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Liability for Future Policy Benefits and Unpaid Claims Disclosure [Text Block]
9 Months Ended
Sep. 30, 2017
Notes  
Liability for Future Policy Benefits and Unpaid Claims Disclosure Since unpaid loss and loss adjustment expenses are estimates, actual losses incurred may be more or less than the Company’s previously developed estimates and is referred to as either unfavorable or favorable development, respectively. The overall net favorable development of $9,236,000 in 2017 related to prior years consists of favorable developments of $2,420,000 in the Medical Stop-Loss reserves, $5,406,000 in the group

disability reserves and $2,714,000 in the other individual life, annuities and other reserves, partially offset by an unfavorable development of $1,304,000 in Specialty Health reserves.  The overall net favorable development of $7,048,000 in 2016 related to prior years primarily consists of favorable developments of $2,916,000 in the group disability reserves, $494,000 in Medical Stop-Loss reserves, and $3,769,000 in Specialty health reserves.

 

Included in the preceding rollforward of the Company’s liability for policy benefits and claims are the policy benefits and claims activity associated with the Company’s health insurance lines. These are embedded within the Specialty Health segment. The table below summarizes the components of the change in the liability for policy benefits and claims that are specific to health insurance claims for the periods indicated (in thousands).

 

 

 

 

Specialty Health Segment

 

 

Health Insurance Claims

 

 

Nine Months Ended

 

 

September 30,

 

 

2017

 

2016

 

 

 

 

 

Balance at beginning of year

$

27,183  

$

23,425  

Less: reinsurance recoverable

 

1,179  

 

1,362  

Net balance at beginning of year

 

26,004  

 

22,063  

 

 

 

 

 

Amount incurred, related to:

 

 

 

 

  Current year

 

40,836 

 

34,598  

  Prior years

 

1,144 

 

(6,845) 

 

 

 

 

 

  Total incurred

 

41,980 

 

27,753  

 

 

 

 

 

Amount paid, related to:

 

 

 

 

  Current year

 

13,528 

 

9,541  

  Prior years

 

23,797 

 

13,105  

 

 

 

 

 

  Total paid

 

37,325 

 

22,646  

 

 

 

 

 

Net balance at end of period

 

30,659 

 

27,170  

Plus:  reinsurance recoverable

 

814 

 

848  

Balance at end of period

$

31,473 

$

28,018  

 

 

The liability for the IBNR plus expected development on reported claims associated with the Company’s health insurance claims was $30,659,000 at September 30, 2017.