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題名:終身癌症保險費率之釐定
書刊名:保險專刊
作者:連宏銘余清祥 引用關係
作者(外文):Lien, Hung-mingYue, Ching-syang
出版日期:2000
卷期:62
頁次:頁76-119
主題關鍵詞:癌症終身癌症險精算費率存活率CancerWhole life cancer insurancePremiumAnd survival rate of cancer
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:0
  • 點閱點閱:1
     惡性腫瘤(癌症)自民國七十一年躍昇為國人十大死因之第一位,且其發生率及死亡率均逐年攀升,是國人健康的一大威脅。壽險業者為了補足全民健保在給付項目及金額的不足,陸續推出終身癌症保險以提供國人更完整的保障。然而國內終身癌症保險仍屬初期階段,缺乏完整的統計經驗資料,大部份採用國外再保險公司所提供的癌症經驗資料,並未參酌國內醫院所作的癌症統計,其保費適足性值得懷疑。有鑑於此,本研究針對定額型個人終身癌症保險,在國人癌症發生率逐年上升的假設下,探討終身癌症保險之費率適足及精算合理性。研究結果與國內數家保險公司比較,發現這幾家公司的終身癌症保險之年繳保費明顯不足,而且其年繳保費差額隨著年齡呈直線遞增。因長期保費的收入不足會導致壽險公司累積虧損,進而影響壽險公司的清償能力,此結果可提供壽險業者及監理機關參考。
     With the increasing of cancer incidence rate, the insurers provide completely and thoughtfully designed planning in order to meet the requirements of the public, supplemental to the national health insurance program enforced by the government of R.O.C. in 1995. However, many domestic insurers have faced the problem of the experience loss ratio beyond the expected. Since the whole life cancer insurance policies have been issued on the market a few years ago, the empirical data from the insurance are insufficient for the pricing. In addition, only a fewer esearches have focused on the actuarial model of this type of insurance. In this paper, we will investigate the premium calculation of the whole life cancer insurance under the influence of specified factors, and outline the appropriate model construction procedures.The data we use are not only from Department of Health of the Executive Yuan but also from domestic hospital, such as National Taiwan University Hospital and Veterans General Hospital. Moreover, we make reference to medical studies and make use of rational actuarial assumptions,i.e., the trend of cancer incidence rate, cancer survival rate, cancer outpatient rate, average cancer outpatient treatment days, cancer inpatient rate, cancer surgical rates, cancer radiotherapy or chemotherapy rates, average cancer radiotherapy or chemotherapy treatment days, cancer bone marrow transplantation rates, cancer mortality rates, and other cancer rates, available to the premium calculation in empirical analysis.Finally, we examine the premiums of a whole life insurance policy to compare to our results in empirical analysis and discuss whether premiums are adequate. Moreover, we use the analysis of interest sensitivity to test the increasing of the premium. We hope that this paper could be beneficial to the actuaries and also provide suggestions for the government surveillance.
期刊論文
1.Bried, E. M.、Scheffler, R. M.(1989)。The Financial Stages of Cancer in the Elderly。Oncology,6(2 Suppl),153-160。  new window
2.Koopmanschap, M. A.(1994)。Current and Future Costs of Cancer。European Journal of Cancer,30A(1),60-65。  new window
3.Lubitz, J.、Prihoda, R.(1984)。The Use and Cost of Medicare Services in the Last Two Years of Life。Health Care Financing Review,5,117-131。  new window
研究報告
1.中央健康保險局(1997)。中華民國八十六年全民健康保險統計。  延伸查詢new window
2.行政院衛生署。中華民國七十年至八十六年臺灣地區衛生統計。  延伸查詢new window
3.行政院衛生署(1999)。中華民國八十七年臺灣地區死因統計結果摘要。  延伸查詢new window
4.黃達夫(1998)。癌症病人醫療費用分析與前瞻性支付制度可行性研究--以乳癌予鼻咽癌病人為例。  延伸查詢new window
學位論文
1.袁曉芝(1996)。商業性個人健康保險費率之研究(碩士論文)。國立政治大學。  延伸查詢new window
圖書
1.Bowers, Newton L. Jr.、Gerber, Hans U.、Hickman, James C.、Jones, Donald A.、Nesbitt, Cecil J.(1997)。Actuarial Mathematics。Society of Actuaries。  new window
2.Black, K. Jr.、Skipper, H. D. Jr.(1994)。Life Insurance。Prentice-Hall Simon Schuster and Prentice-Hall Canada, Inc.。  new window
3.Gibbs, J.、Newman, J.(1982)。Study of Health Service Used and Costs Incurred during the Last Six Months of Terminal Illness。Chicago, III.:Blue Cross and Blue Shield Association。  new window
4.Huang, L. C.、Lin, W. M.(1990)。Cancer Patient Survival 1977-1986。Cancer Registry Office of Medical Record, National Taiwan University Hospital。  new window
5.O'Grady, F. T.(1988)。Individual Health Insurance。Society of Actuaries。  new window
6.中華民國人壽保險商業同業公會(2000)。臺灣壽險業個人重大疾病保險年度經驗損失率及持續率研究報告(民國八十五年觀察年度)。  延伸查詢new window
7.臺中榮民總醫院。中華民國七十一年到七十五年榮民總醫院臺中分院癌病登記五年年度報告。  延伸查詢new window
8.臺中榮民總醫院。中華民國七十七年到七十八年臺中榮民總醫院癌病登記年度報告。  延伸查詢new window
9.臺北榮民總醫院。中華民國七十一年至八十六年臺北榮民總醫院癌病資訊年度報告。  延伸查詢new window
10.臺北榮民總醫院、臺中榮民總醫院。中華民國七十四年到七十六年臺北榮民總醫院暨臺中榮民總醫院癌病登記年度報告。  延伸查詢new window
11.行政院衛生署(1999)。民國八十五年癌症登記報告。  延伸查詢new window
12.李家泉、夏銘賢、吳玉英、莊雅惠(1995)。健康保險各種經驗率之建立、編表及費率調整之探討。保險事業發展中心。  延伸查詢new window
13.李家泉(1998)。傷害及健康保險。保險事業發展中心。  延伸查詢new window
單篇論文
1.Huang, L. C.,Lin, W. M.(1989)。Cancer Statistics Review 1977-1988。  new window
 
 
 
 
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