Description: The session discussion is valuation and reserving issues with regards to group medical - including HMOs, and individual medical - including disability and long-term care. From Record of Society of Actuaries Vol. 16, No. 4B.

Description: This article is about a paper on group medical area factors. From The Actuary Vol. 26, No. 8

Description: This discussion is about major problems facing the smaller company on entering the field of individual health insurance. Also discussed are using morbidity studies to calculate gross premiums. From Transcations of Society of Actuaries 1962, Vol. 14 Pt. 2

Description: This is a guide to underwriting literature which covers a broad range of underwriting issues and the actuary's role in underwriting.

Description: This session discusses activities of the AAA with respect to financial reporting and actuarial opinions, related emerging legislation [Sarbanes-Oxley], FAS 141 & 142 [business combinations], and liability determination. From the Record of the Society of Actuaries, Volume 28, No. 3, Session 25

Description: Panelelists at this session of the SOA 1998 Maui II Spring Meeting discuss the current use of risk adjusters to spread risk among various helath carriers and health plans, and whether the system is effective and equitable.

Description: This paper describes a process for developing rates for a preferred provider organization [PPO]. From Transactions of Society of Actuaries 1985, Vol. 37.

Description: This session at a SOA 1990 Spring Meeting focuses on group health insurance including discussion of financial projections, calculating reserves, claims control and management reports.

Description: Changes introduced by various Medicare Alternative Payment Models and the Medicare Access and CHIP Reauthorization Act (MACRA) have accelerated an existing market trend of shifting some of what has traditionally been considered “insurance risk” to providers. The Provider Risk Sharing Boot Camp will give attendees deeper insights into methods, current thinking, and alternative solutions that actuaries can use to help providers understand and manage the financial and actuarial risks that they are taking, many for the first time.

Description: This session focused on Health Insurance Minimum Loss Ratio Regulation. Topics include: 1. The NAIC minimum loss ratio guidelines. 2. Loss ratios viewed from the regulatory side. 3. Recent developments in certain states. From Record of Society of Actuaries, 1981 Vol. 7, No. 3.