Health Comments and Letters

Small-Group Market Task Force comment letter on S. 1955, the Health Insurance Marketplace Modernization and Affordability Act of 2006. (May 4, 2006)
Joint Committee on Retiree Health comments on the proposed GASB technical bulletin, Accounting and Financial Reporting by Employers and OPEB Plans for Payments from the Federal Government Pursuant to the Provisions of Medicare Part D. (April 17, 2006)
Subgroup on LTC Experience Forms letter that addresses several issues raised by the NAIC in response to the Academy's Long-Term Care Experience Subgroup's May 20, 2005 letter with proposed revisions to the LTC experience reporting instructions and forms. (August 18, 2005)
Federal Health Committee letter in response to HR 2355, the Health Care Choice Act of 2005, which contained language that would allow a non-actuary to offer statements of opinions on reserves. The letter recommended only a member of the Academy be permitted to provide such an opinion. (July 19, 2005)
Letter to the NAIC from the LTC Experience Forms Subgroup on proposed LTC loss experience exhibit forms (Forms 1, 2, and 3) along with the proposed instructions. This was updated in August 2005 in a subsequent letter to NAIC. (May 20, 2005)
Committee on Federal Health Issues comment letter on Coverage and Reimbursement of Genetic Tests and Services, a report of the Secretary’s Advisory Committee on Genetics, Health, and Society, and raises issues pertaining to genetic testing in general, health insurance markets, cost effectiveness data, and the Medicare and Medicaid programs. (May 5, 2005)
Letter offers the Academy as a resource on health care issues and shares some recent publications on key issues including Medicare and the uninsured. (March 4, 2005)
Academy comment letter recommending to Congress that individuals serving in the positions of SSA and CMS chief actuary be members in good standing of the American Academy of Actuaries. (March 3, 2005)
Actuarial Equivalence Work Group letter to CMS regarding actuarial equivalence issues related to prescription drug plans (PDPs), Medicare Advantage (MA) plans, Medicare supplement plans, and retiree health benefits. (October 4, 2004)
Medicare Steering Committee letter to CMS discusses issues related to the calculation of monthly savings — a step in determining beneficiary rebate amounts for MA plans — and payment adjustments based on the variation in costs among different areas including input prices, utilization, and practice patterns. (October 4, 2004)
Medicare Steering Committee letter discusses issues related to eligibility and enrollment, benefits and beneficiary protections, submission of bids and monthly beneficiary premiums, payments to prescription drug plan sponsors and Medicare Advantage (MA) organizations, etc. Comments on issues related to actuarial equivalence in a separate letter. (October 4, 2004)
Academy document includes a series of tips to facilitate using the Rate Filing Task Force model. (September 30, 2004)
Long Term Care Risk Based Capital Work Group report on the review of the Managed Care Organization RBC formulas for LTC describes the source of data, methodology, analysis, and recommendations. It reflects revisions based on feedback from members of the NAIC subgroup after the interim report was released in June 2003. (June 1, 2004)
Joint Committee on Retiree Health letter to the Governmental Accounting Standards Board (GASB) on accounting by governmental employers for other postemployment benefits. (April 30, 2004)
Joint Committee on Retiree Health comments to FASB opportunity to comment on the proposed FASB staff position (FSP) 106-b, Accounting and Disclosure Requirements Related to the Medicare Prescription Drug, Improvement and Modernization Act of 2003. (April 13, 2004)
Health Savings Account Subgroup comments on IRS Notice 2004-2, which provides guidance on Health Savings Accounts (HSAs) provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. (March 30, 2004)
Health Savings Account Subgroup comment letter on Notice 2004-2 issued by the Treasury Department and the Internal Revenue Service, which provides guidance on Health Savings Accounts (HSAs). (March 30, 2004)
Health Practice Council letter to House and Senate conferees, who are reconciling to Medicare Rx bills, that offers assistance in assessing the actuarial implications of changes to the Medicare program. (September 29, 2003)
Retiree Health Work Group comments related to the proposed rule by the Equal Employment Opportunity Commission (EEOC) on the Age Discrimination in Employment Act (ADEA) and retiree health benefits. (September 12, 2003)
Long-Term Care Reserve Work Group letter to NAIC that illustrates the anticipated impact of various hypothetical changes in the mortality, voluntary lapse, interest and morbidity valuation assumptions on net renewal valuation premiums and contract reserves by policy duration. (September 10, 2003)