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The interplay between risk adjustment and risk rating in voluntary health insurance 自愿健康保险风险调整与风险评级的相互作用
IF 1.9 3区 经济学 Q2 BUSINESS, FINANCE Pub Date : 2022-07-31 DOI: 10.1111/jori.12394
Peter Paul Klein, Richard van Kleef, Josefa Henriquez, Francesco Paolucci

Many regulated health insurance markets include risk adjustment (aka risk equalization) to mitigate selection incentives for insurers. Empirical studies on the design and evaluation of risk-adjustment algorithms typically focus on mandatory health insurance schemes. This paper considers risk adjustment in the context of voluntary health insurance, as found in Chile, Ireland, and Australia. In addition to the challenge of mitigating selection by insurers, regulators of these voluntary schemes have to deal with selection by consumers in and out of the market. A strategy for mitigating selection by consumers is to apply some form of risk rating. Our paper shows how risk adjustment and risk rating interact: (1) risk rating reduces the need for risk adjustment and (2) risk adjustment reduces premium variation across rating factors, thereby increasing incentives for consumers to select in and out of the market.

许多受监管的健康保险市场包括风险调整(又名风险均衡),以减轻对保险公司的选择激励。对风险调整算法设计和评估的实证研究通常集中在强制性医疗保险计划上。本文考虑了智利、爱尔兰和澳大利亚自愿健康保险背景下的风险调整。除了减轻保险公司选择的挑战外,这些自愿计划的监管者还必须应对市场内外消费者的选择。减轻消费者选择的一种策略是采用某种形式的风险评级。本文揭示了风险调整与风险评级之间的相互作用:(1)风险评级降低了风险调整的必要性;(2)风险调整降低了评级因素之间的保费差异,从而增加了消费者选择进入和退出市场的动机。
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引用次数: 5
Why do insurers fail? A comparison of life and nonlife insurance companies from an international database 为什么保险公司会失败?来自国际数据库的寿险和非寿险公司的比较
IF 1.9 3区 经济学 Q2 BUSINESS, FINANCE Pub Date : 2022-07-01 DOI: 10.1111/jori.12391
Olivier de Bandt, George Overton

This paper tests the claim that insurers often engage in risk-shifting years before the materialization of a failure. It compares the mechanisms of insurance insolvency across different jurisdictions, using a first-of-its-kind international database assembled by the authors, merging individual financial data together with information on impairments over the last 30 years in four of the largest insurance markets in the world (France, Japan, the UK, and the United States). Results show evidence that low profitability is a leading indicator of failures. Further, there is an asymmetry between life insurance, where bond investment is highly significant, and nonlife insurance sectors, where operating inefficiency plays a larger role. Moreover, this paper highlights differences across countries: a stronger reaction to operating inefficiency in nonlife insurance in France and a less positive impact of bond investment in life insurance in Japan. Both results are linked to differences in the functioning of insurance markets.

这篇论文检验了保险公司经常在失败发生前几年就进行风险转移的说法。该报告使用作者组装的首个国际数据库,将过去30年世界四大保险市场(法国、日本、英国和美国)的个人财务数据与减值信息合并,比较了不同司法管辖区的保险破产机制。结果表明,低盈利能力是企业失败的主要指标。此外,寿险和非寿险之间存在不对称,前者债券投资非常重要,后者运营效率低下的作用更大。此外,本文还强调了各国之间的差异:法国对非寿险经营效率低下的反应更强烈,而日本对寿险债券投资的积极影响较小。这两个结果都与保险市场运作的差异有关。
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引用次数: 2
Race discrimination in the adjudication of claims: Evidence from earthquake insurance 索赔裁决中的种族歧视:来自地震保险的证据
IF 1.9 3区 经济学 Q2 BUSINESS, FINANCE Pub Date : 2022-06-03 DOI: 10.1111/jori.12386
Xiao Lin, Mark J. Browne, Annette Hofmann

Catastrophic events affect many people simultaneously. We exploit earthquake claim characteristics to test for racial discrimination in the adjudication of insurance claims. Using data from the Oklahoma Department of Insurance, the US Geological Survey, and the US census, we study eight earthquakes between 2010 and 2016 that were linked to oil and gas drilling activities. We test whether claim resolutions differ among zip-code areas with different racial compositions, all else equal. We find evidence that claims from areas with higher percentages of Black population were less likely to result in payment, and when those claims did get paid, payments were lower in those areas. We further investigate the mechanisms through which such discrimination may exist. We do not find evidence that the percentages of Black, Native, or Asian population in an area are associated with the filing of marginal claims. We do find that areas with higher percentages of Hispanic population file fewer marginal claims.

灾难性事件同时影响许多人。我们利用地震索赔特征来检验保险索赔裁决中的种族歧视。利用俄克拉荷马州保险部、美国地质调查局和美国人口普查的数据,我们研究了2010年至2016年间与石油和天然气钻探活动有关的8次地震。我们测试在其他条件相同的情况下,不同种族组成的邮政编码地区的索赔解决方案是否不同。我们发现有证据表明,来自黑人人口比例较高的地区的索赔不太可能导致付款,而当这些索赔得到支付时,这些地区的付款也较低。我们进一步调查这种歧视可能存在的机制。我们没有发现证据表明一个地区的黑人、土著或亚洲人口的百分比与边际索赔的申请有关。我们确实发现,拉美裔人口比例较高的地区提出的边际索赔较少。
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引用次数: 1
Risk-sharing rules and their properties, with applications to peer-to-peer insurance 风险分担规则及其属性,以及点对点保险的应用
IF 1.9 3区 经济学 Q2 BUSINESS, FINANCE Pub Date : 2022-06-03 DOI: 10.1111/jori.12385
Michel Denuit, Jan Dhaene, Christian Y. Robert

This paper offers a systematic treatment of risk-sharing rules for insurance losses, based on a list of relevant properties. A number of candidate risk-sharing rules are considered, including the conditional mean risk-sharing rule proposed in Denuit and Dhaene and the newly introduced quantile risk-sharing rule. Their compliance with the proposed properties is established. Then, methods for building new risk-sharing rules are discussed. The results derived in this paper are helpful in the development of peer-to-peer insurance (or crowdsurance), as well as to manage contingent risk funds where a given budget is distributed among claimants.

本文基于一系列相关属性,对保险损失的风险分担规则进行了系统的处理。考虑了许多候选的风险分担规则,包括Denuit和Dhaene提出的条件平均风险分担规则和新引入的分位数风险分担规则。确定了它们符合拟议的属性。然后,讨论了建立新的风险分担规则的方法。本文的研究结果有助于p2p保险(或众包)的发展,以及管理在索赔人中分配给定预算的或有风险基金。
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引用次数: 13
Cyber risk management in the US banking and insurance industry: A textual and empirical analysis of determinants and value 美国银行业和保险业的网络风险管理:决定因素和价值的文本和实证分析
IF 1.9 3区 经济学 Q2 BUSINESS, FINANCE Pub Date : 2022-05-21 DOI: 10.1111/jori.12381
Nadine Gatzert, Madeline Schubert

In this paper, we first construct a cyber risk consciousness score using a text mining algorithm, applied to annual reports of large- and mid-cap US banks and insurers from 2011 to 2018. We next categorize the firms' cyber risk management based on keywords to study determinants and value-relevance. Our results show an increasing cyber risk consciousness, regardless of the industry. In addition, for the entire sample we find that firms belonging to the banking industry, with a higher cyber risk consciousness score and a higher general risk awareness are more likely to implement cyber risk management, which also holds for both industries separately. We find the opposite in the case of profitable firms for the entire sample and the insurer subsample. Finally, we observe a significant positive relationship between cyber risk management and firm value measured by Tobin's Q for the entire sample and the subsamples of banks and insurers.

在本文中,我们首先使用文本挖掘算法构建了网络风险意识评分,并将其应用于2011年至2018年美国大中型银行和保险公司的年报。接下来,我们根据关键词对公司的网络风险管理进行分类,以研究决定因素和价值相关性。我们的研究结果显示,无论是哪个行业,人们的网络风险意识都在不断增强。此外,对于整个样本,我们发现属于银行行业的公司,具有较高的网络风险意识得分和较高的总体风险意识更有可能实施网络风险管理,这对两个行业单独成立。我们发现在整个样本和保险子样本中盈利公司的情况正好相反。最后,我们观察到网络风险管理与银行和保险公司的整个样本和子样本的托宾Q测量的公司价值之间存在显著的正相关关系。
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引用次数: 11
Driving while unauthorized: Auto insurance remains unchanged when providing driver licenses to unauthorized immigrants in California 非法驾驶:加州向非法移民提供驾照时,汽车保险保持不变
IF 1.9 3区 经济学 Q2 BUSINESS, FINANCE Pub Date : 2022-05-12 DOI: 10.1111/jori.12382
Hans Lueders, Micah Mumper

Several states have recently implemented driver license reforms that give unauthorized immigrants access to driver licenses, aiming to reduce uninsured driving and lower premium costs. We test this expectation in the context of California's Assembly Bill 60 (AB60). AB60 gives about 2.6 million unauthorized immigrants access to driver licenses, making it the largest policy of its kind. Exploiting cross-county variation in the estimated number of AB60 licenses, we find no measurable effects on auto insurance uptake or premium costs. A power analysis and multiple robustness checks corroborate this conclusion. We interpret our results to suggest that most newly licensed unauthorized immigrants were already driving before the reform to access work and basic services. Furthermore, unauthorized drivers may already have had access to an insured vehicle. Our research revisits prominent claims about the effects of driver license reforms and provides much-needed empirical evidence to a controversial policy debate.

几个州最近实施了驾驶执照改革,允许非法移民获得驾驶执照,旨在减少未投保的驾驶,降低保费。我们在加州议会第60号法案(AB60)的背景下检验了这一预期。AB60让大约260万非法移民获得了驾驶执照,是同类政策中规模最大的。利用AB60牌照估计数量的跨县差异,我们发现对汽车保险吸收或保费成本没有可衡量的影响。功率分析和多次稳健性检查证实了这一结论。我们认为,我们的结果表明,大多数新获得许可的非法移民在改革之前就已经在开车,以获得工作和基本服务。此外,未经授权的司机可能已经进入了保险车辆。我们的研究重新审视了有关驾照改革影响的突出主张,并为有争议的政策辩论提供了急需的经验证据。
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引用次数: 2
Issue Information: Journal of Risk and Insurance 2/2022 发行信息:Journal of Risk and Insurance第2/2022
IF 1.9 3区 经济学 Q2 BUSINESS, FINANCE Pub Date : 2022-05-08 DOI: 10.1111/jori.12349
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引用次数: 0
New evidence of moral hazard: Environmental liability insurance and firms' environmental performance 道德风险的新证据:环境责任保险与企业环境绩效
IF 1.9 3区 经济学 Q2 BUSINESS, FINANCE Pub Date : 2022-05-05 DOI: 10.1111/jori.12380
Shiyi Chen, Xiaoxiao Ding, Pingyi Lou, Hong Song

This paper provides novel evidence of the moral hazard problem in environmental insurance by investigating the effect of environmental liability insurance (ELI) on firms' environmental performance. Using the staggered adoption of ELI policies in China as a quasi-natural experiment, we employ a difference-in-differences setup based on a comprehensive firm-level data set. We find that the adoption of ELI policies significantly reduces firms' efforts in treating water pollution. The negative estimate indicates a moral hazard problem and is the opposite of the positive estimates found mainly in studies that focus on US firms. We further find that the negative effect is lessened for firms in strictly supervised regions and for firms with strong environmental awareness. This paper is one of the first to evaluate environmental insurance in developing economies and provides novel evidence on moral hazard in environmental liability insurance markets.

本文通过考察环境责任保险对企业环境绩效的影响,为环境保险中的道德风险问题提供了新的证据。我们将中国错开采用经济扶持政策作为准自然实验,采用基于综合企业层面数据集的差异中差设置。我们发现,经济效益政策的采用显著降低了企业治理水污染的努力。负面估计表明存在道德风险问题,与主要针对美国公司的研究中发现的正面估计相反。我们进一步发现,对于监管严格地区的企业和环境意识较强的企业,负面影响有所减轻。本文首次对发展中经济体的环境保险进行了评估,为环境责任保险市场的道德风险提供了新的证据。
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引用次数: 6
Flexible insurance for long-term care: A study of stated preferences 长期护理的灵活保险:一项关于陈述偏好的研究
IF 1.9 3区 经济学 Q2 BUSINESS, FINANCE Pub Date : 2022-04-25 DOI: 10.1111/jori.12379
Shang Wu, Hazel Bateman, Ralph Stevens, Susan Thorp

Aging societies need efficient and flexible systems to finance care for the frail elderly. We study pre-retirees' demand for flexible insurance that can finance informal long-term care by paying income in poor health states instead of reimbursing formal care costs. We collect and analyze stated preferences for this long-term care income product, and preferences for informal care. When asked to allocate wealth to a life annuity, a liquid investment and flexible long-term care insurance, around 75% of our sample of 1008 pre-retirees choose some long-term care cover. Study participants treat long-term care income insurance as a complement to informal care from their families. Females who expect to rely exclusively on extensive care from family members prefer more cover than similar males. We also find that if long-term care income insurance were available, some healthier seniors would purchase additional longevity insurance, using liquid funds otherwise set aside to self-insure long-term care risk.

老龄化社会需要有效和灵活的系统来资助照顾体弱多病的老年人。我们研究了退休前对灵活保险的需求,这种保险可以通过支付健康状况不佳的收入来资助非正式的长期护理,而不是报销正式的护理费用。我们收集并分析了长期护理收入产品的偏好,以及对非正式护理的偏好。当被要求将财富分配给终身年金、流动性投资和灵活的长期护理保险时,我们的1008名准退休人员样本中,约75%的人选择了一些长期护理保险。研究参与者将长期护理收入保险视为家庭非正式护理的补充。期望完全依赖家庭成员广泛照顾的女性比同类男性更喜欢更多的保护。我们还发现,如果长期护理收入保险是可用的,一些健康的老年人会购买额外的长寿保险,使用流动资金,否则预留用于自我保险长期护理风险。
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引用次数: 0
Optimal health insurance 最佳健康保险
IF 1.9 3区 经济学 Q2 BUSINESS, FINANCE Pub Date : 2022-03-21 DOI: 10.1111/jori.12377
Charles E. Phelps

I formulate expected-utility-maximizing models for health insurance with a single optimal coinsurance (C*) and (separately) a single optimal deductible (D*). While so-doing, I formalize Nyman's challenge to standard welfare-loss models, clarifying when and by how much this alters unadjusted models. Using MEPS-calibrated lognormal distributions and incorporating skewness and kurtosis measures of financial risk, I show how C* shifts as various economic parameters change. For reasonable parameter values, C* < 0.1, much lower than variance-only estimates would conclude. Omitting higher-order risk parameters importantly understates risk and hence understates optimal insurance coverage. I separately develop methods to determine D*, showing that it is approximately a fixed percentage of income that falls as the distribution of financial risks rise. This finding contrasts with existing US public policy regarding high-deductible health plans, which employ fixed deductibles, independent of income.

我为具有单个最优共同保险(C*)和(单独)单个最优免赔额(D*)的健康保险制定了预期效用最大化模型。在这样做的同时,我将奈曼对标准福利损失模型的挑战形式化,澄清了这在何时以及在多大程度上改变了未经调整的模型。使用MEPS校准的对数正态分布,并结合金融风险的偏度和峰度度量,我展示了C*如何随着各种经济参数的变化而变化。对于合理的参数值,C* <; 0.1,远低于仅方差估计得出的结论。忽略高阶风险参数重要的是低估了风险,因此低估了最佳保险范围。我分别开发了确定D*的方法,表明它大约是收入的固定百分比,随着金融风险分布的增加而下降。这一发现与美国现有的关于高免赔额健康计划的公共政策形成了对比,后者采用固定免赔额,与收入无关。
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引用次数: 0
期刊
Journal of Risk and Insurance
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