Description: In Medicaid rate development, actuaries have not historically shared models that developed the margin (i.e., underwriting gain) assumption. This is unfortunate, given the margin assumption is one of the most critical components of the rate development in ensuring financial solvency of the Medicaid managed care organizations (MCOs). In this session, we will discuss the primary components of the this assumption and will share working models that help actuaries quantify these components—including the cost of capital and risk (or contingency) margin. We expect a lively discussion as we “open the black box” and discuss these actuarial assumptions in the public for the first time.

Description: Attendees gain exposure to various approaches for effective surplus management for health entities. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 91

Description: Methods and assumptions used in the valuation of savings by external care vendors

Description: This is the 1975 report of the morbidity experience of Group Weekly Indemnity insurance.

Description: This is the 1971 report in a series on annual studies of the morbidity experience of Group Weekly Indemnity Insurance.

Description: Presented at June 1985 Spring Meeting. This session discussion is about corporate benefit function in a multinational corporation, design considerations in overseas programs, financing of non-North American benefit programs, special problems, recent significant legislative developments outside North America.

Description: This paper describes the construction of the 1965 Supplementary Major Medical Tabular used to measure expect4ed claims. The paper also comments on the relationship of the intercompany 1963-65 experience to it. From Transactions of Society of Actuaries 1968, Vol. 20, Pt. 1, No. 56 AB.

Description: This 1977 panel discussion focused on effective product management of life insurance. Topics included: 1. Definition of effective product management 2. Internal organization required 3. Establishment of objectives for a product line 4. Coordination of company activities with respect to initial design 5. Monitoring

Description: Provides a how-to session on modeling assets and liabilities in the Valuation Actuary's work to comply with the Standard Valuation Law. Comparisons of the methods discussed are occasionally made with the requirements of New York Regulation 126. Session 12 of the 1991 Valuation Actuary Symposium.

Description: 1993 SOA Spring Meeting, San Diego. This session is about heath insurance issues affecting the 25-250 life group market including marketing, rating, reinsurance, and products.