Description: Appendices A, B, and C for the Factors That Affect Retirement Mortality FARM Phase II. These appendices provide the format for data submission by contributors to the Mortality and Turnover Study, the SOA & LIMRA Experience Studies, and the Structured Settlement Study.

Description: Software vendors participating in the A Comparative Analysis of Claims–Based Tools for Health Risk Assessment study were invited to submit comments on the study. In this document, MEDai comments on their contribution to the study's source data, and their results.

Description: This paper applies the principles and methodologies discussed in earlier papers in this series to measure cost savings from a two-year disease management DM program for the 200,000 Medicare members of a regional managed care plan. We then study how savings estimates change when we allow for four variations in key assumptions: methods for identifying or excluding plan members, requirements for eligibility in the health plan, methods for calculating health care trend and study design. Finally, we also examine the sensitivity of these results to product type by comparing the Medicare results to those of the Commercial HMO/POS product. Paper 8 of an 8 paper series titled: “Evaluating the Results of Care Management Interventions: Comparative Analysis of Different Outcomes Measures” sponsored by the Society of Actuaries’ Health Section and the Committee on Knowledge Extension Research.

Description: This report is to estimate the burden of chronic disability on the U.S. elderly population, using unisex and sex-specific measures of long-term care service use, intensity and costs. It discusses disability prevalence, incidence, duration, and long-term care intensity and cost.

Description: In recent years, insurers have focused attention on the implementation of economic capital frameworks as part of risk management. Due to the diversity of products in an organization’s portfolio, its overall risk profile is comprised of different risk categories. The general framework used by an organization for economic capital purposes is to determine its exposure to each risk independently, then aggregate them to produce an overall risk profile. This is a study of aggregation techniques in use.

Description: This outline was used to guide the discussions with each participant of an automated underwriting study.

Description: This paper demonstrates an approach of modeling experience, and then interpreting the model and residual errors.

Description: Discusses how a small health insurance company may be able to create and successfully maintain its wealth through careful actuarial model considerations used in calculating reserves. A traditional and a conservative approach to calculating the reserves are compared. The conservative approach was found particularly useful when estimating reserves for an individual health insurance company with numerous product lines each relatively small in volume.

Description: This is a final report for a research project to create reference material that addresses the methods and techniques for quantifying margins for uncertainty in actuarial assumptions under a Principle-based statutory accounting framework.

Description: This paper describes an actuarial methodology for evaluating disease management outcomes. We address several important issues in this paper: • Control of exposure, • Identification of measured populations, and • Ensuring equivalence between baseline and intervention populations. - Paper 6 of an 8 paper series on 'An Introduction to Care Management Interventions and Their Implications for Actuaries'.