Description: Chapter 3 analyzes, in table form, the study's claimant counts and charge totals, broken down by plan design type, gender, age, year, and by subscriber vs. dependent. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1.

Description: Chapter 7 analyzes, in table form, the study's claimant counts & charges per claimant in relation to deductible and broken down by diagnosis category. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1.

Description: Chapter 8 analyzes, in table form, exposure in relation to status, gender, age range, and deductible level. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1.

Description: Feature article discussing the impact of health care reform on the direct insurance market and the reinsurance market.

Description: Chapter 1 presents the background to the current study, followed by the methodology used, and a summary of the findings of the study. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1.

Description: This session is about the current insurance topics such as: Experience rating problems, Long term disability problems, Health Maintenance Organizations Reinsurance.

Description: Panelists discuss the following managed care topics: · Design issues/pros and cons e.g., self-directed health-care model · Provider reimbursement methodologies · Consumer and regulatory issues · Insurance and reinsurance pricing and underwriting issues · Catastrophic claims · Risk-based capital repercussions · Defined contribution health plans From the Record of the Society of Actuaries, Volume 27, No. 1, Session 61

Description: Discussion of merger and acquisitions issues pertaining to health insurance business. Includes: 1. Due diligence 2. Valuation of business 3. Administrative problems to resolve.

Description: Medical stop-loss reinsurance continues to play a vital role in containing employers’ health care costs. Managing general underwriters [MGUs], who originally handled these programs, have lost market share to large direct writers. This article discusses how health care reform and highly disciplined underwriting tools offer growth opportunities to MGUs.