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ActuarialOutpost Federal Health Care Reform  
11:49 27-Jul-07   [Replies: 9, Views: 1093]    By: Unnamed
Quote: The push for universal health care at last hits Congress Dateline: WASHINGTON, DC "We're right at the cusp of an ideological truce on health care," de...
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ActuarialOutpost Incidence Study  
12:37 25-Jul-07   [Replies: 1, Views: 378]    By: Unnamed
I'm a Life person not used to working with DI, and I am wondering what the numerator and denominator are for an Incidence Study. Is there a general Incidence study paper available to describe ...
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ActuarialOutpost FAS 106 Question  
18:30 19-Jul-07   [Replies: 3, Views: 500]    By: Unnamed
IANAA, but I have a FAS 106 question Client is selling a portion of its assets. Deal document says that the OPEB liabilities attributable to the affected employees will be transferred to buye...
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Health Boards What a CROCK!! Aetna insurance  
16:20 17-Jul-07   [Replies: 6, Views: 319]    By: Unnamed
I had two prescriptions filled this weekend with Aetna insurance, the YAZ birth control had a $50 co-pay, saved me $1.56...and my GENERIC Toprol was also a $50 co-pay...and I can buy it at walmart...
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ActuarialOutpost Discount Reporting: Consolidated Template  
09:44 17-Jul-07   [Replies: 10, Views: 1096]    By: Unnamed
As many of you know, there was a meeting in February to discuss a single template that could be used for carrier submission of discount information to all the consultant houses rather than the uni...
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ActuarialOutpost Normalizing for Manual Rating purposes  
11:37 15-Jul-07   [Replies: 5, Views: 537]    By: Unnamed
Hi all I posted this in the exams section, but I thought it might be appropriate here as well I need help!!! Im reading the Group Insurance book (Ch 28) the section that deals with Man...
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Health Boards Big Problem-Need help in Massachusetts  
08:54 14-Jul-07   [Replies: 10, Views: 468]    By: Unnamed
Hi All, Anyone else here from Massachusetts and familiar with this new Health Insurance program they want every citizen to enroll in and be covered by a health ins. plan??? I have a problem ri...
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ActuarialOutpost Government Healthcare Costs  
10:55 13-Jul-07   [Replies: 6, Views: 488]    By: Unnamed
Quote: An unhealthy burden America's health-care market is not as unfettered as it seems TO MANY outside the United States, America's health-care system might see...
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Health Boards filing a complaint with insurance commission  
23:23 10-Jul-07   [Replies: 4, Views: 450]    By: Unnamed
I would like to know if anyone has filed a complaint with their state insurance commission about problems with their private insurance companies?? I am being denied for a surgery that 2 doctors ha...
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ActuarialOutpost Health Mandates.  
10:49 9-Jul-07   [Replies: 5, Views: 378]    By: Unnamed
I was goofing off and found this PDF [http://www.cahi.org/cahi_contents/resources/pdf/MandatesInTheStates2007.pdf]> on health mandates by state. If you don't die from boredom, discuss. ...
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Health Boards Health insurance for 63 y.o. with preexisting condition  
07:26 8-Jul-07   [Replies: 3, Views: 232]    By: Unnamed
I am 63 and retiring from my current work. Although I worked enough I guess I am not eligible for Medicare at 63 ... I have a preexisting condition (type 2 diabetes), so I am told individ...
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ActuarialOutpost autism  
14:24 7-Jul-07   [Replies: 6, Views: 432]    By: Unnamed
On those "autism speaks" (some charity? I dont really know) commercials it says that the odds that a child is born with autism are 1 in 166. Does that seem like a fair estimate at th...
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Health Boards Sicko  
07:12 7-Jul-07   [Replies: 13, Views: 166]    By: Unnamed
Anyone who wants to see a good comparison between the United States system of "Health Insurance" and the way health care is handled in several other countries should see this movie. ...
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Health Boards Medicaid and Gaurdasil  
14:28 4-Jul-07   [Replies: 3, Views: 533]    By: Unnamed
Okay not sure if I spelled Gaurdasil right, but just to make it clear I'm talking about the HPV vaccination. This is becoming a popular thing which is great but unfortunately I was told (2 months ...
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ActuarialOutpost Pooling Charge Calculation  
10:51 3-Jul-07   [Replies: 6, Views: 452]    By: Unnamed
I have always used allowed charges to calculate pooling charges even though the group experience is collected on a paid basis. I could be wrong but i think the old school thought is that the diffe...
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Health Boards Orthognathic Coverage in Az???  
19:39 29-Jun-07   [Replies: 1, Views: 335]    By: Unnamed
I'm looking for a supplemental health/dental provider in Arizona that would have coverage for Orthognathic (Jaw surgery) procedures.. Unfortunately, both my current medical and dental policies cur...
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Health Boards need help in reducing medicare premuim  
22:31 27-Jun-07   [Replies: 3, Views: 286]    By: Unnamed
I am 71 and had health insurance through my husbands work until we divorced in Jan. 2004, after 43 years. Then I went on Cobra until it ended on Feb. 1,2007. I enrolled in Medicare on Jan. 8,2007 ...
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Health Boards About Newborn Enrollment  
21:41 27-Jun-07   [Replies: 2, Views: 378]    By: Unnamed
Here is my situation. I gave birth to my son on April 26th 2007 and my husband's employer didn't give us the enrollment paperwork until June 6th 2007. We have cigna health insurance and we didn't ...
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Health Boards Automatic denial  
19:57 27-Jun-07   [Replies: 1, Views: 408]    By: Unnamed
Is there an automatic denial of your application at BCBS Georgia if you have had previous heart surgery? ...
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ActuarialOutpost Medical and Rx trends  
11:29 27-Jun-07   [Replies: 1, Views: 399]    By: Unnamed
Can someone point me to a national med and rx trend survey? I'm trying to find something that specifically adjusts for the effect of plan design changes. Some of the surveys I've found show pret...
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Health Boards Blue Cross/aqua Plan  
09:37 27-Jun-07   [Replies: 1, Views: 371]    By: Unnamed
Anyone Have This? What Do You Think Of It? Would It Be Good For A Family Of 4? ...
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ActuarialOutpost Small Group Persistency  
08:17 27-Jun-07   [Replies: 2, Views: 446]    By: Unnamed
OK, so there are two blocks of small group major med in the company. The first is distributed through a large organization that has a captive field force. They have 12-month, group persistency i...
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Health Boards How to insure an 82 year old  
18:56 25-Jun-07   [Replies: 4, Views: 539]    By: Unnamed
Having recently become a US citizen my mother (82) has missed the open enrollment period to purchase medicare. Now cannot get individual health insurance due to heart surgery 15 years ago. Does...
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ActuarialOutpost US Health Care Report Card  
12:35 25-Jun-07   [Replies: 7, Views: 451]    By: Unnamed
Quote: Report Shows U.S. Health Care Has High Cost, Poor Quality By Terry, Juliet A A new report on the quality of health care systems in some of the world's richest co...
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Health Boards Insurance denies claim  
20:34 21-Jun-07   [Replies: 2, Views: 394]    By: Unnamed
My son has undergone a heart surgery recently, i verified that both the Surgeon and the hospital are in the network. I am getting all kinds of bills now an dthe Insurance company has denied a few ...
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