Chatswood serves the life and health insurance sector in New Zealand with market intelligence, data, and bespoke consulting services. Some of these are provided in conjunction with Quality Product Research Limited - a subsidiary that brings you Quotemonster.

We believe that good decisions are more likely to occur when we have good information about the market environment in which we operate. Intuitive leaps and creative decisions are always required, of course, but the more they are based on a firm foundation of observation, the better they tend to be.

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Southern Cross Health Insurance appoints Cath Lomax to Chief People and Strategy Officer

Cath Lomax, Chief People and Strategy Officer, Southern Cross Health Insurance

Southern Cross Health Insurance has appointed Cath Lomax as its Chief People and Strategy Officer. Lomax joins from Fisher Funds, where she was the Chief Client Officer.

Nick Astwick, CEO of Southern Cross Health Insurance said

“As well as being in the business of health, we're also in the business of people – be it serving our members or our people. Cath brings to this role a wealth of experience which will undoubtedly allow us to build on our reputation for being a great employer.”

Lomax was recently awarded the Auckland Emerging Director Award from the Institute of Directors Auckland branch for her work at Surfing NZ.

 

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Australia’s Federal Government seeks feedback on the use of genetic test results by insurers

Australia’s Federal Government has opened consultation on the impacts of life insurers utilising genetic test results in underwriting.

Australia’s Federal Government has opened consultation on the impacts of life insurers utilising genetic test results in underwriting.

Under the Insurance Contracts Act 1984 consumers have a responsibility to provide information requested by life insurers, including any genetic testing results. In 2018, a report by the Parliamentary Joint Committee on Corporations and Financial Services identified concerns that life insurers using genetic tests in underwriting was negatively impacting participation in health research projects involving genetic testing.

In 2019, Australia’s life insurance industry introduced a partial Moratorium on the requirement to disclose genetic testing results. Life insurers could only request or use the results of a genetic test if the total amount of cover a person has exceeded set thresholds. The Moratorium also stated that life insurers would not require or encourage applicants to take a genetic test as part of the application.  The Moratorium was introduced due to concerns that people would not undergo genetic testing for personal health reasons or participate in medical research that involved genetic testing because they feared that it could negatively impact their ability to obtain affordable life insurance.

A report by researchers at Monash University investigating the impact of the Moratorium found it is discouraging consumers from participating in clinical genetic testing and in medical research which involves genetic testing. The report also found that life insurers were not complying with the Moratorium, and were asking applicants about genetic test results when the applications fell below the financial thresholds. The report also deemed the financial limits were too low. The report’s recommendations include the Government amending legislation to prohibit insurers from using genetic or genomic test results to discriminate between applicants for risk-rated insurance and that the Government consider ensuring insurers are subject to a positive duty to not discriminate. Consultation is open until 31 January 2024.

We spoke to Russell Hutchinson to get a New Zealand perspective on this issue:

Currently New Zealand has no legislated approach to genetic testing. There are similar consumer movements to that in Australia, which highlight the risks to consumers and their families when they delay obtaining genetic tests because they are concerned about the impact on their ability to obtain insurance coverage. A good synopsis of this from the medical viewpoint is given in this Radio New Zealand piece. It does not discuss the value of having a functioning insurance sector or examine how this relies on the ability to charge different premiums for different risks or in some cases, decline to insure a person. Naomi Ballantyne offers a succinct summary of an underwriter’s perspective in this article at Good Returns.

Occasionally, consumer fears may drive choices which are also damaging to the insurance market – for example, delaying a test to take out coverage and then lapsing the coverage if the test results show no increased likelihood of developing the condition. There may be value in offering some form of reassurance to consumers to limit the impact of genetic testing on insurance. Personally, right now, I would encourage anyone contemplating a genetic test to place their health first and obtain the test.

The Financial Services Council (FSC) regularly reviews its stance and industry guidelines on genetic testing to ensure they reflect best practice globally; they have reiterated that it is important insurers understand a customer's risk profile as part of the underwriting process.

"Some insurers may ask customers to disclose known information about the results of their genetic tests. This is consistent with asking customers other questions about their risk profile - for example, their family history.”

"Genetic testing is not something that any of our members ask their customers to carry out. Overall, FSC believes a fair position is one that balances the interests of consumers and the medical community to advance genetic science, and which manages financial risks to insurers and all policyholders."

Recently the FSC has held a discussion group with representatives from the insurance industry and the medical community to discuss the challenges that genetic testing present. A working group has been established to improve outcomes from genetic testing. Currently, RiskInfoNZ is running a poll to find out if people will see a time when genetic tests will play a part in clients applying for life insurance.

 

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Fidelity Life updates

Fidelity Life have been busy.

  • They have launched a live chat function for advisers to be able to interact with new business and underwriting teams.

  • Fidelity Life will launch product enhancements in November including

    • increasing maximum monthly benefit percentages from 110% to 115% of mortgage repayments;

    • new trigger to increase cover as a result of buying an investment property, holiday home, residential block of land, or co-signing a child’s mortgage;

    • new trigger for when financially supporting a child through first course of full-time tertiary education;

    • special events - removing the exclusion for customers with loading >100%

    • future events & insurability - removing the exclusion for customers with non-standard terms;

    • increasing the maximum monthly benefit for Key person new to business from $4,000 to $6,500 and for Key person for farmers from $5,000 to $9,000;

    • rolling out new repatriation benefit to all inforce and new on-sale life covers (except Survivor’s income cover), which reimburses up to the lesser of either 10% of the life cover sum insured or $20,000, helping to cover the cost of repatriating a body home;

    • changing our Trauma Stand-down start date to when the customer submits their completed application instead of when they finish underwriting.

  • In coming months Fidelity Life will publish turnaround times for new business and call centre interactions.

  • Fidelity Life are offering special relief to weather impacted customers in Queenstown, Gore and Southland who are facing financial hardship. They have offered a waiver of premiums for up to 3 months while keeping cover in place.

  • Fidelity Life will roll out annual product re-accreditation training models in November, mandatory for all advisers working with Fidelity Life customers

  • Fidelity Life have published a ‘Working together guide

 

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AIA updates the benefits of its living products

AIA has released a raft of changes updating the benefits that apply to its living products covering critical conditions, progressive care, life cover, and family protection, including changes to selected closed Sovereign, TotalCareMax, AIA Trauma and AIA Life Cover products.

Some of the key changes, which are applicable to new claim events on or after 10 October 2023, include:

·         The minimum coverage age for standalone children’s trauma has been lowered from two years to three months.

·         Extension of the life buyback reinstatement period from 30 to 60 days.

·         Removed the benefit for new business that pays on the diagnosis of medically or occupationally acquired HIV, and introduced a new benefit that pays on the diagnosis of advanced AIDS – regardless of transmission method.

·         Changed the terminal illness definition to clarify that life expectancy is less than 12 months, despite all reasonable medical treatment.

·         Increased bereavement support benefit from $15,000 to $25,000 in cases where there is joint policy ownership.

·         Removed the 5% limit to pay up to $20,000 as an early payment if the life assured dies overseas to return their body to either New Zealand or their home country.

 

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Good Returns looks deeper at insurers following news of withdrawn benefit

Last week we wrote about Southern Cross refuting claims advisers weren’t informed about dropping a $60,000 a year benefit for non-surgical hospitalisations. Good Returns has followed up their earlier enquiries by approaching other insurers to find out their cover levels to see if Southern Cross’ citation of low rate of use was similar across other insurers.

While they were able to find out AIA has an equivalent $500,000 a year cover, nib maximum coverage up to $300,000 a year on Ultimate Health Max, Accuro Smartcare/Smartcare+ has cover up to $300,000 per year and Unimed Hospital Select Plus up to $65,000 per year they weren’t able to get specific claims amounts from any of the insurers aside from Partners Life.

Partners Life’s three largest categories of claim against this benefit last year were cancer, costing $12.4 million in payouts, digestive tract conditions, costing $9.1 million, and investigations and tests, costing $8 million, a stark contrast to Southern Cross’ 2019 review which found the now withdrawn benefit had paid an average of $414 per claim for 801 members and that most of the claims were for IV infusions or overnight accommodation associated with sleep studies.

Southern Cross’ head of customer strategy and experience, Nic Johnson, has previously said

“The majority of medical (or hospitalisation) claims at the time were already covered under existing benefits, such as the surgical procedures, chemotherapy, radiotherapy and diagnostic tests/imaging benefits”.

These benefits “more precisely defined coverage, and, to align with this approach, the non-surgical benefit was repositioned so that it more accurately reflected what members received.”

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Fidelity Life announce two key appointments

Leigh Bennett has been promoted internally to the role of Head of Underwriting. Leigh will be managing Fidelity Life’s 34-strong Underwriting team. She will be responsible in ensuring policy applications are assessed appropriately, making quality decisions and focused on achieving good customer and commercial outcomes. Most recently the Product Owner in the company’s digital team, Leigh has nine years’ experience in the life insurance sector.

Mat Bark has been appointed to the newly created role of Head of Channel Enablement. Mat is tasked with shaping Fidelity Life’s future adviser channel experience. This includes business ownership of new digital interfaces and platform innovation, modernising the legacy and in force servicing experience for advisers, and leading Fidelity Life’s Group insurance re-platform. Mat was previously Head of Existing Business at AIA.

Bronwyn Kirwan, Chief Sales and Service Officer at Fidelity Life says

“Following the delivery of some key transformation activities, we are now heavily focused on our distribution franchise and are delighted to announce the appointment of both Leigh and Mat in these critical leadership roles to help drive and enhance our engagement with advisers.”

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