Description: This presentation is a Health Section meeting from the 1991 Annual Meeting of the Society of Actuaries, held October 20-23 in Toronto. The session leader, the incoming chair of the section, covers administrative matters, and then the next speaker addresses a newly completed research project, sponsored by the Society and Health Section, on the variation by duration in small group medical insurance claim costs. The speakers then discuss current developments in small group reform, and the various parties involved, including the National Association of Insurance Commissioners [NAIC], and the Health Insurance Association of America [HIAA], and the work that has been done, including modeling to address the impact of a small group reform mechanism. The speakers discuss how the various parties' objectives can differ. Discussion from participants is included. From the Record of Society of Actuaries, Volume 17, No. 4B.

Description: Panel discussion, by a physician and an actuary, about the historical forces behind various trends in organ transplant experience data.

Description: Panel dicussion on the need for information to keep a block of long-term care insurance profitable: what the business risks are, what is being done to mitigate them, what kind of reports are needed, and how these differ from reporting on other types of health insurance.

Description: Large claims have always been a major source of volatility in health care claims experience. In this session, the presenters will discuss techniques for analyzing large claims, predicting large claims and measuring the associated risk. The presenters will also discuss the early results of the SOA 5/50 research project which will examine the 5% of the population that accounts for 50% of the health care costs.

Description: This discussion is about the significant conclusions that are drawn from the report of 1955-57 morbidity experience under Individual Accident and Sickness policies, hospital-surgical contract morbidity, and disability experience. From Transactions of SOA 1961 Vol. 13 Pt. 2

Description: While this session was billed as C-2 risk, discussion focused almost entirely on HIV and AIDS, including the history, nature, spreading and mortality of the disease, and its impact on life and health insurance underwriting, pricing, and reserves. From the 1987 Record of Society of Actuaries, Vol. 13, No. 3.

Description: Certain valuation assumptions are difficult to set with a high degree of accuracy, whether because the underlying experience is in different economic or interest rate environments, in addition to other reasons. Examples include assumptions for long-term care insurance, annuity options, lapsation and premium persistency on ULSG. This session will share how the actuary can use predictive analytics to augment the assumption-setting process. Some of the benefits to the actuary (along with the company and the regulator) include more accurate assumptions with lower margins for adverse deviations. Of possible interest as well is that applications go beyond valuation and include acquisitions, reinsurance and pricing.

Description: This far-ranging discussion of health insurance and employee pensions discussed expansion of health insurance plans to encompass the additional forms of medical care and treatment, intercompany studies of mortality and morbidity, accidental death coverage are written on a twenty-four-hour basis or as travel accident, dental care insurance, survivorship benefits, employer-sponsored death benefits incorporated into qualified pension plans, and other topics. From Transactions of Society of Actuaries 1963, Vol 15 Pt. 2

Description: Panel discussion on recent developments in individual disability insurance, including morbidity trends, reserving assumptions and variations, marketing and underwriting trends and trends in claims practices. Presented at the Spring 1975 Meeting in New York.

Description: Discussion of the following underwriting topics: A. In view of the low rates of mortality currently experienced on standard lives, is the standard classification too narrow? B. Do substandard extra premiums at the lower ratings make fair provision for the additional expenses incurred on substandard policies? C. What problems are encountered in issuing life insurance on persons residing outside the continental United States and Canada? D. What changes have been made recently in non-medical selection and why? E. How could greater use be made of mortality or morbidity studies conducted by hospitals, clinics, government agencies, universities and others outside of the life insurance business?