Description: This paper provides an outline of the pricing methodology used by Blue Cross and Blue Shield of Virginia which incorporates trend analysis by trend component. From Actuarial Research Clearing House 1993, VOL. 3.

Description: In this paper the authors analyze data from group medical expense insurance claims and show that many insurance loss distributions have very 'heavy tails' because large losses represent a disproportionate fraction of the total cost. They also present a simple model to reproduce and explain the large loss behavior. From Actuarial Research Clearing House 1990, VOL. 2

Description: This paper describes the construction of the 1965 Supplementary Major Medical Tabular used to measure expect4ed claims. The paper also comments on the relationship of the intercompany 1963-65 experience to it. From Transactions of Society of Actuaries 1968, Vol. 20, Pt. 1, No. 56 AB.

Description: This paper examines the details of group major-medical expense insurance, a disability coverage, also labeled as catastrophe coverage. From Transactions of Society of Actuaries 1951, Vol. 3, No. 7.

Description: This paper covers two topics of discussion within the insurance field: Medical Expense Insurance and Underwriting. From Transactions of Society of Actuaries 1959, Vol. 11, No. 31.

Description: The purpose of this paper is to demonstrate a simplified method of calculating adjusted benefit reserves for any line of life or health insurance. Specific examples are applied to individual hospital and major medical insurance. From Transactions of Society of Actuaries 1973 Vol. 25 Pt. 1 No. 73

Description: The birthday rule is used to determine whether the father's or the mother's insurer is liable for a child's medical bills, where the liability rests with the insurer of the parent whose birthday falls in the first half of the year. It is assumed that the odds are even that the liable insurer will be the mother's, vs. the father's. This paper demonstrates how the key determinant of whether this assumption is valid is the distribution of the difference in spouses' ages.

Description: This paper presents the commutation functions and net premiums required for reserve calculations with specimen reserve tables. From Transactions of Society of Actuaries 1959, Vol. 11, No. 30 AB.

Description: This research report is to measure the variation in group medical insurance claim costs by duration from issue in small groups with 1 - 25 employees .

Description: This paper presents a method for analyzing the experience of a stop-loss underwriter to develop a claim continuance table. This method is designed to deal with the limitations presented from certain limited information so as to get the most out of the available information. To the extent this approach is succesful, the credibility of the experience analysis will be maximized, thus minimizing the reliance on external data. From Actuarial Research Clearing House 1993, VOL. 3.