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The Nolan Newsletter
People, Process, and Technology
First Quarter 2013 Volume 40, Number 1
Nolan is an operations and technology consulting rm specializing in
the insurance, healthcare, and banking industries. We help companies
redesign processes and apply technology to improve service, quality,
productivity, and costs. Our consultants are senior industry experts,
each with over 15 years of specialized experience. Visit our Website at
www.renolan.com to download articles, client success stories, and
industry studies.
Through The Nolan Newsletter, we share with our readers:
•Updatesonindustry,business,andtechnologytrends
•Clientcasestudies
•Informationonspeakingengagements,conferences,andweb
seminars
92 Hopmeadow Street
Simsbury, Connecticut 06089
(860) 658-1941
(860) 651-3465 fax
17746 Preston Road
Dallas, Texas 75252
(972) 248-3727
(972) 733-1427 fax
Toll-free (877) 736-6526
www.renolan.com
COPYRIGHT © 2013 THE NOLAN COMPANY
The Nolan Newsletter
People, Process, and Technology
Table of Contents
Regulation, Risk, and Responsibility...............................................................2
Today's Regulatory Changes: Are You Ready?................................................3
Is Your Organization Ready for Healthcare Insurance Exchanges?.............4
Hidden Costs of Compliance Offer New Challenges
and a Mandate to Banks Large and Small.........................................................7
Compliance Driven Change: An Opportunity for Optimization.................9
Healthcare Change is at
History Highs: How will Your Organization Adapt?..................................12
Compliance Provides Opportunities
for Financial Organizations of $2-10 Billion.................................................14
StephenConnorJoinsTheNolanCompany.....................................................16
First, Fly the Airplane.........................................................................................17
Sign Up Now for the Annual Bank Performance Study..............................18
Nolan Events........................................................................................................19
First Quarter 2013Vol. 40 No. 1
9
Steve Callahan
Practice Director
Steve_Callahan@renolan.com
Deliveringshareholderreturnsintoday’slowinterestrate
economy requires a great deal more than strong leadership,
good products, focused marketing and continuous
operations improvements. Innovation has become a
prevalent theme, as has transformation, with industry pundits proclaiming the
need for game-changing leaps forward. As proactive leaders struggle to find
and implement these game-changers, new or revised regulatory and compliance
changes demand immediate attention and sometimes overpower the benefits
of improvements realized elsewhere. Consider the following list of pending
and“hot”compliancerelatedchangesthatwilldrivestructuralchange,capital
investments and costs over time:
• Dodd-Frank(FIOoversightandbankafliations)
• Suitability(amplied review of variable annuities)
• SolvencyII(maybe2014)andIFRS(limitedprogress)
• PrincipleBasedReserves(administrationandsystemsimpact)
• AG38(newproductimpactonsecondaryguaranteesandlongterm
death benets)
• NFOandCashValuepricing(sustainedlowratesbelowpricing
guarantees)
• RMORSA(newoperationalriskmanagementframeworkandreporting
by 2015)
• FATCA(forcompaniesinvolvedwithforeignbasedparentcompaniesor
subsidiaries)
The list represents only some of the changes heading towards the insurance
industry, yet the impact of each could be dramatic. Financial reporting is
affected along with products, systems, distribution and operations. And if the
rollout process is consistent with the past, definitions will undergo revisions up
until the last moment, leading to a rush to comply.
Consider one of the decades more well-known, and controversial, regulations:
Sarbanes-Oxley (SOX). When SOX was first being implemented, insurance
operated at better interest rates and a larger margin than today. This left room
for absorbing some of the inherent redundancies and additional layers of control
10
that had to be put in place to comply. Companies engaged in reviews, set up
parallel units, put in additional check points, and then audited themselves to
ensure compliance. As the industry now attempts to address the aforementioned
changes in a much tighter economic environment, a look back at SOX provides
an early warning of difficulties:
• ResearchpublishedbyUniversityofRochester’sIvyXiyingZhang
estimatesSOX’snetprivatecostat$1.4trillion.
• AnFEIstudyindicatedthatcompaniescomplyingwithSOXendedup
paying on average $2.4 million more for audits.
• Anumberofnon-Americancompetitivecompaniesdelistedfromthe
American Stock Exchange due to SOX costs.
• AccordingtoProtiviti,byyear4,mostcompaniesarespending$100k
to $500k more per year in compliance costs.
• Mostcompaniessignicantly reduced SOX-based process and entity
level controls by 2011, showing wasted effort.
• Approximately½ofallcompaniesimplementingSOXbelievedthatthe
costs outweighed the benets.
Most importantly, despite all the care and planning companies invested in
implementing SOX, hindsight reviews have disclosed a number of opportunities
forprocess improvement, organizationaloptimization,andqualityenhancement.
Unfortunately, the discovery of inefficiencies comes several years after the
implementation.
The net result is that the inefficiencies created in implementing SOX now
represent opportunities to reduce costs by optimizing processes. The typical
approach is usually fragmented by business or functional area with each doing
their piece;
• Draftingupfuturerequirements,
• Reviewingwithateam(hereusuallymanagement),
• Implementingchangesaspossibleand
• Creating“toppriority”systemsticketsfortechnicalchanges.
The above would occur separately in each business area with rarely an
enterpriselevelholisticview.Wouldn’tthebetterapproachbetodesignthe
optimal process as part of the implementation? Especially given the tight
margins, limited capital and drive for profitability?
That has proven to be the case for a number of our clients. In assisting
with fast-paced operational change driven by external factors like regulatory

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201301 Nolan QNL: Compliance Driven Change

  • 1. The Nolan Newsletter People, Process, and Technology First Quarter 2013 Volume 40, Number 1
  • 2. Nolan is an operations and technology consulting rm specializing in the insurance, healthcare, and banking industries. We help companies redesign processes and apply technology to improve service, quality, productivity, and costs. Our consultants are senior industry experts, each with over 15 years of specialized experience. Visit our Website at www.renolan.com to download articles, client success stories, and industry studies. Through The Nolan Newsletter, we share with our readers: •Updatesonindustry,business,andtechnologytrends •Clientcasestudies •Informationonspeakingengagements,conferences,andweb seminars 92 Hopmeadow Street Simsbury, Connecticut 06089 (860) 658-1941 (860) 651-3465 fax 17746 Preston Road Dallas, Texas 75252 (972) 248-3727 (972) 733-1427 fax Toll-free (877) 736-6526 www.renolan.com COPYRIGHT © 2013 THE NOLAN COMPANY
  • 3. The Nolan Newsletter People, Process, and Technology Table of Contents Regulation, Risk, and Responsibility...............................................................2 Today's Regulatory Changes: Are You Ready?................................................3 Is Your Organization Ready for Healthcare Insurance Exchanges?.............4 Hidden Costs of Compliance Offer New Challenges and a Mandate to Banks Large and Small.........................................................7 Compliance Driven Change: An Opportunity for Optimization.................9 Healthcare Change is at History Highs: How will Your Organization Adapt?..................................12 Compliance Provides Opportunities for Financial Organizations of $2-10 Billion.................................................14 StephenConnorJoinsTheNolanCompany.....................................................16 First, Fly the Airplane.........................................................................................17 Sign Up Now for the Annual Bank Performance Study..............................18 Nolan Events........................................................................................................19 First Quarter 2013Vol. 40 No. 1
  • 4. 9 Steve Callahan Practice Director Steve_Callahan@renolan.com Deliveringshareholderreturnsintoday’slowinterestrate economy requires a great deal more than strong leadership, good products, focused marketing and continuous operations improvements. Innovation has become a prevalent theme, as has transformation, with industry pundits proclaiming the need for game-changing leaps forward. As proactive leaders struggle to find and implement these game-changers, new or revised regulatory and compliance changes demand immediate attention and sometimes overpower the benefits of improvements realized elsewhere. Consider the following list of pending and“hot”compliancerelatedchangesthatwilldrivestructuralchange,capital investments and costs over time: • Dodd-Frank(FIOoversightandbankafliations) • Suitability(amplied review of variable annuities) • SolvencyII(maybe2014)andIFRS(limitedprogress) • PrincipleBasedReserves(administrationandsystemsimpact) • AG38(newproductimpactonsecondaryguaranteesandlongterm death benets) • NFOandCashValuepricing(sustainedlowratesbelowpricing guarantees) • RMORSA(newoperationalriskmanagementframeworkandreporting by 2015) • FATCA(forcompaniesinvolvedwithforeignbasedparentcompaniesor subsidiaries) The list represents only some of the changes heading towards the insurance industry, yet the impact of each could be dramatic. Financial reporting is affected along with products, systems, distribution and operations. And if the rollout process is consistent with the past, definitions will undergo revisions up until the last moment, leading to a rush to comply. Consider one of the decades more well-known, and controversial, regulations: Sarbanes-Oxley (SOX). When SOX was first being implemented, insurance operated at better interest rates and a larger margin than today. This left room for absorbing some of the inherent redundancies and additional layers of control
  • 5. 10 that had to be put in place to comply. Companies engaged in reviews, set up parallel units, put in additional check points, and then audited themselves to ensure compliance. As the industry now attempts to address the aforementioned changes in a much tighter economic environment, a look back at SOX provides an early warning of difficulties: • ResearchpublishedbyUniversityofRochester’sIvyXiyingZhang estimatesSOX’snetprivatecostat$1.4trillion. • AnFEIstudyindicatedthatcompaniescomplyingwithSOXendedup paying on average $2.4 million more for audits. • Anumberofnon-Americancompetitivecompaniesdelistedfromthe American Stock Exchange due to SOX costs. • AccordingtoProtiviti,byyear4,mostcompaniesarespending$100k to $500k more per year in compliance costs. • Mostcompaniessignicantly reduced SOX-based process and entity level controls by 2011, showing wasted effort. • Approximately½ofallcompaniesimplementingSOXbelievedthatthe costs outweighed the benets. Most importantly, despite all the care and planning companies invested in implementing SOX, hindsight reviews have disclosed a number of opportunities forprocess improvement, organizationaloptimization,andqualityenhancement. Unfortunately, the discovery of inefficiencies comes several years after the implementation. The net result is that the inefficiencies created in implementing SOX now represent opportunities to reduce costs by optimizing processes. The typical approach is usually fragmented by business or functional area with each doing their piece; • Draftingupfuturerequirements, • Reviewingwithateam(hereusuallymanagement), • Implementingchangesaspossibleand • Creating“toppriority”systemsticketsfortechnicalchanges. The above would occur separately in each business area with rarely an enterpriselevelholisticview.Wouldn’tthebetterapproachbetodesignthe optimal process as part of the implementation? Especially given the tight margins, limited capital and drive for profitability? That has proven to be the case for a number of our clients. In assisting with fast-paced operational change driven by external factors like regulatory