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http://www.cnn.com/2010/HEALTH/04/15/insurance.fast.food.stock/index.html

Study: Insurance companies hold billions in fast food stock
By Sarah Klein, Health.com
April 15, 2010 5:24 p.m. EDT

    * 11 insurance companies own about $1.9 billion in fast-food chain
stock, report shows
    * Fast-food companies included McDonald's, Burger King
    * Researchers: Companies should sell stock or use their influence
to make fast food healthier
    * Researchers used a database of financial filings and news
reports to estimate investments

(Health.com) -- The fast-food industry has long been under fire for
selling high-fat, high-calorie meals that have been linked to weight
gain and diabetes, but the financial health of the industry continues
to attract investors -- including some of the leading insurance
companies in the U.S., a new study reports.

According to Harvard Medical School researchers, 11 large companies
that offer life, disability, or health insurance owned about $1.9
billion in stock in the five largest fast-food companies as of June
2009.

The fast-food companies included McDonald's, Burger King, and Yum!
Brands (the parent company of KFC and Taco Bell). Companies from both
North America and Europe were among the insurers, including the
U.S.-based Massachusetts Mutual, Northwestern Mutual, and Prudential
Financial.

The researchers say insurance companies should sell their fast-food
stock or use their influence as shareholders to make fast food
healthier, by pressuring big restaurant chains to cut portion sizes or
improve nutrition, for instance.

There's a "potential disconnect" between the mission of insurance
companies and the often-unhealthy food churned out by companies like
McDonald's, they write.

"The insurance industry cares about making money, and it doesn't
really care how," says the senior author of the study, J. Wesley Boyd,
M.D., an assistant clinical professor of psychiatry at Harvard Medical
School, in Boston. "They will invest in products that contribute to
significant morbidity and mortality if doing so is going to make
money."

Boyd and his colleagues used a database that draws on financial
filings and news reports to estimate the fast-food investments of the
11 companies. Their findings appear in the American Journal of Public
Health.

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Massachusetts Mutual and Northwestern Mutual -- which both offer life,
disability, and long-term care insurance -- owned $367 million and
$422 million in fast-food stock, respectively, much of it in
McDonald's, the authors report. Prudential, which offers life
insurance and long-term disability coverage, held $356 million in
fast-food stock, according to the study.

Insurance companies disputed these figures. Andrea Austin, the
assistant director of corporate relations for Northwestern Mutual, in
Milwaukee, says the company's investment in fast-food companies is
only about $250 million, and was at the time the study was conducted.
That amounts to about one-fifth of 1 percent of the company's
portfolio, she adds.

Austin also disagrees that the company's fast-food investments
represent a disconnect with its mission. "We have to determine what's
going to give our policy owners value," she says. "We have to make
sure we fulfill our obligations to them, and to do that we invest in a
wide variety of industries. It's that diversification that enables us
to return value to them."

In an e-mail, MassMutual spokesman Mark Cybulski called the study's
findings "absolutely incorrect" and said that as of December 31, the
company's holdings of fast-food-related stock amounted to just $1.4
million, which represents less than one-hundredth of 1 percent of the
company's $86.6 billion in cash and total invested assets.

Austin says she has "no idea" why the figures differ and says that
Northwestern Mutual doesn't use subsidiaries.

Theresa Miller, the vice president of global communications for
Prudential Financial, said in an e-mail that she could not discuss the
specifics of the company's portfolios. But she noted that the
investments in the report are within index funds, and that "a large
portion" are managed on behalf of third-party clients.

MassMutual, Northwestern, and Sun Life (another insurer mentioned in
the report) have contested Boyd's findings in the past. Last year Boyd
led a similar analysis, published as a letter to the editor in the New
England Journal of Medicine, that found that seven insurance companies
held some $4.5 billion in tobacco-company stock. Then, too, Cybulski
said that MassMutual's holdings were just a fraction of what Boyd and
his colleagues claimed.

According to Boyd, the discrepancy in his figures and those cited by
MassMutual may be due in part to two factors: Insurance companies may
invest in fast-food stocks through subsidiaries over which they have
limited oversight (and therefore may not consider them direct
investments), and some of the investments may be in index funds, a
type of mutual fund tied to the collective performance of a large
group of stocks, such as the S&P 500, which may include those of
fast-food companies.

The database used in his analysis provides only the aggregate of a
company's holdings, Boyd says.

Austin says she has "no idea" why the figures differ and says that
Northwestern Mutual doesn't use subsidiaries.

Boyd and his co-authors emphasize that fast food -- unlike cigarette
smoking -- can be safe in moderation.

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However, a growing body of research has linked frequent fast-food
consumption to weight gain, obesity, and type 2 diabetes.

As a result, the study notes, several cities and towns have restricted
fast-food restaurants via zoning laws. And under the health-care
legislation passed by Congress in March, chain restaurants will have
to post calorie information on their menus, as is already required in
New York City.

In their 2009 paper on tobacco, Boyd and his colleagues suggested that
insurance companies profit twice over by investing in tobacco stocks,
since they can charge higher premiums to smokers and also profit if
the stock rises. A similar dynamic may be at work with fast food,
according to Boyd.

"They can charge you more for life insurance if you have these
negative health outcomes that people have as a result of eating fast
food," he says.

But investing in unhealthy industries such as fast food and tobacco
isn't necessarily a win-win for insurers over the long term,
especially for health insurers, says Sara N. Bleich, Ph.D., an
assistant professor of health policy and management at the Johns
Hopkins Bloomberg School of Public Health, in Baltimore, Maryland.

"Health insurance companies get profits if they invest in tobacco and
fast food, [but] these are some of the top drivers of mortality in the
country," says Bleich, who researches obesity policy but was not
involved in the current study.

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"They are essentially killing off their consumer base, so it's not a
sustainable model in the long-term. Long-term goals should be
consistent with health, because that ensures a large population from
which to draw consumers."

Robert Zirkelbach, the press secretary for America's Health Insurance
Plans, a national association representing health insurers whose Web
site lists three of the companies named in the study, declined to
comment on the specifics of the study. "Our industry is strongly
committed to prevention and wellness," Zirkelbach said in a statement.

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"Health insurance companies are doing things across the country that
are working to address obesity, to promote prevention, and to
encourage people to live healthier lifestyles."

Gigi Kellett, the director of the anti-tobacco campaign of Corporate
Accountability International, a Boston-based watchdog group, says that
both tobacco and fast food are inappropriate investments for insurance
companies.

"Tobacco remains the leading cause of preventable death around the
world, and there is growing research that diet-related diseases could
soon surpass tobacco," she says. "It's irresponsible for insurance
companies to invest in companies that make people sick."

Corporate Accountability International recently launched a "Retire
Ronald" campaign to pressure McDonald's to discontinue the Ronald
McDonald clown character and rein in its marketing to children,
Kellett adds.

For her part, Bleich says that while health insurance companies,
specifically, should be encouraged to divest their fast-food
investments, encouraging self-regulation and competition in the
fast-food industry may be a more effective way to make the industry
healthier.

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