2014年版北美精算师考试SOA——真题精选Course8G（Part 1），是我们高顿网校小编们专心致志为您整理好的。
　　COURSE 8: Fall 2005 -1- GO TO NEXT PAGE
　　Health, Group Life & Managed Care
　　**BEGINNING OF EXAMINATION**
　　HEALTH, GROUP LIFE & MANAGED CARE
　　MORNING SESSION
 
　　1. (3 points)
　　(a) Explain non-financial uses of reinsurance.
　　(b) Describe limitations of reinsurance.
　　COURSE 8: Fall 2005 -2- GO TO NEXT PAGE
　　Health, Group Life & Managed Care
 
　　2. (3 points) You are the actuary for a US health insurance company. You have been asked
　　to make a presentation to your Board of Directors regarding the regulatory environment
　　for your company.
　　(a) Describe goals and objectives of insurance regulation.
　　(b) Describe the legal framework for insurance regulation and means of enforcement.
　　COURSE 8: Fall 2005 -3- GO TO NEXT PAGE
　　Health, Group Life & Managed Care
 
　　3. (7 points) You are a consulting actuary retained by an employer group. Following the
　　presentation of renewal rates to the group, you have been asked to attend a meeting to
　　review trend calculations.
　　You are given the following information:
　　? Allowed trend: 15%
　　? Incurred claims: $5,250,000
　　? Average monthly membership of the group: 2,000 members
　　? The current plan is Plan A, but the group is considering Plan B:
　　Plan A Plan B
　　Deductible $250 $1,500
　　Coinsurance 20% 30%
　　Value of the member cost sharing (PMPM) $50 $100
　　? Assume the value of the deductible does not vary from year to year.
　　(a) Describe in detail external sources of trend that you think might be helpful in your
　　trend discussion.
　　(b) Describe common problems in computing trends that you might need to
　　investigate.
　　(c) Calculate the net trend for the two plans and explain why there might be a
　　difference. Show your work.
　　(d) Describe major issues which might need to be addressed if Plans A and B were to
　　both be offered as a dual option.
　　COURSE 8: Fall 2005 -4- GO TO NEXT PAG
　　高顿网校之短句汇编：无论哪个时代，青年的特点总是怀抱着各种理想和幻想。这并不是什么毛病，而是一种宝贵的品质。