Description: This session discussion is about the characteristics common in HMOs concentrating on the small employer market, Preferred Provider Organizations marketed to small employers, items requiring special attention when marketing Alternate Delivery Systems to small employers, alternate delivery options in an integrated multiple options package. From Record of the Society of Actuaries Vol. 12, No. 1.

Description: At this session of the 2004 Valuation Actuary Symposium, SEC medical rollforward schedules are reviewed. The background that led to these schedules, i.e. stock analysts attempting to understand earnings results, is presented. Differences in reserving practices among managed care companies are discussed.

Description: This 1991 panel discussion is about mid-size and large group medical issues, including: 1. Managing the underwriting cycle, 2. Effectively managing the risk, 3. Controlling medical costs, 4. Financial arrangements offered to control or shift risk [i.e., Administrative Services Only [ASO] and minimum premium contracts], and 5. The effect of the Resource-Based Relative Value Schedule [RBRVS] on provider fees and plan costs. From the Record of the Society of Actuaries Vol. 17, No. 4A.

Description: This 1992 panel discussion is about regulations proposed or adopted by the NAIC, the Health Insurance Association of America [HIAA], and states to regulate small group underwriting and rate guidelines. From the Record of the Society of Actuaries Vol. 18, No. 1A.

Description: Panelists discuss consumer-driven health plans [CDHPs] being implemented in combination with a variety of financial mechanisms, including health savings accounts [HSAs], health reimbursement accounts [HRAs] and flexible spending accounts [FSAs]. From Record of the Society of Actuaries, Vol. 31, No. 2, Session 104

Description: Facilitators lead a discussion of recent experiences and current issues regarding the valuation of medical and dental insurance and managed care products. Includes a discussion of deficiency reserves, HMO reserving, liquidity tests, cashflow testing and codification of regulations. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 132

Description: In this session, panelists discuss risk-based approach to solvency regulation, developments in the health RBC formula, differences between the health and life RBC formulas and strategies for improving one's health RBC position. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 40

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: Measurement and benchmarking of surplus levels provide health plans with valuable insights regarding their financial strength and performance. This session discusses target surplus and reserves for health plans. From Record of the Society of Actuaries, Volume 30, No. 1, Session 50