Underwriting
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  • July 2024

To Be a Noble Profession, Insurance Must Promote Greater Inclusion

By
  • Carolyn Pritchard
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In Brief

Underserved markets range from those with chronic diseases to those at the lower end of the economic spectrum. All deserve some level of protection. But accomplishing this mission is not possible without purposeful attention to financial inclusion.

Learn how partnering with RGA connects you to our purpose to make financial protection accessible to all.

Key takeaways

  • The call for greater inclusivity in underwriting extends to a variety of underserved populations, from those with chronic diseases to older individuals and those at the lower end of the economic spectrum. 
  • It isn’t an either/or decision between “doing good” and “expanding our business.” By reaching out to underserved communities, we can do both simultaneously.
  • To promote greater inclusion, our industry needs to continue to develop simpler products and contract wording.

From Les Misérables’ Jean Valjean, who served a 19-year prison sentence for stealing bread and then emerged to stand up for France’s poor and oppressed, to Erin Brockovich, a legal clerk with no formal law education who built a case against a corporation contaminating an economically disadvantaged U.S. town’s water supply, global culture is inspired and shaped by the ones who advocate for those in need. 

So how do these strong people from the past connect to the insurance industry today? They show the importance of overcoming entrenched barriers to increase inclusivity in the institutions at the core of society. 

We in the insurance industry consider ourselves part of a noble profession. To live up to that, we are called to reach underserved communities – not just for the growth of our industry but, even more importantly, for the good of the people we protect.

Why financial inclusion matters

When it comes to insurance today, underserved markets vary. They range from those with chronic diseases to those at older ages and individuals at the lower end of the economic spectrum. All deserve some level of protection. But accomplishing this purpose is not possible without purposeful attention to financial inclusion. 

Financial inclusion can have a dramatic impact on underserved communities. It can help break long-standing cycles that have left various communities closer to an economic cliff than others. The danger of ignoring financial inclusion came to light dramatically during the COVID-19 pandemic, when disadvantaged communities were hit harder economically, physically, and emotionally than those with greater means. 

Inclusive insurance allows insurers to make a social impact while also growing business through an expanded customer base. In other words, “doing good” does not need to be a separate goal from financial objectives.

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Three Approaches to Make Health Insurance More Inclusive: Digitalization, product development, and a shift away from exclusion can extend life and health coverage to groups with previously limited access to those protections.

A sign of progress

The challenge in implementing inclusive insurance is fundamental: Underwriting, by definition, is selective. It takes individual human beings, groups them into various classes, and then charges the individuals in some of those classes more than others. 

Underwriting guidelines rely on a form of “discrimination” based on risk profiles, where applicants are separated into varying risk categories to determine premiums. This creates interesting conversations among regulators and consumer groups about what is justified risk management and what constitutes unfair discrimination. For example, under U.S. law, underwriting cannot be based on protected classes such as race, national origin, or religion. That is unfair discrimination. 

But what about other attributes, such as age? Societies confronting an acceleration in the percentage of their aging population – such as the United States, Canada, and Japan – have increased the maximum age at which they will offer protection products. That age is as high as 90 in some markets, but such inclusivity in recognition of the aging of our global population in general has yet to become widespread.

Now is the time for more markets to consider including older individuals – and other groups that might currently face obstacles in obtaining insurance coverage – under the umbrella of financial protection. This would be an important step toward underwriting inclusion. 

Faster isn’t necessarily better

Beyond the matter of who we offer protection products to is the question of whether our current processes and products are designed for greater inclusion. The recent drive to make applications shorter and the overall underwriting process simpler is a well-intentioned, positive step, but it can have negative impacts on inclusion in some cases. Fortunately, insurers can improve the way they modernize processes. 

Consider this: One of the key findings from RGA’s behavioral science research is that reducing the number of application questions doesn’t necessarily make the underwriting process easier to understand for consumers, including less financially savvy consumers, nor does it facilitate application completion. 

A better alternative to promote inclusion is to create questions – however many that might be – that are written clearly and concisely and that do not require the person answering them to think about the underlying reasons they are being asked. These questions should give underwriters the information they are looking for while smoothing the customer experience by requiring less reliance on financial literacy. 

Beyond the number of questions, the trend to reduce the number of underwriting requirements continues and is being applied to products originally designed to be fully underwritten. Predictably, this simplification process often excludes more applicants and turns out to be less inclusive. 

Again, simplification may appear to be a positive, well-intentioned step for the industry and for consumers. However, the downside is that some applicants will fail to qualify for coverage via automated or accelerated processes. Insurers therefore need to ensure these applicants can be considered for coverage via full, manual underwriting – as they would have been before any simplification occurred. In this way, no one is unfairly excluded by progress.

Even more important than the number of questions and underwriting requirements, though, is the need for simpler products and contract wording. Critical illness coverage offers an example. 

These products rely on specific definitions of claimable conditions that often seem to necessitate a medical degree to fully understand. This coverage can vary based on the severity of the condition, which comes with its own set of definitions. Combine all this, and it can be extremely challenging for even well-educated, financially savvy clients to understand exactly what they might be entitled to at claim time. 

For someone who is not financially literate, such products can be overwhelming, at best.

RGA leads the way

At the core of RGA is our purpose to make financial protection accessible to all. That is not a mere tagline. It is a principle by which we feel the insurance industry should live. 

RGA has taken the lead by investing in new technology that promotes inclusion and by helping its clients develop new products that expand reach to the traditionally underserved. For example: 

  • RGA has invested in Inclusivity Solutions, an insurtech company that works with mobile operators and other mass-market aggregators to deliver digital insurance solutions to meet the needs of emerging customers. This has provided protection to more than 1 million previously uninsured people in Africa. 
  • New microinsurance products in Africa have opened avenues for women to receive greater financial and health protection. 
  • Amae, Mexico’s first digitally delivered insurance product, is targeted specifically to those with Type 2 diabetes. 
  • A new multi-protection plan in Singapore covers a range of critical illness conditions, total and permanent disability, terminal illnesses, and death.

These efforts showcase RGA’s commitment to empowering clients to promote financial inclusion. 

A more noble new market

In recent years, much of the focus in our industry when it comes to expanding into new markets has been on targeting high net worth groups. While the policy size makes the business quite lucrative, these reflect a relatively small customer segment. Developing offerings specifically for those with lower or marginal incomes could offer even more opportunity.

As we consider financial inclusivity and, specifically, inclusivity in underwriting, it will take some creative thought and the support of automation, where possible and feasible, to help contain costs for insurers to become more inclusive. 

This is a win-win. Insurers can grow their businesses by tapping into a new market, and the traditionally underserved are afforded protections that have eluded them up until now. 



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Carolyn-Pritchard
Author
Carolyn Pritchard
Head of Underwriting, Latin America