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

Description: This is a review of the publication entitled 'Medicare: Health Insurance for the Aged, 1969: Geographic Indices of Reimbursement by State and County.' It is of value to health actuaries because it contains information as to the variation in health insurance claim costs by geographical areas within the United States.

Description: 1999 Valuation Actuary Symposium, Los Angeles. The panelists discussed the RBC formula treatment for health products for the life and the health organizations and the managed care organizations. They also covered what the health terms look like in the casualty RBC formula.

Description: Since detailed claim information is not readily available to the Committee on Group Mortality and Morbidity on an annual basis, a special investigation of group hospital expense experience has been conducted. That investigation is summarized in this paper, and covers plan descriptions, morbidity and cost data, and continuation tables.

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. 57

Description: In this session on the topic of health insurance valuation issues, the topics covered included Sarbanes-Oxley considerations, internal replacement Standards of Practice, self-funded plans, and long-term-care insurance developments. From a session at the Health/Pension Spring Meeting held in New Orleans, Louisiana June 15-17, 2005.

Description: Facilitators lead a discussion of recent experiences and current issues regarding the valuation of medical and dental insurance and managed care products. Includes a discussion of deficiency reserves, HMO reserving, liquidity tests, cashflow testing and codification of regulations. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 132

Description: This study produces annual claim costs for Group Weekly Indemnity Insurance and Group Employee & Dependents Hospital & Surgical Expense Insurance and exhibits the trend in these claims costs. This report is based on a study by the Committee on Group Accident and Sickness Experience designed to satisfy that need to update previous studies due to the shift in emphasis by plan of benefit, the increase in level of hospital expenses and the change in pattern of these expenses. From Transactions of Society of Actuaries 1960, Vol. 12, No. 34.

Description: This presentation on the subject of Defined-Contribution Health Plans, covers reasons to move to a DC health plan, advantages and disadvantages, comparison to DC retirement plans, plan designs, pricing, risk considerations, and the regulatory and tax environment. 2001 SOA Annual Meeting, New Orleans.

Description: The evolving specialty pharmacy environment has created difficulties for actuaries pricing and forecasting pharmacy coverage. Unpredictable specialty pharmacy trends have increased insurers' earnings volatility and affected members' health care affordability. The presenters will highlight the current specialty drug development pipeline and explore specialty pharmacy drug trend management strategies. They will also provide concepts to help manage the coming wave of gene and cell therapies.