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Fall 2018 Edition

Welcome!

The IQ: ICA Quarterly was created to be the online newsletter of choice for professionals in the claims industry. Through a blog format, we hope to provide a venue for ICA members to share information including success stories, breaking industry news, and updates on activities of the ICA leadership. We believe this new format will help our community prepare for the future by sharing ideas and best practices and encourage you, as ICA members, to submit content as part of your own professional development.

The IQ will be published in the Winter, Spring, Summer and Fall. To contribute an article please contact ICA Staff at memberservices@claim.org with a brief description. Submissions will be reviewed by the Marketing Committee.

Please note: Some articles are public while others are reserved for ICA members and require login. To confirm your membership status please view the list of current members

If you are interested in applying for membership please read about our corporate or individual membership options and complete and submit the appropriate membership application.

For help with your member-login please email memberservices@claim.org

President's Welcome

President's Welcome

Greetings!  I hope you all have had a fantastic summer and were able to spend time with family and friends enjoying all it has to offer. 

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Greetings ICA Members

Greetings ICA Members

The wait is nearly over.  In less than four weeks, the ICA will kick off its 109th Annual Education Conference at the JW Marriott Marco Island Beach Resort in Marco Island, Florida.   

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Opioids' impact on group life mortality

Opioids' impact on group life mortality

The opioid epidemic is in the news on a daily basis. The crisis is widespread geographically and demo-graphically, with general population opioid-related death rates quadrupling since 1999.

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Alternative Therapy For Chronic Pain

Alternative Therapy For Chronic Pain

Chronic pain has been estimated to affect more than 100 million people in the United States and is the reason for about one in five office visits to a physician.1 Chronic pain is often accompanied by psychological problems, especially depression, and frequently has an adverse impact on the occupational and social lives of those affected. 

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Case Summary – Griffin v. Hartford Life & Acc. Ins. Co.

Case Summary – Griffin v. Hartford Life & Acc. Ins. Co.

This matter originated out of a challenge by Plaintiff of the termination of his disability benefits under his Company’s ERISA Plan.  The District Court granted the insurer’s motion for summary judgment – based upon an abuse of discretion standard of review – from which Plaintiff appealed. 

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New Reporting and Disclosure Rules for Policy Sales

New Reporting and Disclosure Rules for Policy Sales

The Tax Cut and Jobs Act requires taxpayer disclosures and IRS returns in connection with Reportable Policy Sales. 

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Six-Time Olympic Gold Medal-Winning American Swimmer to Keynote ICA Annual Conference

Six-Time Olympic Gold Medal-Winning American Swimmer to Keynote ICA Annual Conference

Amy Van Dyken is a 6-time Olympic gold medal champion swimmer who made history as the most successful athlete at the ’96 Summer Olympics in Atlanta, Georgia and the first American female athlete to win four gold medals in a single Olympic games.

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Phishing Scam

Phishing Scam

The ICA was recently made aware of reports of an email sent to some of our contacts.

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Welcome New ICA HQ Staff Linda Pierre and Andrew Bird

Welcome New ICA HQ Staff Linda Pierre and Andrew Bird

The ICA is pleased to welcome Linda Pierre, Conference Manager and Andrew Bird, Director of Operations, as the newest additions to headquarters staff.

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Q&A: Test Your Knowledge

Q&A: Test Your Knowledge

Questions ranging from the language of medicine to the management of claim operations.

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President's Welcome

President's Welcome

The warming temps, sounds of children playing outside, and my itch to swing golf clubs tells me summer has arrived!  I hope the season holds exciting vacation plans and even some rest and relaxation for all of you!

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Message from ICA Annual Conference Chair Tony Ferrante, FLMI, FLHC, AALU, ARA, ACS

Message from ICA Annual Conference Chair Tony Ferrante, FLMI, FLHC, AALU, ARA, ACS

June is a time when the temperatures rise, days grow longer and according to custom, it becomes acceptable to wear white pants again.  Additionally, there is a lesser known but equally important event that occurs each June: the opening of registration for the International Claim Association’s Annual Education Conference.

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LEI Success Story

LEI Success Story

The International Claims Association has been dedicated to partnering with law enforcement to supply pertinent policy information in the course of criminal investigations that may have a financial etiology since 1999.  As the Law Enforcement Inquiry Director (aka volunteer) I receive numerous inquiries from local, state, and federal law enforcement on a weekly basis asking for our members to assist them in looking for potential life insurance/annuity policy information that may be a critical turning point in their investigation.

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Trend Spotlight: Working Through

Trend Spotlight: Working Through "Own Occupation" Claims

Understanding and obtaining a claimant’s occupational duties and job functions are vital to claims adjudication and making the appropriate decision regarding the approval, or rejection of a disability claim. Assessing  a  claimant’s   occupational duties, relevant worker characteristics, and day-to-day pre-disability job demands are essential factors in this determination. In fact, understanding the material and substantial duties of this occupation is at the very core of claims management in today’s environment.

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Re: 9th Circuit, ERISA – Exclusion Accidental Dismemberment

Re: 9th Circuit, ERISA – Exclusion Accidental Dismemberment

The exclusion from accident coverage for loss contributed to by illness will only apply if the disease “substantially contributed” to the loss.

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Case Summary- Kibel v. Aetna Life Insurance Company

Case Summary- Kibel v. Aetna Life Insurance Company

Disability claims based on multiple sclerosis or “MS” are challenging.  An insurer must consider the claimant’s subjective symptoms and the medical evidence when assessing whether an insured’s functional capacity prevents him or her from performing occupational duties.  The recent unpublished ERISA decision out of the Ninth Circuit – Kibel v. Aetna Life Insurance Company, __ Fed.Appx.__, 2018 WL 832870 (9th Cir. Feb. 13, 2018) – implies that an insured’s return-to-work efforts and subjective evidence should play a more significant role in an insurer’s analysis of an MS claim.  However, careful scrutiny of the evidence not discussed by the Court suggests that it may simply have been looking for a way to award further benefits. 

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Q&A: Test Your Knowledge

Q&A: Test Your Knowledge

Questions ranging from the language of medicine to the management of claim operations.

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President's Welcome
March 7, 2018

President's Welcome

Greetings everyone!!!!  I hope this correspondence finds you all well and like me, eager for spring’s arrival.  As I write this note, the Winter Olympics are in full swing and I am in awe at the display of excellence from all those competing. 

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Message from ICA Annual Conference Chair Tony Ferrante, FLMI, FLHC, AALU, ARA, ACS
March 7, 2018

Message from ICA Annual Conference Chair Tony Ferrante, FLMI, FLHC, AALU, ARA, ACS

Greetings ICA members –

Our industry is facing a number of challenges.  In recent years, competitive pressures, economic volatility and regulatory changes have required insurance carriers to operate more efficiently and be more resourceful than ever before. 

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Annual Conference Scholarship Program
March 7, 2018

Annual Conference Scholarship Program

In an effort to advance the ICA’s educational offerings, the ICA invites all corporate members to submit a proposal for a white paper and conference presentation that explore the same topic. Upon completion of writing assignment and necessary approvals, white paper authors will be granted one complimentary conference registration to present their white paper topic at the 109th Annual Education Conference.  

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