Description: This is a discussion about overinsurance and duplication of coverage - hospital and medical expense limits. From Transactions of Society of Actuaries 1962, Vol. 14 Pt. 2

Description: Discussion of developments with regards to addressing major medical care needs since 1959, including the passage of Medicare.

Description: Intended for actuaries interested in understanding more about the Medical Loss Ratio and the impact Quality Improving Activities (QIA) and fraud reduction expenses have on the rebate calculation. This session will focus on what expenses qualifies as QIA, examples of programs from major carriers, current regulations and the differences between commercial, and Medicare, and Medicaid requirements.

Description: This session from the 1992 Valuation Actuary Symposium reviews the appointed actuary concept, the actuarial opinion and asset adequacy analysis as they apply to health insurance and expresses the views of one regulator on the subject and one actuary in terms of the actuarial standards of practice.

Description: September’s Actuary contained an excellent summary by Drew Davidoff of renewal rating for small group medical business. Among the techniques he describes are age, sex, and area rating, experience rating using credibility, experience rating using tiers, examination of the diagnoses in the claim file, and initial and reentry medical underwriting.

Description: This discussion on major medical expense insurance examines the trends in the types of plans sold, popularity of the comprehensive type of medical expense insurance plan, special problems, and dependent coverage. From Transactions of Society of Actuaries 1959, Vol. 11, No. 29 AB.

Description: The panel at this session of the SOA 1997 Palm Desert Spring Meeting addresses possible strategies to identify and control factors causing medical inflation.

Description: This is a discussion about medical care insurance rating including morbidity, impact of group size and underwriting transfer cases. From Transactions of Society of Actuaries 1965, Vol. 17 Pt. 2, No. 47 AB

Description: Feature article with helpful hints on video conferencing and more!

Description: At this session of the 2004 Valuation Actuary Symposium, SEC medical rollforward schedules are reviewed. The background that led to these schedules, i.e. stock analysts attempting to understand earnings results, is presented. Differences in reserving practices among managed care companies are discussed.