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  • Health Insurance Claim Reserves and Liabilities
    on theoretical considerations rather than on a direct study of actual recent daims. It is quite possible ... hospital, surgical, maior medical, and similar health care coverages. It may also be suitable for certain loss-of- ...

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    • Authors: John M Bragg
    • Date: Apr 1964
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Transactions of the SOA
    • Topics: Health & Disability>Health insurance
  • Financial Planning and Control for Group Insurance
    increases clearly are iniluenced heavily by medical care inflation rates; the imme- diate pre~price freeze ... quickly claim trends can change in the medical care field. Rates of increase that were 5-10 percent ...

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    • Authors: Harvey S Galloway, Bertram N Pike
    • Date: Oct 1977
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Transactions of the SOA
    • Topics: Financial Reporting & Accounting; Health & Disability>Health insurance
  • A Summary of the Updated Medical Loss Ratio Methodology and Historical Results
    requirement from the Patient Protection and Affordable Care Act (PPACA) of 2010. As part of this legislation ... spend a minimum amount of their premiums on medical care. This minimum amount varies by the type of product ...

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    • Authors: Society of Actuaries
    • Date: Dec 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA)
  • Valuation for Waiver of Premium Benefit in Long Duration A&H
    Key Words: Valuation; Waiver of Premium; Long-Term Care; Individual Disability Income; Total Lives; Healthy ... reimbursing a policyholder’s expenses incurred to care providers due to the insured’s loss of activity ...

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    • Authors: Xianmei Tang, Anthony Murathi Muturi, Isaac Larbi
    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Accident insurance; Health & Disability>Health insurance; Modeling & Statistical Methods
  • Employee Benefit Plans - Group Statements and Accounting
    significant increase in the claim lag on medical care coverage and this was so extreme that we increased ... increased our reserve factor on basic medical care coverages by 20 percent. The only explanation for this ...

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    • Authors: Donald D Cody, Ted Dunn, Carlton Harker, Theodore J Kowalchuk, Richard S Miller, Robert C Nuding, Erwin A Rode, Gordon R Trapnell, Larry T Steele
    • Date: Jan 1962
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Transactions of the SOA
    • Topics: Financial Reporting & Accounting>Statutory accounting; Health & Disability>Accident insurance; Health & Disability>Health insurance; Life Insurance>Group plans - Life Insurance