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  • Surplus and the ACA
    surplus is unique to each organization and its individual circumstanc- es and business characteristics ... surplus is complex, varies by the risks each individual issuer faces, and is also somewhat subjective ...

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    • Authors: Daniel Pribe
    • 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
  • Prologue
    health coverage through their employers, the individual insurance market, Medicare, Medicaid, or not ... were ultimately incorporated into the ACA: • Individual mandate • Guaranteed issue (non- deniability ...

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    • Authors: Jim Toole
    • 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
  • A Regulatory Perspective on Rate Review Before and After the Affordable Care Act
    in rates that may be experi- enced by any one individual or even the average consumer in the state. ... privy to individual com- pany risk scores compared to the whole risk pool than the individual companies ...

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    • Authors: Annette James
    • 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
  • Commercial Healthcare: What's Next
    Commercial Healthcare: What's Next A new initiative, Commercial Health Care: What’s Next, ... the small employer market • The impact of the individual mandate • Modified benefit structures/changing ...

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    • Authors: David Dillon, Elaine Corrough
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy
  • Medicaid and the ACA
    Medicaid and the ACA Medicaid and the ACA Patient Protection and Affordable Care Act= PPACA=Affordable ... Supreme Court issued a deci- sion that while the individual mandate could be upheld, each state would decide ...

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    • Authors: Rebecca Owen
    • 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
  • Aftermath of 9/11: The Effect on Group Life & Health Carriers
    and servers, eliminating what are called rogue individual servers that didn't integrate with the rest ... Carriers 5 And while we were talking, another individual came up and said that the UPSs, which control ...

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    • Authors: Dale Hagstrom, Geoffrey C Sandler, Daniel Wolak, Janet Carstens
    • 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; Life Insurance
  • The Future Of U.S. Health Care: A Two-Tiered System
    The Future Of U.S. Health Care: A Two-Tiered System This essay highlights a view that many have ... with the focus being more on flexibility and individual by Bradley H. Vernon The Future Of U.S. Health ...

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    • Authors: Brad Hayes Vernon
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Marketing and Pricing Considerations of Group Insurance in the 1980's
    inquiry is heard about the possibility of allowing individual employees to choose those benefits which suit ... dependent life or mass marketing, to some extent, of individual life with lower commissions. This is happening ...

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    • Authors: Robert C Benedict, Richard S Bilisoly, Claude Lamoureux, Bernard J Villa
    • Date: May 1981
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Life Insurance>Group plans - Life Insurance; Public Policy
  • Group Life And Health Insurance
    group life insurance have encouraged shifts to individual coverage. Group legal costs are deductible by ... provision of TEFRA increased the thresh- old for individual income tax deductibility of medical costs and ...

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    • Authors: Paul R Fleischacker, Anthony Proulx, Barry L Shemin, Jerome Winkelstein
    • Date: Apr 1983
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Senior Health Products - Medicare Supplements and More
    an HMO do? An HMO was designed to provide an individual with a comprehensive set of services including ... hospice care is needed, it's a decision of the individual and his or her family. It's not a clinical decision ...

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    • Authors: H Lund
    • Date: Apr 1995
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Medicare