There are a number of factors that an insurance company considers before determining a policy premium. Some of these factors would include the probability that a certain type of event would occur, the probable benefit that the insurance company would have to make for a certain event, the company’s experience with similar classes of policyholders, the probable investment income that the company is likely to obtain from the premium and the company’s individual risk aversion. However, some of the more important factors that an insurance company considers from a particular individual policyholder would include the policyholder’s lifetime occupation experience, the conduct of the policyholder related to safety worries, the profession of the policyholder, the family history of the policyholder and the family history of the policyholder. In order to satisfy the objective of the insurance company, i.e. maximizing their expected utility from the premium, the company will employ the theory that formalizes the manner in which these selection criteria are used to determine an appropriate insurance premium.

The determination of an appropriate premium for an insurance policy is an important factor in the financial stability of an insurance company. If the premium is too high, the company may find it difficult to compete with others in the market because other insurance companies are able to offer lower refunds to their policyholders while earning the same or higher profit margins during good luck. If the premium is too low, i.e. lower than what it should be, for a particular policy or policy, the insurance company would find itself in a cost disadvantage because it would have to pay policyholders more from the reserve. This means that policyholders would obtain higher refunds from the reserve funded during good luck. If, however, the premium is neither too high nor too low, a fair return would be enjoyed by a group of policyholders who would not have to obtain a cost disadvantage and an actuarially fair price would be offered by the insurance company.

1.1. Definition of Insurance Premiums

The term «premium» comes from the fact that it is paid in advance of the policy becoming legally operative. The premium represents the price of the insurance policy. As a rule, it is charged on a regular basis, that is, on a yearly, semi-annual, quarterly, or monthly basis. When an insurer collects premiums from policyholders, several factors may be considered from the legal and economic perspective.

The premium represents the price of the insurance policy. As the policyholder purchases an insurance policy and pays a premium for it, the insurer promises to bear certain accident-caused damage. Thus, the insurer assumes the responsibility to pay compensations for the claims made in a certain period, which is defined by the insurance policy. Hence, according to the principles of contemporary risk allocation, the insurer provides a service, stipulating for the transfer of the financial consequences of loss connected to the actual future occurrences of these events. Thus, the insurance premium is remuneration for the service provided by the insurer to the policyholder.

1.2. Importance of Premium Determination

Market forces already help to ensure that a premium charged is at least act sight aligned to the cost of a potential claim, by giving policyholders an awareness of risk relative to alternative discretionary surrogated funds. There is evidence that people, in common with many corporations, will bear some degree of varying risks as a result of catastrophe or events causing ill health, dying, leakage, or injury (against which there is no financial indemnity provision), either as an alternative of a formal insurance program or as an additional source of resilience, so long as the expected loss can be either reduced or imposed. A proper and thorough understanding of the concept and different difficulty of premium determination helps management, particularly production and marketing decisions regarding prospects. It is also expected that being aware of how premiums vary in line with particular levels of spread and risk being assumed could lead to improved after-sales service, a subsequent increase in the company’s share of the market, and thus better products and cost reduction, which ultimately could be reflected in lower premiums.

Premium determination occupies a central place in any insurance undertaking. To many people, insurance companies are frightening bogeymen, indulgent in profit motive only. The feeling is that insurance companies should charge reasonable premiums, thus providing adequate cover without accumulating excessive reserves. They should carefully assess the probability of a claim, the amount of that claim, and the likely frequency of claim before calculating the premium. It is the setting of the premium that reflects this risk assessment before the company decides whether or not to accept the risk. However, the theory upon which insurance companies base their premium income does involve other additional areas such as the cost of acquiring business and the company’s desire to make a profit. Through the premium, the company is able to satisfy the policyholder’s potential claim and the expected share of the cost of administration that is incurred in doing so. Although these benefits go to customers no less than those of any firms, the premiums also reflect a host of costs and must be balanced by assets invested in the pursuit of profit. These will be invested in a way that is relevant to the insurance business.

2. Actuarial Science in Premium Calculation

Premiums Based on Actuarial Surface Actuarial science provides huge assistance in setting premiums for the pricing of insurance contracts. With actuarial analysis, detailed analysis of the common expected value and variance concepts of mathematical statistics with additional risk-based charges and risk premiums for the financial resources needed for the compensation of future insurance policy obligations is performed. Companies with higher cost and risk-bearing capacity accept underwriting exposures with higher expected profitability and statistical variance. The actuarial surface includes all of these aspects and shows how to balance transferred risk and the costs and revenues of the financial intermediaries. Fortunes have been established by applying this fact to empirical market information. Premiums are the most effective and current financial institution prices being used for insurance protection from losses of economic value caused by unexpected adverse events. It is generally suggested that these prices be accepted and bought by risk-averse policyholders in return for the expected economic price they are willing to pay for the transferred underwriting exposures. They demand risk-neutral payments of the fully premium including losses. In this way, they can have minimal uncertainty disutility and normal mental benefits from the activities they can produce from the funds spent to buy insurance protection. In conclusion, the insurance company’s requested risk-neutral actuarial premiums need to be based on actuarial science to accommodate purchasing and other functions.

The actuarial premium is determined by considering the economic loss that can be expected to occur if no policy is taken out. Premium amounts can be calculated using the concept of expected value and the law of large numbers. In the examination of real insurance data, it will be seen that premiums are determined over and above the expected value of future losses. These additional amounts are called the loading and represent the costs of insurance companies and other financial intermediaries, profit margin, and risk premium. Insurance companies use the profits they earn from these premiums received on a limited risk-sharing transfer to back up large statistical fluctuations, new product development, basic capital formation, and competition purposes. The actuarial science of the new data will show that some expected total costs apply to the realized total costs. These costs are equal to the premium setting.

Actuarial science is the backbone of the insurance and reinsurance sector. Underwriting policy, premium, commissions, reserves, claims, reinsurance, and investment income of insurance and reinsurance companies are determined by the actuarial process. Primarily, insurance markets may be classified into life and non-life insurance markets. Life insurance is used to protect human lives by introducing beneficiary payments into market channels in the event of economic losses caused by insured estates. Non-life insurances, on the other hand, are generally used to protect against property and wealth loss. Regardless of the type of insurance, the functioning of these markets is shaped by the insurance rules between insured and insurer, differences in insurance contracts, and the economic conditions under which finance and insurance sectors operate.

2.1. Role of Actuaries

Through the actuarial approach, the insurance company sets a premium to cover the insurer under a policy for the risk assumed by the company. The fairness of the premium and its competitiveness are important. The sustainability of the company depends on the first two criteria, while the growth and development of the company are tied to the third criteria. A premium that is too high can result in the loss of customers, while one that is too low can result in higher than anticipated claim levels and an inadequate return on capital. Disputes over the fairness of the premium can result in adverse customer reactions. The cost of doing business for the company increases, claims levels increase, and profitability decreases when customers lose confidence.

Actuaries play a major role when insurance companies decide the pricing and coverage of various insurance policies. The actuaries are involved at every stage of insurance management, such as product development, determining pricing, reserving for liabilities, conducting valuation studies, and determining returns to shareholders. While using the actuarial approach, the company decides on the level of risk they are willing to assume, the return they would like to generate, and the amount of capital needed to ensure they remain solvent. These key considerations in the management of an insurance company help determine the price.

2.2. Key Concepts in Actuarial Science

Probability theory and statistics are widely used in actuarial practice for two main reasons. First, both insurance companies and pension schemes must determine the amount of liabilities associated with their long-term insurance contracts at the beginning of the life of those contracts. That amount is strictly linked to probabilistic calculations. Second, in practice, insurance companies and pension schemes collect experience data on the number of insurance claims, on the death rates, or on the salary of a broad sample of life insurance policies. Such data is used to estimate, using the basic statistical tools available from probability theory and statistics, the parameters, such as survival rates, which are used to calculate claims reserves and other liabilities.

For a useful analysis of factors that influence insurance premiums and the relationship between those factors, it is crucial to understand a number of key concepts in actuarial science, such as the probability distribution function, compound random variables, and related results. These form the basis for the more complex models that are typically used in practice. Also, a better understanding of these preliminary concepts can offer considerable insight into a number of actuarial problems, such as the distribution of the aggregate claims in a portfolio, the concept of credibility theory, which is fundamental in premium determination, and the statistical tests that are conducted to ascertain claims experience.

3. Underwriting Process

Insurance companies can charge low premiums, restrict insurance policy limits, establish high deductibles, outline lengthy exclusionary clauses, and place many risk-related services on our insurance. These risk/varying devices allow insurance companies to recognize the risk of potential policyholders who are seeking insurance protection. In addition, insurance companies can engage in selective underwriting practices to modify their insurance business mix. The term underwriting, in risk management, refers to the promise to pay for insurance against loss, damage or other types for specified risks pursuant to the terms of the policy. The concept of underwriting has been extended to other perils, such as guaranteeing the interest on preferred stocks, a municipal bond activity known as municipal protective insurance. Underwriting is specified as a component of the insurance process. Underwriting is the process the underwriter uses to resolve the risk or non-risk. The location of risk and identifying attributes will correspond to the value of their state, carrier’s investment, and the disposition of the carrier’s underwriting effort. The components of an underwriting effort are: determination of the importance of the risk, measurements of the risk, the design of the insurance policy, and the price of the policy. The information in the four components is evaluated such that insurance policies can be designed which produce a positive expectable return to the insurance, derived by diversification or other risk management at a minimum cost. Information can be evaluated to accomplish the guiding on a variety of risk management activities including: retaining the status of a retention or existing insurance policies. The underwriter has the ability to modify future risk of underwritten risk.

Underwriting is the process by which insurance risks are evaluated and policy terms are set. The underwriting process serves as a gatekeeper when insurance services are marketed. It affects which insurance risks are insured and under what terms. The underwriting process is central to two different insurance company objectives. First, one objective of underwriting is to minimize the adverse effects of adverse selection. Adverse selection is present when only policyholders with higher than average risk take insurance. In the presence of adverse selection, prices will exceed costs and there will not be market-clearing exchanges. By properly evaluating risk, underwriters can limit adverse selection problems. The second objective of underwriting is to maximize profits. Profits are maximized by accurately assessing the nature of risks and by charging premiums commensurate with the risk being transferred from policyholders.

3.1. Risk Assessment

Pre-loss risk, as opposed to post-loss risk, is related to the uncertainty of answer carried by the outcomes of the event beforehand. Investments in securities and holding money at the risk-free rate to adhere to liabilities characterize the specifications of risk. On the other hand, treatments are specific to each cost incurred; quantification of the aspects of expected loss and variability are possible. The objective is to make an accurate forecast of what the event’s speed and magnitude will be. To make this at the lowest possible cost and to be able to absorb the elements created by the variability of the magnitude represents the goal. Finally, the primary purpose is to satisfy the overwhelming need for high-value analysis, wealthy and well-functioning businesses, governments, and people. For underwriters and investors alike, the areas of uncertainty are distinct. The underwriting and management of other perils or premium calculations come from an abundance of possible events with outcomes that are accidental, but supposedly insurable, about which we have little or no knowledge. On the other hand, for investors, such as bonds and equities, the areas of shallowness of final results of our knowledge are the subject of integrity.

Risk assessment is a field that, based on modern statistical methods, has developed widely on the one hand in insurance and on the other hand in matters concerning capital budgeting and investment selection. However, to eliminate uncertainty and to evaluate risk at an acceptable level, a range of statistical techniques and studies are being proposed. Nevertheless, none of these measures can be a panacea for all afflictions in risk assessment. Therefore, it is possible that different studies will generate different results. Risk, albeit there are many variations, is studied in two main sections. These are the potential range of outcomes and the likelihood of realizing those results.

3.2. Underwriting Guidelines

Underwriting guidelines are not only used in the process of making decisions; they are used to control the authority of personnel who are accountable for making such decisions because it is the supervisor who lays out underwriting guidelines for supporting others in making decisions of policy for the insurance company. These, therefore, become the fundamental means of operation decision-making. Not only do they guide or direct the decisions of underwriters, claims, clerks, inspection and loss prevention personnel in the field, but they also provide a means by which the work accomplished under their direction can be analyzed and appraised.

Underwriting guidelines modify underwriting standards. They may augment them in some areas and waive specific standards in other areas altogether. Underwriting guidelines are not used for all risks and, in fact, are used for very few risks on a percentage application basis. However, when a risk originates and experience and evidence is developed with a category of incidents, the experience may form the basis for the establishment of specific underwriting standards. For instance, ships constructed of specified steel beginning at a specified classification and inspection may merit reduced insurance coverage. This, then, can either supplement or be substituted for a specific standard of rating.

4. Types of Insurance Premiums

Tabular Premiums: Insurance companies used to charge level annual premiums for n-year term contracts of insurance. They are usually called tabular premiums and are based upon the nth year’s expected value which all of the insurance coming due for payment just prior to the beginning of the year. These tabular premiums are calculated under assumptions that are valid when only one contract at a time is in force. In practice, a relatively small charge is made for ‘protection’ expected to be earned over and above the endowment to be paid out. It is this feature of a tabular premium that causes it to be higher than a level annual premium for insurance only. The provision of these extra charges will not, of course, be provided in a level premium. These factors, affinity with the n-year contracts and adverse selection, largely dictate the relative popularity of n-year contracts of insurance. The greater the period of insurance, the lower the loading which must be added to the actuarially fair level annual premium to provide it. Also, the greater the period of insurance, the lower will be the adverse selection part of the loading.

Pure Premium: The most common concept of insurance premium is that of the pure premium. This is defined as the expected claim over a given period, expressed on an annual basis and becomes increasingly important in an actuarial model. A level of premium consistent with the expected claims and expenses will need to be charged.

There are various types of premiums that can be taken into consideration.

4.1. Fixed Premiums

While public economic goods like defense, public safety, public leisure facilities, and public schools are often collectively consumed, private goods are consumed individually and they are usually of high quality. However, the market may achieve little competition and the private producer may exploit the consumer. When problems associated with the market become serious, government support may be called for. A main problem in the private market consumption is the presence of asymmetric information. Insurance is a kind of good of this nature. It provides security and protection, reduces uncertainty, gives confidence so that individuals advance and innovate, and reduces the burden of various kinds of limitations.

Premium determination by insurance companies

Insurance companies are influenced by numerous factors in choosing which premiums to charge for services provided. One of the factors influencing premium determination is the quality of services given to their consumers. To ensure that premium rates reflect the quality of service, different premium models can be employed. Despite the mere use of risk-based premiums which reflect the quality of service, insurance companies can incorporate projections of adjustments for future service quality in their premium models. This means that insurance premiums should be based not only on the expected present cost of insurance benefits and expenses, but also on expected future quality selection adjustments over the policy lifetime.

4.2. Variable Premiums

The investment in physical and financial assets depends on the expected earnings that can be generated for given levels of risk. In the case of the insurance industry, the nature of its business means that a type of chain investment commitment exists where premium income is collected (either from new or unsigned business) by the insurer to be utilized over a medium to long-term period. Once committed as reserve funds [unearned premium provisions (UEP), claims reserve (CR), and sundry reserve (LOS)], the insurer can draw on the reserve over time to settle claims. Popularly called the insurance cycle, the various stages of this process, which create a source of profit and revenue for the insurer, are constantly influenced by demand and supply factors. These factors are the determining factors of the pricing policy of the insurance company. The factors that influence the pricing policy vary and would be discussed in the subsequence.

The objective of every entity is to maximize profits. The insurance market is no exception; every insurance company desires to maximize shareholders’ wealth. This is the reason for business activities. One of the ways of increasing and maximizing shareholders’ wealth is by charging a high premium, which will ensure that the insurance company’s claims are paid if they occur. The value attached to the loss of some uncertainty of some kind creates the financial value of risk. This implies that insurance is a type of financial business and is subject to its inherent economic problems. The insurer invests part of the premiums collected in order to earn income until the insurer settles the claims.

5. Factors Impacting Premium Calculation

Premium calculation is the process by which an insurance company determines the appropriate price an insurance company should charge for its coverage. The basic idea is that the expected value of the cost of the indemnification to be provided to the insured, plus the cost of claim handling (the loss ratio), should properly recognize the cost of risks and the cost of providing the indemnification service. Although no known perfect solution exists to the problem, the model assumes that insurance contracts should be characterized by low transactional costs, coverage of fundamental risks, and properly recognizes each risk entity element, where the rate is determined by systematically measuring the frequency and severity of the risk, and expense loadings are charged to each risk entity element based on a predicted loss per policy or per exposure unit. The statistical rate filing indicated that the insurance company has performed a ratemaking model, computed the indicated required rates, made a decision whether to accept the filing or not based on the company’s experience and expected needs, and then filed the new rates with the state.

The primary functions of insurance companies include underwriting and earning commission, fees, and investment interest income through insuring risks. Underwriting risks are defined as risks arising from providing indemnification to insureds. To obtain income through underwriting and achieve the goal of underwriting profits, the primary tools are underwriting pricing strategy, risk selection, rate regulation, reinsurance, and loss control. Underwriting pricing strategy determines the appropriate price an insurance company should charge for its coverage. Legislated rate regulation guides insurance companies to charge rates that are generally related to their risk before they can be deemed fair and non-discriminatory. The other tools affect the insurance company’s ability to control risk. This chapter examines the interaction of different factors that underlie premium determination.

5.1. Demographic Factors

2. Concept of Health Insurance The unique features of health insurance are as follows: It is not uncommon for the event to continue indefinitely; there are different but fixed limits for different types of losses. There is always the possibility of incurring losses by incurring health expenses. The incidence and magnitude can very likely be forecasted, and a random element is always present. This element can be smoothed when the insured incident pool is numerous, which is a frequent characteristic of Statutory Health Societies (SHS). The frequency and economic level of the losses tend to be correlated with the individual incurring such losses. There is no preclusive rule of a priori on the part of the member that implies automatic exception from insurance coverage. Indeed, the underlying objective of social health insurance is to provide reasonable protection against losses as and when requested.

1. Introduction When an individual buys health insurance, an insurance contract is established between the person and the insurance company. Following this, the insured can utilize the services of the hospital or the physician by paying an amount equal to the health expenditure purchased during the year. Health insurance is unique in several aspects than other types of insurance. The occurrence of one loss event unfortunately increases the likelihood of the occurrence of another independent loss event. This leads to moral hazard and adverse selection, which are the resultant problems with insurance coverage at any time. Not all of the cost of treatment is borne by the individual. Usually, only a fraction of the total amount is paid by the patient who is reimbursed by the company.

5.2. Policyholder Behavior

Policyholder behaviour, the demand for insurance, and the effect of different insurance products. Financial services markets are undergoing rapid and fundamental changes. This chapter examines how policyholder behaviour affects the demand for insurance and its influence on premium determination. In doing so, we examine a range of policyholder characteristics including risk aversion, liquidity constraints, the cost of money, aversion to price uncertainty, suggestibility, displacement activity, and an aversion to penalty clauses. We also examine the effect and determinants of deductible choices on pricing. Finally, we study the effect of different insurance products on various aspects of premium determination including coverage, price, and claims settlement. Empirical evidence from the literature and practical implications are discussed as well.

5.3. Claims History

In some cases, five years or less instead of ten years’ experience can be considered. Finally, the average claim differentiates the provider’s behavior patterns. On a case-by-case basis, as a driving variable, claims history only represents the assessment period. Especially for nonrandom insurance, the past nature of the transactions directs a control view of the experience established. In the commercial sector, available public information is sometimes used to obtain financial data about policyholders. When the contract is new, an estimation over period t of the inflow and outflow variables (nt and st) must be compared with the planned inflow and outflow. The behavior and status of the policyholder-nodes, and for n different plc-like policyholders as much as possible ecl nodes have to be observed and identified. These observed transactions will be used as sample data to estimate the saleDEpT, saleDprojT, accountPT, priceET, ratePT, reservePT, and pipe-determine in the variables.

The greater the level of claims activity, the larger the amount needed to finance this. Therefore, maximum coverage is related to high premium costs. While the term immediate priority is mainly given to those policyholders presenting many large claims, the long-term effect analysis values the constant claims rate. Consequently, two objectives should be pursued differently by the insurance company: the mere high margin long-term providers’ policy, or the policyholder’s retention. From a financial point of view, with the long-term need to obtain regular profit, from an underwriting approach is aimed to spread policyholders’ claims rates over the largest future.

The most important factor in determining the premium for a specific policyholder is the claims amount and numbers presented by him/her. Consequently, it is natural that claims history is the key factor in setting the cost of a policy and targeting selection rules. For this reason, sometimes it is called the driving variable. Another reason for the prominence given to the role of claims experience is the accessibility of an objective measure of policyholder activity.

6. Regulatory Environment in Premium Determination

Following the enactment of the Solvency II Directive (SII) to make the insurance industry stable and safe and to protect policyholders, some member countries, including the United Kingdom and Germany, started regulatory framework overhauls in view of the Directive’s January 1, 2016 implementation date. The Directive promises introductory changes effectively shaping the solvency and supervision framework of the European Union. It is a major reform, particularly for the liability and life insurance companies who represent 75% of the industry and will be most affected by these new European rules. Some Old Mutual shareholders say that certain clauses of the Sanctions Act, which relates to regulatory oversight of insurance at a national government policy level and to Probity, Fitness, and Propriety, undermine their constitutional rights. They say that these responses are the very root of concern.

The role of government in an economy goes beyond providing a legal framework for economic activities and protecting lives and property. The presence of monopolistic practices in the conduct of business in a market-oriented economy requires proactive government intervention, either through price adjustments or other regulatory measures. Such regulation becomes necessary in an environment where consumer sovereignty is impaired or, under perfect competition, consumer sovereignty is aroused. Regulation involves rules set to create a workable economy.

6.1. Government Regulations

There will be no reconciliations performed to ensure that the non-auto amounts are correct. All discrepancies between estimated premiums and actual amounts will be analyzed and resolved. A schedule of ratings sets a standard premium rate that will be charged to an insured with no loss history. Large insured rates are usually set: schedule rating, experience rating, participating loss rating, and an Al loss ratio rating. Reinsurance treaties also influence rates. Through the use of reinsurance by an insurance company, its allowable expense ratios are improved. Increased competition has made this level because of nonrate regulatory factors. No allowance is made by the report for state or rate regulations for a reserve for the occurrence of large future claims. The report also does not consider that higher minimum premiums or large administrative costs on this subline of insurance could limit the number of companies in a state. As competition has grown, so has the use by insurance companies of various methods of carving the insurance policy so as to reduce the state’s examination of the rates charged for providing these last services.

Premiums for group insurance are determined on a yearly basis and are not adjustable during the policy year. The premium rate decreases and a rated refund is issued to the insured. Group premiums are retro-rated. The procedure for retro-rating a group may be that a premium is established, an estimated premium is charged to the insured, and a final adjustment is made at the end of the policy year. The insurance company writes the majority of its business on a modified guaranteed cost rating basis. The insurance company charges a fixed premium for coverage on all lines except the automobile liability line. For the auto line, the insurance company charges a fixed premium for the vehicle safety portion. After the policy year, the accounting division reconciles the estimated premium with the actual audited premium.

Government regulations set the minimum requirements for how insurance companies must calculate risk and rates. Most insurance companies exceed these minimums to ensure solvency and profitability. State departments establish definitions of insurance terms to ensure that all insurance companies are using terminology that conveys the same meaning throughout the industry. An example of this is the establishment of standard fire policies and boiler and machinery policies. There is also a minimum premium rate set for the group insurance business. These are all required in order to open and maintain certification for an insurance company in amounts sufficient to protect the insured. These are minimum premiums that the insurance company may use in setting the rate that is charged to the policyholder for that specific coverage.

6.2. Industry Standards

At the national level, a website allows any interested party to access and download a set of rules that are much used for minimum industry standards, like life insurance credits risk methodology and procedures, non-life claims reserves guidelines, and life and non-life valuation basis in force, and also for non-for-profit annuity business guidance, direct and non-direct deduction fatigue, mortality improvement rate specifications, risk margin determination, and list of annuity assumptions, just to give a few examples. For those lines of business made compulsory by local regulations, this source should be complemented. Actuarial judgment and consequently exists the need to correlate professionals that have to be to some extent interchangeable in countries that share the same language and history. However, diverse curiosity, unexpected professional development, and later in life migration are also causes for setting up lines of communication with foreign colleagues, be it at a personal or collective level.

When it comes to minimum basic terms and conditions or rules, but also to specific subjects like valuation of assets or experience and methods for reserving classes of business, amongst other examples, many insurance sectors in many countries have historically established minimum standards to be followed by the business operators. This happens either due to a conscious decision to develop a set of «best practice» standards or to obey international standards developed by specialized entities and afterwards adopted by national authorities having different regulatory functions. One purpose is to regulate the minimum offer of insurance coverage alignment with the specificities of the jurisdiction and the objectives to be filled. Another purpose is to moderate intense competition where a possible disruption of the premiums charged would occur, resulting in poorer ratings.

7. Emerging Trends in Premium Determination

Advancements and breakthroughs in technology and data are revolutionizing industries and sectors across the spectrum. This is also the case with the insurance industry, where the availability and volume of data have the potential to significantly improve the predictive ability of state-of-the-art actuarial pricing and underwriting. Insurers can make better risk selection and thus more closely link customers’ risk characteristics to the prices they charge. This is particularly important in the property and casualty sector, where improvements in statistical data assessment and predictive modeling offer the potential for tailoring rates and coverage options to individual customer risk characteristics. The use of advanced analytics can help insurers in differentiating risk based on customer information, generating substantial premium increases with a corresponding improvement in margins and returns.

Historically, the insurance industry has relied on its vast pool of data and the application of sophisticated actuarial models in setting insurance rates. This methodology ranged from the very simplistic traditional rating factors to the highly complex multivariate analysis. As the insurance industry has matured and data volumes have increased, the process of premium determination has become very fine-tuned and accurate primarily due to the use of advanced analytics and technology. This section discusses how advancements in technology and big data and changes in the legislative and regulatory environment, underwriting, marketing, distribution, competition, product design, risk pooling, and economic environment continue to shape premium determination by insurance companies.

7.1. Big Data and Analytics

These trends drive the growing interest of reinsurance companies, capital markets, and other risk providers to use the company’s data prediction for internal planning, financial control, and strategic risk management. These results are also timing products in other areas supporting almost real-time risk and claims decision processes, acting within the context of the company’s enterprise data governance policy, not raising concerns in the area of privacy.

The Internet of Things also plays a part in connecting commercial insurance clients to available data, like embedded telematics sent over the cloud from buildings, for example. Data sharing of such kind of data feeds from the insurer can reduce the time needed to underwrite highly customer-specific covers, making insurance products faster and more accessible.

Claims can be more efficiently identified as high fraud suspicion through pattern analysis of small data sets stemming from a few social media data points. The Internet of Things provides access to advanced risk assessment equipment, which alerts the customer as well as the insurance company in case of any alterations. Cars sending status reports to insurance companies can speed up a police investigation, open up a claim for the customer, and get the damaged car into a public repair shop. A machine learning algorithm uses Big Data, theft patterns of such reported cars before, and basic vehicle data to give a real-time suspicion of the probability of a crime.

The ways in which existing data is harnessed and new data is gathered as an enterprise activity continue to change with the arrival of the Big Data era.

The insurance industry had huge amounts of data long before the Big Data buzzword. However, two of the major social and technological trends of today, social media and the use of advanced analytics, have a significant impact on the way this data can be collected and analyzed. People have always discussed claims, filling out forms with flight numbers, dates, and times, and tweeting about lost luggage. This exacerbates today with massive games of observational statistics.

Insurance companies use data on a vast scale to determine risk and calculate the price for transferring that risk. As the size of data sets grows, these traditionally data-thirsty sectors are well placed to take advantage. It is interesting to see how they are interpreting the term «Big Data» and what technologies and approaches can be used to help them achieve their business objectives.

7.2. Usage-Based Insurance

As the box refers to protection rather than the vehicle, we may also think of possible recognition through the transfer of both values and policies to other cars used by the same well-performing driver.

A car’s driving data can also be helpful in terms of having better response assistance from the insurance company if the person involved in the event on which it depends is a ne’er-do-well. It can be noted that indirectly with UBI, an insurance company could have a type of fallback in terms of an instrument for verifying data in the event of doubt and a reduction in the above-claiming factor.

The use of the service value, intended as the type of contract and level of risk, is appropriate to consider some forms of recognition for the person who fully complied with the good driving rules. It seems only right for a good driver to pay a fee that is less than the rate with which an insurance company identified their level of risk given the possible impoverishment of the performance.

The arrangement is extremely simple. The insurance company places a box on the car. The car’s movements are recorded in a variety of respects, such as the number of kilometers on various types of roads, the driving times and speed, sudden braking, and the increasing of the engine revolutions, etc. In addition to enabling the insurance company to set the level of risk at a precise level and propose some possibility of improvement, UBI could actually have an impact on the level of risk.

Usage-based insurance (UBI) is another factor affecting the determination of an individual’s level of risk and premium. For many years, insurance companies have used information available at the time of contract proposal to identify the individual’s level of risk with some precision and to propose the right price. For a number of years now, UBI is also being used to encourage the individual to change their behavior, that is, to convert good drivers into excellent drivers.

8. Conclusion and Future Outlook

In our paper, the minimum expected results of the tasks performed at the same time were clarified, but including these factors makes these modeling tasks more interesting. The characteristics of the people are always changing: we are similar groups, but they form and change in a huge pool. The most influential actors can also change, with some combinations potentially more active than others.

The further development and filtering of the models developed in a vine can lead to different results according to the special interest and needs of the players, even the interest directions and developments of the capital investor. It can also be seen that the introduction of these models provides a professional response to the detailed understanding of the portfolio and the impact of new products launched. Striving for these two associations can boost sales, dynamically raise the goals necessary to recover from the actual consequences, and also help shape claims for the needs addressed by the insurance company. These experts can expect compensation, and what direction can be taken, etc.

Building risk indicators and consequences is a new approach to this long-term territorial and branch energy policy, but it is easy for insurers to derive. This framework is also legally available to third countries such as Hungary if the target audience is a different country to the origin of the company. At the same time, the composition of the company’s own portfolio will always be informed by a special process, the stakeholders of which need to be recognized. At the same time, this method of mapping risk areas and consequences is a versatile associative method.

Tendencies are also highlighted on the Hungarian rock, but unfortunately, there are some difficulties in the implementation of ILS instruments, and so the state supreme instrument has yet to be elaborated in the long-term interest of insurers. After repetitive professional discussions, the legacy of the race was finally included under a separate heading. This is to be part of a refined dynamic mixture to approach the side. With the regulatory change embedded in the Solvency II institutional framework, the conditions must be met to provide dynamism. To provide a premium calculation with an independent claim, each insurance company needs to build its own portfolio or to start a long-term process to meet its requirements.

This study extends the scope and research tools of professional responses and is a determinant factor for the independence of the claim. With the convergence of conclusions from other papers and the confirmation and further development of research hypotheses, it can be stated that insurance premiums are primarily driven by loss experience. Subsequently, this study also sought to seek new ways of providing risk premium matching in property and asset insurance, in addition to tools and relationships with players on the traditional side.

To begin with, the research looked at the question of whether the climate change trends are permanent or not and prudently, what may the consequences be for the insurance sector. In response, it can also be stated in this study that this is so, and from different sources, the idea was put in place to lay a foundation for the need for continuous change and adaptation.

This research has taken a structured five-step approach to the main research question, which was to deconstruct relevant factors influencing the determination of risk premium in the Hungarian portfolio property insurance market (considering the segment Natural Disaster Insurance and All Risk). Surveys and interviews were carried out as mixed research methods. The research involved 106 selected player insurance companies operating within the territory of the Republic of Hungary, and it looked at the adaptation strategies developed by the insurance companies through which they approach the issue and the generation of natural disaster insurance premium.

8.1. Summary of Key Points

Factors affecting the price of insurance in various markets include income effects that guide the accurate portfolio theory of investment to avoid incurring costs arising from negative factors (insurance overload), demand derived from the output of economic growth indirectly, and new products and services designed to shift supplies in an upward direction. These factors lead the firm not necessarily to absorb the costs, but to bear the risk of loss. Based on the existing studies seen above, in the insurance literature, extensive research has been conducted to identify the important determinants behind the relationships harnessing the development of insurance systems and different factors underlying the product rate of insurance and the outcomes in the financial marketplace.

Since the previous works on insurance overdose are very much focused on the development and performance of the insurance industry in developing countries, rather than its factors of premium rate determination, the current work implies that researchers should develop insurance market factors that determine the pricing of insurance products, especially in sub-Saharan Africa where the insurance sector is still underdeveloped in terms of market performance of insurance participants. Efficient and competitive markets for goods and services depend on demand derived from the output of other industries, supply through production and continuous renewal of products and prices, as well as claims experience through the cost of insuring and being insured.

8.2. Predictions for the Future

Finally, premium determinations in the United States are going to be affected by the need to address the $ store set aside for environmental obligations. The probable approach will be to purchase insurance against the risk of not being able to realize sufficient funds from the income stream to meet the obligations represented by the $ store amount. Seminole County, Florida, is already testing this premise.

No discussion of insurance issues is complete without some mention of the National Flood Insurance Program (NFIP). The Galloway Committee recommended using flood insurance pricing as an urban development tool. The FIA 1973 recommendation stated that the NFIP program should be drastically reshaped to emphasize flood proofing of buildings in flood hazard areas with the creation of an institutional framework for local land use management.

The global system is moving from one that utilized major physical inputs for the determination of value to one that receives major inputs from intangible sources. This has been known by securities analysts for many years. Metrics have been developed to predict and evaluate intangible sources of value for publicly owned companies in North America since price earning ratios first came into use in the early part of the 20th century. To some extent, premiums payable to insurance companies for risk protection have some of the same intangible components used by analysts in the determination of premiums for an enterprise. The process is simultaneously simple and complex. Simplicity arises from the reality that the enterprise must be able to identify and describe its intangibles for the insurance carrier in words rather than financial metrics. In a sense, the risk managers of enterprises that use a preponderance of intangibles are asked to be in the same business as the analysts who set price/earnings multiples for publicly-owned companies.

Source Links

  1. https://www.investopedia.com/ask/answers/09/calculating-premium.asp
  2. https://www.iii.org/article/what-determines-price-my-auto-insurance-policy
  3. https://www.investopedia.com/articles/investing/102914/7-factors-affect-your-life-insurance-quote.asp
  4. https://www.peoplekeep.com/blog/how-are-health-insurance-premiums-calculated
  5. https://www.investopedia.com/terms/i/insurance-premium.asp

por ronitec

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