Description: This paper focuses on credibility when used in the underwriting and pricing of group medical insurance. In this report, group medical refers to broad comprehensive major medical coverage that reimburses the insured for practically all necessary health-related services, subject only to a very high payment limit and modest member cost-sharing in the form of copays, deductibles, and coinsurance. Readers are expected to have some familiarity with this coverage.

Description: At this presentation, the panelists address the following questions: 1. How is health insurance risk measured? 2. How and why do surplus requirements differ between health insurance and life insurance? 3. How and why do surplus requirements differ among health insurers [e.g., Commercial, Blue Cross, HMO] and among health insurance products? 3. What are some of the current techniques being used by health insurers for determining target or required surplus and for managing surplus? 4. How do the rating agencies view surplus requirements for health insurers? From the Record of the Society of Actuaries Vol. 17, No. 3A.

Description: This session takes a fresh look at the issues related to acute care focus and the challenges of providing coordinated care for chronic conditions in the United States. From the Record of the Society of Actuaries Vol. 31 No. 2, Session 80

Description: This 1992 panel discussion is about the group health underwriting cycle, including the causes and effects of going from profitable years to less profitable times, how to manage the cycle, and different perspectives on causes and reactions to the cycle. From the Record of the Society of Actuaries Vol. 18, No. 1A.

Description: This session discussion is about the effect of changes in medical practices and technology, effect of cost shifting, measurement and analysis and employers' perspective. From Record of the Society of Actuaries Vol. 15, No. 3A.

Description: Presented at June 2002 Spring Meeting. This session discusses how credibility varies by size of groups for various health coverages, when a block of business can be considered fully credible, how credibility can factor into a rate filling, and to what extent current experience can be considered more credible than past experience.

Description: This paper deals with how the credibility levels change based on this lack knowledge. Group insuraace models are used, bill some of tile techniques could apply to any insurance risk.

Description: This session at a SOA 1990 Spring Meeting focuses on group health insurance including discussion of financial projections, calculating reserves, claims control and management reports.

Description: Panelists discuss the current trend environment and estimating future trend. From the Record of the SOA, Vol. 29, No. 2, Session 52

Description: This paper describes a modified development method for analyzing claims experience and calculating claim reserves and liabilities on short-term health insurance benefits. It identifies many of the influences on claim development and discusses various ways to recognize them. From Transactions of Society of Actuaries 1989, Vol. 41.