被保险人因“履行道德上义务”所致之损害——评中国台湾地区高等法院台中分院2012年度保险上易1判决

此件系争事故发生既出于被保险人之故意,则依中国台湾地区《保险法》第29条第2项但书规定,损害出于投保人或被保险人之故意者,保险人不负保险责任。然此件被保险人复主张,其接受捐肝手术之行为,乃为救助其夫,虽出于故意但属“履行道德上义务”,依中国台湾地区《保险法》第30条,保险人对于因“履行道德上义务”所致之损害应负赔偿责任。根据英美法上的“公众良心标准”,此件被保险人捐肝救夫之行为,其故意行为乃造成身体之伤害,而其欲成就之利益乃救助丈夫性命,两相权衡,其欲成就之利益显大于因故意行为而造成之损害,故保险人应负理赔之责。     

政府与企业养老保险参与博弈分析

养老问题是目前我国在社会转型时期面临的一个重大问题。养老问题涉及面宽,受众范围广,影响大。所以如何有效地解决我国面临的养老问题,是决定我国社会和经济平稳较快发展的重要因素。运用博弈论的相关理论对目前广泛存在的养老保险问题进行分析,确定目前养老保险的困境,寻求更优的解决方案,可助力于社会建设     

事业单位养老保险制度改革的路径与对策

事业单位养老保险改革严重滞后于企业养老保险改革,已成为我国养老保险制度改革和资源整合的瓶颈。坚持基本养老保险统一原则,实现与企业养老保险制度并轨,是事业单位养老保险改革的基本路径。为此,需要建立统帐结合的基本制度、妥善解决改革成本、建立职员年金以及完善相关养老保险法律制度。     

国外农民社会养老保险制度的发展及其启示

许多发达国家和部分发展中国家都为农民建立了社会养老保险保障制度 ,我国也在积极致力于这一制度的建设。本文在具体介绍德国、法国、加拿大的农民社会养老保险制度的背景、制度建设和发展以及具体政策和操作的基础上 ,着重探讨了对我国建立农村社会养老保险制度的借鉴意义     

美国医疗保障制度的变迁及启示

现代意义上的医疗保障是工业社会转型的产物,它是由政府为社会成员的疾病医疗、健康关怀提供必要的保障,使民众能够积极应对疾病风险,防止因病致贫和因病返贫,促进社会和谐发展。因此,它在国家社会保障体系中始终占据极其重要的地位。作为世界上经济最为发达的国家,美国实行了以医疗保险为核心、具有自身独特性的医疗保障制度,这种制度在50多年的变迁过程中也产生了许多问题引起了美国历届政府持续而艰难的改革。他们的改革理念及改革措施也许能够对当前中国城乡医疗保障制度的建立健全提供一些有益的借鉴。     

社会保险与家庭金融风险资产投资

社会保险是否影响家庭在金融风险资产中的投资决策呢?本文使用两期家庭最优决策模型得到的理论分析结果表明,社会保险不仅能够提高家庭在风险资产中的投资广度和深度,而且对于不确定性更大、风险承受更强家庭的影响更为显著.基于省级层面得到的宏观实证检验结果和基于2011年家庭金融调查数据得到家庭层面的微观实证检验结果都支持了上述理论结论.本文的发现对于协调社会保险发展和建立多层级金融市场具有很强的政策意义.     

Understanding Cumulative Risk Perception from Judgments and Choices: An Application to Flood Risks

Catastrophic events, such as floods, earthquakes, hurricanes, and tsunamis, are rare, yet the cumulative risk of each event occurring at least once over an extended time period can be substantial. In this work, we assess the perception of cumulative flood risks, how those perceptions affect the choice of insurance, and whether perceptions and choices are influenced by cumulative risk information. We find that participants' cumulative risk judgments are well represented by a bimodal distribution, with a group that severely underestimates the risk and a group that moderately overestimates it. Individuals who underestimate cumulative risks make more risk‐seeking choices compared to those who overestimate cumulative risks. Providing explicit cumulative risk information for relevant time periods, as opposed to annual probabilities, is an inexpensive and effective way to improve both the perception of cumulative risk and the choices people make to protect against that risk.     

Flood Risk Perceptions and Insurance Choice: Do Decisions in the Floodplain Reflect Overoptimism?

In the presence of rare disasters, risk perceptions may not always align with actual risks. These perceptions can nevertheless influence an individual's willingness to mitigate risks through activities such as purchasing flood insurance. In a survey of Maryland floodplain residents, we find that stated risk perceptions predict voluntary flood insurance take‐up, while perceptions themselves varied widely among surveyed residents, owing in large part to differences in past flood experience. We use a formal test for overoptimism in risk perceptions and find that, on aggregate, floodplain residents are overly optimistic about flood risks.     

The Use of Telematics Devices to Improve Automobile Insurance Rates

Most automobile insurance databases contain a large number of policyholders with zero claims. This high frequency of zeros may reflect the fact that some insureds make little use of their vehicle, or that they do not wish to make a claim for small accidents in order to avoid an increase in their premium, but it might also be because of good driving. We analyze information on exposure to risk and driving habits using telematics data from a pay‐as‐you‐drive sample of insureds. We include distance traveled per year as part of an offset in a zero‐inflated Poisson model to predict the excess of zeros. We show the existence of a learning effect for large values of distance traveled, so that longer driving should result in higher premiums, but there should be a discount for drivers who accumulate longer distances over time due to the increased proportion of zero claims. We confirm that speed limit violations and driving in urban areas increase the expected number of accident claims. We discuss how telematics information can be used to design better insurance and to improve traffic safety.     

基于需要层次理论的保险代理人分类激励机制指标体系设计

针对保险代理人的具体情况和实际需求，将马斯洛的需要层次理论灵活地应用到实际当中，设计出一系列量化分类指标，运用数理统计方法，进行加权汇总后得出几个总值，对这几个总值的大小进行排序，根据排序的结果科学理性地将保险代理人分成若干类别，在对保险代理人管理过程中可以针对不同类别的代理人采取不同激励措施，进而有效而又低成本地解决保险业对代理人激励不力的问题。