I think COVID-19 itself could have unforseen health effects that would cause this kind of thing to happen. There could also be other biological or chemical agents directed(?) at the U.S. or target population groups. Indiana is a pretty red state.

EDIT: Upon reading more about OneAmerica, they have a number of companies with services throughout America. They are not limited to Indiana.

I think COVID-19 itself could have unforseen health effects that would cause this kind of thing to happen. There could also be other biological or chemical agents directed(?) at the U.S. or target population groups. Indiana is a pretty red state.