临时保险制度：赔付理由、期间及其限制

我国《保险法》未规定临时保险制度,本文建议,我国的临时保险制度应当分为强制临时保险与自愿临时保险两种,在保险人预收保险费的情况下,根据履行提前、对价平衡、合理期待等理论,保险人应当对临时保险事故予以赔付,此种临时保险的期间自投保人交付保险费之时起算,于正式保险生效之时或投保人收到拒保通知书并由保险人退还保险费之时终止;...     

医疗保险定额付费方式有效性的探讨

医疗保险中的定额付费方式指不论实际发生了多少医疗费用,均以事先确定的标准向医疗机构支付费用,这种支付方式的有效运作意味着可以在控制医疗费用的同时又确保医疗质量.本文认为可能对定额付费方式有效性产生影响的因素包括服务质量对患者诊疗需求的影响程度;医疗机构增加患者诊疗需求的意愿;医疗机构的拒诊和撇脂行为;经办机构在合同签订...     

中国财产保险业巨灾损失赔付能力实证研究

中国社会已步入一个历史性的风险高度累积的发展阶段,在这样的环境中,以损失补偿为主要功能的财产保险业是否有足够的损失赔付能力就成为一个不能不考虑的重要问题。本文基于Cummins,Doherty和Anita(2002)的保险赔付能力度量模型,引入1998年～2007年中国保险业经营数据,在改进后的损失对数正态分布假设下,对2007年年末时点上在中国大陆经营财产保险业务的39家保险公司以及全行业整体巨灾损失赔付能力进行了实证分析。结果显示,在800亿到2000亿元的巨灾损失区间内,中国财产保险业的赔付效率在68.36%以上,全行业巨灾赔付能力缺口巨大,且损失幅度越大短缺的幅度越大。本文认为,造成这种赔付能力短缺的主要原因在于全行业资本与盈余的低水平以及再保险市场发展的严重滞后。     

发达国家寿险次级市场的发展现状、比较及启示

寿险次级市场能够提高保险消费者的福利,促进整个保险业的发展。介绍发达国家寿险次级市场的发展概况,着重分析最早的寿险次级市场即英国市场、相对年轻的德国寿险次级市场以及规模最大的美国寿险次级市场,并对上述市场的目标保单、交易方式、监管规则、税收政策等进行比较和研究。在此基础上,明确提出中国应借鉴发达国家的经验,正确认识寿险次级市场的影响,从寿险初级市场规模、法律许可、中介机构、保险监管等方面为寿险次级市场的建立创造条件,并科学地进行寿险保单贴现交易的试点。     

寿险营销的创新战略——数据库营销

客户是企业的生命,也是企业唯一诉求的目标.开拓新客户,服务老客户,培养长期的忠诚的客户群,这是企业的价值所在.目前,寿险营销的核心问题就是客户问题.以代理人为主体的行销过程中,存在着准客户积累不足、新客户开拓不足、老客户留存不足、忠诚客户沉淀不足的问题.本文提出了数据库营销的创新战略,从根本上解决了服务客户时的"找不到...     

Seasonal mortality for fractional ages in short term life insurance

Abstract

Fernández-Durán, and Gregorio-Domínguez, Seasonal Mortality for Fractional Ages in Life Insurance. Scandinavian Actuarial Journal. A uniform distribution of deaths between integral ages is a widely used assumption for estimating future-lifetimes; however, this assumption does not necessarily reflect the true distribution of deaths throughout the year. We propose the use of a seasonal mortality assumption for estimating the distribution of future-lifetimes between integral ages: this assumption accounts for the number of deaths that occurs in given months of the year, including the excess mortality that is observed in winter months. The impact of this seasonal mortality assumption on short-term life insurance premium calculations is then examined by applying the proposed assumption to Mexican mortality data.     

我国商业医疗保险中的道德风险及对策

医疗行为的信息不对称以及疾病的客观性、严重性、复杂性、多样性等本质特征导致医疗保险成为道德风险发生频率最高、造成损失最大、又最难以有效规避风险的险种。道德风险是医疗保险市场失灵的重要表现。本文通过分析我国医疗保险市场逆选择和事后道德风险的不同形成原因,以期探讨有效的风险控制方法,从而降低商业医疗保险的经营风险,为促进其合理发展并最终满足居民更全面的健康需求提供帮助。     

寿险公司内部控制问题探析

当今社会经济的日益繁荣及经济来往的多元化、复杂化,使寿险公司的经营面临着诸多风险,加强内部控制研究和实施就成为寿险公司亟待解决的一个问题。本文揭示了内部控制的涵义和本质,描述了寿险公司内部控制的特点和目前存在的问题,提出了加强寿险公司内部控制应采取的对策:强化内部控制在战略管理中的地位;寿险公司内部控制作为核心竞争力的培育;建立寿险公司内部控制标准;提升内部控制设计思路;加强内部控制的执行力等。     

预定利率市场化必将促成寿险市场多赢局面

不放开传统寿险产品的预定利率,传统产品就无法做大,就无法发挥其社会保障功能。只要把住偿付能力监管,市场就不会出现无序竞争。展望未来,需要更多地站在行业的角度、客户的立场来开发产品、开拓市场,唯此整个保险业才能在社会保障体系中进一步确立应有的地位,才能充分发挥经济补偿、资金融通、社会管理三大职能,才能真正实现全方位的发展,才能真正让投资者分享到行业的成长价值。     

Drawdown analysis for the renewal insurance risk process

In this paper, we study some drawdown-related quantities in the context of the renewal insurance risk process with general interarrival times and phase-type distributed jump sizes. We make use of some recent results on the two-sided exit problem for the spectrally negative Markov additive process and a fluid flow analogy between certain queues and risk processes to solve for the two-sided exit problem of the renewal insurance risk process. The two-sided exit quantities are later shown to be central to the analysis of drawdown quantities including the drawdown time, the drawdown size, the running maximum (minimum) at the drawdown time, the last running maximum time prior to drawdown, the number of jumps before drawdown and the number of excursions from running maximum before drawdown. Finally, we consider another application of our methodology for the study of the expected discounted dividend payments until ruin.     

Sequential Quasi-Credibility for Scale Dispersion Models

The sequential approach to credibility, developed by Landsman and Makov [(1999a) On stochastic approximation and credibility. Scand. Actuarial J. 1, 15-31; (1999b) Sequential credibility evaluation for symmetric location claim distributions. Insurance: Math. Econ. 24, 291-300] is extended to the scale dispersion family, which contains distributions often used in actuarial science: log-normal, Weibull, Half normal, Stable, Pareto, to mention only a few. For members of this family a sequential quasi-credibility formula is devised, which can also be used for heavy tailed claims. The results are illustrated by a study of log-normal claims.