Feasibility Study of the Personal Accident AD&D Premium RateStructure-- with Life Insurance company "A" for Case Study

• Main Authors: Jung- Chun Lee, 李榮俊
• Other Authors: 郝充仁
• Format: Others
• Language: zh-TW
• Published: 2006
• Online Access: http://ndltd.ncl.edu.tw/handle/11636530722529492347

碩士 === 淡江大學 === 保險學系保險經營碩士在職專班 === 94 === The accident insurance lists as scope of the life insurance in the Article 13 of Taiwan Insurance Law, therefore the accident insurance business has been long-time operated by the life insurance industry. However, an insight of its product nature with some sort of pseudo-insurance property, it reveals characteristic of quick decision and the functionality of compensation to damage. It is somewhat different from the life insurance, and it inclines to be the general insurance. Additionally, some of foreign countries (for example Japan, US), either permit it to be operated by the general insurance industry or the under the realm of property insurance; Suggested by the scholar and repeatedly requested by the general insurance industry, the Insurance Bureau had two insurances law revised in 1997 and 2001. Revised the context of the first item of the article 138 of Insurance Law, the general insurance industry can operate the accident insurance business with the Insurance Bureau approval. Therefore the general insurance industry enters the accident insurance market.In recent years, because the general insurance industry joins in accident insurance market, the general insurance industry utilizes its elastic product to match its strategy and nimble marketing channel (for example: with affinity association with group for individual marketing among banks and business alliance partnership with different industries). It causes considerable changes in the market share which originally life insurance industry dominantly monopoly over for a long time. With investigation on the reasons behind this, not to mentioned the suitability of general insurance industry adopts the affinity association for individual marketing; the most important factor is: the accident insurance premium rate of the general insurance industry is far below, compared with the rate of life insurance industry uses. Impacted with the lower price, life insurance industry that originally steady as motionless mountain, examines and adjusts the accident insurance rate accordingly. Now the accident insurance rate structure, appropriateness and adequacy are widely discussed among industry and scholars.Since the accident insurance rate has been long-time formulated and promulgated by the Insurance Bureau, the Insurance Bureau establishes norms and standardizes accidental death and dismemberment minimal standard rate for the industry to use and comply. This paper mainly takes actual loss experience of “A” life insurance company as an example, to exploit the relationship of the deviation between actual loss rate in practice and legitimate incidence rate. Moreover, with the focus on the actual loss experience study, master policy, rider contract condition, the classification of avocation, age and gender relationships, as a reference for price rating to insurance industry.