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: Book review of the latest edition (4th) of Life, Health, and Annuity Reinsurance by John Tiller, Jr and Denise Fagerberg Tiller

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

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

Description: The purpose of this SOA-sponsored research was to assemble and analyze a limited large claims database which may serve as a model for expanded inter-company studies of health care benefits in the future. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1.