Description: Presented at October 1986 Annual Meeting. This session discussion is highlighting recent developments in the Chicago health care delivery system, the involvement of Chicago area HMOs, PPOs and insurers in the financing and delivery of health care services, and issues unique to the Chicago market as well as issues applicable to other geographical areas.

Description: Presented at October 1985 Annual Meeting. Discusses 3 papers: 'Report on Reserve Standards for Individual and Group Health Insurance Contracts' by the AAA Committee on Health, 'Reserve Principles for Individual Health Insurance' by the Committee for Accident and Health, and 'Structure for Consideration of Health Coverage Valuation Standards' by an NAIC Health Subcommittee of Standing Technical Advisory Group.

Description: Presented at April 1985 Spring Meeting. This session discussed: Definition of good and sufficient provision for unpaid and actuarial liabilities as used in the NAIC model bill, Actuary and auditor relationships in documentation, reasonableness of results, materiality, margins, and disclosure, Techniques for estimating unpaid claim liabilities, Reverse testing, Considerations regarding incurred date coding in establishing claim reserves, Reserving methodologies for alternative funding products, Reserves for catastrophic claims, Measurement, evaluation, and adjustment for claim department backlogs, changes in claim submission patterns, and environmental changes, etc.

Description: This discussion seeks to answer what reserves are required for individual accident and sickness policies, looks at the actuary's responsibility for experience analysis, discusses product development and policy change problems, and examines the major current developments affecting individual accident and sickness insurance.