Medical Schemes
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Financial Soundness and Solvency in South Africa
•Council for Medical Schemes (2005), Standard Management Accounts. Available on http://www.medicalschemes.com
•South African Institute of Chartered Accountants (2003) Audit and Accounting Guide on Medical Funds. Available on http://www.saica.co.za
•Marx G. L. (1992) A Report on Risk Management in South Africa’s Private Health Care Industry, Transactions of the Actuarial Society of South Africa, Vol. IX Part II.
•Milburn-Pyle P. (1997) Whistle Blowing, Transactions of the Actuarial Society of South Africa, Vol. XI Part III.
•McLeod H.D., Slattery P.G. and Van den Heever A.M. (2001), The Use and Abuse of Reinsurance in Medical Schemes. The South African Actuarial Journal, Volume 1. Copy Available on http://www.assa.org.za
•Da Silva, R. (2002) Report to the LOA Health Care Standing Committee on the Medical Scheme Reinsurance Survey, July 2002
•Council for Medical Schemes (2002) Guidance to Trustees for submissions in respect of section 20 of the Medical Schemes Act relating to Registrar approval of reinsurance contracts. Available on http://www.medicalschemes.com
•Actuarial Society of South Africa (2003), Professional Guidance Note PGN302 : Advice to South African Medical Schemes on Reinsurance. Available on http://www.assa.org.za/
•Guidance Note effective from 1 March 2003.
•Council for Medical Schemes (2003), Review of the Factors that Influence Financial Soundness of Medical Schemes, Discussion Paper, Office of the Registrar of Medical Schemes, August 2003. Available on http://www.medicalschemes.com
•Council for Medical Schemes (2003), Developing a Risk Based Regulatory Approach for the Council For Medical Schemes. Part 1: Criteria For Allocating Medical Schemes Into Impact Bands, Consultation Paper 2 of 2003, Office of the Registrar of Medical Schemes, 9 April 2003
•Halvorson A. L and Keizur C. B. (1998). Risk-based Capital Requirements for Managed Care Organizations, Milliman and Robertson Research Report. Available on http://www.milliman.com
•Actuarial Society of South Africa Health Committee (undated) Demystifying the US Risk-based Capital formula. Briefing note on http://www.assa.org.za
•Kendal J., (edited) McLeod H.. (2004) The Effect of Risk-Based Capital Formulae on South African Medical Scheme Solvency. CARe Discussion Paper prepared for the Council for Medical Schemes. May 2004.
•American Academy of Actuaries (1998), HORBC Task Force September 2000 Progress Report. Available on http://www.actuary.org
•Ooi B. (2005) Applying the Actuarial Control Cycle in Private Health Insurance. Presented to the Institute of Actuaries of Australia 2005 Biennial Convention 8 May – 11 May 2005. Available on http://www.actuaries.asn.au/
•Institute of Actuaries of Australia (2003). GN660 Financial Projections for Health Insurers. Available on http://www.actuaries.asn.au/
•Institute of Actuaries of Australia (2004). GN670 Financial Condition Reports for Health Insurers. Available on http://www.actuaries.asn.au/
•Actuarial Standard of Practice No. 7 : Performing Cash Flow Testing for Insurers, Actuarial Standards Board, July 1991. Available on http://www.actuary.org
•Actuarial Standard of Practice No. 14 : When to do Cash Flow Testing for Life and Health Insurance Companies, Actuarial Standards Board, July 1990. Available on http://www.actuary.org
•American Academy of Actuaries (1998), Preliminary Recommendations on the Development of a Health Liquidity Test. Available on http://www.actuary.org
•Actuarial Standard of Practice No. 11 : The Treatment of Reinsurance Transactions in Life and Health Company Financial Statements, Actuarial Standards Board, July 1989. Available on http://www.actuary.org
For electronic copies of papers see links on the page and below.
If not available, contact:
Professor Heather McLeod
E-mail: hmcleod@iafrica.com
Industry Guidelines
Council for Medical Schemes
Presentations, reports and research
www.medicalschemes.com
Actuarial Society of SA
TASSA and SAAJ
www.assa.org.za
Initial Research on a Risk-Based Capital Approach
Financial Soundness Reporting in Other Countries
Integrated
Healing

