Description: Panelists at this session of the SOA 1998 Maui II Spring Meeting discuss the impact point-of-service [POS] plans have had on both HMOs and on indemnity carriers. Different types of POS plans and the problems presented by primary care gatekeepers are discussed.

Description: Panelists at this session of the SOA 1998 Maui II Spring Meeting discuss the strategies various insurers have taken in response to the Health Insurance Portability and Accountability Act [HIPAA] requirement to use guaranteed issue for small group and certain individual health plans to qualified individuals.

Description: This panel at the SOA 1998 New York Annual Meeting discusses the history of HMOs with respect to actuarial support and looks at how actuaries can and should be involved in supporting HMOs.

Description: 1994 SOA Meeting, San Antonio. This session was about provider network building in nonmetropolitan areas. Question addressed: 1. How can an effective delivery system be built to serve rural areas? 2. What influence will health care reform have on such systems? 3. Does a single-payer system make sense for such populations? 4. How does health care reform impact nonmetropolitan markets?

Description: Presented at October 2000 Annual Meeting. Discusses recent enrollment and cost trends and competitive dynamics with Medicare+Choice capitated plans. Expected future trends are also discussed.

Description: Experts discuss new strategies related to provider contracting and network management. Topics include various reimbursement approaches and risk-sharing arrangements, unique risk arrangements for certain provider specialties, unique risk managements for specific diseases, and the role of care management/care coordinators. From the 2002 Record of Society of Actuaries, Volume 28, No. 2. Session 59PD of the San Francisco Spring Meeting.

Description: Panelists discuss the development of actuarial rating models for defined contribution DC health plans. Topics include building appropriate models for these plans, determining assumptions for the models and monitoring actual experience versus expected model results. From the Record of the Society of Actuaries, Volume 29, No. 2, Session 83

Description: Measurement and benchmarking of surplus levels provide health plans with valuable insights regarding their financial strength and performance. This session discusses target surplus and reserves for health plans. From Record of the Society of Actuaries, Volume 30, No. 1, Session 50

Description: This is a joint session with Casualty Actuarial Society about individual health insurance plans. Topics include reflecting increasing costs in premium renewals, coverage of mental illness, morbidity studies and agents' remuneration. From Transactions of Society of Actuaries 1963, Vol. 15 Pt. 2

Description: This paper includes three discussions. The first is about permanent type insurance used as a substitute for group term insurance. The second discussion is about long-term disability experience, offsets and underwriting. The third discussion is about medical care expense insurance including experience, trends, impact of Medicare and COB. From Transactions of Society of Actuaries 1968, Vol. 20 Pt. 2, No. 56