Financial Reporting Issues Related To Health Insurancethrough some administrator, through a TPA, through direct submission by policyholders to your claim office ... or a statement from the primary carrier, you need a hint of whether the primary carrier is experiencing ...
Description: Presented at April 1985 Spring Meeting. This session discussed: Definition of good and sufficient provision for unpaid and actuarial liabilities as used in the NAIC model bill, Actuary and auditor relationships in documentation, reasonableness of results, materiality, margins, and disclosure, Techniques for estimating unpaid claim liabilities, Reverse testing, Considerations regarding incurred date coding in establishing claim reserves, Reserving methodologies for alternative funding products, Reserves for catastrophic claims, Measurement, evaluation, and adjustment for claim department backlogs, changes in claim submission patterns, and environmental changes, etc.Hide
- Authors: Phyllis Doran, Paul R Fleischacker, Darrell Knapp, Joseph Michalcik, James N Roberts
- Date: Apr 1985
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance