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: This is a discussion of the paper, Surgical and Medical Insurance by a Blue Shield Plan by Arthur Hunter and James F. Coleman. From Transactions of Society of Actuaries 1954, Vol. 6, No. 16.

Description: This discussion focuses on the effect the introduction of provincial hospital plans in Canada has had on the trend of loss ratios on associated major medical expense plans. The discussion further looks at deductible amounts, coinsurance provisions, and maximum limits used under major medical expense plans. From Transactions of Society of Actuaries 1961, Vol. 13, Pt. 2.

Description: This article is part of the Digest of Informal Discussion, which took place at the 1956 Society of Actuaries Eastern Spring Meeting, held April 19-20 in Hartford, CT. It identifies the participants and summarizes each person’s comments. The participants discuss progress made in offering accident and sickness and hospitalization insurance benefits to those over 65, the physically impaired, to rural areas, and to lower income groups, and discuss methods to further extend benefits to those groups. They also discuss experience with major medical policies, and what insurance associations such as the Health Insurance Association of America, can do to collect morbidity data. From Transactions of Society of Actuaries 1956 Volume 8, Number 21.

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: The Joint Committee on Health Insurance appointed a subcommittee, known as Task Force 4, to study the problems of reserves for accident and health insurance. The final report of the Task Force, including basic tables of net annual claim costs for hospital and surgical expense insurance, was adopted by the NAIC at its December 1956 meeting. This article contains the Task Force's final report [included as Appendix A] and 30 Tables for use in valuing hospital and surgical expense insurance in accordance with the recommendations of Task Force 4. From Transactions of Society of Actuaries 1957, Vol. 9, No. 25.