Announcement: SOA congratulates the new ASAs and CERAs for May 2024.

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  • Selling Health Insurance Across State Lines
    Selling Health Insurance Across State Lines Discusses effect of allowing companies ... health care reform;health insurance;health policy;individual health plans;market risk;PPACA;rare regulation;small ...

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    • Authors: Lawrence Mitchell
    • Date: Aug 2017
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health insurance; Public Policy
  • Soundbites from the American Academy of Actuaries' Health Practice Council Activities
    whether to overturn a lower court ruling that the individual mandate could be “severed” from the guaranteed ... arguments relating to the ACA including: whether the individual mandate is constitutional, and if not, whether ...

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    • Authors: Heather E Jerbi, Tim M Mahony
    • Date: May 2012
    • Competency: Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy
  • Health Watch, November 2016, Issue 81
    and opinions expressed herein are those of the individual authors and are not necessarily those of the ... statements were being completed. Although the valuation actuaries are still addressing the 2015 financial ...

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    • Authors: Society of Actuaries
    • Date: Nov 2016
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Public Policy; Public Policy
  • Considerations for Surplus Determination under ACA
    There are five separate actionable outcomes (see Table 1). For a health care insurer that is between 200 ... health insurance marketplace, including: • The individual and employer mandates • The federal premium and ...

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    • Authors: Daniel Pribe, Richard Tash, David M Tuomala
    • Date: May 2014
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
  • Actuarial Issues in the Evaluation of Healthcare Reform Proposals
    rates, depending on whether or not you cede the individual or the group. Those premium rates may not be ... ceded as a group versus an individual? If a carrier cedes an individual and pays the higher premium ...

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    • Authors: Mark E Litow, Thomas Snook, Sondra Wittmann
    • Date: Oct 1996
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Actuarial Profession>Standards of practice; Public Policy
  • Frequently Asked Questions about the Cost of the Future Newly Insured under the Affordable Care Act (ACA) SOA Study--And Other Things you Migh Not Know by Just Reading the Executive Summary
    “typical” pre-ACA regulatory environment where individual product pricing and regulation were neither ... under ACA. Did the report consider the impact of individual ACA sub- sidies? Our modeling approach considered ...

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    • Authors: David Toumala
    • Date: Oct 2013
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care quality; Health & Disability>Health insurance; Public Policy
  • The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
    payment percentages by star rat- ing are shown in the table in Figure 1. The percentage of the savings a plan ... rebate percentages by star rating are shown in the table in Figure 2. Special rules apply to low-enrollment ...

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    • Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
    • Date: May 2012
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
  • Health Care Reform Around the World
    interesting. First of all, look at the percent urban in Table 1. We think the U.S. is so advanced and so urbanized ... showing that it's going to converge even more. TABLE 1 DEMOGRAPHIC PROFILES U. S. Argentina Brazil Chile ...

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    • Authors: Chiu-Cheng Chang, Lawrence Miike, Joshua Bank
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Public Policy
  • Commercial Health Care: What’s Next?
    funding mechanism is invisible to the high-risk individual and the approach allows individuals with preexisting ... good mechanism for keeping rates lower in the individual market, because the cost of the highest-risk ...

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    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy
  • Implementing the ACA: An Actuarial Perspective
    market. With the new subsidies and focus on the individual market, several actuaries commented on the ... members from the small group market to the individual market. This movement will be driven by several ...

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    • Authors: Karin Swenson-Moore
    • Date: Dec 2013
    • Competency: Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy