Description: In this article, we aim to outline the advantages of smaller programs and gather opinions on the challenges these programs face in their efforts to emphasize these strengths. For our purposes, we define small actuarial programs as those with a relatively low student enrollment count. The following are three key advantages of small programs, which are similar to those of small colleges:(a) Enhanced benefits from small class size; (b) Adaptable curriculum; (c) Increased opportunities for each student. A variety of similar other issues are also discussed with recommendations, challenges, and invitations for further dialogue.

Description: PBMs are positioned in the healthcare delivery system as the only entity that is not regulated for profitability. The Commercial Fully Insured Health Insurance Plans are heavily regulated by the State Insurance Commissioner who allows only 2%-3% profit margin. The self-funded Health Plans are regulated by ERISA fiduciary responsibility that prohibits excessive compensation. PBMs are classed as a service provider and are not regulated by either. This allows PBMs to implement large, unreasonable mark ups for profit. PBMs are massive commercial entities, states are trying to sue under antitrust law. PBMs found a sweet spot in the regulation. Large Insurance Carries understood that and either acquired large PBMs or merged with them. It is likely that a combination of measures will be needed to regulate PBMs. The most direct approach would be for Congress to pass a law establishing PBM as a fiduciary under ERISA just like an “investment advisor” providing advice for a fee. Establishing PBM as a fiduciary will help Courts and other Federal Agencies ensure that PBMs do not unfairly retain rebates and inflate the prices of Rx drugs sold to employer health plans, and the US population in general.

Description: Enacted pursuant to the 2017 Tax Cuts and Jobs Act (TCJA) , the base erosion and anti-abuse tax (BEAT) is one of the most dramatic changes to the U.S. international tax landscape in recent years. The BEAT is essentially a minimum tax which applies to certain large U.S. and foreign corporations with U.S. operations with average annual gross receipts of at least $500 million and a base erosion percentage of 3 percent or higher (with some exceptions).

Description: Discussion of recent developments in the taxation of noncoordinated benefits such as fixed indemnity, hospital indemnity, and specified disease insurance policies. Developments include a recent Chief Counsel Advice Memorandum and proposed triagency rulemaking that would impact non coordinated benefits.

Description: The momentum in value-based care has produced an opportunity for actuaries to become pioneers in health care

Description: With large parts of Italy back in lockdown due to a second wave of COVID 19, the P&C insurance market is still waiting for potential legal actions to emerge from those seeking compensation for negligent conduct during this exceptional catastrophe.

Description: The authors reflect on the 2023 SOA ImpACT Conference. They share some of the networking opportunities, and give overviews of the general sessions as well as some of the breakout sessions. They discuss reasons for attending an in-person meeting beyond getting continuing professional development credits.

Description: Feature article that gives an update on Reinsurance Administration Professionals Association (RAPA) activities.

Description: This article outlines a process for uncovering the best clients and serving as a foundation for attracting new clients.

Description: Article discusses methods to improve selling abilities