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Margaret A. Chance, FSA, MAAA

Principal and Consulting Actuary
Chicago, IL, US

Tel: +1 312 7260677

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Professional Designations

  • Fellow, Society of Actuaries
  • Member, American Academy of Actuaries


  • BS, Mathematics, cum laude, University of Notre Dame, South Bend, Indiana

Current Responsibility

Margaret is a principal and consulting actuary with the Chicago office of Milliman. She joined the firm in 2003.


Margaret has 20 years of experience, primarily working with individual health and small group health insurance products, including both commercial and Medicare product lines. Her experience includes business strategy consulting, product development and pricing, state insurance department rate filings, Medicare Advantage and Part D pricing and bid submissions, experience analysis, and financial reporting and modeling.

She has assisted a variety of clients with comprehensive reviews of their commercial and Medicare business, as well as comprehensive assessments and strategy discussions for start-up product lines. These assessments include analysis of business strategy, claims experience, experience monitoring capabilities, medical underwriting guidelines, financial planning, and rating methodologies.

Margaret has assisted a variety of clients in recent years with the evaluation and implementation of various components of healthcare reform, particularly around business strategy and the pricing and filing of premium rates.


  • Presenter at the 2015 Society of Actuaries Health Meeting regarding expereince and rate development under the ACA and individual health market issues.
  • Presenter at 2010 Blue Cross Blue Shield Association National Finance, Actuarial and Underwriting Conference regarding premium rate review and best practices.
  • Presenter at multiple Milliman Health Consultant Forums regarding topics related to individual and small group product lines.


  • Member, Premium Rate Review Work Group of the American Academy of Actuaries
  • Member, Rate Review Practice Note Work Group
  • Work at Milliman

    • “I was offered a chance to come in, shake things up, create something."
    Work at Milliman