The U.S. IDI market saw a significant drop in premiums between 2008 and 2009, and while that drop continued between 2009 and 2010, it was far less severe, according to global consulting and actuarial firm Milliman Inc. Even with the premium drop, there is an underlying strength in claim experience and overall profitability, Milliman concludes in its annual IDI market survey.

Fifteen insurers — which Milliman says represents 90-95% of the traditional IDI new business currently issued — were asked about business issued between 2002 and 2010, the distribution of sales among key marketing segments, current underwriting requirements, product offerings, favorable and unfavorable trends, and opportunities and obstacles in the current market. In total, these 15 companies issued policies with $321 million of new annualized premium in 2010:

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