*7北美精算师资讯由高顿网校[*{7}*]发布：SOA考试真题收藏Course8G北美精算师（Part3）。
　　12. (4 points) You are an actuary responsible for developing your company’s financial
　　forecast models. Recently your company has improved access and quality of data. The
　　Chief Actuary is now encouraging you to incorporate additional situations in forecast
　　modeling.
　　(a) (3 points) Discuss basic principles for designing forecast models.
　　(b) (1 point) Outline ways in which forecast modeling can influence company
　　actions to help achieve business objectives.
　　COURSE 8: Fall 2005 - 13 - GO TO NEXT PAGE
　　Health and Group Life Segment
　　13. (8 points) You are the chief actuary for ABC Insurance Company. You are considering
　　purchasing an individual insurance block of business but are concerned about ABC’s
　　ability to administer such business.
　　(a) Discuss the steps an agent goes through in selling and servicing individual health
　　insurance policies.
　　(b) Describe considerations in plan design, pricing, and distribution channels.
　　(c) Describe the typical underwriting considerations for individual health insurance.
　　(d) Describe elements included in rating classification systems.
　　(e) Explain types of premium guarantees that could be offered.
　　COURSE 8: Fall 2005 - 14 - GO TO NEXT PAGE
　　Health and Group Life Segment
　　14. (4 points) You are the valuation actuary for TAT Health Insurance Company. You are
　　concerned about the increase in turn around time for claim payment and have been
　　working with the manager of the claims area to address this concern.
　　(a) Describe the basic purposes of claims and benefits administration.
　　(b) Discuss the common problems seen in claims and benefits administration and
　　their ramifications.
　　(c) Outline the basic principles of inventory management and mechanisms for
　　inventory control.
　　COURSE 8: Fall 2005 - 15 - GO TO NEXT PAGE
　　Health and Group Life Segment
　　Question 15 pertains to the Case Study
　　15. (5 points) A benefits consultant has approached Wonderful Life about insuring her
　　client’s employer-sponsored Group Long Term Disability (GLTD) coverage. The GLTD
　　coverage has a 180-day elimination period. There are 1,100 employees eligible for
　　GLTD coverage with the following age distribution:
　　Age Employees
　　18-24 400
　　25-29 300
　　30-34 200
　　35-39 -
　　40-44 100
　　45-49 -
　　50-54 100
　　55-59 -
　　60-64 -
　　Total 1,100
　　You estimate that the group’s incidence rate will be 150% of the male incidence rates
　　found in Table GLD-6A. The group has supplied prior experience based on 5,000 life
　　years that produces an aggregate experience claim rate of $0.98 per $100 of monthly
　　benefit.
　　Wonderful Life’s profit requirement on GLTD business is 5.0% of premium. Total
　　expense will follow Wonderful Life’s actual financials for the most recent year as found
　　in Table GLD-3A.
　　(a) Calculate the group’s composite manual monthly gross premium rate per $100 of
　　monthly benefit, assuming an average reserve of $54 per open claim per $1 of
　　benefit. Show your work.
　　(b) Calculate the blended monthly gross premium rate using a credibility formula of
　　N/(N+5,000). Show your work.
　　(c) Discuss the different types of reserves that Wonderful Life will hold for this
　　coverage, and how they are determined.
　　COURSE 8: Fall 2005 - 16 - GO TO NEXT PAGE
　　Health and Group Life Segment
　　16. (8 points) You are a group benefits consultant at NOVA Design Inc. One of your
　　Canadian clients has the following group benefits plan:
　　Benefits Coverage Monthly
　　premium rates Volume
　　Life insurance 3 × salary $0.32 per
　　$1,000 benefit $46,200,000
　　Long–term
　　disability
　　75% of monthly
　　salary
　　$1.05 per $100
　　benefit $962,500
　　Medical
　　No deductible
　　100% coinsurance
　　for all services
　　Single: $ 50
　　Family: $125
　　Single: 120
　　Family: 280
　　Dental
　　No deductible
　　90% coinsurance
　　for all services
　　Single: $30
　　Family: $75
　　Single: 120
　　Family: 280
　　The employer pays 100% of the cost for all benefits.
　　Your client wants to review its plan design and introduce a Health Care Expense Account
　　(HCEA). The new plan design has to be cost neutral in the first year. Your client expects,
　　however, to save some cost over time through maintaining a fixed HCEA credit formula.
　　You are proposing the following design:
　　Benefits Coverage
　　Life insurance 1 × salary
　　Long –term disability 66.7% of monthly salary
　　Medical No deductible
　　80% coinsurance for all services
　　Dental No coverage
　　HCEA Offered
　　(a) (1 point) Describe the advantages of an HCEA.
　　(b) (2 points) Describe how the HCEA can be funded and the decisions your client
　　must make in setting it up.
　　(c) (3 points) Calculate the money available to fund the HCEA pool, develop a credit
　　formula to allocate credits to employees, and explain the pros and cons of your
　　formula. Show your work.
　　(d) (2 points) Calculate aggregate savings for your client’s next renewal, assuming
　　medical and dental inflation of 15% and 7.5% respectively, and an average
　　increase in salaries of 3%. Show your work.
　　COURSE 8: Fall 2005 - 17 - GO TO NEXT PAGE
　　Health and Group Life Segment
　　高顿网校之名人语录：人类的希望像是一颗永恒的星，乌云掩不住它的光芒。特别是在今天，和平不是一个理想，一个梦，它是万人的愿望。