Description: This paper was prepared to facilitate discussions with the New York State Insurance Department concerning price regulation and the application of minimum loss ratio standards for individual health insurance. From Transactions of Society of Actuaries 1982, Vol. 34.

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

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: Discussion of various group life and health insurance topics, including: A. Amount of group dental insurance being written and benefit provisions currently being offered and financial experiences of the coverages to date. B. Problems of professional association groups? C. Current level of interest in group paid-up or group permanent.

Description: This discussion is about problems of smaller companies entering the individual health insurance field. From Transactions of Society of Actuaries 1962 Vol. 14 Pt. 2

Description: This discussion reviewed: A. Measures used by smaller companies to deal with below average policy persistency rates, B. The extent to which smaller companies issue policies with little to no retention for their own accounts, C. The extent to which new lines of insurance, such as accident and sickness, and changing distribution of business by line, plan, or age, have caused reconsideration of qualification bases for agency convention and honor awards.

Description: This paper presents and analyzes data on disability and disability termination rates from group waiver of premium, group disability income, individual loss-of-time business and the OASDI system. The paper also presents the differences in disability termination rates between male and female and the possible causes. From Transactions of Society of Actuaries 1979, Vol. 31.

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 discussion focuses on Group Accident and Health Insurance, particularly, is there a solution to continually revising rates, what are the advantages and disadvantages of rates that vary by area, and on what size cases is the loss ratio with the previous carrier sought? From Transactions of Society 1960, Vol. 12, No. 33.

Description: In this paper, a model is proposed as a potential explanation for the steady deterioration in loss ratios often observed on blocks of individual health insurance policies. This model, which incorporates assumptions of anti-selective lapses, can be used for morbidity projections and projections of the effects of rate increases. Discussions of this paper are included.