Abstract: A computer system for administering applications for life insurance has a processor and a memory storage device in communication with the processor. The processor is configured to receive data indicative of an application and an initial premium payment from a proposed insured for life insurance; based on the received data, determine whether the proposed insured is uninsurable; responsive to a determination that the proposed insured is not uninsurable, generate an output signal having data indicative of a decision to respond to the application by issuing a policy and commencing a comprehensive underwriting process; receive data indicative of a result of the comprehensive underwriting process; based on the result of the comprehensive underwriting process, determine a rating of the proposed insured; and, based on the rating, provide an output signal indicative of a same or changed premium for the policy.

Abstract: The present invention provides systems and methods which afford a technical application for insuring, bonding, and underwriting a transmission of a data set, streaming data, and/or document over the Internet through TCP/IP and all other electronic media such as WAP, VOIP, fiber optic channels, microwave channels, and through standard electrical switches, electrical outlets and power lines. The present invention includes a computer-readable medium having computer-executable instructions to cause a system perform a method for insuring, bonding, and/or underwriting data transmission. The method includes enabling a first remote client coupled to a communications network to insure, bond, and/or underwrite a transmission of an electronic data set, streaming data, and/or document, with a selected coverage type for a selected coverage amount, from the first remote client to one or more second remote clients. The method includes charging a fee to an appropriate account for the selected coverage type and amount.

Abstract: An insurance claim report generating system includes an interactive voice response (IVR) system, a voice recognition server, and a voice activated database (VAD) device. The IVR system receives telephone calls from remote devices, delivers audio scripts having prompts directed by both templates and data received from the remote devices. The IVR system receives dual-tone, multi-frequency (DTMF) information and human voice information in response to the prompts. The voice recognition server generates text from the human voice information using a dictionary of insurance relevant terms. The VAD device receives first digital information from the IVR system and second digital information from the voice recognition server. The first digital information is derived from the DTMF information, and the second digital information is derived from the human voice information. The VAD device generates an insurance claim report from at least some of the first or second digital information.

Abstract: A universal life type insurance policy is provided with added automated features controlled by policy documents and account authorization arrangements with service providers, which enables the policy holder to have the benefits of a tax-advantaged life insurance arrangement and retain control over the types of investment in asset accounts associated with the life insurance arrangement. Simultaneously, the arrangement may provide for fall-back authorizations such that the arrangement maintains the tax-advantaged status and, so long as asset balances permit, currency of payment of policy premiums.

Abstract: Methods and systems are disclosed for marketing vehicles for sale or lease to drivers whose ordinary vehicles have been totaled. In an exemplary embodiment, data about a totaled vehicle may be entered by an insurance adjuster into a computer system, and this data can be leveraged to trigger the marketing of vehicles for sale or lease to a driver to replace the totaled vehicle.

Abstract: In some examples, a method for estimating insurance risk is described. The method may include receiving, by a processor, real-time information related to a travel itinerary. The method may also include estimating, by the processor, the insurance risk by analyzing the real-time information based on a quantitative assessment of risks posed to a population by the at least one factor.

Abstract: According to some embodiments, a workers' compensation insurance premium may be calculated for a workers' compensation insurance policy covering a group of employees employed by an employer. Moreover, supplemental bundled insurance premiums may be calculated for each employee to provide individual, supplemental bundled insurance policies. The supplemental bundled insurance premiums may be contingent upon the employer's agreement to pay the workers' compensation insurance premium. By way of examples, the supplemental bundled insurance policies might be associated with one or more of short term disability insurance, long term disability insurance, accidental death insurance, accidental disability insurance and/or hospital accident insurance.

Abstract: This invention relates generally to a computer system and method for integrating insurance policy underwriting. In one aspect it integrates the older legacy insurance policy generating systems to on line systems where users access the system through browsers. The computer system to perform the process of underwriting, rating, quoting, binding, and booking an insurance policy includes browsers, data bases, processors and a dispatcher that parses the information to select an insurance process. Suitable software programs review messages received from users to determine if certain messages are less than a prescribed limit. If a message is greater than the limit, then the message is parsed into a header information and one or more data fields whereby the header information is provided to a legacy processor and to policy generation software for further creation of policy related information and documentation.

Abstract: The system is an advanced, web-enabled, clearinghouse that facilitates efficient and effective claim routing, monitoring and report retrieval. A claim status summary is displayed that links directly to a rejected claim listing, wherein each rejected claim listed is a link to associated detailed claim information. The detailed claim information display has fields to edit the associated detailed claim information. During the editing process, a rules verification is performed against the edited claim information to ensure the edit comply with the known rules for the associated payer. Upon successfully completing the rules verification, the edited claim is submitted to a payer.

Abstract: A method of displaying electronic documents on a vehicle display screen is described. The vehicle includes a display screen embedded in a window of the vehicle in a manner visible from outside the vehicle. The method includes storing the digital certificate in a memory unit of the control module. The method includes displaying information on the display screen by retrieving the digital certificate. Also, upon validating the digital certificate, the information associated with the digital certificate is displayed on the display screen, wherein the information includes an electronic document that indicates at least one of compliance with a local law, valid insurance, validation of payment of taxes associated with the vehicle, and a parking receipt for parking the vehicle, wherein the display screen comprises at least one button, manipulable by a user outside of said vehicle, to select a display mode of said display screen.

Abstract: The health care payment techniques include a method. The method includes receiving, by a payment services manager computer system, from a plurality of computer systems of a plurality of health care providers via a communication network, notification of a plurality of claims for a plurality of health care services provided to a patient by the plurality of health care service providers. At least a portion of the claims are being payable by a participant in a benefits plan and at least a portion of the claims are being payable by a third party payor. The method further comprises remitting, by a payment services system logic implemented by the payment services manager computer system, for each claim in the plurality of claims, payment of the entire claim within a predetermined time period of receiving the notification of the claim.

Abstract: A quantitative system and method that employs data sources external to an insurance company to generate a statistical model that may be used to predict commercial insurance profitability. The system and method are able to predict individual commercial insurance policyholder profitability on a prospective basis regardless of the internal data and business practices of a particular insurance company.

Abstract: A method of evaluating the driving behavior in a vehicle. The method includes determining values of a plurality of parameters of the operation of a first vehicle in a first road segment, determining values of the plurality of parameters for one or more second vehicles in a second road segment having similar properties to those of the first road segment, comparing the determined values of the first vehicle and the one or more second vehicles and providing an evaluation of the driving behavior of the first vehicle, responsive to the comparison.

Abstract: In various embodiments, a flood risk score may be determined for a property point that provides a comprehensive assessment of the property point's risk of flooding. Determining the flood risk score may include determining a flood risk characteristic for the property point and assigning a flood risk score that corresponds to the flood risk characteristic. In some embodiments, flood risk characteristics may include a difference in elevation between the elevation of the property point and an elevation of a calculated point (e.g., on a known flood risk zone boundary). Flood risk characteristics may also include a flood zone determination for the property point and/or proximity of the property point to a known flood risk zone boundary or a flood source. In some embodiments, flood risk scores may be provided on flood risk score reports.

Abstract: A method for operating a return generation system comprises several steps. In a first step, a group of a plurality of individuals is determined. In a further step, at least one asset is gathered from each of said individuals. Said at least one asset is subsequently transferred to a pool of assets. Upon death of one of the individuals, a rate to be distributed to the surviving individuals is automatically calculated. Subsequently, the assets are distributed among the surviving individuals.

Abstract: A method, system and program product, the method comprising accessing, databases, comprising: aggregated account information for FDIC accounts; client account information for each of the respective client accounts, wherein the client account represents funds of the respective client held in the one or more aggregated deposit accounts holding funds of the respective client, the client account information; capacity caps; and obtaining, high, second and lowest stratification balances held in respective depository institutions; calculating for depository institutions a respective total balance in the program; calculating respective excess capacities for respective depository institutions; modifying, parameters selected from the group of a number of client accounts, additional client account funds, a total number of the depository institutions participating in the program, and the capacity caps for one or more of the depository institutions.

Abstract: A contents estimating system and method for providing an estimate of the cost of settling an insurance claim which includes a server having an embedded program compiled on the server and embedded in a web page, a client having a browser removably connected to the server, an inventory data acquirer for acquiring inventory data of each of the items that are the subject of the insurance claim and insert them into the web page, a price data acquirer for acquiring prices of the items of inventory data that are the subject of the insurance claim and insert them into the web page, and a liability limits data acquirer for acquiring liability limits data for the insurance claim and insert them into the web page, in which, upon receipt of a claim of loss from the insured, the web page is displayed on the screen of the client, the embedded program is executed within a client process with substantially unrestricted access to the client's system resources, and an estimate of the cost of settling a claim is produced by map

Abstract: A system and method for detecting driving performance data is provided. The system and method include a mobile device in electronic communication with a network and one or more sensors for measuring at least one parameter associated with operation of a vehicle. A driving performance engine in electronic communication with the mobile device. The driving performance engine verifies the vehicle and a driver of the vehicle, detects vehicle movement by comparing sensor data obtained by the mobile device with a predefined set of rules, records driving performance data, transmits the driving performance data anonymously to an insurance provider computer system, and receives insurance cost information from the insurance provider computer system based on the driving performance data.

Abstract: The invention relates generally to data analysis, and to systems and methods for the computation of the volatility of a loss. The system comprises a module for receiving a data parameter, a database for storing the parameter, a computerized predictive model, and a business logic processor for executing the predictive model. The volatility is used to, among other things, determine an appropriate work flow for handling the loss.

Abstract: Systems and methods are provided to limit exposure of medical Plans to high liabilities for renal dialysis without exposing the insured patient to out-of-pocket liability while still allowing the patient to receive dialysis as they need it. In one embodiment, this goal is achieved by providing an ERISA medical insurance Plan structure that limits Plan responsibility to 125% of the Medicare approved amount for the services provided, and simultaneously supplements coverage of the patient under Medicare Part B. Because Medicare regulations prohibit providers from balance-billing patients subsequent to billing Medicare, the patient cannot be billed for amounts in excess of the Plan limits.

Abstract: A computer-implemented method, system, apparatus, and media is directed to minimizing a risk associated with an anticipated value of an investment. An insurer establishes a capital structure within a computer memory of a computer system, the capital structure designed to minimize risk and being pledged to fund a default associated with the investment. Establishing the capital structure can include allocating regulatory capital based on a coverage factor multiplied by an average annual depression scenario default percentage for the investment and determining a portion of the capital structure for a pledged insuring investment that produces at least a portion of the cash stream. A determination of whether the established capital structure is sufficient to obtain a minimal target credit rating for the insurer is generated. The desired target rating is electronically provided based on the determination.

Abstract: This invention relates to methods and systems that provide annuities with at least one liquidity option that allows the holder of the liquidity option to exercise the option and convert therewith a portion of a value of the annuity into a liquid asset, such as cash or a cash value, based on the value of future income payments, which can include payments that are guaranteed to be paid for the duration of one or more lifetime. The conversion may be in a variety of forms, such as an advance of at least a portion of the future income payments, or in the form a lump sum distribution of at least a portion of a commuted value of the annuity computed based at least in part on the present value, at the time of the conversion, of future income payments for the remainder of the guarantee period.

Abstract: Systems and method of providing a web-based marketplace for distributing leads to a network of agents are provided. A method includes receiving data indicative of user identification and user insurance coverage from a plurality of website users, identifying a subset of the plurality of website users that fail to purchase insurance, generating a database that stores the data received from the subset of website users, and generating a price for purchasing the data received from each of the subset of website users. The price is added to the respective website user's data in the database. The method includes transmitting a portion of the database including the price to a third party, and receiving a request to purchase a first website user's data.

Abstract: Presenting benefits of an insurance related product includes obtaining a master hierarchical benefits tree comprising a plurality of hierarchical levels, each hierarchical level comprising a plurality of nodes, at least one node in one hierarchical level is preconfigured to be connected to at least one node in an adjacent hierarchical level, the preconfiguration being based at least in part on categorized objectives of an insurance company; receiving a user selection of at least some nodes in the master hierarchical benefits tree; determining a set of available nodes in a next hierarchical level based at least in part on the user selection; and generating a customized hierarchical benefits tree that is formed based at least in part on the user selection and the master hierarchical benefits tree.

Abstract: A method and system for online processing of life insurance applications includes receiving information that identifies an individual to be insured and describes the insurability of the individual. A certification may be received via an electronic data communications link confirming whether an illustration of a life insurance policy was delivered to the policy applicant. Furthermore, information may be received via an electronic data communications link from a third party confirming the identity of the individual to be insured. When a commitment to purchase the policy is received, a personalized temporary insurance certificate may be issued to the applicant, preferably accompanied by a temporary insurance agreement specifying the terms of temporary life insurance coverage extended to the individual.

Abstract: Providing configuration of inference logic for insurance policy forms is disclosed, including: presenting to a user: information associated with an insurance policy form; and a set of inference rule types, each inference rule type specifying a corresponding condition under which the form is to be created; receiving a selected inference rule type; presenting a set of insurance product definition templates; receiving a selected insurance product definition template corresponding to the selected inference rule type, the selected insurance product definition template being selected from the set of insurance product definition templates; and storing a mapping associated with the insurance policy form, wherein the mapping includes at least the selected inference rule type and the selected insurance product definition template.

Abstract: Systems and methods for verifying insurance coverage are provided. A method may include registering data for one or more users, the data including information designating one or more insurance providers for the users. The method may further include transmitting, via a communications network, an insurance verification request to the designated insurance providers, the insurance verification indicating one or more insurance requirements for the user. The communications network may be the internet. A response to the insurance verification request from the designated insurance providers may be received via the communications network. The response may indicate whether insurance associated with the user complies with the one or more insurance requirements. One or more notifications regarding whether the insurance associated with the user complies with the one or more insurance requirements may be transmitted.

Abstract: A system and method for generating an integrated family of benchmarks representing portfolio allocations for a participant is described. At least two assets for a portfolio are identified. A current market rate for at least one of the assets and an expected inflation for a predetermined time period are determined via a computing device. The computing device determines a portfolio allocation to each asset based on the current market rate and the expected inflation so as to define a process for obtaining inflation-protected income for a predetermined number of years and then non-inflation protected income for subsequent years. The identified assets and the portfolio allocations are published via a network.

Abstract: A system and method are provided for identifying exposure concentrations. The process of determining exposure concentrations may include organizing exposure data, defining parameters, determining elevated exposure concentrations, and providing output results. The exposure data may relate to at least geographical locations, policies, accounts, portfolios, treaties, and other exposure data. The parameters may be defined to include at least an area of analysis, a region of interest, a threshold amount, results parameters, and other parameters. The exposure concentration may include at least defining and locating exposure locations using various techniques. The results may be presented using textual, graphical, or other display schemes. The output may be configured to convey information such as positional accuracy of an identified area, exposure accumulation in a defined area, and other information.

Abstract: A method of providing an insurance policy for a home includes providing a computer having a processor and deploying a plurality of sensors in a vicinity of the home. The method also includes receiving data from the plurality of sensors. The data includes information related to environmental factors associated with the home. The method further includes transmitting the information related to the environmental factors to the computer, computing, by the processor, a fire risk associated with the home using the information, and computing, by the processor, an insurance premium for the insurance policy using the computed fire risk.

Abstract: Receipt insurance systems and methods provide protection to consumers against losses which may result from failure to possess a physical receipt or proof of purchase for retail purchase transactions. In one embodiment, a third party receipt insurer insures or guarantees consumers or purchasers of benefits associated with having possession of a receipt or other proof of purchase for a retail purchase without the need for possession of a physical or paper receipt. A receipt insurance agreement between a receipt insurance provider and a consumer protects the consumer against a loss of consumer rights or personal property insurance rights resulting from a lost receipt by electronically storing for retrieval, if necessary, an electronic record of all of the receipt information.

Abstract: A method includes receiving first user input indicating selection of a guaranteed income option to fund essential retirement expenses. The method further includes receiving second user input indicating selection of an investment option to fund lifestyle retirement expenses. The method also includes receiving third user input indicating selection of an unexpected liability coverage option, wherein the unexpected liability coverage option includes a long-term care funding option, an unexpected legal expense funding option, or any combination thereof. The method includes receiving fourth user input indicating selection of one or more legacy planning options. The method also includes generating a retirement plan based on the first user input, the second user input, the third user input, and the fourth user input.

Abstract: A method for providing automatic purchase of products, such as insurance products, by one or more third parties acting on behalf of a purchaser and for automatic deductions from an income source to pay for the product utilizes stored data regarding the products, information provided to a purchaser from the stored data based upon inquiries from the purchaser and concluding a purchase or not along with payment for the purchaser.

Abstract: A method and system for uniquely identifying an entity is disclosed. The method includes receiving information corresponding to the entity, the information corresponding to the entity including insurance data. A unique identifier of a plurality of unique identifiers is assigned to the entity. The unique identifier is associated to the information corresponding to the entity. The unique identifier is stored in association with the information corresponding to the entity for future retrieval by the entity. A confirmation of the assignment of the unique identifier is sent to the entity. A determination is made that the unique identifier is unavailable for assignment to another entity different from the entity.

Abstract: A system and method for the capture, storage and usage of specific insurance underwriting and/or loss validation data includes a handheld mobile computer device containing one or more master forms in which insurance data is entered into the handheld device, normally at the location of the insured home along with an electronic signature of the insured and a geocode and time/date stamp. The data is uploaded to a secure, structured database. insurance data can also be entered, in a secure manner, via a customer portal by the insured or from third party data sources. The system includes software with the ability to pre-populate standardized underwriting forms based on the collected data. The system also manages electronic insurance quotes and bind orders as well.

Abstract: A method and system for verifying insurance information associated with an entity is disclosed. Insurance information is stored in an insurance information repository. An insurance information verification request from a third party computer is received. The insurance information verification request includes a parameter associated with the entity. A determination is made as to whether insurance information associated with the entity includes an insurance policy. If it is determined that the insurance information associated with the entity includes the insurance policy, a policy status of the insurance policy is determined, and a verification message verifying that the insurance information associated with the entity includes the insurance policy is transmitted to the third party computer. The verification message may include the policy status. Else, an alert message is transmitted to the third party computer. The alert message indicates that the entity does not have insurance.

Abstract: The invention relates to a resource-pooling system and to a corresponding method for risk sharing of a variable number of risk exposure components. The risk exposure components are connected to the resource-pooling system by means of a plurality of payment receiving modules configured to receive and store payments from risk exposure components for the pooling of their risks. The total risk of the pooled risk exposure components comprises a first risk contribution associated to risk exposure in relation to loan losses, and a second risk contribution associated to risk exposure based on emergency expenses. The pooled risk is divided in a parameterizable risk part and a non-parameterizable risk part by means of an indexing module. In case of triggering a loss by means of a trigger module, the suffered loss is covered by releasing associated loans and emergency expenses of the risk exposure components.

Abstract: A computer implemented system and method for matching drugs and diseases involves matching drugs identified in a specific patient's prescription claim records with diseases identified in the patient's medical claims. A weighted relationship is generated between the matched drugs and diseases by calculating a link weight in accordance with a preprogrammed formula for each of the diagnosis codes identified in the patient's medical claims that is identified as associated with the disease identified and the drug. The link weight provides a statistical match association value to each of the matched diseases identified by way of a diagnosis code in the patient's medical claim and the drug identified in the prescription claim.

Abstract: A graphical representation is provided that displays a user's insurance coverage. Via the graphical representation, the user may request information about various aspects of the coverage and/or may request to chat or speak with a representative that specializes in a particular coverage area. The graphical representation may show how the user's insurance coverage compares to population groups and medians. A user may adjust the coverage on the graphical representation and be provided with a revised premium amount. The user may select this coverage to be implemented and the user's policy may be appropriately revised.

Abstract: Systems, methods and media for determining information regarding drugs are provided herein. A healthcare plan identifier and a brand name drug identifier are received by a processor. Healthcare plan data and a formulary table associated with the healthcare plan data are obtained from one or more databases, based on the healthcare plan identifier. A drug tier associated with the brand name drug identifier is determined, based on the formulary table associated with the healthcare plan data, the healthcare plan data, and the brand name drug identifier. One or more costs associated with the brand name drug identifier is determined, based on the drug tier. Information regarding drugs is transmitted to display on a display.

Abstract: A computer implemented method involving a medical service for a patient includes estimating an expected payment associated with the medical service for the patient based on a set of data including payments for similar medical services provided to a population of individuals. The method also includes estimating a cost expected to be borne by the patient for incurring the medical service based on the estimated expected payment and based on a set of parameters associated with a healthcare coverage plan of the patient. The method further includes presenting financial information that communicates the cost expected to be borne by the patient for incurring the medical service.

Abstract: A system for coordinating the submission and processing of a bill according to predictive payment data of a plan. The system comprises a provider interface and an integrated database for receiving a predictive payment plan submitted from the provider interface. The system also has a predictive payment request of the plan storable in the database, the request including a plurality of predictive payment parameters. An adjudication engine is coupled to the integrated database, and an insertion function is used for inserting the predictive payment parameters into an adjudication rule set of the adjudication engine. The adjudication rule set is used for eventual adjudication of the predictive payment data, wherein adjudication of the predictive payment data results in the generation of the bill. The system also has a workflow engine for coordinating the processing of the electronic bill and for updating the bill information in response to processing.

Abstract: The present embodiments provide methods, systems, apparatuses and/or code for use in determining premiums. Some embodiments provide methods for use in determining premium. These methods identify a work entry; determine a payroll based on the work entry; retrieve a compensation rate based on the work entry; calculate a base premium as a function of the payroll and the compensation rate; retrieve a customer experience modifier assigned to the customer; retrieve a staffer experience modifier rate for an employee provider; and calculate a modified premium by: modifying the base premium by the staffer experience modifier rate when the staffer experience modifier rate is less than the customer modifier rate; and modifying the base premium by the customer modifier rate when the customer modifier rate is less than the staffer experience modifier rate.

Abstract: An investment fund maximizes an investor's risk-adjusted expected return on an investment while also providing the investor with a defined minimum level income upon the maturity of the investment. The investment fund comprises a risk-free portfolio and an upside portfolio. The risk-free portfolio holds risk-free assets that provide a defined minimum income stream upon a predefined maturity date, and the upside portfolio holds sophisticated assets that are only available to qualified investors that meet one or more investing criteria. As new contributions are added to the fund, they are allocated between the risk-free and upside portfolios so that the fund will provide a minimum defined income stream upon its maturity date, where this minimum income amount may increase as more value is added to the fund. Upon maturity, the investor receives the income stream from the risk-free portfolio and the assets from the upside portfolio.

Abstract: Methods and systems electronically integrate a claims workflow management system and a claim handling application with a property records system.

Abstract: Technologies are generally described for an architecture and system for conducting insurance adjusting for cloud-related data or computing services. In some examples, the system may be configured to collect data regarding datacenter performance degradations, and may include an adjusting interface, a claim reporting interface, and connected infrastructure to collect instrumented data associated with cloud-related data/computing service performance. The collected data may be used for event classification and liability assignment so that insurance can be meaningfully written and processed.

Abstract: Exemplary data processing implemented sales and activation systems and methods are used to distribute insurance products and services. Aspects provide a two stage operation facilitated by selectively arranged retail packaging used in conjunction with an on-line activation process to permit enhanced marketing of insurance and other insured products and services.

Abstract: A system and method for generating, displaying, and modifying an insurance quote that includes a management module in communication with a client device. After the client preferably logs in to the management module, provides relevant information, a calculation engine generates an insurance quote estimate. The quote estimate is preferably displayed on the device even while the client reconfigures the insurance coverage options.

Abstract: Transaction-based behavioral profiling, whereby the entity to be profiled is represented by a stream of transactions, is required in a variety of data mining and predictive modeling applications. An approach is described for assessing inconsistency in the activity of an entity, as a way of detecting fraud and abuse, using service-code information available on each transaction. Inconsistency is based on the concept that certain service-codes naturally co-occur more than do others. An assessment is made of activity consistency looking at the overall activity of an individual entity, as well as looking at the interaction of entities. Several approaches for measuring consistency are provided, including one inspired by latent semantic analysis as used in text analysis. While the description is in the context of fraud detection in healthcare, the techniques are relevant to application in other industries and for purposes other than fraud detection.

Abstract: A computer system for administering applications for life insurance has a processor and a memory storage device in communication with the processor. The processor is configured to receive data indicative of application data and data indicative of a health of a proposed insured; based on the received data, determine whether the proposed insured is eligible, and generate an output signal to cause a policy to be generated and comprehensive underwriting to commence. Upon completion of comprehensive underwriting, additional policy documents may be determined. Calculations of commissions and reinsurance premiums may be made upon issue of a policy and recalculated upon completion of comprehensive underwriting.