高顿网校友情提醒，北美精算师考试SOA——SOA真题Course8M（第2部分）高顿网校小编已编辑好了。
　　7.(7points)YouareanactuaryatWonderfulLifeandhavebeenaskedtodiscusssources
　　ofprofitusingGroup1dataasanexample.
　　InadditiontothedatainTablesMM-1,MM-2a,MM-2b,andMM-3a,assume:
　　?Single/Familymanualratesfor2005aretheresultoftrendinghistoricalmanualrates.
　　?Expenses,taxes,andinvestmentincomeareexpressedasthepercentagesfromTable
　　MM-1for2004.
　　(a)Discussmajorfactorsaffectingfinancialresultsforthegrouplineofbusiness.
　　(b)Outlinethevarioussourcesofprofitforgroupinsurance.
　　(c)CalculateprofitsbysourceforGroup1fortheexperienceperiod.Showyour
　　work.
　　COURSE8:Fall2005-8-GOTONEXTPAGE
　　Health,GroupLife&ManagedCare
 
　　8.(7points)YouaretheconsultingactuaryforACME,Inc.Theyareinterestedinoffering
　　aPatientDirectedHealthcareBenefit(PDHB)planwiththefollowingstructure:
　　Option1
　　?Multi-planoptionplusFlexibleSpendingAccount(FSA),
　　?Employerprovidescorecontribution,offersmultiplehealthplanchoices,
　　andsetsmenu.
　　Option2
　　?HighDeductiblePlanplusFSAplusPersonalHealthAccount(PHA),
　　?Employerprovidescorecontribution,accesstomultiplehighdeductible
　　plans,andsegregatedPHA’s.
　　(a)Describefactorsthataremakingconsumerismasignificanttrend.
　　(b)CompareandcontrastthekeydimensionsofPDHB’sastheyrelatetothetwo
　　optionsACMEisconsidering.
　　(c)DescribethehealthcarechallengesthatcanbeaddressedbyPDHB’swithrespect
　　to:
　　i.Employees
　　ii.Employers
　　COURSE8:Fall2005-9-GOTONEXTPAGE
　　Health,GroupLife&ManagedCare
 
　　9.(5points)YouarethepricingactuaryforEnamelInsuranceCompany(EIC).EICis
　　interestedinaddingadentalproducttoitsportfolioandhasaskedyoutoprepareareport
　　toseniormanagement.
　　(a)Describewaystocontroldentalclaimscosts.
　　(b)Describetheunderwritingandratingparametersusedfordentalinsurance.
　　COURSE8:Fall2005-10-STOP
　　Health,GroupLife&ManagedCare
 
　　10.(3points)YouaretheValuationActuaryforBeltandSuspendersHealthInsurance
　　Company.Yourcompanyoffersavarietyofhealthproductsthatmayrequireavarietyof
　　methodsfordeterminingclaimliabilities.
　　(a)Describeconsiderationswhichmightinfluencethelevelofconservatismtargeted
　　foragivenblockofbusiness.
　　(b)Describeapproachestointroducingconservatismintoeachofthecommon
　　methodsusedtocomputeclaimliabilities.
　　COURSE8:Fall2005-11-GOTONEXTPAGE
　　ManagedCareSegment
　　**BEGINNINGOFEXAMINATION**
　　MANAGEDCARESEGMENT
　　BeginningwithQuestion11
 
　　11.(4points)Regardingclaimspracticesforshorttermdisability(STD)coverages:
　　(a)DescribethetoolsavailabletochallengequestionableSTDclaims.
　　(b)Discussmethods,includingtheprosandconsformeasuringoverallSTDclaims
　　levels.
　　(c)DescribethesourcesofinformationavailabletoaclaimsexaminerregardingSTD
　　claims.
　　COURSE8:Fall2005-12-GOTONEXTPAGE
　　ManagedCareSegment
 
　　12.(4points)Youareanactuaryresponsiblefordevelopingyourcompany’sfinancial
　　forecastmodels.Recentlyyourcompanyhasimprovedaccessandqualityofdata.The
　　ChiefActuaryisnowencouragingyoutoincorporateadditionalsituationsinforecast
　　modeling.
　　(a)(3points)Discussbasicprinciplesfordesigningforecastmodels.
　　(b)(1point)Outlinewaysinwhichforecastmodelingcaninfluencecompany
　　actionstohelpachievebusinessobjectives.
　　COURSE8:Fall2005-13-GOTONEXTPAGE
　　ManagedCareSegment
 
　　13.(8points)YouarethechiefactuaryforABCInsuranceCompany.Youareconsidering
　　purchasinganindividualinsuranceblockofbusinessbutareconcernedaboutABC’s
　　abilitytoadministersuchbusiness.
　　(a)Discussthestepsanagentgoesthroughinsellingandservicingindividualhealth
　　insurancepolicies.
　　(b)Describeconsiderationsinplandesign,pricing,anddistributionchannels.
　　(c)Describethetypicalunderwritingconsiderationsforindividualhealthinsurance.
　　(d)Describeelementsincludedinratingclassificationsystems.
　　(e)Explaintypesofpremiumguaranteesthatcouldbeoffered.
　　COURSE8:Fall2005-14-GOTONEXTPAGE
　　ManagedCareSegment
 
　　14.(4points)Youareth*uationactuaryforTATHealthInsuranceCompany.Youare
　　concernedabouttheincreaseinturnaroundtimeforclaimpaymentandhavebeen
　　workingwiththemanageroftheclaimsareatoaddressthisconcern.
　　(a)Describethebasicpurposesofclaimsandbenefitsadministration.
　　(b)Discussthecommonproblemsseeninclaimsandbenefitsadministrationand
　　theirramifications.
　　(c)Outlinethebasicprinciplesofinventorymanagementandmechanismsfor
　　inventorycontrol.
　　COURSE8:Fall2005-15-GOTONEXTPAGE
　　ManagedCareSegment
　　Questions15–18pertaintotheCaseStudy
　　高顿网校之名人话语：白白的过一天，无所事事，就像犯了窃盗罪一样。