Description: This session will discuss health regulatory updates including a summary of all non-health benefit plans, such as LTC, cancer, hospital/limited benefit plans, and stop loss. This would include views from regulators and companies.

Description: Ronald Fawthrop and Brian Holland of the SOA’s Individual Life Experience Committee provided a preview of an upcoming individual life mortality study at the SOA’s Life and Annuity Symposium on May 9, 2017. Their presentations are available here.

Description: In order to better meet the needs of the Society of Actuary members, a new special interest group is being formed that will deal with employee benefits. In preparation of forming this group, feedback was solicited through a survey as well as a brainstorming session open to all meeting participants during the June 2009 Health Spring Meeting. This presentation summarizes the results of the survey.

Description: The Society of Actuaries are once again offering a seminar that investigates all aspects of life insurance, annuity and long term care product tax compliance. Developed by the Taxation Section, participants will be brought up-to-date on recent Internal Revenue Service (IRS) guidance and learn about the newest tax issues related to product design and administration. Legal, IRS and product development experts will provide vital insights into the challenges of developing and administering products within the requirements of the Internal Revenue Code (IRC), and allow ample opportunities for networking, questions and information exchange.September 12The optional “boot camp” will provide an intense introduction to the basics of product taxation. The boot camp will include sessions focused on life insurance, annuities, and long-term care combination products. The basis of the boot camp will be the authoritative textbooks, “Life Insurance and Modified Endowments Under IRC Sections 7702 and 7702A” and the “Annuities Answer Book.” Book authors will conduct these optional programs. September 13–14The general sessions will feature product, tax, legal and compliance experts as well as Internal Revenue Service (IRS) representatives. Recent changes in the qualification requirements of insurance products and a host of product tax issues beyond Internal Revenue Code (IRC) section 7702 and 7702A will be emphasized.

Description: With the rapid development of the Insurance market, insurance technology—including online insurance--continues to mature. Zhongan Online invests heavily in fintechand Zhongan Answer, an insurance robo-advisor, launched in 2018, could improve transaction efficiency by using artificial intelligence to communicate in a timely manner and solve the pain point of the perplexed insurance clause. Under a different consumption scenario, Zhongan Answer could reply to users in a timely manner, while also implementing private customized products and services by providing users with personal risk management and insurance assessment solutions so that users could easily and conveniently select the most suitable insurance plan. The intelligent shopping guide system of Zhongan Answer could improve transaction efficiency by analyzing the personal insurance intention and providing the humanized interpretation of insurance clause. Zhongan Answer has served millions of users and supported more than 100,000 insurance-related knowledge points with an accuracy rate over 90%. Zhongan Answer has provided more than four million Q&A services, and its intelligent shopping guide system covers more than 90% of insurance products.

Description: Direct Primary Care (DPC) is a newer model of primary care delivery in which patients or employers pay for care directly on a membership basis; insurance and other third-party payment is not used. Early studies show significantly improved patient health outcomes and lower expenditures for DPC patients compared with similar patients receiving traditionally delivered primary care. Additional research is needed to better understand physician perspectives about the model and the role of patient selection in early results.In this session we discuss research projects that may shed light on the DPC model and on whether early results indicate more about the model or about the patients who use it.We discuss an SoA research project that interviews DPC physicians to better understand their views about the model and its early results. We also discuss a paper that analyzes characteristics of patients who receive primary care from a DPC physician and compares them to characteristics of patients who receive primary care in more traditional ways. This cross-sectional study surveys all adult patients of a convenience sample of several DPC practices. Variables include demographics, socio-economic status (SES), type of additional coverage (if any), whether DPC fees are paid by an employer, and self-reported health status. The Medical Expenditure Panel Survey is the main source of comparison data. For a given cohort of demographics and additional coverage, we determine whether DPC patients have similar health status, demographics and SES as non-DPC patients. This study will provide insight into the degree of selection into DPC by observable patient characteristics.

Description: Employers who purchase disability insurance are increasingly interested in obtaining assistance with broader absence management services. At the same time, paid family leave is gaining in popularity both as a government-mandated benefit and in the context of private insurance plans. The speakers in this session review recent developments in the full spectrum of leave programs, including plan design, pricing and administration.

Description: The fundamentals of insurance, including claims management, are at the inception of true disruption. Insurtechs are using new business models via cutting-edge technologies to impact claims and other functions. Automation, machine learning and other aspects of tech are changing the way consumers experience claims.

Description: Top 10 myths and truths about EHRs.

Description: Medical/Technological Advances