Description: Panelists discuss the implications of 9 / 11 , such as disaster planning for business operations, geographic concentrations of risk, terrorism clauses, carrier response, legislative changes that may help carriers limit risk, accidental death-only programs, effects on health and disability costs, changes in practices and changes in claim incurrence and payments patterns. From the Record of the Society of Actuaries, Volume 28, No. 3, Session 128

Description: This is the preface to the 1976 Report of The Committee on Group Life and Health Insurance. The report consists of the following sections: 1. Group Weekly Indemnity Insurance. 2. Group Long-Term Disability Insurance.

Description: "The ACA RADV Program will begin to impact issuers’ risk transfers in the 2018 benefit year (BY) – potentially significantly. The program is expected to continue into the 2019 BY and beyond. Therefore, health actuaries working in the ACA market need to understand this program and its potential impact.The session includes panel experts who will provide attendees with high-level overview of the program, discuss the findings from a national study, and RADV’s ultimate impact to risk transfers, as well as downstream impacts to financial and pricing decisions. The nationwide study is based on 300+ issuers’ 2016 RADV results and contains emerging insights into the new ACA RADV program otherwise unavailable. The panel’s agenda will include:1. A succinct overview of the ACA RADV Program will be provided2. Summary of a national 2016 ACA RADV pilot study results and its findings. 3. Preliminary results from a national 2017 RADV study will be discussed (or CMS published results if available prior to session). 4. Walkthrough of how RADV results impact the overall risk adjustment transfers in the ACA market. 5. Finally, the panel will discuss RADV impact to issuer’s financial accruals and pricing strategy. 6. General Q&A, discussion"

Description: Pricing small group medical coverage under reform laws using debit manual and risk factors. Issue No. 45.

Description: Presented at October 1996 Annual Meeting. This session presents and discusses the NAIC's model bill for risk-based capital as it relates to health insurance.

Description: Summary of the Committee's report consisting of three sections: Group Weekly Indemnity Insurance, Group Long-Term Disability Insurance, Exposure and Claim Study - Sample of Group Hospital and Surgical Expense Insurance.

Description: Many executives are talking about predictive analytics uses in health insurance.

Description: Enterprise Risk Management is often thought to be synonymous with managing an insurance company toward financial objectives with a focus on insurance-specific risks. Some might argue though that operational risks are the crux of all risks confronted by an insurance company and ultimately drive the company’s outcomes.Operational risk is the risk of impact on financial outcomes due to operational events, involving internal systems, personnel, procedures or controls, and also external events. Operational risk exists in all business activities, covering fraud, human error, accounting errors, legal actions and system failures. All of these activities could occur during the course of conducting day-to-day business operations. Additionally, insurance executives must consider the pace of change in the external environment and potential impacts on their business. This presentation is focused on operational risks, current and emerging, faced by health insurance companies.