Academy Hill Visits 2024: Resources

General Public Policy Resources

• Election 2024: Issues Clearinghouse An entry point to Academy resources on a number of national and state issues that are top-of-mind during the 2024 campaign season for many candidates, voters, legislators and regulators, and the business community: health care, retirement security, climate change, cybersecurity, artificial intelligence, and risk management.
• Actuarially Sound. The Academy’s blog, which highlights topics raised by our publications as well as issues sparked by ongoing discussions with elected officials. Offering a high-level summary, the blog introduces other Academy resources, projects, targeted events and more for our members, volunteers, policymakers, and others.
• The Academy’s Calendar of Events, where you can find details on all of our events, including symposium and webinars.
• The Academy’s Publications – including weekly and quarterly newsletters, our flagship Contingencies magazine, research, and more.
• For questions or help accessing any of our resources or materials, please don’t hesitate to contact the Public Policy Department directly (publicpolicy@actuary.org, 202-223-8196)

Health Practice Council (HPC)

Health Equity

• Issue Brief Series on Health Benefit Design Innovations for Advancing Health Equity - Removing the Barriers to Successful Implementation:
  • Issue Brief 1—Overview (August 2023)
  • Issue Brief 2 - Overcoming Challenges to the Way Potential Benefit Changes Are Evaluated (October 2023)
  • Issue Brief 3 - How to Better Understand the Needs of the People We’re Trying to Serve (November 2023)
  • Issue Brief 4 - Overcoming Constraints to Implementation (November 2023)
  • Issue Brief Series—Summary (November 2023)
• Health Risk Assessment and Risk Adjustment in the Context of Health Equity (August 2022)
• HPC Committees Comment on 2023 NBPP (January 2022)
• Health Equity from an Actuarial Perspective: Questions to Explore (March 2021)
• Health Equity and Health Plan Pricing (May 2021)
• Health Equity and Health Plan Benefit Design (July 2021)
• Health Equity and Provider Contracting/Network Development (September 2021)
• Health Equity and Managing Population Health (October 2021)

COVID-19 and Other Public Health Challenges

• ‘Great Unwinding’ Webinar Recap (March 2023)
• Issue Paper on Medicaid Managed Care Plan Rate Setting as Impacted by COVID-19 (November 2021)
• Comments on Insurance and Health Plan Coverage of COVID-19 Testing (February 2021)
• Health Insurance Risk Mitigation Mechanisms and COVID-19 (May 2020)
• Comments to Treasury on Climate-Related Financial Risk and the Insurance Sector (November 2021)

Insurance Coverage and Benefit Design (Private Markets)

• Comments on Definition of Employer—Association Health Plans (February 2024)
• Comments on Proposed 2025 NBPP (January 2024)
• Comments on Draft 2025 Actuarial Value (AV) Calculator Methodology (January 2024)
• Comments on Short-Term, Limited-Duration Insurance Proposed Rules (September 2023)
• Drivers of 2024 Health Insurance Premium Changes (July 2023)
• Considering Employee Benefits for Health Policy Development (April 2023)
• Comments to CCIIO on Cost-Sharing Reduction Premium Load Factors (September 2022)
• Comments to CCIIO on Exposure Draft of Risk Adjustment Technical Paper (November 2021)
• Comments to HHS, DOL, and the Treasury on the No Surprises Act (June 2021)
• Auto-Enrollment into Individual Market Health Insurance Coverage (September 2018)
• Expanding Access to Public Insurance Plans (March 2019)
• Risk Pooling: How Health Insurance in the Individual Market Works (July 2017)
• Comments on Agency Actions Related to the Affordable Care Act and Medicaid (February 2021)
• Comments on HHS-Operated RADV Program (July 2020)
• Comments on Wellness Demonstration Project in the Individual Market (January 2020)
• Comments on Selling Insurance Across State Lines (May 2019)
• Comments on Agency Actions Related to the Affordable Care Act and Medicaid (February 2021)
• Association Health Plans (Feb 2017)

Insurance Coverage and Benefit Design (Medicaid)

• Comments to CMS on Medicaid Managed Care NPRM (June 2023)
• Medicaid Managed Care State-Directed Payments—A Primer (September 2022)
• Comment letter to CMS regarding proposed D-SNP requirements (March 2022)
• Medicaid and Long-Term Care Insurance (February 2019)
• Proposed Approaches to Medicaid Funding (March 2017)

Health Care Costs and Quality

• Comments on Gene Therapy RFI (January 2024)
• Considering Employee Benefits for Health Policy Development (April 2023)
• Issue Brief on Hospital Price Variation (March 2022)
• Comments to CMS on Medicare Payment Policies Under the Physician Fee Schedule (September 2021)
• Issue Brief on Telehealth After COVID-19 (April 2021)
• Telehealth—A Digital Communication Approach to Improving Health (September 2019)
  • Slides from related Academy hill briefing on telehealth (Sept 2019)
• Smarter Spending (February 2020)
• International Health Care Funding Report (November 2020)
• Surprise Medical Bills: An Overview of the Problem and Approaches to Address It (September 2019)
• Estimating the Potential Health Care Savings of Reference Pricing (summary card) (November 2018)
• Prescription Drug Spending in the U.S. Health Care System: An Actuarial Perspective (March 2018)

Medicare Sustainability

• Comments to CMS on Cost-Sharing Payments Program’s Maximum Monthly Cap (September 2023)
• Medicare’s Financial Condition: Beyond Actuarial Balance (April 2023)
• A Guide to Analyzing Premium Support Issues (2013)
• Revising Medicare FFS’s Benefit Structure (2012)

Long-Term Services and Supports

• Comments on LTC Financing for WA Cares Fund Program (October 2023)
• Comment Letter to the NAIC LTC Actuarial (B) Working Group on Long-Term Care (LTC) Past Losses (April 2023)
• LTC Actuarial Equivalence Public Policy Issue Brief (May 2022)
• LTC Financing Reform Proposals Involving Public Programs (July 2021)
• Long-Term Care Insurance Mortality and Lapse Study (November 2021)
• Regulatory Options for Long-Term Care Insurance Innovation (March 2021)
• Impact of COVID-19 on Long-Term Care Insurance (January 2021)
• Long-Term Care Insurance Products and Addressing the ‘Use It or Lose It’ Concern (February 2020)
• Comments to Federal Interagency Task Force on LTCI (August 2019)
• Long-Term Care Insurance Practice Note (May 2021)
• Comments to CMS regarding proposed D-SNP requirements (March 2022)
• Medicaid and Long-Term Care Insurance (February 2019)

Financial Reporting and Solvency

• Update to the NAIC HRBC (E) Working Group on the Current and Proposed H3 Factors (November 2023)
• Letter to NAIC HRBC Working Group on H2 Updates (October 2023)
• Letter to NAIC HRBC Working Group on H2 Updates (July 2023)
• Comment Letter to NAIC Blanks (E) Working Group on Exposure of 2023 Blanks Proposal 2023-04 BWG (April 2023)
• Financial Reporting and Solvency Committee Comments to NAIC on AG 51, Appendix A-010 (February 2023)
• Comment Letter to the NAIC Health Risk-Based Capital (E) Working Group on Investment Income (February 2023)
• Health Solvency Subcommittee Letter to the NAIC Health RBC Working Group on Timeline to Analyze and Review the H2 Underwriting Risk Component (July 2022)

Casualty Practice Council (CPC)

Cyber Risk

• Cyber Risk Toolkit (Last Updated October 2023) 
• Comments to FIO on Potential Federal Insurance Response to Catastrophic Cyber Incidents (December 2022) 
• Comments to FIO on the Terrorism Risk Insurance Program (May 2022) 
• Comments to U.S. Department of Treasury on TRIP/TRIA (January 2021)  

Extreme Events

• Comments to California Department of Insurance (July 2023) 
• Insurance Linked Securities and Catastrophe Bonds Issue Paper (July 2022) 
• Wildfire Issue Paper (Updated January 2022)  
• Flood Insurance Monograph (September 2020) 

Affordability

• Comments on NY Proposed Circular on AIS and ECDIS in Insurance Underwriting and Pricing (March 2024) 
• Comments to the Colorado Division of Insurance on C.R.S. § 10-3-1104.9 (December 2023) 
• Comments to the Colorado Division of Insurance on C.R.S. § 10-3-1104.9 (March 2023) 
• Issue Brief on Approaches to Identify, Mitigate Bias in Property & Casualty Insurance (February 2023) 
• Comments to the Washington, D.C. DISB on the Draft Data Call on Unintentional Bias in Automobile Insurance (January 2023) 
• Comments to the Colorado Division of Insurance on C.R.S. § 10-3-1104.9 (January 2022) 
• Comments to FIO on Automobile Insurance Affordability (July 2021) 
• Issue Brief on the Consumer Cost of Automobile Insurance (April 2021)  

Pandemic Risk Insurance

• Comments to the House Financial on Pandemic Risk Insurance Legislation (December 2020) 

Risk Management and Financial Reporting Council (RMFRC) 

Climate Change

• Actuaries Climate Risk Index (January 2020) 
• Actuaries Climate Index (Updated quarterly) 
• Comments to the U.S. Global Change Research Program regarding the draft of the Fifth National Climate Assessment (January 2023) 
• Comments to International Sustainability Standards Board (July 2022) 
• Comments to U.S. Dept. of Labor on Climate Related Financial Risks (May 2022) 
• Research Report Climate-related Financial Disclosures (January 2022) 
• Comments to U.S. Dept. of Treasury on Climate Related Financial Risk (November 2021) 
• Comments to U.S. Securities and Exchange Commission on Climate Financial Risk (June 2021)  
• Comments to New York State Dept. of Financial Services of Climate Financial Risk (June 2021)   

Data Science

• Big Data and Algorithms in Actuarial Modeling and Consumer Impacts (October 2022) 
• An Actuarial View of Correlation and Causation—From Interpretation to Practice to Implications (July 2022) 
• Presentation to the National Association of Insurance Commissioners’ (NAIC) Casualty Actuarial and Statistical (C) Task Force (CASTF) Book Club on the “Big Data” issue paper (January 2022) 
• Big Data and Algorithms in Actuarial Modeling and Consumer Impacts (November 2021)  
• Comments to Federal Agencies on Artificial Intelligence (June 2021) 

Solvency

• Comments to the IAIS on the Development of Liquidity Metrics: Phase 2 (January 2021) 
• Comments to FIO on Study on the Insurance Capital Standard (ICS) Study (January 2021) 

Retirement Practice Council (RPC)

Social Security and Retirement Solvency

• Social Security Solvency (February 2024)
• Social Security and Financially Disadvantaged Groups (November 2023)
• Reforming Social Security (November 2023)
• The State of Social Security (April 2023 webinar)
• Social Security Challenge (interactive presentation) and related Letter to Congress
• Lifetime Income (June 2023)
• Church-Sponsored Retirement Plans (January 2024)
• Comments on SECURE 2.0 Reporting and Disclosure (October 2023)
• Pension Plan Design (September 2023)
• Response to PBGC’s RFC on Proposed Valuation Assumptions and Methods rule (October 2023)
• Comments to US House and Senate Bipartisan Retirement Legislative Proposals (December 2022) 

 Life Practice Council (LPC)

Life Insurance and Pricing Issues

• Comments to New York State on proposed use of Artificial Intelligence Systems (AIS) and External Consumer Data and Information Sources (ECDIS) (March 2024)
• Bermuda-Ceded Reinsurance Considerations (November 2023)
• Dynamic Losses on Life and Annuity Products (December 2023)
• Comments on Draft Regulation Concerning Quantitative Testing to Identify Unfairly Discriminatory Outcomes While Using External Consumer Data, Algorithms, and Predictive Modeling for Underwriting (October 2023)