Description: This paper describes an actuarial methodology for evaluating disease management outcomes. We address several important issues in this paper: • Control of exposure, • Identification of measured populations, and • Ensuring equivalence between baseline and intervention populations. - Paper 6 of an 8 paper series on 'An Introduction to Care Management Interventions and Their Implications for Actuaries'.

Description: The purpose of the SOA project Modeling Long Term Healthcare Cost Trends for Valuation is to provide a benchmark projection of medical cost increases and provide a user-firendly model for making alternative projections. This paper presents sample output from the model, technical documentation of the model, FAQs, and a review of the literature and references.

Description: This paper describes risk-factor-dependent multiple decrements and actuarial cost functions as a general compartment model, a discrete time and discrete state stochastic model of morbidity and mortality processes. For large numbers of risk factors, the model is extended to its natural continuous time and state form. From Transactions of Society of Actuaries 1991, Vol. 43.

Description: Research project that assesses the accuracy of commonly used IBNR estimation methods for medical insurance over a wide range of scenarios. The methods are summarized, practical considerations in making the comparisons and the development of the data simulations for the comparisons are discussed.

Description: Discussion of financial underwriting issues and methods for individual life insurance. Followed by discussion papers submitted by several authors

Description: Examines historical life insurance and annuity policyholder mortality improvement trends and/or mortality improvement rates and how they compare to that of the general US and international populations. Discusses techniques for modeling and projecting future mortality improvements

Description: This paper outlines a method of parametric modeling that may be used to produce forecasts and forecast intervals that will convey a measure of the reliance that may be placed on the forecasts. Followed by 2 discussion papers submitted

Description: Public Law 93-445 provided for a complete restructuring of the railroad retirement system. This paper discusses 2 of the issues/problems underlying the need for the restructuring. These were 1 concurrent social security benefits paid to railroad annuitants 2 the approach used to increase benefits to keep up with inflation. Also a discussion of the basic achievement of the new law, which was to create a two-tiered benefit structure. Followed by 2 discussion papers submitted

Description: Appendices A, B, and C for the Factors That Affect Retirement Mortality FARM Phase II. These appendices provide the format for data submission by contributors to the Mortality and Turnover Study, the SOA & LIMRA Experience Studies, and the Structured Settlement Study.

Description: Discusses how a small health insurance company may be able to create and successfully maintain its wealth through careful actuarial model considerations used in calculating reserves. A traditional and a conservative approach to calculating the reserves are compared. The conservative approach was found particularly useful when estimating reserves for an individual health insurance company with numerous product lines each relatively small in volume.