The Reuters news agency reports that the insurance company
Assurant (previously known as Fortis) speicifically targeted policy 
holders who developed HIV/AIDS for termination of coverage.  
The Reuters story is available here:
http://www.reuters.com/article/idUSTRE62G2DO20100317

The findings come to light because a young man who was diagnosed
with HIV after getting the health insurance policy was denied coverage
and he sued the company.  He won his case in a lower court and
also won his case when the insurance company appealed.  One
of the shocking things that came out during the trials is provided
in the following quote:

|Previously undisclosed records from Mitchell's case reveal that 
|Fortis had a company policy of targeting policyholders with HIV. 
|A computer program and algorithm targeted every policyholder 
|recently diagnosed with HIV for an automatic fraud investigation, 
|as the company searched for any pretext to revoke their policy. 
|As was the case with Mitchell, their insurance policies often were 
|canceled on erroneous information, the flimsiest of evidence, or 
|for no good reason at all, according to the court documents and 
|interviews with state and federal investigators.

Jerome Mitchell who brought the suit was able to get his treatment
paid through other means.  He will be paid $10 million for Assurant's
actions.

In his blog, Paul Krugman also reviews this case and wonders whether
Assurant's cases was an outlier, a low probability event.  No, in
fact, it is a common practice among many insurance companies.
In Assurant's case, the practice allowed the company to make $150 
million between 2003 to 2007.  It is a profitable practice for other
companies; see:
http://krugman.blogs.nytimes.com/2010/03/17/demons-and-demonization/

Outside of being purely cynical about any large profit making
business, how would one treat this as an exercise in critical thinking
and analysis?  Only people's lives depend on it.

-Mike Palij
New York University
[email protected]





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