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  • The Application of Fuzzy Sets to Group Health Underwriting
    These include the plan of benefits, access to care, employee costs, and the age, sex, and marital ... health-care trend: • Aging of the insured population • Higher expectations of medical care and the ...

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    • Authors: Virginia Ruth Young
    • Date: Oct 1993
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Transactions of the SOA
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks
  • Duration-Based Policy Reserves
    lowing wording for the valuation of continuing care retirement com- munities [1]: A key element of ... ACTUARIAL STANDARDS BOARD. "Relating to Continuing Care Retirement Com- munities," Actuarial Standard of ...

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    • Authors: Application Administrator
    • Date: Oct 1993
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Transactions of the SOA
    • Topics: Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance
  • Employee Benefit Plans
    formulas--particularly in the nursing-home and home-care areas. The problems in claim administration are ... coinsurance features of Medi- care. MR. DREYER: Although we have not made any direct studies of this point ...

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    • Authors: Robert H Dreyer, Ralph H Goebel, J Stanley Hill, Jay Jaffe, Robert D Krinsky, Donald M Peterson, Fredrick E Rathgeber, John R Williams, Frank T Yen, A M Niessen, Richard B Sieben, George J Varga, Edward H Owen, Maximilian Wallach, Seymour LaRock, Ernest R Heyde
    • Date: Jun 1966
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Transactions of the SOA
    • Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance
  • Regulatory Monitoring of Individual Health Insurance Policy Experience
    carefully defined to include the following: A. Direct risk selection and classification costs: 1. Medical ... B. Direct claim costs: I. Salaried claim reviewers. 2. Investigation and adjustment. 3. Direct claim ...

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    • Authors: Application Administrator, John Cumming, Richard Diamond
    • Date: Oct 1982
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Transactions of the SOA
    • Topics: Health & Disability>Health insurance
  • Miscellaneous Topics
    with periodic updating are a desire to retain direct control over and to stabilize the dollar amount ... tions in excess of the charge for standard ward care up to a maximum of $5 per day. The Senior Hospital ...

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    • Authors: Allan K Archer, Nora M Beattie, Elmer R Benedict, William A Ferguson, Anthony J Houghton, Robert J Myers, Fredrick E Rathgeber, J Perham Stanley, Alvin B Nelsen, Alan A. Groth, Clarence H Tookey, George W Chalmers
    • Date: Sep 1960
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
    • Publication Name: Transactions of the SOA
    • Topics: Actuarial Profession>Professional development; Health & Disability>Health insurance; Pensions & Retirement>Defined benefit plans
  • The Development of WeChat Marketing and Distribution of Insurance Products in China
    rules of the commercial society by introducing direct scanning code payment no matter online and offline ... public WeChat account. They can enjoy real-time direct reimbursement on the medical insurance line, saving ...

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    • Authors: Society of Actuaries, Wanwan Huang
    • Date: Dec 2018
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health insurance; Life Insurance>Marketing and distribution - Life Insurance
  • The Impact of Social and Economic Changes on Financial Security Systems
    unit is dissolved. 3. Private and public medical care coverage, which pays all or part of individual ... a perception that mothers should be available to care for dependent children. Therefore, in certain cases ...

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    • Authors: Peter W Plumley, Anna M Rappaport
    • Date: Oct 1978
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Transactions of the SOA
    • Topics: Health & Disability>Health insurance; Life Insurance; Pensions & Retirement; Social Insurance>Social Security
  • The Birthday Rule and the Difference in Spouses' Ages
    work record, one member of the couple as the primary beneficiary and the other as an auxiliary beneficiary ... the father's or the mother's insurer will be primary or secondary when the children's med- ical bills ...

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    • Authors: Bertram M Kestenbaum
    • Date: Oct 1992
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Transactions of the SOA
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
  • Financial Planning and Control for Group Insurance
    increases clearly are iniluenced heavily by medical care inflation rates; the imme- diate pre~price freeze ... quickly claim trends can change in the medical care field. Rates of increase that were 5-10 percent ...

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    • Authors: Harvey S Galloway, Bertram N Pike
    • Date: Oct 1977
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Transactions of the SOA
    • Topics: Financial Reporting & Accounting; Health & Disability>Health insurance
  • Health Insurance Claim Reserves and Liabilities
    on theoretical considerations rather than on a direct study of actual recent daims. It is quite possible ... hospital, surgical, maior medical, and similar health care coverages. It may also be suitable for certain loss-of- ...

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    • Authors: John M Bragg
    • Date: Apr 1964
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Transactions of the SOA
    • Topics: Health & Disability>Health insurance