Description: Panelists at this session of the SOA 1997 Palm Desert Spring Meeting discuss medical excess coverage which is provided to hospitals and/or physician groups to reimburse such groups for benefits in excess of a deductible. This coverage typically involves situations where providers are taking capitation.

Description: The discussion will review major elements of the reinsurance market as health care reform replaces traditional markets. From Record of Society of Actuaries Vol. 20, No. 3A.

Description: Panelists discuss the following managed care topics: · Design issues/pros and cons e.g., self-directed health-care model · Provider reimbursement methodologies · Consumer and regulatory issues · Insurance and reinsurance pricing and underwriting issues · Catastrophic claims · Risk-based capital repercussions · Defined contribution health plans From the Record of the Society of Actuaries, Volume 27, No. 1, Session 61

Description: At this presentation from Session 81PD of the SOA 1996 Colorado Springs Meeting, the panelists examine current issues involving small-employer health reinsurance programs from viewpoints of both the direct writer and the reinsurer. From the Record of the Society of Actuaries, Vol. 22, No. 2.

Description: This session 62 PD of the Las Vegas Spring Meeting focuses on provider excess reinsurance, which is an excess of loss coverage for providers assuming risk under various forms of managed care arrangements, such as HMOs, PPOs, and Medicare/Medicaid. From Record of Society of Actuaries, Volume 26, No. 3.

Description: Rating agencies, investment bankers and insurance regulators discuss their views on how recent events, such as the economic climate, the war on terrorism, regulatory actions and initiatives and litigation affect health insurers and reinsurers. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 115

Description: This session is about the current insurance topics such as: Experience rating problems, Long term disability problems, Health Maintenance Organizations Reinsurance.

Description: Presented at June 1996 Spring Meeting. This panel examines current issues involving disability income reinsurance, presented from both the insurer and reinsurer viewpoints, including: recent reinsurer experience, problems facing DI writers, and uses of reinsurance.

Description: Presented at June 1996 Spring Meeting. This session discusses the pricing and underwriting of medical stop-loss insurance, including: self-funded medical insurance, provider excess market and HMOs.

Description: Discussion of merger and acquisitions issues pertaining to health insurance business. Includes: 1. Due diligence 2. Valuation of business 3. Administrative problems to resolve.