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Provider Excess: Is it Rosy or Merely Thorny?
Provider Excess: Is it Rosy or Merely Thorny? This session 62 PD of the Las Vegas Spring Meeting focuses on provider excess reinsurance, ... organization=PPO;Stop-loss insurance; 17945 5/1/2000 12:00:00 AM ...- Authors: Mark Troutman, Brian Dale Shively, Carol B Adams, Jack Reid, Tasha Barbour
- Date: May 2000
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability; Reinsurance>Health reinsurance
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Outside Agencies' Views of Health Insurance and Reinsurance Companies [Outside Looking In - How are we Perceived?]
at A.M. Best in Oldwick, NJ. Note: The chart(s) referred to in the text can be found at the end of ... Perceived?) Track: Health Moderator: CYNTHIA S. MILLER Panelists: TIMOTHY W. CLARK† JOE FRANCE‡ ...- Authors: Cynthia Miller, Timothy W Clark, Dana B Mehta, Joe France
- Date: Jun 2002
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Reinsurance>Health reinsurance
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Reinsurance Accounting for Life and Health Insurers
that business. It basicallyappliesto all life, annuity, and health products. It also appliesto health ... let's look at a simpleexamplefor an in-forceblock (Table 1). The example is describedin words in the NAIC ...- Authors: Donald Behan, Calvert A Jared, William K Tyler, Albert J Reznicek
- Date: Oct 1993
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Financial Reporting & Accounting>Generally Accepted Accounting Principles [GAAP]; Financial Reporting & Accounting>Statutory accounting; Reinsurance>Health reinsurance; Reinsurance>Life reinsurance
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New and Improved Managed and Unmanaged Care: Reimbursement Models and Disease Management Programs
Corporation in Overland Park, KS. Note: The chart(s) referred to in the text can be found at the end of ... is 90%. There was an extensive review done of all U.S. births between 1990 and 1995, and that showed that ...- Authors: Mark Troutman, Brian Dale Shively, Michael Sturm, Kurt Wrobel, Alan Winston, Jane L Johnson
- Date: May 2001
- Competency: Results-Oriented Solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health risks; Reinsurance>Health reinsurance
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Which Form of Group LTD Reinsurance is Best for You?
LACHANCE Panelists: JEFFREY E. BABINOt MICHAEL S. JOHNSON Recorder: MICHAEL D. LACHANCE As your ... product line to their own company. Mr. Michael S. Johnson: As Mike said, I represent the facultative ...- Authors: Michael Lachance, Michael Johnson, Jeffrey E Babino
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Reinsurance>Health reinsurance
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Risk and Capital Management of Disability
proposed LTD formula RBC to the current formulas in Table 1. The major difference between LTD and individual ... overall for reserves greater than $210 million. TABLE 1 LTD RISK BASED CAPITAL Current Proposed Earned ...- Authors: Michael Lachance, Stephen Maher
- Date: Jun 1996
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Enterprise Risk Management>Capital management - ERM; Health & Disability>Disability insurance; Reinsurance>Health reinsurance
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Pricing and Underwriting Stop-Loss Insurance
defined as those that are at $180,000 or more. Table 1 shows large claims by diagnosis. These are total ... of claims are neonatal, and I’m only at 16.5%. TABLE 1 LARGE CLAIMS BY DIAGNOSIS Diagnosis Percentage ...- Authors: Jack LaMar, David E Olsho, David Wilson
- Date: Jun 1996
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Reinsurance>Health reinsurance; Reinsurance>Stop-loss insurance
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The Role of Reinsurance Under Health Care Reform
trends and their impact on reinsurance markets. Table 1 shows various providerreimbursementmechanisms ... more of these risks. 741 RECORD, VOLUME 20 TABLE 1 PROVIDER REIMBURSEMENT MECHANISMS ,,,p Primary ...- Authors: Michael A Kemp, Harry L Sutton, EVELYN S STRAVOLEMOS
- Date: Jun 1994
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy; Reinsurance>Health reinsurance
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The State of Individual Disability Income 'DI' Reinsurance
Reinsurance Moderator: ROBERT W. BEAL Panel: THOMAS S. BELL JOHN M. LENSER CHARLES M. WALDRON Recorder: ... traditional forms of DI reinsurance. Mr. Thomas S. Bell: The part of the program material that I’m ...- Authors: Robert Beal, Thomas S Bell, John M Lenser, Charles M Waldron
- Date: Jun 1996
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Reinsurance>Health reinsurance
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Current Group Insurance Topics
largest groups. The group LTD dispersion table by case size (Table IC on page 159 in the 1974 _) shows that ... afford the additional coat of higher claim levels. In s---,nry, the pricing of group long term disability ...- Authors: William A Halvorson, Raymond F McCaskey, John W Coons
- Date: Jun 1976
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance; Reinsurance>Health reinsurance