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Design and Development of Point-of-Service POS Products
to effectively market an out-of-network managed care product and state-to-state variations, Design ... out-of-network benefits for certain categories of care, Effective distribution and underwriting of POS ...- Authors: James E Drennan, Walter H Hoskins, Jamie Meyers, Timothy Feeser
- Date: May 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Insuring Social and Economic Risks
sound. The weeks-of-work requirement provides a direct measure of employment, avoids unequal treatment ... greatly minimizes the disincentive to work for the primary wage earner. Nevertheless, with the increase of ...- Authors: Arthur W Ericson, David W Pray, Robert Shapiro, Ross C Cowan
- Date: Apr 1978
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession; Health & Disability>Health insurance
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Small-To-Medium Size Group Market 25 To 200 Lives
point of view of an insurer where this is their primary product. Just to set the stage here, we are going ... view of Crow_ Life where this product is their primary group product in the marketplace that they are ...- Authors: Henry Essert, Frederick P Hauser, Anthony J Houghton, Robert Musen, Ronald W Vernier
- Date: Oct 1983
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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AIDS: Coping With The Health Benefit Plan Implications
Future o Health insurance products and AIDS: Medical care insurance and disability insurance -- Benefits affected ... interesting and useful results of research on both medical care and dis- ability pay insurance. Chuck Fuhrer will ...- Authors: Application Administrator, Robert Beal, Charles S Fuhrer, Jerome M Stein, Jon Eisenhandler
- Date: Oct 1988
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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All Lines Insurance Operations
insurance opera- tions, including differences between direct insurance and reinsurance operations. 2. Solvency ... insurance operations, including differences between direct insur- ance and reinsurance operations. Also, we ...- Authors: Charles C Hewitt, Frederick Kilbourne, Frederick J Knox, W James MacGinnitie, Roy R Anderson
- Date: Apr 1977
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Annuities; Health & Disability>Disability insurance; Health & Disability>Health insurance; Life Insurance
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Health Insurance and the Valuation Actuary
companies include in their assets those used to provide care, which are valued in many different ways. Who can ... bone marrow transplant wasn't covered. Certainly care for more long-term diseases, AIDS, and cancer is ...- Authors: Jerry E Lusk, Donald J Martineau, Ed Butler
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Standards of practice; Health & Disability>Health insurance
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Medical Claims Management - Keeping Up with Changes in Technology
Electronicclaimsubmissions - Rnancing options - Managed care • Code gaming problems MS. ALICE ROSENBLATT: Robert ... (PMSC) and he is now principallyworking on managed care solutions usingtechnology. Mary F. Millerwill be ...- Authors: Alice Rosenblatt, Robert J Hoyt, Mary Fitzhugh Miller, Linda H Stelmach
- Date: Oct 1991
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Health Provider Excess Stop-Loss Issues
of my consulting work is for health care providers and managed care clients such as HMOs. Before joining ... reinsurance) purchased by a capitated health care provider from an insurer. There are two kinds of ...- Authors: Steven Wander, Michelle Fallahi
- Date: May 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Public Responsibility of the Actuary for a Self-Funded Group Insurance Plan
appear to be implemented in the absence of any direct actuarial input. It appears to be the pattern, ... as stop-loss coverage is certainly no exception. Care must be taken to ensure the product is priced adequately ...- Authors: Stephen D Brink, C Ian Durrell, John H Flittie, Application Administrator
- Date: May 1980
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Life Insurance>Group plans - Life Insurance
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An Update on Medical Savings Accounts [MSA]
marketplace that MSAs might have as a part of health-care reform. Of course, those illustrations have been ... committee. We had some people who came from a managed care background, some people who came from an individual ...- Authors: Roland E King, Mark E Litow, Larry Pfannerstill, Harry L Sutton
- Date: Oct 1996
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance