Description: This session discussion is about state-mandated health benefits. Who should decide and who should pay? The basis of making decisions, effect on insurance rates, impact on self-insurance, legislative process and timing of savings. From Record of Society of Actuaries Vol. 16, No. 1.

Description: The Health Section Research Team is pleased to make available the following research study and Excel model that provide a framework for estimating the financial impact of health plan provider network risk. The research was conducted by the Denver office of Milliman, Inc. The Excel workbook allows the user to assess cost implications of aspects of network risk under various assumptions. The assumptions in the workbook can be altered by the user and be applied to test a range of scenarios.

Description: The Health Section Research Team is pleased to make available the following research study and Excel model that provide a framework for estimating the financial impact of health plan provider network risk. The research was conducted by the Denver office of Milliman, Inc. The Excel workbook allows the user to assess cost implications of aspects of network risk under various assumptions. The assumptions in the workbook can be altered by the user and be applied to test a range of scenarios.

Description: Review of six opinions requried in The Statement of Actuarial Opinion for the Health Annual Statement. Issue No. 48

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: Panelists discuss current issues and trends impacting health plan contracting with providers. Hospital and physician contracting is discussed from both a payer's and provider's persepctive. From the Record of the Society of Actuaries, Volume 30, No. 1, Session 30

Description: 2004 SOA Spring Meeting, Anaheim, CA. Topics in this teaching session included: 1. Selecting and testing levels of margin premium deficiency reserves. 2. Loss adjustment expense reserves. 3. Other ancillary liabilities. 4. Interplay between regulatory requirements and actuarial standards of practice.