Description: This discussion on major medical expense insurance examines the trends in the types of plans sold, popularity of the comprehensive type of medical expense insurance plan, special problems, and dependent coverage. From Transactions of Society of Actuaries 1959, Vol. 11, No. 29 AB.

Description: 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. 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 model, programmed in Microsoft Excel [xlsx format], projects per-person expenditures and growth rates through 2099 using a set of equations and assumptions developed by Professor Getzen with assistance from the Society of Actuaries Project Oversight Group appointed to oversee the effort. The model includes baseline assumptions as well as flexibility for user–inputted alternative assumptions.

Description: This paper is being produced in conjunction with eight companion pieces reflecting a variety of stakeholder experiences with the development of the risk pool.

Description: This SOA report describes the components of margin for calculating capitation rates in a Medicaid context along with practical issues that MCOs may face.

Description: 1959 SOA Regional Meetings in Atlanta and San Francisco. These panel discussions reviewed procedures, techniques and vehicles used to provide benefits to retired employees. The panels also discussed Group Insurance Dividends and Major Medical issues.

Description: Summary of the Committee's report consisting of three sections: Group Weekly Indemnity Insurance, Group Long-Term Disability Insurance, Exposure and Claim Study - Sample of Group Hospital and Surgical Expense Insurance.

Description: This is the databook for the "Health Care Cost - From Birth to Death". This study used commercial data held by the Health Care Cost Institute (HCCI) and Medicare fee-for-service data to analyze health care cost differences by age and their contribution to overall health care cost change. The commercial data includes claims from 2002 through 2010 and the Medicare data includes claims from 2006 through 2010.

Description: Discussion of accident and sickness policies, including issues with underwriting and points for improvement. Transactions of SOA Vol. 6 No. 16

Description: This report presents a two-part analysis of morbidity experience under individual loss-of-time policies, 1960-1963. The first part covers the full first year of the benefit period, while the second part analyzes experience under claims extending into the second year of benefits. From the Transactions of Society of Actuaries, 1965 Reports.

Description: This report summarizes the key findings and data points from the selected articles. Included for each article are the report’s abstract along with any empirical data available from the study that can help support an actuarial model that identifies the relationship between lifestyle behaviors, health risk conditions and health outcomes.