The development and use of a model to estimate disability insurance
exposure for a group of individuals to be underwritten for a coverage
period is disclosed. The development of the model includes the use of
medical claim data having a plurality % of medical claims made by a first
model population having at least a respective plurality of first model
population members and a disability insurance claim data having a
plurality of disability insurance claims made by a second model
population having at least a respective plurality of second model
population members, which optionally may partially or wholly overlap with
the first model population. A clinical medical condition classification
system assigns corresponding medical condition causes to the disability
insurance claims and the medical claims based on medical condition
information.Development then categorizes the disability insurance claims
and medical claims classified by medical condition, where each morbidity
category comprises one or more medical conditions, to form a plurality of
morbidity categories of disability insurance claims. Then, the
proportions of the two types of claims are calculated for each morbidity
category. Then, for each of the morbidity categories, a probability of
having a disability claim during the coverage period is calculated using
at least one conditional probability, the conditional probability being
based on at least the proportion of disability insurance claims and the
proportion of medical claims for each of the morbidity categories. From
that, for each of the morbidity categories, an estimated the disability
claim duration or cost is calculated.