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  • Reserve Principles for Individual Health Insurance
    taking place in our social structures and health care delivery systems. We also have greater knowledge ... are dependent on the date of delivery of medical care and the continued in-torce status of the policy ...

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    • Authors: E Paul Barnhart, Spencer Koppel, Mark E Litow, Francis T O'Grady, Gary N See, Robert Shapland
    • Date: Oct 1985
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Transactions of the SOA
    • Topics: Health & Disability>Health insurance
  • Group Major-Medical Expense Insurance
    expenses arising from hospital care, surgery, doctors' treatments, nursing care, medical supplies, etc. Early ... Furthermore, these plans which are designed to take care of small bills are limited by rather low maximum ...

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    • Authors: Alan M Thaler
    • Date: Sep 1951
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Transactions of the SOA
    • Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance
  • Health Company Pandemic Modeling Tool
    Charge Adj.* 50% 0% 10% 50% (21) % Needing ICU Care 15.0% 7.5% 15.0% 15.0% (22) % Needing Ventilators ... 500,000 2,500,000 2,750,000 100% 110% (30) Family Care Factor 1.5 0.5 1.0 1.5 200% 300% * Reduction in ...

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    • Authors: Jim Toole
    • Date: Jun 2010
    • Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
  • Cumulative Antiselection Theory
    persistency is relatively uniform, and certain direct-marketed basic hospital benefits, where no agent ... faster than expected because of increases in medical Care costs. DISCUSSION 241 This occurs for two ...

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    • Authors: Application Administrator
    • Date: Oct 1982
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Transactions of the SOA
    • Topics: Health & Disability>Health insurance
  • An Analysis of Loss Reserves in Canada
    of company, domestic versus foreign companies, direct insurers versus reinsurers, year and company ... We also consider possible differences between direct insurers and reinsurers as well as between domestic ...

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    • Authors: Robert Brown, Harry H Panjer
    • Date: Jan 1991
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Actuarial Research Clearing House
    • Topics: Health & Disability>Health insurance
  • Discussions on Concurrent Sessions - 1973 SOA Regional Meetings
    well as parts, or just the parts. That takes care of the "how" and the "what" of cost disclosure. ... cost method for all cost comparisons. This is in direct conflict with existing replacement regulations ...

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    • Authors: Society of Actuaries
    • Date: Jan 1973
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Transactions of the SOA
    • Topics: Health & Disability>Health insurance; Life Insurance; Modeling & Statistical Methods
  • A Summary of the Updated Medical Loss Ratio Methodology and Historical Results
    requirement from the Patient Protection and Affordable Care Act (PPACA) of 2010. As part of this legislation ... spend a minimum amount of their premiums on medical care. This minimum amount varies by the type of product ...

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    • Authors: Society of Actuaries
    • Date: Dec 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA)
  • Valuation for Waiver of Premium Benefit in Long Duration A&H
    Key Words: Valuation; Waiver of Premium; Long-Term Care; Individual Disability Income; Total Lives; Healthy ... reimbursing a policyholder’s expenses incurred to care providers due to the insured’s loss of activity ...

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    • Authors: Xianmei Tang, Anthony Murathi Muturi, Isaac Larbi
    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Accident insurance; Health & Disability>Health insurance; Modeling & Statistical Methods
  • Employee Benefit Plans - Group Statements and Accounting
    significant increase in the claim lag on medical care coverage and this was so extreme that we increased ... increased our reserve factor on basic medical care coverages by 20 percent. The only explanation for this ...

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    • Authors: Donald D Cody, Ted Dunn, Carlton Harker, Theodore J Kowalchuk, Richard S Miller, Robert C Nuding, Erwin A Rode, Gordon R Trapnell, Larry T Steele
    • Date: Jan 1962
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Transactions of the SOA
    • Topics: Financial Reporting & Accounting>Statutory accounting; Health & Disability>Accident insurance; Health & Disability>Health insurance; Life Insurance>Group plans - Life Insurance
  • Entry into New Fields
    Entry into New Fields 1959 SOA Regional Meeting in Atlanta. This discussion covered the advantages ... problem is overinsurance which should be watched care- fully. Insurance other than on residences proved ...

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    • Authors: Society of Actuaries
    • Date: Jun 1959
    • Competency: Strategic Insight and Integration
    • Publication Name: Transactions of the SOA
    • Topics: Annuities>Group plans - Annuities; Health & Disability>Health insurance; Life Insurance; Pensions & Retirement