Description: This paper describes the development of the net annual claim costs, net premiums, and reserve factors that comprise the 1974 Medical Expense Tables. From Transactions of Society of Actuaries 1978, Vol. 30.

Description: This paper presents population hospital utilization data concerning the proportion of total hospital days that is due to injury and the proportion of total hospital days that is spent in intensive care units for use in obtaining reserve factors. The paper also presents continuation data for hospitalizations. From Transactions of Society of Actuaries 1979, Vol. 31.

Description: This paper, first published in 1982 in the Transactions of Society of Actuaries, Vol. 34, discusses the phenomenon of durational antiselection, a commonly observed steady and seemingly irreversible increase in loss ratios on mature blocks of individual health insurance policies. The author, William F. Bluhm, constructs a model to explain the deterioration of loss ratios over time, and to quantify the cumulative antiselection effect. This paper was awarded the 1980-82 Triennial Prize. The paper includes written discussion and the author’s review of discussion.

Description: This is a transcript of a 1982 meeting of the Health Section. Includes presentation and discussion of three papers: a. Cumulative Anti-selection Theory by William F. Bluhm b. Regulatory Monitoring of Individual Health Insurance Policy Experience by John B. Cummings c. Medical Care and Services in Canada by Frank G. Reynolds From Record Vol. 8, No. 4

Description: This session from the 1983 SOA Spring Meeting covers individual disability including the definition of disability, occupational definitions, replacement ratios, social insurance offsets and contract provisions. It also reviews trends in product design and underwriting.

Description: This session discusses income replacement, or disability, policies. Topics include how they work, design alternatives, marketing, underwriting, regulation, past experience and future trends. From the Record of the SOA, Vol. 8 No 3

Description: Traditional methods of addressing reserves and liabilities have failed to cope with the problems of escalating claim costs, frequent rate increases, and different opinions as to what liabilities should be recognized. This paper reexamines these issues, discusses shortcomings of current methods and proposes a new approach to the total subject. From Transactions of Society of Actuaries 1985, Vol. 37.

Description: This 1981 session focused on health insurance coverages. Questions included: 1. What are problem areas that have given rise to recent legislative and regulatory activity? 2. What new or different sales practices are being utilized to alleviated consumerist and regulator concerns? 3. How have legislative restrictions on product design and sales practices affected pricing adequacy, morbidity experience and the long-range availability of such coverages? 4. What can actuaries do to educate the public and regulators about cost projections and premium adequacy? 5. Is it ethical to market a product with a low benefit payoff, high expense ratio? From Record of Society of Actuaries, Vol. 7, No. 2.