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研究生:林珉琪
研究生(外文):LIN,MIN-CHI
論文名稱:核保調查會降低保險公司的損失率嗎?
論文名稱(外文):Does Underwriting Survey Decrease the Insurer’s Loss Ratio?
指導教授:張永郎張永郎引用關係
指導教授(外文):CHANG,YUNG-LANG
口試委員:宮可倫李永琮
口試委員(外文):KUNG,KO-LUNLI,YUNG-TSUNG
口試日期:2022-06-17
學位類別:碩士
校院名稱:逢甲大學
系所名稱:風險管理與保險學系
學門:商業及管理學門
學類:風險管理學類
論文種類:學術論文
論文出版年:2022
畢業學年度:110
語文別:英文
論文頁數:46
中文關鍵詞:核保調查損失率保險詐欺道德風險逆選擇
外文關鍵詞:Underwriting SurveyLoss RatioInsurance FraudMoral HazardAdverse Selection
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本文是以美國保險監理官協會(National Association of Insurance Commissioners; NAIC)資料庫中2001年至2019年之的產險業之數據為樣本,探討保險公司的核保調查與其損失率之間的關係。本研究實證結果發現,保險公司的核保調查與其損失率之間呈現負相關的影響。本研究為了提升迴歸分析的有效性及可靠性,進一步採用控制公司變數的固定效果模型及同時控制年度與公司兩個變數的隨機效果模型來探討。本研究發現,不同的核保調查指標衡量方式,會產生不同的結果。本研究發現浄簽單保費收入面衡量方式的結果呈現顯著的負相關,但另二個費用面的衡量指標結果則為弱顯著的正相關。造成此有趣的結果,可能是因為若以淨簽單保費方面來探討,較能捕捉損失率的效果。淨簽單保費是用來評估保險公司經營狀況的工具,其主要針對當保險公司當期新承保保單數的增加,進而創造公司的利潤。因此保險公司對新承保保單的核保愈謹慎,有助於降低其所承擔的風險,進而使保險公司的損失率減少。
This paper examines the relationship between insurers' underwriting survey and their loss ratio using data from the National Association of Insurance Commissioners (NAIC) database for the period 2001 to 2019 for the property insurance industry. The empirical results of this study revealed that there is a negative correlation between underwriting survey and loss ratio of insurance companies. To enhance the validity and reliability of the regression analysis, a fixed-effects model controlling for firm variables and a random-effects model controlling for both year and firm variables is further investigated in this study.This study finds that different ways of measuring the underwriting survey indicators produce different results. A significant negative correlation was found in the net premium written revenue side of the measure, but a weakly significant positive correlation was found for the other two fee side measures. This interesting result may be due to the fact that the effect of capturing loss ratio is better when examined in terms of net premium written. Net premium written is a tool used to assess an insurer's operating condition and primarily focuses on the increase in the number of new policies written by the insurer during the period, which generates profits for the company. Therefore, the more prudent an insurer is in underwriting new policies, the more risk it can reduce its exposure to risk, which in turn reduces the insurer's loss ratio.
Chapter 1. INTRODUCTION 1
Chapter 2. LITERATURE REVIEW AND HYPOTHESIS TESTING 7
2.1 Loss Ratio literature review 7
2.2 Surveys and Underwriting Reports literature review 9
2.3 Underwriting survey and loss ratio literature review 10
Chapter 3. METHODOLOGY AND VARIABLES 13
3.1 Methodology 13
3.2 Variables 14
3.2.1 Dependent variable 14
3.2.2 Independent variables 15
3.2.3 Control variables 18
Chapter 4. DATA AND EMPIRICAL RESULTS 24
4.1 Data 24
4.1.2 Descriptive statistical analysis 25
4.1.3 Correlation test 26
4.2 Empirical Results 27
4.2.1 Regression analysis 27
4.3 Robustness Check 29
Chapter 5. CONCLUSION REMARKS 37
REFERENCE 39
APPENDIX 44

Reference
1.Chinese Literature:
王子祥 (2019), 台灣產物保險市場之核保績效實證研究, 政治大學風險管理與保險學系學位論文。
何翹芸、 周百隆 & 黃立宇 (2018) , 「產險業對傷害保險財務核保及生存調查之認知與期望」, 核保學報, 201804(25), 51-70。
李旭華、許銘元 & 李珍穎 (2014) , 「核保判斷因素及理賠關聯性的實證-以產險公司經營團體傷害保險為個案」, 保險專刊, 30卷(2期), p.167-185。
林國鈺 (2012) , 「從火災保險理賠案例探討核保的重要性」, 保險大道, 64期, p.43-46。
許永明 & 蕭景元 (2014) , 「損失率對再保險使用之影響」, 經濟論文,42卷(3期), p.435-483。
許振卿 (2017), 產險業經營傷害保險核保之研究, 淡江大學保險學系保險經營碩士在職專班學位論文。
彭盛昌、利菊秀 & 劉純之 (2019), 「台灣汽車保險風險分類之實證分析」, 經濟論文, 47卷(2期), p.297-338。
賴丞坡 & 林文昌 (2006), 「台灣產險業核保風險之檢驗-以汽車保險為例」, 風險管理學報, 8卷(3期), p.205-231。

2.English Literature:
Alfieri, C. J., Thiha, K., Obasare, R. E., & Ketterer, T. B. (2012), Predictive Loss Ratio Modeling with credit scores, for insurance purposes.
Adams, M. (1996), The Reinsurance Decision in Life Insurance Firms: An Empirical
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Adams, M., Upreti, V., & Chen, J. (2019), Product-market strategy and underwriting performance in the United Kingdom’s property–casualty insurance market, The European Journal of Finance, 25(11), 1012-1031.
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Chen, J. H., Chang, S. C. B., & Shiu, Y. M. (2021), Risk-based Capital Regime Adoption and Underwriting Performance: Evidence from the Property-Casualty Insurance Industry in Taiwan, Review of Securities and Futures Markets, 33(3), 83-119.
Chen, J.H. (2021), Three Essays on the Insurer-Reinsurer Relationship, NCCU Department of Risk Management and Insurance, 1–188.
Cohen, A., & Siegelman, P. (2010), Testing for adverse selection in insurance markets, Journal of Risk and Insurance, 77(1), 39-84.
Cummins, J. D., & Danzon, P. M. (1997), Price, financial quality, and capital flows in insurance markets, Journal of Financial Intermediation, 6(1), 3-38.
Cutler, D. R., & Ellis, P. M. (2005), A simple model to predict loss ratios in the domestic stock property-liability insurance industry, Quarterly Journal of Business and Economics, 129-139.
Dionne, G., & Gagné, R. (2002), Replacement cost endorsement and opportunistic fraud in automobile insurance, Journal of Risk and Uncertainty, 24(3), 213-230.
Drehmann, M., Borio, C. E., & Tsatsaronis, K. (2012), Characterising the financial cycle: don't lose sight of the medium term, BIS Working Papers, No 380.
Elango, B., Ma, Y. L., & Pope, N. (2008), An investigation into the diversification–performance relationship in the US property–liability insurance industry, Journal of Risk and Insurance, 75(3), 567-591.
Eling, M., & Kiesenbauer, D. (2014), What policy features determine life insurance lapse? An analysis of the German market, Journal of Risk and Insurance, 81(2), 241-269.
Golden, L. L., Brockett, P. L., Ai, J., & Kellison, B. (2016), Empirical evidence on the use of credit scoring for predicting insurance losses with psycho-social and biochemical explanations, North American Actuarial Journal, 20(3), 233-251.
Kallunki, J. P., & Pyykkö, E. (2013), Do defaulting CEOs and directors increase the likelihood of financial distress of the firm?, Review of Accounting Studies, 18(1), 228-260.
Ketterer, T. (2012), Predictive Loss Ratio Modeling with Credit Scores, for Insurance Purposes, (Doctoral dissertation, Worcester Polytechnic Institute).
Kremslehner, D. & A. Muermann. (2013), Asymmetric Information in Automobile Insurance: Evidence from Driving Behavior .
Lamm-Tennant, J., & Weiss, M. A. (1997), International insurance cycles: rational expectations/institutional intervention, Journal of Risk and Insurance, 415-439.
Mankai, S., & Belgacem, A. (2016), Interactions between risk taking, capital, and reinsurance for property–liability insurance firms, Journal of Risk and Insurance, 83(4), 1007-1043.
Martin, G., Hotchkiss, J. (1995), External Impacts on the Property-Liability Insurance Cycle, The Journal of Risk and Insurance, Vol. 62, No., 4, pp. 738-754.
Triplett, J. E. (2001), Should the Cost‐of‐living Index Provide the Conceptual Framework for a Consumer Price Index?, The Economic Journal, 111(472), 311-334.
Wang, J. L. (2004), Asymmetric information problems in Taiwan's automobile insurance market: The effect of policy design on loss characteristics, Risk Management and Insurance Review, 7(1), 53-71.
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White, J. B. (2012), Auto Insurance Enters the ‘Pay-per-View’Era. Wall Street Journal, http://online.wsj.com/news/articles/SB100014240527023039015045 77462382411135766.
Yan, Z., & Hong, L. (2015), Testing for asymmetric information in reinsurance markets, The Geneva Papers on Risk and Insurance-Issues and Practice, 40(1), 29-46.

3.Textbooks:
Dorfman, M. S. (1998), Introduction to Risk Management and Insurance, Prentice
Hall, Inc. A Simon and Schuster Company, Sixth Edition, 89,137~138,186~187.
Ibeson, Malde, S.A., Paul, D., Malde, S.A., Paul, D., and N, Shah. (2001), Financial
Condition Assessment, Institute of Actuaries and Faculty of Actuaries.
International Association of Insurance, Report of Solvency Working Party. (2002),
Ryan, J.P., P.R. Archer Lock, A.J. Czernuszewicz, N.R. Gillot, P. H. Hinton, D.
Ibeson, S.A. Malde,D. Paul, S.A. Malde, D Paul, and N. Shah. (2001), Financial
Condition Assessment,Institute of Actuaries and Faculty of Actuaries.
Kindleberger, and Charles P. (1978), Manias, Panics, and Crashes, A History of Financial Crisis, Wiley Investment Classics, N.Y., John Wiley & Sons. (2005), 5th edition.
Luthardt, C. M., and Wiening, E.A. (2006), Property and Liability Insurance Principles,
The American Institute for CPCU and Insurance Institute of America.
Minsky, A. and P., Hyman. (1982), Can ‘It’ Happen Again? Essays on Instability and Finance, Armonk, N.Y.: M.E. Sharpe.
Rejda, G. E. (2005), Principal of Risk Management and Insurance, Addision Wesley,Ninth Edition, 586-603.

4.Network Information:
強化核保控管措施之建議修正意見. (2014, June 9). 金融監督管理委員會. https://law.fsc.gov.tw/LawContent.aspx?id=GL001249
保險市場重要指標. (2020, December). 金融監督管理委員會. https://reurl.cc/qOAZDR

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