Description: In determining the apportionment of divisible surplus accruing with respect to a policy year's experience under a Group Accident and Health policy, the claims incurred in the policy year usually are the biggest single charge against the policyholder's premium. Consequently, it is important that the charge be an accurate portrayal of claims properly attributable to the policy year. This paper considers first the two basic ingredients of incurred claims, namely, paid claims [Section II] and claim reserves [Section III], and then considers how these two ingredients are used to determine incurred claims charged against a given group policyholder [Section IV]. A separate section [Section V] is included to discuss incurred claims on those group policies which cover so small a number of people that the case's own experience may fluctuate too widely to have real meaning. From Transactions of Society of Actuaries 1958, Vol. 10, No. 28.

Description: This article is from the Digest of Informal Discussion, Transactions of Society of Actuaries 1956 Volume 8, Number 20. The discussion identifies the participants and summarizes each person’s comments. The participants discuss: records and accounting of the varied types of Group Accident and Sickness coverage practices of group insurance policyholders with respect to the continuation of coverage on their retired employees, for life and other group coverages and with respect to small [under 50 lives] groups, types of benefits available, and underwriting, administrative, and marketing issues.

Description: This article is part of the Digest of Informal Discussion, which took place at the 1955 Society of Actuaries Eastern Spring Meeting, held March 24-25 in New York City. The article identifies the participants and summarizes each person’s comments. The participants discuss problems related to submitting data to the Committee on Experience under Individual Accident and Sickness Insurance, policy changes involving an increase in benefits insured, use of the ratio of actual to expected claims vs. the ratio of claims to premiums, and group valuation methods. From Transactions of Society of Actuaries 1955 Volume 7, Number 18.

Description: This article is part of the Digest of Informal Discussion, which took place at the 1956 Society of Actuaries Eastern Spring Meeting, held April 19-20 in Hartford, CT. It identifies the participants and summarizes each person’s comments. The participants discuss progress made in offering accident and sickness and hospitalization insurance benefits to those over 65, the physically impaired, to rural areas, and to lower income groups, and discuss methods to further extend benefits to those groups. They also discuss experience with major medical policies, and what insurance associations such as the Health Insurance Association of America, can do to collect morbidity data. From Transactions of Society of Actuaries 1956 Volume 8, Number 21.

Description: 1962 SOA Regional Meetings, Jacksonville and Chicago. This is a discussion about statutory reporting issues surrounding group term and group accident and health insurance. 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 discussion on individual sickness and accident insurance looks at the experience under major medical expense contracts with reference to sales, underwriting, claims and administration. The discussion also reviews the safeguards used for underwriting hospital expense coverage beyond age 65 and loss of time coverage for women.

Description: This paper looks at how smaller companies are expanding their operations in the disability income, accident and sickness field, what the problems and the expectations of satisfactory financial results are and how the Society can assist members in the constructive development of this business. A discussion of waiver of premium riders on life insurance policies was also discussed.

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.