Description: This 1991 panel discussion considers several valuation issues from the point of view of an actuary of an insurance Company, a Blue Cross/Blue Shield Plan, and a Health Maintenance Organization [HMO]. The issues discussed include basic methodology, source of data/coding conventions, extended benefit provision, loss adjustment expense, provider arrangements, employer refund arrangements and cash flow testing. From the Record of the Society of Actuaries Vol. 17, No. 3B.

Description: Presented at April 1985 Spring Meeting. This session discussed: Definition of good and sufficient provision for unpaid and actuarial liabilities as used in the NAIC model bill, Actuary and auditor relationships in documentation, reasonableness of results, materiality, margins, and disclosure, Techniques for estimating unpaid claim liabilities, Reverse testing, Considerations regarding incurred date coding in establishing claim reserves, Reserving methodologies for alternative funding products, Reserves for catastrophic claims, Measurement, evaluation, and adjustment for claim department backlogs, changes in claim submission patterns, and environmental changes, etc.