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Risk-Based Capital According to the National Association of Insurance Commissioners 'NAIC'
arrangements. One page covered variations in valuation and guaranty fund assessments. The nonmedical ... PERCENTAGE CHANGE IN TOTAL C-2 COMPONENT BASED ON INDIVIDUAL MORBIDITY—HOSPITAL INDEMNITY, AD&D, AND OTHER ...- Authors: Application Administrator, Steven Lippai, Donna C Novak, Robert Wilcox
- Date: Oct 1996
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Enterprise Risk Management>Capital management - ERM; Health & Disability>Health insurance; Public Policy
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Discussion of Subjects of Special Interest-Group Insurance- Miscellaneous
we are adopting lifetime maximum of $1,000 per individual with a calendar year maximum of $500.00. No ... 000 lifetime maximum may be allowed for each individual, but an additional premium would be required ...- Authors: Alden W Brosseau, Norton W Chellgren, Charles E Farr, R E Galloway, David R Kass, Henry K Knowlton, David G Scott, George V Stennes, Robert C Tookey, Robert V Young, Ray D Albright, Application Administrator
- Date: Jan 1962
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health insurance; Life Insurance>Group plans - Life Insurance
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Considerations for Surplus Determination under ACA
There are five separate actionable outcomes (see Table 1). For a health care insurer that is between 200 ... health insurance marketplace, including: • The individual and employer mandates • The federal premium and ...- Authors: Daniel Pribe, Richard Tash, David M Tuomala
- Date: May 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Mental Health Insurance Parity
discusses other federal parity activities and individual state parity reforms. Issues examined include ... managed behavioral health-care industry blossomed. Table 1 shows the percentage of the U.S. population enrolled ...- Authors: Stephen P Melek
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
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Brazilian Health Industry
JUNE 1998 INTERNATIONAL SECTION NEWS PAGE 17 TABLE 1 Comparison of Health Plans (Figures are as of ... Brazilian Health Industry continued from page 16 individual company or a group of extracted from their reports ...- Authors: Ronald Poon-Affat
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: International News
- Topics: Health & Disability>Health insurance; Public Policy
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Health Care Reform: Essential Health Benefits and Actuarial Value
land- scape of benefit plans offered in the individual and small group markets by prescribing the ... to exclude “transitional” non-grandfathered individual and small group policies, which are policies ...- Authors: Catherine Knuth
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Premium Death Spirals: Theory and Empirical Evidence
coverage (Figure 1). Figure 1 HS:lmn/1029SOA 5 Table A.2 State of Minnesota – Monthly Out-of-Pocket ... 18 Medica Premier 38.22 0.00 0.00 11.74 -- Table A.5 State of Minnesota – Monthly Out-of-Pocket ...- Authors: Harry L Sutton, Roger Feldman
- Date: Oct 2002
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
payment percentages by star rat- ing are shown in the table in Figure 1. The percentage of the savings a plan ... rebate percentages by star rating are shown in the table in Figure 2. Special rules apply to low-enrollment ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Medicare Advantage Star Ratings: Expectations for New Organizations
Advantage Bid Rebate Federal Part C Revenue Table 1 2019 Quality Bonus Payment and Rebate Percentages ... star rating are shown in Table 1.4 The current distribution of individual MA contracts by 2018 star ...- Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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ACA Impact on Employers - The road ahead and the road behind
exceed 9.5 percent of the FPL for a single individual. It is important to note that the affordability ... standpoint. Based on the 2014 FPL of $11,670 for an individual, the maximum em- ployee contribution would be ...- Authors: Sujaritha Tansen, Brian Stentz
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability