b. significant limitations, if any, that constrained the actuary’s incurred claim estimate analysis such that, in the actuary’s professional judgment, there is a significant risk that a more in-depth analysis would produce a materially different result;
c. specific significant risks and uncertainties, if any, with respect to whether actual results may vary from the incurred claim estimate;
d. any explicit provision for adverse deviation, as described in section 3.31.;
e. the risk that provider insolvency may have a material effect on the risk-bearing entity’s ultimate liability (see section 3.36.);
f. any follow-up studies the actuary may have utilized in the development of the incurred claim estimate, as described in section 3.5; and
g. when updating a previous estimate, changes in assumptions, procedures, methods, or models that the actuary believes to have a material impact on the incurred claim estimate, as well as the reasons for such changes to the extent known by the actuary. The actuary may need to disclose these changes in cases other than when updating a previous estimate, consistent with the purpose or use of the incurred claim estimate. This standard does not require the actuary to measure or quantify the impact of such changes.
