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Aon actuary briefs SFHSS on underwriting, funding types and trend methods
Summary
Aon actuary Mike Clark reviewed self-funded, flex-funded and fully insured plan approaches, underwriting steps and experience‑versus‑community rating methods and answered board questions about regional trends and small‑population plans.
Mike Clark, the Aon actuary, gave the Health Service System board an overview of health‑plan underwriting and funding approaches. He described three funding types used by SFHSS — self‑funded (trust pays claims and admin fees), flex‑funded (trust pays most claims with some insured elements and large‑claim pooling) and fully insured (fixed premiums set by plans) — and explained the advantages, disadvantages and risk exposures associated with each.
Clark outlined a standard five‑step underwriting process: analyze prior‑period claims,…
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