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Estimating Per Capita Expenses in Multiple State Models of Permanent Health Insurance

Published online by Cambridge University Press:  29 August 2014

Marie Kovářová
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Abstract

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The aim of this work is to present a method to compute the expected amount of annual claims in the health insurance. (A more detailed analysis of the method can be found in Kovářová (1998).) We will be especially concerned with the permanent health insurance and compare our numerical results with those computed and published for the permanent health insurance in C.M.I.R. (1991). At the same time we will give a general methodology applicable not only to the permanent health insurance but for other types of health insurance as well.

The methods used today can be divided into three groups: the method of the decrement tables, the Manchester Unity method and the multiple state model. We would like to describe a simple method to compute from the data of the multiple state model the bases for the Manchester United and for the decrement tables methods.

Keywords

Permanent Health InsuranceMultiple State ModelTransition IntensityClaimsManchester Unity Model
Type
Workshop
Information
ASTIN Bulletin: The Journal of the IAA , Volume 29 , Issue 2 , November 1999 , pp. 351 - 359
Copyright
Copyright © International Actuarial Association 1999

References

[1]Bohn, K. (1980) Die Mathematik der deutschen Privaten Krankenversicherung, Verlag Versicherungswirtschaft E.V., Karlsruhe.Google Scholar
[2]CMI Committee (1993) Calculation of Continuation Tables and Allowance for Non-recorded Claims Based on the PHI Experience 1975-78. C.M.I.R., No. 13.Google Scholar
[3]CMI Committee (1992) The Analysis of Permanent Health Insurance Data. C.M.I.R., No 12.Google Scholar
[4]CMI Committee (1984) Sickness Experience 1975-78 for Individual PHI Policies. C.M.I.R., No 7.Google Scholar
[5]Cooper, D. (1995) Sickness Benefits: Manchester Unity Approach. Actuarial Mathematics, Unit 14, Actuarial Education Service, Oxford.Google Scholar
[6]Kovářová, M. (1998) Multiple State Models in Health Insurance. Calculation of per Capita Expenses. Ph.D. Thesis (in Czech).Google Scholar
[7]Smith, W.L. (1958) Renewal Theory and Its Ramifications. Journal of the Royal Statistical Society, 1958, B20, No. 2.Google Scholar
[8]Wolfsdorf, K. (1986) Versicherungsmathematik, B.G. Teubner, Stuttgart.CrossRefGoogle Scholar