Description: Presented at October 1996 Annual Meeting. This session presents and discusses the NAIC's model bill for risk-based capital as it relates to health insurance.

Description: This article was presented at the 1978 SOA Spring Meeting and discussed the individual health insurance with issues such as: revisions in guaranteed renewable gross premiums adequacy of current policy and claim reserves and the new valuation tables. From Record of Society of Actuaries, Vol. 4, No. 4.

Description: This session discusses the impact of rising costs and increased litigation on managed care. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 133

Description: In Medicaid rate development, actuaries have not historically shared models that developed the margin (i.e., underwriting gain) assumption. This is unfortunate, given the margin assumption is one of the most critical components of the rate development in ensuring financial solvency of the Medicaid managed care organizations (MCOs). In this session, we will discuss the primary components of the this assumption and will share working models that help actuaries quantify these components—including the cost of capital and risk (or contingency) margin. We expect a lively discussion as we “open the black box” and discuss these actuarial assumptions in the public for the first time.

Description: This session addressed the following regarding benefit plan design to control claim costs: What has been tried? What works? and What else can be tried?

Description: This 1992 panel discussion is about the group health underwriting cycle, including the causes and effects of going from profitable years to less profitable times, how to manage the cycle, and different perspectives on causes and reactions to the cycle. From the Record of the Society of Actuaries Vol. 18, No. 1A.

Description: Discusses types and methods of analysis of morbidity experience, reserves, and policy form drafting issues.

Description: This session discussion is about a review of experience under PPOs, measuring the success of PPOs, PPOs affect on employer health care expenditures, employee utilization of PPOs, the future of PPOs. From Record of the Society of Actuaries Vol. 11, No. 4A.

Description: Panelists discuss the results of three research projects funded by the Actuarial Education and Research Fund [AERF] and other sources. They look at HMO and managed-competition health-care plans, offered primarily to Minnesota state employees, to examine the risk of premium death spirals. From the 2002 Record of Society of Actuaries, Volume 28, No. 3. Session 98PP of the Boston Annual Meeting.

Description: In this session on the topic of health insurance valuation issues, the topics covered included Sarbanes-Oxley considerations, internal replacement Standards of Practice, self-funded plans, and long-term-care insurance developments. From a session at the Health/Pension Spring Meeting held in New Orleans, Louisiana June 15-17, 2005.