Description: The SOA’s research objective is to provide guidance to state exchange officials and administrators, federal officials and administrators, and actuaries assisting states and health plans. The goal of the project is to estimate the morbidity and/or cost for newly insured individuals in the individual market (and to some degree, the small group exchange) relative to the morbidity and/or cost for the current commercially insured population. This analysis will primarily focus on the individual, non-group market. In order to plan for the impact that these currently uninsured individuals will have on the health insurance markets, it will be important to understand their costs relative to the costs for people already enrolled, for whom many health insurers have experience and data.

Description: A glossary of terms.

Description: Through the sponsorship of the Robert Wood Johnson Foundation, The Society of Actuaries partnered with Wakely to use their health care data to study the effects of COVID-19 on overall health care claims for individuals with a COVID-19 diagnosis. The conclusion of the study is that individuals with COVID-19 claims had significant increases in health care costs leading up to their months of diagnosis, as well as in the months following their diagnosis. These effects were more pronounced for individuals who were hospitalized due to COVID-19 as well as for individuals with prior co-morbidities. Finally, the overall health care costs of these members plateaued at significantly higher levels than their pre-COVID baselines. In fact, all the main membership cohorts experienced claim levels that were at least 20% higher than their pre-COVID starting points.

Description: A call for essays issued by the SOA Health and Long Term Care Sections on the visions for the future of the U.S. health care system.

Description: A compilation of feedback from actuaries in the Health Section of the affects of the ACA.

Description: Discusses: Types of medical expense insurance being offered and features, risk management, pricing, and methods of pre-funding retiree benefits.

Description: This 1977 report provided morbidity experience under individual health policies in force during the 1973 and 1974 calendar years.

Description: This discussion focuses on group insurance, the experience under industry-wide group policies, problems in the writing of small groups, the trend of hospital and surgical expense claim ratios, experiments providing medical expense benefits for pensioners, and examines the progress made in developing catastrophe coverages.

Description: The entire issue of Health Watch.

Description: May 2013 issue of the Health Watch newsletter