I'm working on setting up reserve calculations in HealthMaster for a couple new issue age products, namely hospital indemnity and accident. I'm looking for some guidance on setting assumptions (m...
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Hi everyone,
I am coming to a bit of a bumpy road and will be needing to buy my own health insurance until I can find a job that offers it in the benefits. I really need an affordable plan, b...
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Anyone can tell me, for the business without significant risk transfer, how to book premium, and other financial items (Res, Claim etc.) in GAAP? I try to find the answer in the text book "US...
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Hi, folks
I'm having a heck of a time with BCBS of Florida. Here's my situation.
DH & I, no kids, no chance of kids (DH is snipped). We're 35 and classified as smokers, as we only quit rec...
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This was in an op-ed in today's New York Times:
Quote:
Originally Posted by Atul Gawande
This week, Barack Obama released his health reform plan...
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I am wondering what an actuary on the health side thinks of all the recent healthcare debate? Would standardizing healthcare cause the market for health related actuaries to tighten up a bit?
...
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Do you think that age/sex factors should be strictly actuarially based or is there some competitive advantage that might be gained by "tinkering" with the factors? What sort of tinkerin...
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Think tank advises Schwarzenegger to use veto and avoid Canadian-style health insurance system
TORONTO, May 29, 2007 /PRNewswire via COMTEX/ -- As California Governor Arnold Schwarzenegger b...
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I need to cancel my Cinergy plan, but I lost all of the cards and documents when I moved, and I can't find a contact or 1-800 number over the net. You'd think it'd be easy but it's not. Does any...
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I am working on a project to remove large claims from our claim triangles. Historically, we have included all claims when developing our completion factors. I would like to exclude large claims, s...
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Quote:
Clinton Releases Healthcare Plan
Democratic Presidential hopeful Sen. Hillary Clinton Friday said her plan to revamp the healthcare system would save the average ...
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While clearly the insurance portion (high deductible health plan) of an HRA or HSA "product" is subject to COBRA, I have found limited and less than definitive advices as to whether and ...
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Currently we over several individual plans - mostly with higher deductibles. These plans do not cover maternity. A maternity rider is availible for a price that is more than likely to exceed th...
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I have Managed Health Care/Services Medicaid. I don't have a co-pay with this kind, but I recently came upon a BIG problem! Prescriptions that were previously covered - even up to a month or 2 ago...
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Does anyone know a good resource to find what the knox keene level of benefits are? or what the minimum requirements are?
I found the act online and combed through some of it but couldnt find a g...
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I was just curious and I will find this out when I am signed up. My question is this. I was in a car accident in Jan. 2007 and have ins. under my husband. I am going for physical therapy right now...
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hello,
This is my first post so I am a bit unsure how to ask this question but this board seemed a good place to start.
I have had a correspondance sent to me from a Subrogation service for ...
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As in a new health company, my boss(operation leader) ask me to develop a report to monitor utilization ratio of a Managed Health Care plan. But some guy told me it is a job of New-work building T...
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I am seeking a mentor who is very familiar all facets of health insurance company operations(claim processing, authorization processing, medical management..) and actuarial and analytical techniqu...
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Quote:
Obama Attacks Insurance Industry Private Medicare Plans
Democratic presidential candidate Barack Obama ...met today with about 100 invited senior citizens in Des...
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Quote:
Ratio Minimum Counterproductive NU Online News Service, May 10, 2007
States should be careful about trying to require that health insurers spend a minimum percenta...
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Went in for some bloodwork and when the results came back the doc said everything was fine but that I wasn't vaccinated for hep b. He asks if I want to get vaccinated. I say ok. 3 shots over a few...
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Right now we are using my husband's insurance (80/20 coverage), his insurance is better than the one I've just been offered at my new job. Could I still sign up for my insurance as as secondary in...
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Hello all. I got my quote back from BCBS, with a final premium, which is expensive, but I was wondering, When the policy starts and I go to my family doctor and tell him whats going on with me, I ...
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Ohhh the woes of Health Insurance!
I am desperate for any suggestions, here is what I have going on....
I pay out of pocket for my health insurance. OUCH!
I must say I would'nt mind ...
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