This eBook provides approaches to multi-state and multi-decrement modelling of health insurance contracts followed by estimation of premiums based on the equivalence principle. Sickness insurance is analysed via the collective risk model. We describe conventional health insurance products (e.g., critical illness and income protection), life cycle of a health insurance claim, stop loss insurance, deductibles and policy limits, forms of anti-selection and moral hazard.
Description
Content
- About the Authors
- Preface
- Setting the Stage: The Three-Party Intermediation Model
- Introduction
- Three-Party Intermediation Model for Health Insurance
- Conventional Health Insurance Products
- Life Cycle of a Health Insurance Claim
- Policy Coverage Modifications, Anti-Selection and Moral Hazard
- Introduction
- Fixed Amount Deductible
- Franchise Deductible
- Proportional Co-Insurance (Factor = α%)
- Policy Limits
- Stop Loss Insurance (Self-Funded Group Health Insurance)
- Anti-Selection Risk
- Health Insurance: Similar to Life Techniques (Part I)
- Introduction
- Directed Graphs
- Transition Probabilities
- Calculation of Transition Probabilities (Discrete Time Model)
- Premiums for Health Insurance (Based on Multi-State Models and Equivalence Principle)
- Health Insurance: Similar to Life Techniques (Part II)
- Introduction
- Multi-Decrement Life Table
- Transition Probabilities in Multi-Decrement Models
- Estimating Net Premiums Based on the Equivalence Principle
- Health Insurance: Not Similar to Life Techniques
- Introduction
- Sickness Insurance Benefit Functions
- Modeling Sickness Insurance
- Collective Risk Model
- References