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Silabus F34

F34 – ASPEK AKTUARIA DALAM ASURANSI KESEHATAN      

Tujuan mata ujian ini adalah menguji kemampuan peserta memahami prinsip-prinsip aktuaria asuransi kesehatan dan perencanaan/monitoring asuransi kesehatan.
Topik :

1.      Product design and development
a.       Individual Medical Expense Benefits
b.      Individual Disability Income Benefits
c.       Individual Health Insurance
2.      Assumptions, setting premium rates and pricing
3.      Reserving, Liabilities, Reporting and Solvency
4.      Forecasting and Modeling
5.      Monitoring the experience
 
Tipe :  3 jam soal pilihan ganda
Buku Referensi :
1.      Actuarial Mathematics (Second Edition), 1997, by Bowers, N.L., Gerber, H.U., Hickman, J.C., Jones,D.A. and Nesbitt, C.J
a.       Chapter 12 & 13, Collective Risk Models
b.       Chapter 14, Applications of Risk Theory
c.       Chapter 15, Insurance Models Including Expenses
 
2.      Individual Health Insurance, ACTEX Publications,  2007, by Bluhm W.F.  
a.     Chapter 2, The Product
b.     Chapter 3, Policy Forms
c.     Chapter 4, Managing Antiselection
d.     Chapter 5, Setting Premium Rates
e.     Chapter 6, Reserve and Liability
f.      Chapter 7, Financial Reporting and Solvenct
g.     Chapter 8, Forecasting and Modeling


3.      Group Insurance, (Fifth Edition), ACTEX Publications,  2007 by Bluhm W.F.  Chapter 3, Chapter 5-10.