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: Diabetes mellitus type 2 is an excellent model for assessing the setup of medical coverage in the U.S. health care system. It is a chronic disease that has genetic, behavioral and other medical causes, and causes many complications over the long term. From Financing Chronic Care Monograph, M-HB05-1.

Description: This is the table of contents of the 1971 reports of mortality and morbidity experience.

Description: Summary of the Committee's report consisting of three sections: Group Weekly Indemnity Insurance, Group Long-Term Disability Insurance, Exposure and Claim Study - Sample of Group Hospital and Surgical Expense Insurance.

Description: This is the 1977 report on the continuing study of the morbidity experience of Group Weekly indemnity insurance. The report contains experience for the years 1972, 1973, 1974, 1975, and 1976.

Description: This report provides morbidity experience under individual medical expense policies in force during the 1975 and 1976 calendar years.

Description: This provides the experience under Individual Loss-of-time policies for calendar years 1976-77.

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 paper includes three discussions. The first is about permanent type insurance used as a substitute for group term insurance. The second discussion is about long-term disability experience, offsets and underwriting. The third discussion is about medical care expense insurance including experience, trends, impact of Medicare and COB. From Transactions of Society of Actuaries 1968, Vol. 20 Pt. 2, No. 56

Description: This paper explores the legislation of New York 65, the intent of which was to offer health benefits to persons age 65 and over without health examination or other evidence of insurability. From TRANSACTIONS OF SOCIETY OF ACTUARIES, 1962 VOL. 14, PT. 1 NO. 40.