Description: The panel at this session of the SOA 1997 Palm Desert Spring Meeting addresses possible strategies to identify and control factors causing medical inflation.

Description: Discusses considerations taken in determining desirable limits on the amount of group life insurance per life - apart from legislative restrictions, problems presented in the extension of group medical insurance to retired lives, and recent group medical experience.

Description: Relative to group medical plans, discusses: recognition given to effect on morbidity of various demographic factors, consideration given to inflation in making rate guarantees, consideration given to group size, and underwriting transfer cases.

Description: This discussion covers the loss experience under superimposed plans compared with comprehensive plans, controls over increasing costs and the use of Relative Value Schedules, and deductible amounts and coinsurance provisions.

Description: This is a discussion about medical care insurance rating including morbidity, impact of group size and underwriting transfer cases. From Transactions of Society of Actuaries 1965, Vol. 17 Pt. 2, No. 47 AB

Description: This panel discussion about loss reserves for health insurance provides an overview of the various methods of developing them, and analysis of the different reserve-development patterns for: Hospital, Surgical and Medical, Dental, Major Medical, and Comprehensive Major Medical. From the 1987 Record of Society of Actuaries, Vol. 13, No. 1.

Description: Through the sponsorship of the Robert Wood Johnson Foundation, The Society of Actuaries partnered with Wakely to use their health care data to study the effects of COVID-19 on overall health care claims for individuals with a COVID-19 diagnosis. The conclusion of the study is that individuals with COVID-19 claims had significant increases in health care costs leading up to their months of diagnosis, as well as in the months following their diagnosis. These effects were more pronounced for individuals who were hospitalized due to COVID-19 as well as for individuals with prior co-morbidities. Finally, the overall health care costs of these members plateaued at significantly higher levels than their pre-COVID baselines. In fact, all the main membership cohorts experienced claim levels that were at least 20% higher than their pre-COVID starting points.

Description: At this session of the 2004 Valuation Actuary Symposium, SEC medical rollforward schedules are reviewed. The background that led to these schedules, i.e. stock analysts attempting to understand earnings results, is presented. Differences in reserving practices among managed care companies are discussed.

Description: This paper provides an outline of the pricing methodology used by Blue Cross and Blue Shield of Virginia which incorporates trend analysis by trend component. From Actuarial Research Clearing House 1993, VOL. 3.