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  • Individual Medical - State Regulatory Issues
    Individual Medical - State Regulatory Issues This session is about individual medical and regulatory ... Actuaries Vol. 19, No. 4B. Health care reform;Individual health plans;Loss ratio=LR;National Association ...

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    • Authors: Application Administrator, William J Bugg, Morton B Hess, Robert Cumming
    • Date: Oct 1993
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Health Organization Risk-Based Capital, HORBC
    Risk-Based Capital, HORBC This session at the 1998 Valuation Actuary Symposium risk based capital for health ... insurance;Health maintenance organization=HMO ;Individual health plans;Managed care;National Association ...

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    • Authors: Burton Jay, Darrell Knapp, Robert Cumming
    • Date: Sep 1998
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Financial Reporting & Accounting>Statutory accounting
  • Gross Premium Valuations
    Gross Premium Valuations 1998 Valuation Actuary Symposium. The speakers presented a case study ... long-term-care gross premium valuations, GPV from an individual disability income perspective, and a case study ...

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    • Authors: Peggy Hauser, Robert Cumming, Ross Bagshaw
    • Date: Jan 1998
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance; Long-term Care>Long-term care insurance; Reinsurance>Long-term care reinsurance
  • A Simplified Method for Calculating Contract Reserves
    Method for Calculating Contract Reserves for individual medical insurance. From Health Section News ... News, June 1998, Issue No. 35. Health reserves;Individual health plans; 9342 6/1/1998 12:00:00 AM ...

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    • Authors: Robert Cumming, Leigh Wachenheim
    • Date: Jun 1998
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • Health Section News, June 1998, Issue No. 35
    . . . . . . . 3 Statutory Valuation Morbidity Standards for Individual and Group Disability Benefits ... B. Cumming and Leigh M. Wachenheim or individual medical insurance, say that “a prospective gross ...

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    • Authors: Michael S Abroe, Thomas Corcoran, Dinkar B Koppikar, James Murphy, Bernard Rabinowitz, Thomas J Stoiber, Robert Cumming, Leigh Wachenheim
    • Date: Jun 1998
    • Publication Name: Health Watch
  • Health Section, Issue No. 44, October 2002 Health Section News newsletter
    more effective than the other seems to be an individual matter. The side effects associ- ated with NSAIDs ... suggested order in which individual NSAIDs are tried as treatment until an individual finds one that is suitable ...

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    • Authors: Daniel Wolak, Robert Cumming, Steven J Gaspar, Brian Small, Rowen Bell, Jill Van Den Bos, ROBERT FREDERICK MCCARTHY
    • Date: Oct 2002
    • Publication Name: Health Watch
  • Risk-Based Capital-An Update
    NAIC meeting, and it's now available to the individual states to adopt as they choose. The model act ... differences that I'd like to speak to is the valuation adjustment. As the Academy worked through what ...

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    • Authors: Burton Jay, Robert Cumming, Donna C Novak, Peter Lynn Perkins
    • Date: Oct 1998
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability
  • Using Prescription Drug Data For Risk Adjustment And Underwriting/Rating
    group health arena. His practice focuses on individual and small group underwriting and ratings. He ... had was their drug profile. It's hard to map individual drugs to medical problems. Many drugs are used ...

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    • Authors: J Franklin Rose, Robert Cumming, Arlene S Ash
    • Date: Oct 2001
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
  • Predictive Modeling
    trying to predict future claim dollars for an individual or group of people. This might be done in order ... then we looked at the actual results. As seen in Table 1, the model preferred group came in with lower ...

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    • Authors: Ian G Duncan, Mark D Wernicke, Robert Cumming, Elizabeth Lewis
    • Date: Jun 2002
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Medicaid Risk Contracting
    service-category breakdown. Four of them are shown in Table 1 and describe the thought process. We'll take the ... population, was very high. We couldn't figure out why. TABLE 1 CAPITATION CALCULATION Anticipated Selected Payment ...

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    • Authors: Application Administrator, Roland E King, James N Roberts, John Stark, Robert Cumming
    • Date: Oct 1995
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability