I found some free time, so here is a post about census manipulation.
In the insurance industry, you deal with censuses... er, censi... let's call them enrollment listings. You deal with enrollment listings a great deal. Insurance carriers need to know how old everyone is, their gender, enrollment tier, zip code, and benefit elections in order to properly underwrite the case. I myself use them for setting COBRA rates, modeling plan design changes, and other mathematical sleight of hand.
The problem is that when you work on self funded groups, they usually use an administrator that is a separate entity from the insurance carrier. As far as the client is concerned, the administrator is only processing the claims. Other features like response time, quality of reporting, case management notes, those are the consultant's problem and they are
always a problem.