Description: This 1991 panel discussion is about the NAIC and HIAA models, as well as state regulations proposed or adopted to regulate small group underwriting and rate guidelines. From the Record of the Society of Actuaries Vol. 17, No. 3A.

Description: This report has been assembled by the Task Force as a comprehensive guide to practicing actuaries in evaluating the impact of AIDS on the solvency of life and health insurance companies in the US and Canada. From Transactions of Society of Actuaries 1988, Vol. 40, Pt. 2.

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 report compares health care utilization and expenditures between individuals with Crohn’s disease who had used infliximab and those who had not. Claims data from the 1999-2003 Thomson Reuters MarketScan commercial claims and encounters databases and inpatient, outpatient, and prescription drug claims data of individuals older than 18 years of age with a diagnosis of Crohn’s were included.

Description: This paper, first published in 1982 in the Transactions of Society of Actuaries, Vol. 34, discusses the phenomenon of durational antiselection, a commonly observed steady and seemingly irreversible increase in loss ratios on mature blocks of individual health insurance policies. The author, William F. Bluhm, constructs a model to explain the deterioration of loss ratios over time, and to quantify the cumulative antiselection effect. This paper was awarded the 1980-82 Triennial Prize. The paper includes written discussion and the author’s review of discussion.

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.

Description: This is a panel discussion session examining the future of individual comprehensive medical expense insurance including trends, state regulation, plan design, and financial experience. From Record Of The Society Of Actuaries Volume 8, Number 4

Description: This session discussion is about what factors affect the small employer's choice of programs, how may the small employer capitalize on recent developments in managed health care, what problems do insurance companies have in marketing and communicating their plans to small employers, are partially self-insured benefits a threat or an opportunity for carriers in this market. From Record of the Society of Actuaries Vol. 12, No. 1.

Description: This session discussion is about tools, techniques, and methods used by the health valuation actuary HVA in dealing with business projections, cash-flow analysis, valuation on nonguaranteed premium business, target surplus analysis, reinsurance and claim reserves. From Record of Society of Actuaries Vol. 18, No. 1A.

Description: This session discussion is about dimensions of AIDS and health insurance products. From Record of the Society of Actuaries1988 Vol. 14, No. 4B.