Group Insurance and Health Care Systems This section covers group life insurance and health care

systems. The student is expected to understand group underwriting and managing risks, funding and rating, and actuarial models for group life insurance, group disability insurance, group medical and other group insurance coverages. He should know the implementing rules and regulations regarding group insurance in the Philippines. Topics include: Group life insurance Group disability insurance Group medical and other group insurance coverages Group underwriting and managing risks Funding and rating Actuarial models Legal and regulatory requirements for group insurance and health coverages under the Philippine setting Required Readings: Bluhm. Group Insurance, 5th Edition, 2007 Chapter 2 - Overview of Sales and Marketing Chapter 4 - Group Life Insurance Benefits (except discussions on U.S. Federal Tax Implications), Chapter 5 - Group Disability Income Benefits Chapter 6 - Medical Benefits in the United States Chapter 24 - Underwriting Large Groups Chapter 25 - Underwriting Small Groups Chapter 27 - Claim Administration and Management Chapter 29 - Estimating Claim Costs for Life Benefits Chapter 30 - Estimating Medical Claim Costs Chapter 31 - Estimating Claim Costs for Disability Benefits Chapter 34 - Calculating Gross Premiums Chapter 35 - Experience Rating and Funding Methods Chapter 36 - Medical Claim Cost Trend Analysis Chapter 37 - Forecasting Chapter 40 - Short Term Reserves Chapter 41 - Claim Reserves for Long Term Benefits Chapter 42 - Underwriting Gain and Loss Cycles Insurance Code, Section 228 Social Insurance This covers social insurance in general and in the Philippine setting. The student is expected to understand the models used by social security programs in determining the proper funding techniques to maintain fund viability. He should know the implementing rules and regulations regarding social insurance in the Philippines. Required Readings: 1 Social Insurance, ASP Study Notes, Actuarial Dept., Social Security System, Oct. 2004, Chapters 1 to 3, Annex A Social Security System .http://actuary.org.ph/frontpage/downloads.asp IAA Guidelines of Actuarial Practice for Social Security Programs, adopted October 21, 2002, effective January 01, 2003. http://actuary.org.ph/frontpage/downloads.asp