Explore the unique landscape of Minnesota's Medicaid managed care system, highlighting key trends for providers and health plans, financial analysis, hospital interactions, and a comparison with other states. Discover the differences in Minnesota's healthcare structure, including limited presence of

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Delve into the realm of enterprise risk management within non-life insurance, focusing on emerging risks, key regulations, and risk interfaces. Explore the challenges and complexities faced by insurers, including touch points, risk interfaces with partners/vendors/intermediaries, and the evolving la

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The United Nations Development Programme (UNDP) and Milliman Global Actuarial Initiative (GAIN) are working together to enhance the actuarial profession in developing nations, fostering economic stability, and growth. The initiative aims to promote risk protection mechanisms through insurance contri

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This comparative analysis presents available behavioral health services across various Florida state agencies, third-party insurers, and health plans. The services cover assessment, treatment planning, therapy, psychosocial rehabilitation, supportive housing, mental health clubhouse services, case m

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Despite rising customer demands and declining staffing levels, efforts are underway to enhance customer service in SSA. Challenges include administrative funding constraints, increased retiree numbers, and staff attrition. Strategies involve leadership changes, increased onsite presence, and perform

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Life insurance is a contract providing financial protection in case of death. It serves various needs like income replacement, savings, investments, retirement planning, and risk transfer. Purchasing the right policy from registered insurers is crucial for tailored benefits.

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Delve into the complexities of asset shares and estate management in the insurance industry through the lens of the insightful 35th India Fellowship Webinar. Learn about historical paradigms, regulatory shifts, and available alternatives for insurers in managing asset shares and estate growth. Explo

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Explore the differences between embedded valuation frameworks used by listed insurers in India versus internal frameworks, along with discussions on strategic decisions for IPO readiness, reasons for high valuations, and comparability issues. Dive into calculating Embedded Value and strategic consid

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ICD-10-CM codes play a crucial role in diagnosing and managing seizure disorders, including epilepsy and non-epileptic seizures. This detailed guide covers the coding guidelines for various types of seizures, such as intractable epilepsy and conversion disorder with seizures. It also explains how th

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Actuaries play a crucial role in assessing and managing risks posed by environmental and climate changes, aiding the insurance industry in mitigating these challenges. They consider long-term risks with significant financial implications, such as physical, transitional, and liability risks. Actuarie

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Understanding insurable interest, utmost good faith, and material facts disclosure are essential principles in the insurance industry. Insurable interest requires a financial stake in the insured property, utmost good faith mandates honesty in the contract, and material facts disclosure ensures all

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The Insurance Act 2015 brings significant changes in insurance contract law, shifting from Duty of Disclosure to Fair Presentation. This Act influences both Brokers and Insurers, requiring clear and accessible disclosure of material circumstances. The remedies for misrepresentation and non-disclosur

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Explore how US insurers can contribute to resilience-building efforts amid infrastructure decay and climate-related challenges. The discussion covers historical perspectives, public-private partnerships, notable climate disasters, and the imperative for proactive action by policymakers. Discover the

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Exploring the shifting dynamics in motor litigation, from technological advancements to regulatory reforms. Delve into the evolving roles of insurers, handlers, and brokers in this ever-changing legal environment. Gain insights into the impact of Brexit and embrace the inevitability of change while

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In the realm of financial stability, the role of deposit insurers is evolving to encompass broader responsibilities, including risk analysis, crisis management, and cross-border resolutions. This transformation involves expanding mandates, enhancing resolution activities, and ensuring the protection

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This presentation focuses on addressing the issue of tobacco use and the gaps in cessation treatment for State employees. It discusses the costs of tobacco use, the benefits of tobacco cessation coverage, and the ACA requirements for insurers. It also explores opportunities for collaboration to expa

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Fringe benefits in government contracts refer to additional compensations beyond wages, such as life insurance, health insurance, pension, vacation, holiday, and sick leave. Contractors must maintain records to show the enforceability and financial responsibility of providing these benefits. Funded

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The Senate AHCA bill proposes major changes to healthcare provisions compared to the current ACA, such as removing the individual mandate and employer mandate. Tax credits would be based primarily on age rather than income, and cost-sharing subsidies may end in 2020. Insurers could charge older cust

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This extensive content delves into the profound implications of cyber risks on the reinsurance industry, covering topics such as the magnitude of the threat, large loss examples, coverage issues, aggregation of cyber losses, events and causes, the Hours Clause, and more. It provides in-depth insight

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Understanding the complexities of auto insurance rating factors is essential for both insurers and consumers. The National Association of Mutual Insurance Companies (NAMIC) plays a significant role in overseeing the $323B auto insurance market in the U.S. This includes aspects such as the mandatory

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Understanding the complexities of third-party liability motor insurance in Latin America, where distinctions between voluntary and compulsory insurance present unique problems and challenges for insurers, policyholders, and intermediaries. Overcoming these issues is essential for a healthy insurance

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Missouri's legislative update in 2019 includes new rules for suits against insurers, focusing on venue determination and residency requirements. The changes aim to streamline processes and address historical challenges in insurance-related legal actions.

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The Missouri DOLIR Fraud and Noncompliance Unit (FNU) was established in 1993 by the General Assembly to investigate fraud and noncompliance related to Chapter 287 RSMo (Workers' Compensation Law). The FNU is dedicated to promoting a safe work environment by upholding the integrity of Missouri's Wor

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Detailed presentation on Bermuda Economic Balance Sheet Technical Provisions as presented at CAMAR Fall 2017. The contents cover the purpose, outline, evolution, components of Bermuda technical provisions, new requirements, actuarial methodology, and conclusion. It provides insights into the regulat

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Dive into the world of insurance with a fun Business Bingo game featuring key terms like Policy, Insurer, Premium, and more. Explore definitions such as insurable interest, indemnity, and the role of an actuary in calculating premiums. Learn about different aspects of insurance contracts and the imp

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The IAA Health Section AGM highlighted the growth in membership and successful webcast programs. The chairman's report emphasized key topics covered in the webcasts, such as microinsurance, risk adjustment, gender equalization, and health insurers' challenges. Additionally, the section participated

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Professional Indemnity Insurance with Cyber Cover for law firms is crucial due to the increasing risks of cyber-attacks. Regulatory intervention requires clarity on cyber insurance coverage. Our proposals aim to maintain consumer protection, provide insurers with clear guidelines, and offer clarity

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Minnesota schools can seek reimbursement from insurers for services covered by a child's health insurance starting July 1, 2000. Services include physical therapy, occupational therapy, speech therapy, mental health, nursing, personal care, special transportation, interpreter services, and assistive

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Indiana's All-Payer Claims Data Base (APCD) is a comprehensive state database comprising medical claims, pharmacy claims, eligibility information, and provider files from various health plans and insurers. The initiative aims to enhance healthcare policy-making, cost comparison, consumer information

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Maine Quality Forum (MQF) collaborates with various healthcare stakeholders to provide comparative health care quality information to consumers, purchasers, providers, insurers, and policy makers. The forum focuses on reporting provider-specific quality measures, aligning with the Institute of Medic

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Delve into the concept of risk appetite in the insurance sector through the perspectives of various insurers and companies. This presentation highlights the significance, link to value creation, regulatory context, and implementation practices related to risk appetite frameworks in the industry.

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Dive into the world of joint and composite insurance policies, covering topics such as the composite nature of insurance, handling multiple insurers and assureds, the implications of late payment of claims, and the distinctive features of joint policies. Understand the complexities and nuances of in

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The 11th Annual Convention of Central Information Commission focused on the implementation of the RTI Act, 2005 within IRDAI and highlighted the powers and functions of the Authority in areas such as registration, policy holder interests, intermediary regulations, and insurance business efficiency.

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Exploring the use of derivatives in hedging interest rate risks and their significance in the Indian insurance sector. The seminar delves into interest rate risk management, derivatives market dynamics, challenges, and the impact on insurers. Insights are provided on the investment strategies of ins

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Explore a collection of images and data revealing key trends and insights discussed at the annual seminars of the Nordic Association of Marine Insurers. Topics cover board members, claim frequencies, pricing challenges, vessel portfolios, volatile claim costs, and more.

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Subrogation in insurance allows an insurer to step into the shoes of the insured to pursue claims. Legal theories of liability for subrogation include contract, law, and equity. It's important for insurers to recover payments made for harm caused by others to maintain profitability and fair compensa

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Insurance bad faith is a serious issue where an insurer fails to act in good faith towards their insured. In Ohio, the Supreme Court has established the duty of good faith owed by insurers to policyholders. This duty includes the fair processing, payment, and settlement of claims. Failure to meet th

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The Health Insurance Regulatory and Development Authority of India faces various challenges and trends within the health insurance industry. The content discusses issues such as trends in health insurance premiums, stakeholder involvement, policyholder protection, and perspectives from insurers and

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The figures illustrate a decline in the number of insurers available through exchanges from 2017 to 2018, resulting in decreased choices for enrollees. The data shows a decrease in counties with only one exchange insurer, as well as differences in insurer options between metro and non-metro areas. T

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This seminar explored the use of derivative products in India to hedge investment guarantees of life insurers, along with challenges in pricing cyber and terrorism risks. It covered the history of life insurance in India, types of products, investment guarantees, and the role of derivatives in manag

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