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ActuarialOutpost Common Projection Methods  
14:30 7-Nov-07   [Replies: 0, Views: 300]    By: Unnamed
I work for a large pension fund and I'm reviewing a Post-Retiree Medical valuation that our consultant did for us. They ran our data through their valuation software and then projected results on...
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ActuarialOutpost Learn how to do claim reserves for just $995 !  
22:21 6-Nov-07   [Replies: 4, Views: 474]    By: Unnamed
Some of you may today have read of or received email today of a SOA research study completion. The topic is claim reserves and IBNR and confidence intervals. http://www.soa.org/research/health/r.....
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Health Boards on medical records, please, please someone advise  
18:57 6-Nov-07   [Replies: 3, Views: 253]    By: Unnamed
Hello everyone, I am eighteen years old. This past summer I was at a party and I was exposed to cocaine for the first time; having always wanted to learn what one feels like on cocaine, I used s...
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Health Boards Please help...I need to know what to expect...hospitalizations and aut..  
03:26 5-Nov-07   [Replies: 1, Views: 227]    By: Unnamed
I was recently in the hospital for only one day. I was hospitalized for bipolar disorder and was given some heavy meds to sedate me. I left against medical advice. I spent the next couple of d...
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Health Boards what to do  
23:00 1-Nov-07   [Replies: 0, Views: 193]    By: Unnamed
I'm with a company that provides my son and I with insurance. He has type 2 diabetes and is dependent on an insulin pump. The company is switching health insurance providerss and my son may not ...
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ActuarialOutpost FL to Lower Ages of Insureds  
12:52 1-Nov-07   [Replies: 2, Views: 308]    By: Unnamed
Quote: Sunshine State Panel Recommends Young Adult Health Changes BY ALLISON BELL NU Online News Service, Oct. 31, 2007 Members of the Florida Health Insurance Advisory ...
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Health Boards Good Eye Insurance  
09:57 1-Nov-07   [Replies: 0, Views: 184]    By: Unnamed
Would anyone reccomend any good vision insurance. I need to get my eye checked out because I have coats diease and its been a looong time since I did it and it needs to be done. I have military he...
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Health Boards American republic  
09:25 31-Oct-07   [Replies: 0, Views: 198]    By: Unnamed
Does anyone here have American Republic. I have Blue Cross Blue Shield and have come across some complaints with American republic ...
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ActuarialOutpost Medicare COB  
19:41 30-Oct-07   [Replies: 0, Views: 303]    By: Unnamed
Hi, Can someone direct me on the CMS website to the rules around COB with Medicare? Of the 3 COB methods, is one prescribed, are they allowed to be varied, etc? Also, what are the names of the m...
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ActuarialOutpost Is Genetic Underwriting OK?  
16:56 30-Oct-07   [Replies: 5, Views: 466]    By: Unnamed
Quote: Using genetic information in health insurance may lead to discrimination; Shannyn C. Riba, The Use of Genetic Information in Health Insurance: Who Will be Helped, Who...
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Health Boards how to get insurance to ok an mri  
16:55 29-Oct-07   [Replies: 0, Views: 154]    By: Unnamed
I am a 60 year hold female with severe lower back pain and want to have an MRI. Need help on getting my health insurance to ok this procedure. ...
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Health Boards Medical insurance - Doc bills $63K but gets $8k?  
14:24 29-Oct-07   [Replies: 0, Views: 244]    By: Unnamed
I was going through my billing records and get confused... A doctor bills $63K but insurance pays $8K and I pay $1100 A Hospital bills $60k and gets paid $29K. How does that all work? ...
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Health Boards how to get your insurance company to pay for breast reduction surgery  
10:05 29-Oct-07   [Replies: 0, Views: 192]    By: Unnamed
how to get your insurance company to pay for breast reduction surgery ...
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Health Boards About to be a nightmare..  
14:30 27-Oct-07   [Replies: 5, Views: 694]    By: Unnamed
I'm 21 years old, and as of age 19 I was no longer covered under my parent's insurance..and, I moved out in and out of my mom's house twice since I was 17 and I'm back here yet again because of th...
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Health Boards Fraud doctor, need advice!  
06:14 27-Oct-07   [Replies: 0, Views: 222]    By: Unnamed
First, I'm sorry if my sentence messy, but I really need help. Last year at August we came to this doctor because my husband kept complained about his health. He's easily to get tired, his heart...
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ActuarialOutpost FBI raids WellCare (Tampa)  
16:59 26-Oct-07   [Replies: 0, Views: 392]    By: Unnamed
Are these guys toast? --- http://www.sptimes.com/2007/10/25/Bu...ters_Med.shtml [http://www.sptimes.com/2007/10/25/Business/FBI_raid_shutters_Med.shtml]> FBI raid shutters Medicare insurer...
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ActuarialOutpost Does anybody know where to find CMS Plan Benefit Package data (PBP dat..  
19:15 24-Oct-07   [Replies: 0, Views: 280]    By: Unnamed
Thanks. ...
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Health Boards PreExisting Condition and Insurance Consent Form  
00:44 24-Oct-07   [Replies: 1, Views: 237]    By: Unnamed
Hello, I need advice. My insurance company is investigating my preexisting condition. However, they only have my current doctor's info. But through previous blood work that I have done, they f...
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ActuarialOutpost CMS landscapeSourceFile  
18:56 23-Oct-07   [Replies: 0, Views: 313]    By: Unnamed
Does anybody know if CMS provide a summary of detailed benefit information for each H numbers in the landscape file? The landscape file just shows premium and brief drug benefits. To do a cross H#...
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ActuarialOutpost spouse coverage assumption  
12:04 23-Oct-07   [Replies: 0, Views: 320]    By: Unnamed
how many ways to interpret? retiree medical assumption for current actives if x% current actives participates when retired, with y% electing spousal coverage... does this mean y% only ...
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ActuarialOutpost Second Opinion  
12:39 22-Oct-07   [Replies: 1, Views: 410]    By: Unnamed
Suppose the patient says to the doctor, "I'd like a second opinion." Is it appropriate for the doctor to use another member of the same clinical practice group? Is there any usual prac...
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ActuarialOutpost A better way  
11:59 22-Oct-07   [Replies: 14, Views: 926]    By: Unnamed
Is this a better way? Quote: Execs Tout Universal Coverage: Business Panel Sees An End To Employer Plans Copyright: Milwaukee Journal Sentinel Oct. 22--A group that includes...
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Health Boards pregnant and fired will, does my employer still have to cover my insur..  
09:21 20-Oct-07   [Replies: 0, Views: 174]    By: Unnamed
pregnant and fired will, does my employer still have to cover my insurance ...
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ActuarialOutpost True Out of Pocket Limits  
00:01 19-Oct-07   [Replies: 1, Views: 356]    By: Unnamed
What are True Out of Pocket limits (TrOOP) as it relates to Medicare Part D benefits and how is this determined. Is this essentially the charge level at which the plan pays 100% benefits? ...
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ActuarialOutpost Disability Morbidity Tables Excel Workbook from IDEC  
15:03 16-Oct-07   [Replies: 1, Views: 388]    By: Unnamed
Has anyone used this spreadsheet. It is located at: http://www.soa.org/research/limited-...-workbook.aspx [http://www.soa.org/research/limited-disability/hlth-disability-morbidity-tables-exce...
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