Core US syllabus changes

This page describes the changes made to the Core US syllabus for the Fall 2018 exam.

The following study notes were added:

  • GHC-817-18: Section 1115 Medicaid demonstration waivers – this study note gives some examples of how the waivers are used and potential ways they may be used in the future.
  • GHC-818-18: Revised Actuarial Statement of Opinion instructions for the NAIC health annual statement – this study note discussed some prescribed structure within an opinion and provides some clarification on the key components of an opinion.
  • GHC-819-18: Practices for preparing health contract reserves – this is a question and answer structured article with advice on how contract reserves are treated with regards to the various accounting methods.
  • GHC-820-18: ACA’s impact on financial statements – a short paper on discussing high level impacts of risk spreading, premium/costshare subsidies, and fees established by the ACA.
  • GHC-821-18: Employer guide for compliance with the mental health parity and addiction equity act – this paper is intended to aid readers in understanding the requirements and assessing compliance of these very detailed and complex concepts.
  • GHC-822-18: Understanding the Affordable Care Act’s state innovation (“1332”) waivers – this is very similar to the Medicaid waivers paper in that it discusses what types of changes the waivers are intended to provide and how to apply for the waiver.
  • GHC-823-18: Recent policy changes under ACA – this paper discusses high level changes that have played out since the 2014 exchanges were introduced.

The following articles were added:

  • Combo long-term care products: A solution to address market needs – this article discusses an interesting result on how combining products can change a risk perspective for an insurer.
  • Impact of codification on health reserves, pgs 1-11 – a brief description of what codification is and how it has painted the picture on current accounting practices on health reserves.
  • ACA risk adj: A critical element in assuring market stability and affordability – this short article gives recent updates on how the risk adjustment program has progressed and what kinds of changes it may face in the future.

The following Actuarial Standards of Practice was added:

  • ASOP # 28: Statements of Actuarial Opinion regarding health insurance liabilities and assets

The following items were modified:

  • Group Insurance, chapter 8 now includes the entire chapter not just 118-129. The added material is a high level overview of Medicare and retiree group benefits.

Finally, the following were removed from the syllabus:

  • GHC-103-13: Challenges of pricing health insurance for the 2014 exchanges
  • Rosenbloom chapter 25: Cafeteria plan design and administration, pages 681-685. These pages describe briefly the history of the governing law around cafeteria plans.
  • Skwire chapter 29: Medicare related rate filings and certifications
  • Kongstvedt chapter 24: Health plans and Medicare, pages 514-526
  • GHC-811-16: Medicaid 101 MACPAC
  • GHC-814-16: Expanding Medicaid to the new adult group through section 1115 waivers
  • Higgins chapter 1: Interpreting financial statements
  • Higgins chapter 3: Financial forecasting
  • Higgins chapter 4: Managing growth
  • GHC-807-16: US GAAP for life insurers, Herget chapter 1
  • GHC-808-15: Affordable Care Act risk adjustment: Overview, context, and challenges
  • GHC-810-15: Risk transfer formula for individual and small group markets under the Affordable Care Act pages E3-E16

The case study may be updated for this season. It is released at a later date than the rest of the syllabus.