Actuarial Healthcare Issues for Pension Actuaries

Wednesday, October 24
2:00 – 6:00 PM &
Thursday, October 25
8:00 AM – Noon

Credits: EA Noncore 5.4

Brought on by the adoption of FAS 106, retiree medical valuation work has become a regular part of the pension actuary’s “domain.” There are, of course, many other facets of healthcare benefits consulting where pension actuaries can and should be involved, leveraging their knowledge and analytical skills to find the best solutions for clients. With the adoption date for GASB 43/45 upon us, the demand for healthcare actuaries is again on the increase. The speakers at this seminar cover a variety of technical actuarial healthcare topics to help pension actuaries “round-out their toolkit,” including:

Plan Design

• Medical plan designs – HMO, PPO, POS, and “Traditional” indemnity plans;

• Plan design leveraging;

• Account-based active and retiree health plans — HRAs, HSAs, RMAs;

• Trends in Rx plan design; and

• Retiree medical options – Medicare Supplement, Medigap, Medicare Advantage plans.

Valuation

• Actuarial assumptions specific to health and welfare plans;

• Funding, including welfare benefits funds (including VEBAs), 401(h), 420 transfers;

• Implicit subsidy issues; and

• Special issues—MMA, account-based plans, etc.

Accounting

• Special issues within FAS 106, FAS 158, SOP 92-6 (01-2), GASB 43/45, NAIC accounting, and IAS 19; and

• Deferred tax asset issues.

Pricing and reserving

• Medical plan underwriting; and

• IBNR estimation.

Miscellaneous

• Actuarial equivalence testing

Presenters include:

Stuart H. Alden
   Watson Wyatt Worldwide
Adam J. Reese
   Hay Group

Medical Management
Measurement

Wednesday, October 24
2:00 – 6:00 PM &
Thursday, October 25
8:00 AM – Noon

Credits: CE 8.4

Do medical management plans really “work?” Employers, health plans, and the consultants who work with them put forth tremendous efforts to answer this question. But do we believe the results? Speakers at this seminar focus on common and uncommon methods used in the industry to measure the impact of programs ranging from wellness to condition management.

Case studies are presented along with the solution that was delivered to the client. The audience has the opportunity to critique each solution, and then hear recommendations from an experienced panel. Case studies addressing the major issues faced such as: Do we have the right data? Is the method defensible? Are we reporting the right things to our client? Along the way, the panel incorporates not only fundamental actuarial and client consulting principles, but also DMAA’s (Disease Management Association of America) latest guidelines on measuring programs of this nature.

Presenters include:

Jean-François Beaulé
   UnitedHealth Group
Michael Cryer, MD
   Hewitt Associates LLC
Ian Duncan
   Solucia Consulting, Inc.
Sue Jennings
   Disease Management Association
   of America
Thomas L. Knabel
   UnitedHealth Group
Lonny Reisman, MD
   Active Health
Ross Winkelman
   Wakely
Dale H. Yamamoto
   Hewitt Associates LLC