, wherein the circuitry is further configured to produce a preliminary rate quote for the applicant based only upon the self-reported information.
18. The kiosk of claim 15, wherein the circuitry is further configured to obtain authorization from the applicant for the immediate release of further objective information from at least one of a health care provider, pharmacy or pharmacy benefit manager, a consumer reporting agency and insurance company for evaluation of such objective information by the underwriting system.
19. The kiosk of claim 15, wherein the point of sale kiosk includes an information-gathering apparatus for use by an applicant in reporting the self-reported information.
20. The kiosk of claim 19, wherein said information-gathering apparatus includes at least one of a keyboard, a display, a touch screen display, and a pointing device.
21. The kiosk of claim 15, wherein the self-reported information includes at least one of applicant's age, address, citizenship, medical history, family medical history, nicotine usage, alcohol usage, drug usage, motor vehicle information, aviation information, and hazardous activities information.
22. The kiosk of claim 15, wherein the objective information includes at least one of height and weight, blood pressure, pulse rate, blood cholesterol, blood glucose, evidence of drug usage, HIV exposure, tumor markers, evidence of tobacco usage, lung capacity, evidence of kidney disease, information relating to prescribed drugs, consumer credit information, and motor vehicle information.
23. The kiosk of claim 15, wherein the circuitry is further configured to collect information relating to a beneficiary of the insurance product.
24. The kiosk of claim 15, wherein the circuitry is further configured to provide an immediate final rate quote for the applicant based upon the self-reported and objective information.
25. The kiosk of claim 24, wherein the circuitry is further configured to provide an insurance application relating to the insurance product.
26. The kiosk of claim 24, wherein the circuitry is further configured to collect information relating to payment for the insurance product when the final rate quote is accepted by the applicant.
27. The kiosk of claim 24, wherein the circuitry is further configured to obtain an electronic signature from the applicant, producing a printed copy of the application, and providing the copy to the applicant.
Type: Application
Filed: Mar 14, 2014
Publication Date: Jul 17, 2014
Applicant: SWISS REINSURANCE COMPANY (Zurich)
Inventor: G. Michael HIGGINS (Fort Wayne, IN)
Application Number: 14/213,762
International Classification: G06Q 40/08 (20120101);