Proposed Revisions of ASOP No. 22 (Statements of Opinion Based on Asset Adequacy Analysis by Actuaries for Life and Health Insurers) and ASOP No. 28 (Statements of Actuarial Opinion Regarding Health Insurance Liabilities and Assets)
TO: Members of Actuarial Organizations Governed by the Standards of Practice of the Actuarial Standards Board and Other Interested Parties
FROM: Actuarial Standards Board (ASB)
SUBJ: Actuarial Standards of Practice Nos. 22 and 28
This document contains an exposure draft of revisions to ASOP No. 22, Statements of Opinion Based on Asset Adequacy Analysis by Actuaries for Life and Health Insurers, and ASOP No. 28, Statements of Actuarial Opinion Regarding Health Insurance Liabilities and Assets, effective for actuarial opinions issued on or after December 31, 2012. The effective date will be deferred if the final ASOP is issued too late for this effective date to be practical. Please review this exposure draft and give the ASB the benefit of your comments and suggestions. Each written response and each response sent by e-mail to the address below will be acknowledged, and all responses will receive appropriate consideration by the drafting committee in preparing the final document for approval by the ASB.
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If you wish to use conventional mail, please send comments to the following address:
ASOP Nos. 22 and 28 Revision
Actuarial Standards Board
1850 M Street, NW, Suite 300
Washington, DC 20036-4601
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Deadline for receipt of comments in the ASB office: May 15, 2012
ASOP No. 28 provides an explicit exclusion for actuaries preparing statements of actuarial opinion for life insurance companies. The ASB believes that the standards of practice delineated in ASOP No. 28 are appropriate for health insurance liabilities and health insurance assets included in statements of actuarial opinion for life insurance companies and should be made applicable.
This exposure draft provides new language for certain sections of ASOP Nos. 22 and 28. Section 3.1 of ASOP No. 22 is changed to indicate that the actuary should review and apply ASOP No. 28 in doing work covered by ASOP No. 22. In addition, the definition of Health Benefit Plan in ASOP No. 22 is changed to be consistent with that in ASOP No. 28. Finally, the scope of ASOP No. 28 is changed to remove the exclusion for work covered by ASOP No. 22.
Request for Comments
The ASB encourages comments on all sections of this exposure draft and is particularly interested in thoughts on whether this expansion of the scope of ASOP No. 28 to cover health insurance work done in connection with ASOP No. 22 is appropriate.
The ASB reviewed this draft and voted in March 2012 to approve its exposure.
Health Committee of the ASB
Robert G. Cosway, Chairperson
David Axene Nancy F. Nelson
John C. Lloyd Donna Novak
Life Committee of the ASB
Jeremy J. Brown, Chairperson
David A. Brentlinger Esther H. Milnes
Dale S. Hagstrom David Y. Rogers
Qing Fang Barbara L. Snyder
John B. Gould Candace J. Wood
James B. Milholland
Actuarial Standards Board
Robert G. Meilander, Chairperson
Albert J. Beer Thomas D. Levy
Alan D. Ford Patricia E. Matson
Patrick J. Grannan James J. Murphy
Stephen G. Kellison James F. Verlautz
The ASB establishes and improves standards of actuarial practice. These ASOPs identify what the actuary should consider, document, and disclose when performing an actuarial assignment. The ASB’s goal is to set standards for appropriate practice for the U.S.
Actuarial Standard of Practice No. 22
Statements of Opinion Based On Asset Adequacy Analysis By Actuaries For Life Or Health Insurers
1. Section 2.11 would be replaced with:
2.11 Health Benefit Plan—A contract or other financial arrangement providing medical, prescription drug, dental, vision, disability income, accidental death and dismemberment, long-term care, or other health-related benefits, whether on a reimbursement, indemnity, or service benefit basis, regardless of the form of the risk-assuming entity, including health benefit plans provided by self-insured or government plan sponsors.
2. Section 3.1 would be replaced with:
3.1 Requirements to Consider—When performing an asset adequacy analysis, the actuary should review and apply applicable law and applicable actuarial standards of practice, such as ASOP No. 7, Analysis of Life, Health, or Property/Casualty Insurer Cash Flows and ASOP No. 28, Statements of Actuarial Opinion Regarding Health Insurance Liabilities and Assets. The actuary should be aware of the Actuarial Guidelines published in the NAIC’s Examiners Handbook and make a reasonable effort to be aware of generally distributed interpretations of each regulatory authority.
3. These changes would be effective for actuarial opinions issued on or after December 31, 2012.
Proposed Revision of Actuarial Standard of Practice No. 28
Statements of Actuarial Opinion Regarding Health Insurance Liabilities and Assets
1. Section 1.2 would be replaced with:
1.2 Scope -This standard applies to actuaries providing written statements of actuarial opinion with respect to health insurance liabilities and health insurance assets of insurance or reinsurance companies and other health insurance financing systems (such as health benefit plans provided by self-insured or government plan sponsors) that provide similar coverages, under one or more of the following circumstances:
a. the statement of actuarial opinion is prepared to comply with NAIC Health Annual Statement instructions;
b. the statement of actuarial opinion is otherwise prescribed by law or regulation;
c. the statement is prepared to fulfill contractual obligations of the principal, including review of the work product of another actuary; or
d. the statement of actuarial opinion is represented by the actuary as being in compliance with this standard.
The standard does not apply to actuaries preparing statements of actuarial opinion that are subject to ASOP No. 6, Measuring Retiree Group Benefits Obligations, or ASOP No. 36, Statements of Actuarial Opinion Regarding Property/Casualty Loss and Loss Adjustment Expense Reserves. The standard does apply to actuaries preparing statements of actuarial opinion for life insurance companies with respect to health insurance liabilities included in such analysis; in addition, ASOP No. 22, Statements of Opinion Based on Asset Adequacy Analysis for Life and Health Insurers, applies.
If the actuary departs from the guidance set forth in this standard in order to comply with applicable law (statutes, regulations, and other legally binding authority) or for any other reason the actuary deems appropriate, the actuary should refer to section 4.
2. This change would be effective for actuarial opinions issued on or after December 31, 2012.