Study Guide for the Society of Actuaries (SOA) Group and Health – Design and Pricing Exam
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Contents:
- Plan Provisions and Government Programs:
- Delve into the intricacies of plan provisions and government programs within the realm of group and individual insurance.
- Explore medical, dental, and pharmacy plans, as well as long-term disability, short-term disability, and long-term care insurance.
- Learn to describe and evaluate various coverage options, including group life insurance plans and supplementary programs like Medicare Supplement.
- Understand the role of these provisions and programs in designing and managing insurance products for diverse populations.
- Manual Rates:
- Focus on the calculation and recommendation of manual rates for different insurance coverages.
- Learn principles and methodologies for determining manual rates for group and individual insurance products, such as medical, dental, pharmacy, disability, long-term care, and life insurance plans.
- Master manual rate calculations to provide accurate and competitive pricing recommendations, ensuring financial viability and competitiveness in the market.
- Underwriting:
- Delve into the principles of pricing and risk assessment in underwriting, at both the individual case level and for blocks of business management.
- Explore risk adjustment mechanisms, pricing and funding case-specific risks, claim credibility and pooling strategies, and the application of Total Risk Analysis (TRA) strategies.
- Understand concepts essential for assessing and managing risk in insurance portfolios, enabling informed decisions and optimizing outcomes for insurers and policyholders.
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