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Spring 2006 / No. 67

Group vs. individual—is there a need for distinctions?

We have written on many occasions about the blending of group and individual plans in the worksite business. Every rule about the characteristics of a “group” or “voluntary” product or an “individual” or “worksite” product has fallen to the wayside. For example, group products are portable and can pay heaped commissions, and group carriers take responsibility for employee-level record keeping. On the individual or worksite side, guaranteed issue underwriting is readily available, commissions can be level or heaped, and enrollment methods include Internet, call center, and group meetings. It often seems that the only part that hasn’t changed is the legal or regulatory aspect of group vs. individual.

Yet despite this, many carriers still want to make distinctions. For example, while conducting our annual Worksite Sales Survey, we had several calls from carriers wanting to know how we were defining group and individual in our survey. (We typically report the filing category in the report.) More than one of those who called said they classify products based on items other than the filing category. One uses the sales approach while another said they consider “hybrid” products (those filed on a group platform but administered as though they are individual) as individual.

All of this makes us wonder, do we still need to make any distinctions?