AKT717 - HEALTH and CARE INSURANCE
| Course Name | Code | Semester | Theory (hours/week) |
Application (hours/week) |
Credit | ECTS |
|---|---|---|---|---|---|---|
| HEALTH and CARE INSURANCE | AKT717 | 1st Semester | 3 | 0 | 3 | 10 |
| Prequisites | None | |||||
| Course language | Turkish | |||||
| Course type | Elective | |||||
| Mode of Delivery | Face-to-Face | |||||
| Learning and teaching strategies | Lecture Discussion Drill and Practice | |||||
| Instructor (s) | Department Instructors | |||||
| Course objective | The aim of this course is to introduce the health and care products and instil in students the ability to apply the principles of actuarial planning and control needed in health and care matters on sound financial lines. | |||||
| Learning outcomes |
| |||||
| Course Content | Health and Care insurance products: critical illness insurance, income protection insurance, long term care insurance, health cash plans, major medical expenses, private medical insurance, group and individual covers, State healthcare provision: objectives, funding approaches; Pricing healthcare insurance techniques: data availability, assumptions used, equation of value / formula approach, cash flow techniques, group risk assessments, options and guarantees, external influences; Nature of the risks facing the insurer; Reinsurance in health care products; Principal modelling techniques appropriate to health and care insurance, Monitoring the experience. | |||||
| References | 1. The Actuarial Profession, Core Reading 2013 - ST1 Health and Care Specialist Technical, Institute and Faculty of Actuaries, 2012. 2. Bluhm W. F., Individual Health Insurance, ACTEX Publication, 2007. 3. Black,K., Skipper, H.D., Life and Health Insurance, Prentice Hall, 2000. 4. Lecture Notes. | |||||
Course outline weekly
| Weeks | Topics |
|---|---|
| Week 1 | Introduction to health and care (H&C) |
| Week 2 | H&C insurance products ? IP insurance, CI insurance, LTCI, PMI & related products |
| Week 3 | H&C insurance products ? group products; H&C insurance product design |
| Week 4 | State healthcare provision ? Assumptions and Models |
| Week 5 | State healthcare provision ? Pricing |
| Week 6 | Reserving |
| Week 7 | Midterm Exam |
| Week 8 | Midterm Exam |
| Week 9 | Nature of risks ? non disclosure, anti-selection, catastrophes, physical risks, competition, regulatory and fiscal developments, etc. |
| Week 10 | Reinsurance in H&C products |
| Week 11 | Other risk management techniques |
| Week 12 | Monitoring the experience from health insurance operation ? Reasons, data required, analysis of mortality, morbidity, claim amounts |
| Week 13 | Monitoring the experience from health insurance operation ? Analysis of expenses, new business and investment experience, reasons for analysis of surplus and analysis of embedded value profit, use of results to revise the models and assumptions used. |
| Week 14 | Real case examples |
| Week 15 | Preparation for Final Exam |
| Week 16 | Final exam |
Assesment methods
| Course activities | Number | Percentage |
|---|---|---|
| Attendance | 0 | 0 |
| Laboratory | 0 | 0 |
| Application | 0 | 0 |
| Field activities | 0 | 0 |
| Specific practical training | 0 | 0 |
| Assignments | 12 | 20 |
| Presentation | 0 | 0 |
| Project | 0 | 0 |
| Seminar | 0 | 0 |
| Midterms | 1 | 30 |
| Final exam | 1 | 50 |
| Total | 100 | |
| Percentage of semester activities contributing grade succes | 13 | 50 |
| Percentage of final exam contributing grade succes | 1 | 50 |
| Total | 100 | |
WORKLOAD AND ECTS CALCULATION
| Activities | Number | Duration (hour) | Total Work Load |
|---|---|---|---|
| Course Duration (x14) | 14 | 3 | 42 |
| Laboratory | 0 | 0 | 0 |
| Application | 0 | 0 | 0 |
| Specific practical training | 0 | 0 | 0 |
| Field activities | 0 | 0 | 0 |
| Study Hours Out of Class (Preliminary work, reinforcement, ect) | 10 | 9 | 90 |
| Presentation / Seminar Preparation | 0 | 0 | 0 |
| Project | 0 | 0 | 0 |
| Homework assignment | 12 | 8 | 96 |
| Midterms (Study duration) | 1 | 30 | 30 |
| Final Exam (Study duration) | 1 | 42 | 42 |
| Total Workload | 38 | 92 | 300 |
Matrix Of The Course Learning Outcomes Versus Program Outcomes
| D.9. Key Learning Outcomes | Contrubition level* | ||||
|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | |
| 1. Develop new strategies and techniques in modelling actuarial problems and produce solutions specific to a problem. | X | ||||
| 2. Conduct detailed research in a specific subject in actuarial science area. | X | ||||
| 3. Have the required level of competency in actuarial sciences to be able to make contribution to the actuarial literature. | X | ||||
| 4. Able to use the knowledge in actuarial sciences in multidisciplinary studies. | X | ||||
| 5. Arrange events and projects in actuarial sciences . Able to conduct the stages of designing, executing and reporting results of a project. | X | ||||
| 6. Have scientific scepticism. | X | ||||
| 7. Able to produce scientific publications in the area of actuarial science. | X | ||||
| 8. Able to think analytically. | X | ||||
| 9. Follow national and international innovations and improvements in the area. | X | ||||
| 10. Follow actuarial literature | X | ||||
| 11. Improve foreign language skills in order to do work and presentation in that language. | X | ||||
| 12. Use information technology in an advanced level. | X | ||||
| 13. Able to work individually and have the ability to decide independently. | X | ||||
| 14. Have the qualifications necessary for a team work and able to be the team leader. | X | ||||
| 15. Have the consciousness of professional and social responsibility. | X | ||||
*1 Lowest, 2 Low, 3 Average, 4 High, 5 Highest