Description: This discussion looks at Group Accident and Sickness Insurance and asks the following questions: What loss ratios are expected during 1960 and 1961 under newly determined premium rates for basic medical care, supplementary major medical and comprehensive major medical insurance coverages? What are the design trends under comprehensive major medical insurance coverages? From Transactions of Society of Actuaries 1960, Vol. 12, No. 34.

Description: Healthcare costs have been rising faster than general inflation for many years. Early models that predicted this past pattern projected healthcare expenditure growth that continued to outpace total expenditure growth leading to the fallacious position that the whole of the US economy would ultimately be consumed by healthcare. This paper presents a long term healthcare trends resource model, prepared for the Society of Actuaries by Professor Thomas Getzen, that includes capacity constraints to ensure the long-term projection is rational. The motivation for creation of the model was driven by its potential usage as a resource for the estimation of reportable liabilities for retiree healthcare benefits as specified under FAS 106 and GASB 45 accounting statements.

Description: This document records the discussion on the possibility of a life insurance company entering the accident and sickness field, sources for morbidity experience for rate making, methods for determining total claim reserve and to what extent are medical expense items are insurable.

Description: The article offers a discussion about future products, distribution, insurance laws, and contracts. Some ideas might not be possible today, but it is offered as food for thought.

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: Healthcare costs have been rising faster than general inflation for many years. Early models that predicted this past pattern projected healthcare expenditure growth that continued to outpace total expenditure growth leading to the fallacious position that the whole of the US economy would ultimately be consumed by healthcare. The Society of Actuaries' Pension Section and Health Section Research teams commissioned Professor Thomas E. Getzen of Temple University to construct a resource model for the projection of long term healthcare cost trends that includes capacity constraints to ensure the long-term projection is rational. The motivation for creation of the model was driven by its potential usage as a resource for the estimation of reportable liabilities for retiree healthcare benefits as specified under FAS 106 and GASB 45 accounting statements. This is a zip file containing the following: 1. A background paper on the creation of the health trend model, 2. The model, programmed in Microsoft Excel [xls format], that projects per-person expenditures and growth rates through 2099 using baseline assumptions, but also permits the flexibility for user–inputted alternative assumptions, and 3. Technical documentation providing transparency and support for the ultimate results.

Description: This presentation from Session 15 of the SOA 2005 Health/Pension Spring Meeting discusses current developments affecting health plan contracting with institutional, professional and ancillary providers. Specific questions addressed are: 1. What are the trends in financial arrangements sought by providers?, 2. Has consolidation changed negotiating strategies?, 3. Has technology affected the types of financial arrangements available?, and 4.How can actuaries assist in the analytical/negotiating process?

Description: This 1978 session dealt with Group ASO and Minimum Premium Plans. Topics covered: 1. Reasons for using Administrative Services Only plans. 2. Problems with ASO plans 3. Questions to address when considering ASO plans 4. Legal issues

Description: This session from the 1995 SOA Vancouver Meeting discusses assumptions for pension valuation including rates of termination, retirement, disability and mortality. Also addressed is the SOA Pension Section Council's research on rates of termination and the new mortality tables. From the Record of the Society of Actuaries, Vol. 21, No. 3b.

Description: This session 94PD of the Maui II Spring Meeting the panel examines the advantages and disadvantages of collaboration between clinician and actuary. From the Record of the Society of Actuaries, Vol. 24, No. 2.