Description: This session discussion legal liability for unfavorable medical outcomes, effect of utilization review on the quality of care and patient/provider acceptance, protocol development and implementation for managed care, and insurance coverage necessary to protect your organization. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

Description: This article gives an overview of the recent SOA research report on the usefulness of Health Economics and Outcomes Research field in an actuarial context. A description of the structured assessment tool for evaluating new technologies is included.

Description: A discussion of insurance claims processing and payment systems, and how to achieve the minimum possible number of errors.

Description: This presentation examines the measurement and hedging of synthetic CDO tranche spread risks based on market spread data following the sub-prime crisis. A range of methods proposed for pricing bespoke CDOs are examined to assess their ability to hedge the credit spread risk. The methods assessed are calibrated to the traded CDO index spread and then compared based on the mean absolute pricing errors over a time period including the sub-prime crisis. Standard pricing methods and variations used to price bespoke CDOs generally perform poorly in hedging credit spread risk. Past data can be used to improve the performance of the methods. The results of this analysis also raise concerns with the accuracy of 'mark-to-model' valuations of bespoke CDOs using standard market methods.

Description: There are strong interactions between the population of Mexico and the Mexican-origin population in the United States MOP. The main purpose of this paper is the identification of relationships from the demographic and social security perspectives.

Description: This presentation develops an integrated approach that addresses simultaneously guaranteed annuity option (GAO)’s pricing and capital requirement calculation.

Description: Exploration of sources of volatility in retiree health valuations, noting how volatility arises and might be mitigated, with discussion of valuation parameters more problematic for retiree health benefits than for pensions. Three significant influences on retiree health valuation volatility are covered-- changes in benefit level, fluctuations in cost level, and alterations in eligibility for, or duration of, benefit – and attention focused on the last two. Specific conclusions result in recommendations, which are supported by practical examples contrasting volatile measurement results with those likely from the recommended practices. Theoretical discussion includes health claim variation, health trend usage, financial economics, option pricing, discount rates, and deterministic vs. stochastic modeling.

Description: This discussion is about comprehensice medical insurance and excess major medical coverage and includes specific measures taken to reduce claim experience, outlook for smaller groups, and claim costs of specific provisions. From Transactions of Society of Actuaries 1962 Vol. 14 Pt. 2

Description: This paper will have as the primary purpose a discussion of economic security provisions in the USSR, both those on a compulsory governmental basis and those available to the individual on a voluntary basis. From Transactions of Society of Actuaries 1959, Vol. 11, No. 31.

Description: This session from the 2003 SOA Spring Meeting discusses the PBGC's current financial status and its outlook for the future. Issues discussed include shutdown benefits, 4010 filings, floor-offset plans and PBGC variable premiums that have been impacted by current economic conditions. From the Record of the Society of Actuaries, Volume 29, No. 2, Session 34pd.