Pricing Med Supp Flashcards

1
Q

Pricing Med Supp

Rating Types

A
  • Issue Age
  • Attained Age
  • Community-Rated
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2
Q

Pricing Med Supp

Premium Increases

A

Done annually to account for increases in provider payment schedules and utilization changes over time

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3
Q

Pricing Med Supp

NAIC Model Regulation

A
  • Rates and supporting documentation must be filed and approved annually
  • Must meet 3 LR requirements
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4
Q

Pricing Med Supp

Loss Ratios that Must be Met as Part of Annual Filing

A
  • Total Claims / Total Premiums
  • Future Claims / Future Premiums
  • Expected Third Year Loss Ratio
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5
Q

Pricing Med Supp

Items to be Provided in Filing

A
  • Desc. of Policy Benefits
  • Desc. of Marketing, UW, etc.
  • Historical experience (by duration)
  • Projected future experience
  • Actuarial certification
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6
Q

Pricing Med Supp

Reserving Requirements

A
  • Appropriate Reserves
  • Active Life Reserves
  • Test Premium Adequacy
  • Risk-Based Capital Calculation
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7
Q

Pricing Med Supp

Pricing Assumptions

A
  • Morbidity
  • Mortality (Not significant)
  • Persistency
  • Investment Earnings
  • Selection Factors/UW
  • Age/Sex Distributions
  • Smoker/Non-Smoker
  • Area
  • Expenses and Taxes
  • Mode of Premium
  • Policy Fee (to cover maintenance expenses)
  • Actuarial memorandum and certification
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