Description: Methods and assumptions used in the valuation of savings by external care vendors

Description: After the bid process, desk review, rebate reallocation, an “enjoyable” audit, and open enrollment; the Medicare plan year starts. Throughout the year, organizations find it pertinent to get an accurate picture of their Part D liability as reinsurance, LICS (Low Income Cost-Sharing) subsidy, and risk corridors are accrued. Attendees will learn about the basics of Part D accruals, how future accrual amounts are estimated based on patterns in the data, and how bid assumptions versus actual results impact plan sponsor profitability. We will also discuss financial statement treatment of these items. Real-life examples from bids to outcomes will be provided to enhance the discussion. Ultimately, attendees will come away with a deeper understanding how their bid assumptions play out, and how they can use Part D accruals to plan for future bid development.

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 discussion is on the availability of utilization and cost experience data for group medical care insurance coverages. Specifically, it highlights the role of the Society of Actuaries in intercompany data collection, employer demands for sophisticated utilization data for comparison by industry and geographic location, sources of industry-wide data, data resource potential of health claims processing by the National Electronic Information Corporation, and antitrust implications. From Record of the Society of Actuaries 1981, Volume 7, No. 4.

Description: Panelists discuss the NAIC new loss ratio requirements for limited benefit [supplemental] health plans and companies' responses to these requirements. From the Record of the Society of Actuaries, Vol. 25, No. 2.

Description: This is a joint session with Casualty Actuarial Society about individual health insurance plans. Topics include reflecting increasing costs in premium renewals, coverage of mental illness, morbidity studies and agents' remuneration. From Transactions of Society of Actuaries 1963, Vol. 15 Pt. 2

Description: This panel discussion session focuses on developments in health insurance minimum loss ratio regulation including the NAIC Minimum Loss Ratio guidelines, loss ratios as a regulatory tool, and state regulatory actions. From Record of Society of Actuaries 1981, Vol. 7, No. 1.