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: This section presents and summarizes major insurance-related legal cases of 1958. From Transactions of Society of Actuaries 1958, Vol. 10, No. 28.

Description: This paper explores the legislation of New York 65, the intent of which was to offer health benefits to persons age 65 and over without health examination or other evidence of insurability. From TRANSACTIONS OF SOCIETY OF ACTUARIES, 1962 VOL. 14, PT. 1 NO. 40.

Description: This discussion focuses on sickness insurance and associated issues. From Transactions of Society of Actuaries 1950, Vol. 2, No. 2.

Description: This discussion looks at the changing needs for individual accident and sickness insurance, including coverage for older people [ages 65 and over]. The discussion seeks to answer: What changes in the scope of and market for individual accident and sickness insurance have taken place in recent years, and what revisions of policies and marketing procedures have been made or are indicated to meet changing needs? From Transactions of Society of Actuaries 1959, Vol. 11, No. 31.

Description: This discussion looks at the approach companies are taking in developing dividend scales for participating accident and health policies as well as arguments for and against grading accident and sickness premiums. From Transactions of Society of Actuaries 1959, Vol. 11, No. 31.

Description: Tis is a discussion about many issues related to individual and family major medical insurance including deductibles and coinsurance, experience and trends, coverage for old age and substandard risks, guaranteed renewability for life, limitations for mental illness, and problems in underwriting and claims administration. From Transactions of Society of Actuaries 1959, Vol. 11, No. 31.

Description: Through a case study, this session at the 2004 Valuation Actuary Symposium explores the issues e.g., grouping, expenses, time period, etc. involved in determining deficiencies reserves for health products. Accounting guidance and standard industry procedures are discussed.

Description: In order to encourage health insurance issuers to offer health insurance coverage on the Exchange and on the individual and small group markets, while ameliorating the potential impact on any particular health insurance issuer of providing coverage without pricing for pre-existing conditions or the gender of the insured, the Affordable Care Act includes three risk-sharing programs: the Transitional Reinsurance program, the Risk Corridor program and the Risk Adjustment program (collectively referred to as the “3Rs”). The financial and tax reporting of each health insurance issuer is affected by the implementation of these risk-sharing programs because each health insurance issuer is required to pay for the programs’ costs, and some issuers are or will be eligible for benefits under them.

Description: Editor letter detailing article and encouraging authorship.