Description: This article provides an overview of critical illness insurance: history, product description, and the three primary ways to offer critical illness coverage in the United States. This article also contains an illustration of an issue age premium rate calculation, as well as product features and rating applications specific to the various types of critical illness coverage.

Description: This article describes Medicare Supplement and short-term care products in more detail, and we compare their risk profiles. We explore the concept that these two products—when offered together—may provide a complementary hedge of certain policyholder behavior risks.

Description: This report describes the results of a survey on reflecting risk in pricing. The survey expands on one conducted in 2003 and was expanded to include life, health, P&C, and non-North American insurance companies.

Description: A research report that first defines ERM and provides the results of an applicable literature search with hyperlinks and then describes the current state of Enterprise Risk Management practices for health organizations. Areas covered: 1. Operational Risks. 2. Balance sheet risks. 3. Pricing discipline. 4. Asset risks. 5. Learnings. 6. Emerging risks.

Description: Topics to be discussed include various regulator and industry benchmarks, comparative data on capital and surplus levels among health carriers, and capital allocation and modeling techniques used to assign capital to various lines of business. From Record of the SOA, Vol. 29, No. 2, Session 20

Description: Attendees gain exposure to various approaches for effective surplus management for health entities. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 91

Description: 1998 Valuation Actuary Symposium. The speakers presented a case study on long-term-care gross premium valuations, GPV from an individual disability income perspective, and a case study for a medical GPV.

Description: Presented at October 1996 Annual Meeting. This session presents and discusses the NAIC's model bill for risk-based capital as it relates to health insurance.

Description: 1994 SOA Spring Meeting, Orlando. In this session the panel consider the question of uncertainty in loss reserves including discussion of sources and measurement. The panelists analyzed the same data set from different perspectives and discussed the strengths and weaknesses of the approaches.

Description: This session is about individual medical and regulatory issues, loss-ratio requirements, form and rate approval, compliance and reporting issues. From Record of Society of Actuaries Vol. 19, No. 4B.

Description: This paper proposes a hypothesis that the negative public policy implications of durational rating strategies in the medical insurance market are caused by lack of prefunding of durational deterioration of experience and constitute a failure to maintain an important part of the original insuring promise. To solve the problem, a practical and simple reserving basis is proposed as a regulatory standard. Discussions of this paper are included.

Description: This session is about appointed actuary issues for the health actuary including cash-flow testing, asset valuation and risk-based capital. From Record of Society of Actuary Vol. 19, No. 4B.

Description: Provides a how-to session on modeling assets and liabilities in the Valuation Actuary's work to comply with the Standard Valuation Law. Comparisons of the methods discussed are occasionally made with the requirements of New York Regulation 126. Session 12 of the 1991 Valuation Actuary Symposium.

Description: This session focused on Health Insurance Minimum Loss Ratio Regulation. Topics include: 1. The NAIC minimum loss ratio guidelines. 2. Loss ratios viewed from the regulatory side. 3. Recent developments in certain states. From Record of Society of Actuaries, 1981 Vol. 7, No. 3.

Description: This 1981 session dealt with individual accident and health rate regulation issues. Topics included the history of regulations and their primary purpose or need. From Record of Society of Actuaries, Vol. 7, No. 2.

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