Calculating reserves: reasons/purposes
Briefly list some of the reasons for calculating reserves (7)
Calculating reserves: various basis/important factors
Briefly describe the basis/key points to consider when setting/calculating reserves for the following exercises
Health ins reserves: intro, long-term contracts
Briefly give an overview of the various things healthcare insurers may hold reserves for, and what methods maybe used to estimate them (5)
Consider
Health ins reserves: types, long-term contracts, intro
List the various types of reserves which may be found for healthcare insurance contracts which are long-term (12)
Health ins reserves: intro, short-term
Briefly give an overview of the various things healthcare insurers may hold reserves for, and how what methods maybe used to estimate them (5)
Short-term healthcare contracts ie PMI, are indemnity:
Health ins reserves: types, short-term
What are the main prospective and retrospective reserves for short-term healthcare contracts (2)
Health ins reserves: types, short-term
Briefly describe the main prospective and retrospective reserves for short-term healthcare contracts
UPR (4)
URR (3)
Health ins reserves: types, short-term
List the various types of reserves which may be found for healthcare insurance contracts which are short-term other than the UPR, and URR (9)
Reserve calcs: primary methods to calc health ins reserves
What two primary methods are used to calculate reserves? (2)
Which method is used in practice? (4)
Two primary methods to calculate reserves:
Method used depends on
Reserve calcs: case estimates, overview
What do we mean by using ‘case estimates’? (1)
What is the key requirement/downside to using case estimates? (1)
What factors will the claims manager/assessor consider when making case estimates? (6)
Case estimates meaning
Will consider the following:
Reserve calcs: case estimates, advantages disadvantages
Give the advantages (3) and disadvantages (6) of using case estimates to estimate reserves
Advantages:
Disadvantages:
Reserve calcs: stat estimates, intro
Under what circumstances is the use of statistical methods most appropriate? (3)
What data source is most often used when using statistical methods to estimate claims? (1)
Appropriate for
Data used
Reserve calcs: stat estimates, description
Outline the overall procedeur involved in estimating outstanding claims using statistical methods (12)
Overall method
Reserve calcs: stat estimates, main methods
Briefly list/descibe the main methods through which to derive of statistical estimates of outstanding claims (4)
What kind of variations may exist within the above methods of statistically estimating outstanding claims? (8)
Four methods of statistical estimate:
Main variations may exist with regards to the following:
Basic chain ladder assumptions
Give an overview of the basic chain ladder method of estimating
Reserve calcs: assumptions, basic chain ladder
What are the key assumptions which underlie the basic chain ladder method of estimating reserves? (4)
Reserve calcs: steps, basic chain ladder
Outline the key steps involved in using the basic chain ladder approach to estimating reserves (13)
Reserve calcs: steps, triangles, basic chain ladder
In the context of a table of claims, what do we meant by an incremental triangle (2) and cumulative triangle (2)?
Incremental Triangle:
Cumulative Triangle:
Reserve calcs: steps, development factors, basic chain ladder
In the context of a table of claims, what do we meant by development factors? (3)
How do we calculate the ultimate development factors? (2)
How do we calculate the proportion of total claims paid from each development month? (1)
How do we calcualte the proportion of outstanding claims for each development month? (1)
Development Factor:
Ultimate Development Factor:
Reserve calcs: steps, IBNR calculation, basic chain ladder
How do we calculate the IBNR using the basic chain ladder method, having caclulated the development factors necessary? (4)
What adjustments might be needed to the IBNR? (4)
IBNR Calculation:
Adjustment for IBNR may be needed for
Reserve calcs: steps, retrospective IBNR calculation, basic chain ladder
How might we perform retrospective calculations of the IBNR? (2)
Retrospective IBNR Calculation:
Reserve calcs: merits, Borhhuetter Ferguson, stat estimates,
Give an overview of the method behind the Bornhuetter Ferguson method of estimating oustanding claims (5)
Overview
Reserve calcs: steps, Borhhuetter Ferguson, stat estimates
Steps in calculating a reserve using BF method.
Reserve calcs: assumptions, Borhhuetter Ferguson, stat estimates
Assumptions underlying the Bornhuetter Ferguson method (3)
What key benefit lies in using this method to estimate oustanding claims? (3)
Assumptions
Key benefit