Description: This discussion is about comprehensice medical insurance and excess major medical coverage and includes specific measures taken to reduce claim experience, outlook for smaller groups, and claim costs of specific provisions. From Transactions of Society of Actuaries 1962 Vol. 14 Pt. 2

Description: This discussion reviews the appropriate roles of group insurance, individual insurance and governmental programs in providing protection against the cost of medical care for retired persons and other aged citizens. From Transactions of Society of Actuaries 1961, Vol. 13, Pt. 2.

Description: Presented at April 1986 Spring Meeting. This session discusses how employers are trying to limit their risks under medical care plans and the implications of such strategies for carriers. This session considered the differences in the economic and random fluctuation risks, and the effectiveness of programs in controlling each.

Description: This 1977 report provided morbidity experience under individual health policies in force during the 1973 and 1974 calendar years.

Description: The focus of this article is to provide background to actuaries on the updates in the employer stop loss medical insurance market including underwriting and pricing trends.

Description: Presentation at October 1985 Annual Meeting. This session will discuss trends in medical technology as they affect health care benefits programs, including: life extension, organ transplants, high-cost procedures, and plan design.

Description: Presented at April 1985 Spring Meeting. This session discussed: Selective underwriting standards, Renewable options, Producer controls, Compliance with state laws and regulations, Control and profitability.

Description: The medical scheme approach adopted by several African countries has failed to meet the needs of those in informal employment and rural communities. This is partly due to affordability amongst these individuals as well as a lack of awareness of how healthcare financing products work. Community based healthcare organisations have achieved greater levels of success in this regard by carefully incorporating the peculiarities of communities in benefit design and involving community members in the management of these healthcare solutions. There are lessons to be garnered from the countries where these have been implemented with some level of success. Even as countries aim towards universal health coverage, observing the unique needs of different communities within a country is essential to ensure resources are utilised efficiently and that healthcare needs are targeted effectively.

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: The ACA’s Medical Loss Ratio Provisions