What You Have to Know About Death Now

Conversation February 16, 2024 at 11:13 AM
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What You Need To Know

  • Full underwriting is a lot different from simplified-issue underwriting.
  • The conditions life insurers always watch for turned out to have a big effect on COVID mortality.
  • For an insurer with full underwriting, the surge in non-COVID mortality is fading away.

Careful underwriting is helping U.S. life insurers get death claims back to normal, in spite of the lingering effects of COVID-19 on overall U.S. mortality, a top U.S. life insurance expert said earlier this week.

Fred Tavan, the chief pricing officer at Legal & General America, talked about recent U.S. life underwriting trends in an interview.

A new, quiet COVID surge began pushing up overall U.S. mortality in October 2023. But, when Legal & General America looks at its own COVID-related life insurance claims, "there's very little there," Tavan said.

After the COVID pandemic began, death rates for conditions other than COVID increased sharply. Some worried that COVID itself or reduced use of preventive care had done permanent damage. But "those were temporary effects that were highly correlated with strain on hospital systems," Tavan said.

Now that hospital patient loads have stabilized, the increase in Legal & General America's non-COVID mortality rate has faded.

What it means: U.S. life insurers have just passed through the second deadliest pandemic since modern life insurance came into existence, and they're still eager to sell your clients life insurance.

Legal & General America:  Legal & General America is a Frederick, Maryland-based subsidiary of Legal & General Group, a London-based financial services giant with $1.4 trillion in assets under management.

Legal & General America focuses on selling term life insurance through Banner Life in most of the United States and through William Penn Life in New York state. It has about 1.5 million U.S. policyholders.

The underwriting strategy backdrop: In 2020, when COVID showed up, life insurers responded to the early pandemic-period lockdowns by shifting away from use of in-person underwriting exams and application processes, toward digital-only processes.

Insurers without well-established digital underwriting systems tried to make do with simplified issue processes that operated without the physical exams and attending physician statements that underwriters have traditionally used to assess applicants' health, Tavan said.

Some companies, like Legal & General America, were in a better position.

"We already had plans to go digital," he said.

Because Legal & General America entered 2020 with a digital underwriting program in place, it could use digital-only systems to create a system with about the same depth as traditional underwriting programs, with access to prescription records, electronic health records, motor vehicle reports, and banks of about 300 underwriting questions.

Healthy applicants might see only a few questions, but applicants who say they are obese, have diabetes, smoke or have other health concerns must answer extra questions designed to help underwriters determine how big of a problem the concerns are.

The extra information helps Legal & General America hold its premiums to much less than what prices are at issuers with simplified issue underwriting programs.

The COVID era: The automated, fully underwritten process turned out to be a good fit for the pandemic.

During the pandemic, "we actually found that our experience improved," Tavan said.

Tavan believes experience was good because the new information sources and tools helped Legal & General America do a better job of identifying applicants affected by obesity, diabetes and other conditions that correlated with high COVID mortality levels.

Underwriting "became more disciplined and more consistent," he said.

Mortality today: The U.S. Centers for Disease Control and Prevent recorded about 3.1 million deaths from all causes in 2023. The 2023 death count was 9.3% higher than the CDC's 2019 death count.

But Tavan said the size of each new COVID wave seems to be somewhat smaller than the previous one.

Legal & General America is hoping that the decreasing size of the waves means overall U.S. mortality will get back to pre-pandemic levels earlier than originally expected, Tavan said.

Fred Tavan. Credit: Legal & General America

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