Description: Research project that assesses the accuracy of commonly used IBNR estimation methods for medical insurance over a wide range of scenarios. The methods are summarized, practical considerations in making the comparisons and the development of the data simulations for the comparisons are discussed.

Description: This discussion on overinsurance focuses on speculative buying of life, AD&D, and disability insurance, the effect of expanded disability provisions in the Social Security Act on underwriting disability benefits, and the avoidance of overinsurance in medical benefits.

Description: In this paper, the authors created a mathematical model which reflects typical relativities by age, duration of disablement, and deferment period for disability risk. The paper is followed by discussions submitted by various reviewers.

Description: This paper deals with credibility as applied to group insurance, where the problem is to estimate the future claim rate of a group as a function of both its own past claim rate and the average claim rate observed for similar groups.

Description: Updates on the efforts of the Academy’s health practice council. its work groups and task forces, to educate health care policymakers on issues including health care reform, Medicare, loss ratios, premium review, reinsurance, benefit and eligibility changes, exchanges, and risk based capital.

Description: This presentation was made at the SOA 1975 New York Spring meeting. It discusses the actuarial techniques required to combat the impact of inflation on Group Life and Health, including communication of premium increases to clients and impact of new national or local health plans. 1975 Record, Vol. 1, No. 2

Description: Four papers were presented: [1] Gross Premium Valuations of Individual Health Business, [2] Policy Reserves on Adjustable Premium Policies, [3] Health Reinsurance: The Actuary's Dilemma, and [4] Specific and Aggregate Stop-Loss Reserves. Session 7 of the 1991 Valuation Actuary Symposium.

Description: Calculation of IBNR Reserves compares IBNP lag method to Incurred Claims PMPM method which produces lower Variance. Issue No. 46.

Description: Analysis of diagnosis and pharmacy-based methods of health risk assessment. Issue No. 44.

Description: Applying Diagnosis-Based Predictive Models that use medical and pharmacy claims to measure expected costs for Group Underwriting. Issue No. 46.