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題名 台灣壽險業健康保險損失率影響因素之探討
The factors that influence the loss ratio of health insurance policies for life insurance companies in Taiwan
作者 邱于君
Chiu, Yu Chun
貢獻者 陳彩稚
邱于君
Chiu, Yu Chun
關鍵詞 健康險損失率
行銷通路
個體因素
總體因素
loss ratio of health insurance
distribution system
firm-specific variables
macroeconomic variables
日期 2009
上傳時間 8-Dec-2010 01:57:16 (UTC+8)
摘要 本研究主要在探討台灣壽險業健康保險損失率之影響因素。首先,了解健康險損失率是否因為壽險公司規模不同而有顯著差異。再者,將壽險公司依主要專注之通路類型分為三類,包括業務員通路、經代通路以及其他通路,而觀察通路對於健康險損失率的影響情形。最後,藉由個體變數與總體變數之分析,期望以其他不同的角度協助保險公司未來對於損失率的風險控制。
研究結果發現:
(一)當壽險公司之資產規模不同時,對於健康險損失率有顯著差異上的影響。大型壽險公司的平均健康險損失率顯著高於小型壽險公司之健康險平均損失率。
(二)壽險公司行銷通路的注重程度不同,確實會使健康保險損失率產生顯著的差異。研究結果發現其他通路運用程度越高的壽險公司,其健康險損失率顯著比使用經代人通路和業務員通路的壽險公司之損失率低。
(三)本研究發現健康險損失率受到總體因素的影響,一般而言比壽險公司個體因素的影響微弱。個體因素確實會顯著影響壽險公司健康險損失率,而且壽險公司不同的規模型態,其主要影響健康險損失率的因素亦會有所不同。
This study examines the factors that influence the loss ratio of health insurance policies for life insurance companies in Taiwan. First, this thesis intends to investigate whether there are significant differences in loss ratios among insurers due to firm size. Secondly, the impact of marketing channels on health insurance loss ratio is analyzed where the distribution systems mainly used by insurers are divided into three categories: employee sales, agent/broker channel, and others. Finally, this study conducts regression analyses on the health insurance loss ratio with firm-specific and macroeconomic variables to help insurers in controlling risks in the future. The empirical results are shown as follows.
1.The loss ratios of health insurance vary significantly with firm size. The loss ratio of large insurance companies is significantly higher than that of small insurances companies.
2.Distribution system has a significant impact on the loss ratio of health insurance. When the insurer relies more on other channels, instead of employee sales and agent/broker, the insurer will have lower loss ratio.
3.The impact of macroeconomic variables on the loss ratio of health insurance is less than that of firm-specific variables. Additionally, the influential variables for loss ratio may be different between insurers of large and small sizes.
參考文獻 1.財團法人保險事業發展中心,人壽保險業務統計年報2005-2008。
2.王儷玲、薛國平、陳麗如(2007),「銷售通路對汽車車體損失險損失率之影響」,風險管理學報第九卷第三期,pp.193-219。
3.江傳賢、許沖河、夏銘賢、呂廣盛(2006),「傷害及健康保險」,財團法人保險事業發展中心。
4.李文斌(2007),「銷售通路對傷害保險損失率之影響分析」,國立政治大學風險管理與保險研究所。
5.邵淑君(2008),「銷售通路與資訊不對稱:個人健康險損失率之實證研究」,逢甲大學風險管理與保險碩士在職專班。
6.張文武(1998),「保險業效率、承保週期及損失率之實證研究」,國立中央大學財務管理研究所。
7.張一岑、張太平、蔡匡忠(2008),「SPSS統計建模與分析程序」,文魁資訊股份有限公司。
8.賴丞坡(2004),「探討台灣保險之三篇論文」,國立中正大學企業管理研究所博士論文。
9.賴本隊、林敏華(2004),「人壽保險」,華立圖書有限公司。
10.簡松祺(2005),「保險會計—原理與實務」,大地印刷廠股份有限公司
11.劉子操、郭頌平、曾文瑞(2003),「保險行銷學」,五南出版社。
12.蕭文龍(2009),「多變量分析--最佳入門實用書SPSS+LISREL」,碁峯資訊股份有限公司。
13.Bell, Allison, 2004, “Middle Way Might Be Route to Higher-Quality Disability Sales,” Journal of Risk Finance, 108: 22.
14.Cain, Gary, 2001, “Recession Threatens Profit Cycle: A Weak Economy can Shorten the Time Health Insurers Enjoy Gains, but Insurers can Take Measures to Protect Themselves. (Life/Health),” Best’s Review (Dec.), 52: 105.
15.Cawley, John and Kosali I. Simon, 2003, “The Impact of Macroeconomic Conditions on the Health Insurance Coverage of Americans,” NBER/Frontiers in Health Policy Research, 6: 87-114.
16.Chen, Renbao, Kie Ann Wong and Hong Chew Lee, 1999, “Underwriting Cycles in Asia,” Journal of Risk and Insurance, 66: 29-47.
17.Clement, Obeng Nyantakyi, 2009, “Asymmetry Information Problem of Moral Hazard and Adverse Selection in a National Health Insurance: the Case of Ghana National Health Insurance,” Management Science and Engineering , 3: 101-107.
18.Cummins, J. David, and Patricia M. Danzon, 1997, “Price, Financial Quality and Capital Flows in Insurance Markets,” Journal of Financial Intermediation, 6: 3-38.
19.Cuter, D. Richard and Peter M. Ellis, 2005 , “ A Simple Model to Predict Loss Rations in The Domestic Stock Property-liability Insurance Industry,” Quarterly Journal of Business and Economics, 44: 129-139.
20.Kahane, Yehuda and M. Moshe Porat, 1984, “Financial Analysis of Underwriting Results: A Corrected Approach to Loss Ratio Analysis, With a Special Reference to Inflation,” Journal of Risk and Insurance, 51: 710-719.
21.Leng, Chao-Chun and Ursina B. Meier, 2006, “Analysis of Multinational Underwriting Cycles in Property- Liability Insurance,” Journal of Risk Finance,7: 146-159.
22.Ma ,Yu-Luen and Nat Pope, 2003, “Determinants of International Insurers’ Participation in Foreign Non-life Markets,” Journal of Risk and Insurance, 70: 235-248.
23.Meier, Ursina B. and J. Francois Outreville, 2006, “Business cycles in insurance and reinsurance: the case of France, Germany and Switzerland,” Journal of Risk Finance,7:160-176.
24.Meier, Ursina B., 2006a, “Multi-national Underwriting Cycles in Property– Liability Insurance, Part 1—some theory and empirical results,” Journal of Risk Finance, 7:64-82.
25.Meier, Ursina B., 2006b, “Multi-national Underwriting Cycles in Property– Liability Insurance, Part 2— model extensions and further empirical results,” Journal of Risk Finance, 7: 83-97.
26.Polsky, Daniel, and Sean Nicholson, 2004, “Why Are Managed Care Plans Less Expensive: Risk Selection Utilization, or Reimbursement,” Journal of Risk and Insurance, 71: 21-40.
27.Stewart, Barbara D., 1981, “The Economics of the Underwriting Cycle,” Journal of Insurance, 42: 2-6.
28.Sülzle, K. and A. Wambach, 2005, “Insurance in a Market for Credence Goods, ” Journal of Risk and Insurance, 72:159-176.
29.Venezian, Emillio C., 1985,“ Ratemaking Methods and Profit Cycles in Property and Liability Insurance,” Journal of Risk and Insurance, 52: 477-500.
30.Vera-Hernández, Marcos, 2003, “Structural Estimation of a Principal-Agent Model: Moral Hazard in Medical Insurance,” RAND Journal of Economics, 34: 70-693.
31.中華民國人壽保險商業同業公會 http://www.lia-roc.org.tw/
32.行政院金融監督管理委員會 http://www.fscey.gov.tw
33.行政院主計處 http://www.dgbas.gov.tw/
34.行政院衛生署中央健康保險局 http://www.nhi.gov.tw/
35.保險事業發展中心 http://www.iiroc.org.tw/
描述 碩士
國立政治大學
風險管理與保險研究所
97358007
98
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0097358007
資料類型 thesis
dc.contributor.advisor 陳彩稚zh_TW
dc.contributor.author (Authors) 邱于君zh_TW
dc.contributor.author (Authors) Chiu, Yu Chunen_US
dc.creator (作者) 邱于君zh_TW
dc.creator (作者) Chiu, Yu Chunen_US
dc.date (日期) 2009en_US
dc.date.accessioned 8-Dec-2010 01:57:16 (UTC+8)-
dc.date.available 8-Dec-2010 01:57:16 (UTC+8)-
dc.date.issued (上傳時間) 8-Dec-2010 01:57:16 (UTC+8)-
dc.identifier (Other Identifiers) G0097358007en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/49030-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 風險管理與保險研究所zh_TW
dc.description (描述) 97358007zh_TW
dc.description (描述) 98zh_TW
dc.description.abstract (摘要) 本研究主要在探討台灣壽險業健康保險損失率之影響因素。首先,了解健康險損失率是否因為壽險公司規模不同而有顯著差異。再者,將壽險公司依主要專注之通路類型分為三類,包括業務員通路、經代通路以及其他通路,而觀察通路對於健康險損失率的影響情形。最後,藉由個體變數與總體變數之分析,期望以其他不同的角度協助保險公司未來對於損失率的風險控制。
研究結果發現:
(一)當壽險公司之資產規模不同時,對於健康險損失率有顯著差異上的影響。大型壽險公司的平均健康險損失率顯著高於小型壽險公司之健康險平均損失率。
(二)壽險公司行銷通路的注重程度不同,確實會使健康保險損失率產生顯著的差異。研究結果發現其他通路運用程度越高的壽險公司,其健康險損失率顯著比使用經代人通路和業務員通路的壽險公司之損失率低。
(三)本研究發現健康險損失率受到總體因素的影響,一般而言比壽險公司個體因素的影響微弱。個體因素確實會顯著影響壽險公司健康險損失率,而且壽險公司不同的規模型態,其主要影響健康險損失率的因素亦會有所不同。
zh_TW
dc.description.abstract (摘要) This study examines the factors that influence the loss ratio of health insurance policies for life insurance companies in Taiwan. First, this thesis intends to investigate whether there are significant differences in loss ratios among insurers due to firm size. Secondly, the impact of marketing channels on health insurance loss ratio is analyzed where the distribution systems mainly used by insurers are divided into three categories: employee sales, agent/broker channel, and others. Finally, this study conducts regression analyses on the health insurance loss ratio with firm-specific and macroeconomic variables to help insurers in controlling risks in the future. The empirical results are shown as follows.
1.The loss ratios of health insurance vary significantly with firm size. The loss ratio of large insurance companies is significantly higher than that of small insurances companies.
2.Distribution system has a significant impact on the loss ratio of health insurance. When the insurer relies more on other channels, instead of employee sales and agent/broker, the insurer will have lower loss ratio.
3.The impact of macroeconomic variables on the loss ratio of health insurance is less than that of firm-specific variables. Additionally, the influential variables for loss ratio may be different between insurers of large and small sizes.
en_US
dc.description.tableofcontents 謝辭 I
摘要 III
Abstract IV
目錄 V
圖表目錄 VI
第一章 緒論 1
第一節 研究動機 1
第二節 研究目的 3
第三節 研究範圍與限制 5
第四節 研究流程與架構 6
第二章 文獻回顧 8
第一節 我國目前健康險市場損失率概況 8
第二節 我國目前壽險業行銷方式簡介 11
第三節 健康保險相關文獻之回顧 14
第三章 研究方法 19
第一節 研究假設 19
第二節 研究變數之說明 23
第三節 樣本資料來源與分類 26
第四節 研究方法 30
第四章 實證結果 33
第一節 敘述性統計分析 33
第二節 差異性分析 36
第三節 變異數分析(ANOVA) 37
第四節 多元迴歸模型分析 39
第五章 結論與建議 52
第一節 結論 52
第二節 後續研究之建議 54
附錄 55
參考文獻 58
zh_TW
dc.language.iso en_US-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0097358007en_US
dc.subject (關鍵詞) 健康險損失率zh_TW
dc.subject (關鍵詞) 行銷通路zh_TW
dc.subject (關鍵詞) 個體因素zh_TW
dc.subject (關鍵詞) 總體因素zh_TW
dc.subject (關鍵詞) loss ratio of health insuranceen_US
dc.subject (關鍵詞) distribution systemen_US
dc.subject (關鍵詞) firm-specific variablesen_US
dc.subject (關鍵詞) macroeconomic variablesen_US
dc.title (題名) 台灣壽險業健康保險損失率影響因素之探討zh_TW
dc.title (題名) The factors that influence the loss ratio of health insurance policies for life insurance companies in Taiwanen_US
dc.type (資料類型) thesisen
dc.relation.reference (參考文獻) 1.財團法人保險事業發展中心,人壽保險業務統計年報2005-2008。zh_TW
dc.relation.reference (參考文獻) 2.王儷玲、薛國平、陳麗如(2007),「銷售通路對汽車車體損失險損失率之影響」,風險管理學報第九卷第三期,pp.193-219。zh_TW
dc.relation.reference (參考文獻) 3.江傳賢、許沖河、夏銘賢、呂廣盛(2006),「傷害及健康保險」,財團法人保險事業發展中心。zh_TW
dc.relation.reference (參考文獻) 4.李文斌(2007),「銷售通路對傷害保險損失率之影響分析」,國立政治大學風險管理與保險研究所。zh_TW
dc.relation.reference (參考文獻) 5.邵淑君(2008),「銷售通路與資訊不對稱:個人健康險損失率之實證研究」,逢甲大學風險管理與保險碩士在職專班。zh_TW
dc.relation.reference (參考文獻) 6.張文武(1998),「保險業效率、承保週期及損失率之實證研究」,國立中央大學財務管理研究所。zh_TW
dc.relation.reference (參考文獻) 7.張一岑、張太平、蔡匡忠(2008),「SPSS統計建模與分析程序」,文魁資訊股份有限公司。zh_TW
dc.relation.reference (參考文獻) 8.賴丞坡(2004),「探討台灣保險之三篇論文」,國立中正大學企業管理研究所博士論文。zh_TW
dc.relation.reference (參考文獻) 9.賴本隊、林敏華(2004),「人壽保險」,華立圖書有限公司。zh_TW
dc.relation.reference (參考文獻) 10.簡松祺(2005),「保險會計—原理與實務」,大地印刷廠股份有限公司zh_TW
dc.relation.reference (參考文獻) 11.劉子操、郭頌平、曾文瑞(2003),「保險行銷學」,五南出版社。zh_TW
dc.relation.reference (參考文獻) 12.蕭文龍(2009),「多變量分析--最佳入門實用書SPSS+LISREL」,碁峯資訊股份有限公司。zh_TW
dc.relation.reference (參考文獻) 13.Bell, Allison, 2004, “Middle Way Might Be Route to Higher-Quality Disability Sales,” Journal of Risk Finance, 108: 22.zh_TW
dc.relation.reference (參考文獻) 14.Cain, Gary, 2001, “Recession Threatens Profit Cycle: A Weak Economy can Shorten the Time Health Insurers Enjoy Gains, but Insurers can Take Measures to Protect Themselves. (Life/Health),” Best’s Review (Dec.), 52: 105.zh_TW
dc.relation.reference (參考文獻) 15.Cawley, John and Kosali I. Simon, 2003, “The Impact of Macroeconomic Conditions on the Health Insurance Coverage of Americans,” NBER/Frontiers in Health Policy Research, 6: 87-114.zh_TW
dc.relation.reference (參考文獻) 16.Chen, Renbao, Kie Ann Wong and Hong Chew Lee, 1999, “Underwriting Cycles in Asia,” Journal of Risk and Insurance, 66: 29-47.zh_TW
dc.relation.reference (參考文獻) 17.Clement, Obeng Nyantakyi, 2009, “Asymmetry Information Problem of Moral Hazard and Adverse Selection in a National Health Insurance: the Case of Ghana National Health Insurance,” Management Science and Engineering , 3: 101-107.zh_TW
dc.relation.reference (參考文獻) 18.Cummins, J. David, and Patricia M. Danzon, 1997, “Price, Financial Quality and Capital Flows in Insurance Markets,” Journal of Financial Intermediation, 6: 3-38.zh_TW
dc.relation.reference (參考文獻) 19.Cuter, D. Richard and Peter M. Ellis, 2005 , “ A Simple Model to Predict Loss Rations in The Domestic Stock Property-liability Insurance Industry,” Quarterly Journal of Business and Economics, 44: 129-139.zh_TW
dc.relation.reference (參考文獻) 20.Kahane, Yehuda and M. Moshe Porat, 1984, “Financial Analysis of Underwriting Results: A Corrected Approach to Loss Ratio Analysis, With a Special Reference to Inflation,” Journal of Risk and Insurance, 51: 710-719.zh_TW
dc.relation.reference (參考文獻) 21.Leng, Chao-Chun and Ursina B. Meier, 2006, “Analysis of Multinational Underwriting Cycles in Property- Liability Insurance,” Journal of Risk Finance,7: 146-159.zh_TW
dc.relation.reference (參考文獻) 22.Ma ,Yu-Luen and Nat Pope, 2003, “Determinants of International Insurers’ Participation in Foreign Non-life Markets,” Journal of Risk and Insurance, 70: 235-248.zh_TW
dc.relation.reference (參考文獻) 23.Meier, Ursina B. and J. Francois Outreville, 2006, “Business cycles in insurance and reinsurance: the case of France, Germany and Switzerland,” Journal of Risk Finance,7:160-176.zh_TW
dc.relation.reference (參考文獻) 24.Meier, Ursina B., 2006a, “Multi-national Underwriting Cycles in Property– Liability Insurance, Part 1—some theory and empirical results,” Journal of Risk Finance, 7:64-82.zh_TW
dc.relation.reference (參考文獻) 25.Meier, Ursina B., 2006b, “Multi-national Underwriting Cycles in Property– Liability Insurance, Part 2— model extensions and further empirical results,” Journal of Risk Finance, 7: 83-97.zh_TW
dc.relation.reference (參考文獻) 26.Polsky, Daniel, and Sean Nicholson, 2004, “Why Are Managed Care Plans Less Expensive: Risk Selection Utilization, or Reimbursement,” Journal of Risk and Insurance, 71: 21-40.zh_TW
dc.relation.reference (參考文獻) 27.Stewart, Barbara D., 1981, “The Economics of the Underwriting Cycle,” Journal of Insurance, 42: 2-6.zh_TW
dc.relation.reference (參考文獻) 28.Sülzle, K. and A. Wambach, 2005, “Insurance in a Market for Credence Goods, ” Journal of Risk and Insurance, 72:159-176.zh_TW
dc.relation.reference (參考文獻) 29.Venezian, Emillio C., 1985,“ Ratemaking Methods and Profit Cycles in Property and Liability Insurance,” Journal of Risk and Insurance, 52: 477-500.zh_TW
dc.relation.reference (參考文獻) 30.Vera-Hernández, Marcos, 2003, “Structural Estimation of a Principal-Agent Model: Moral Hazard in Medical Insurance,” RAND Journal of Economics, 34: 70-693.zh_TW
dc.relation.reference (參考文獻) 31.中華民國人壽保險商業同業公會 http://www.lia-roc.org.tw/zh_TW
dc.relation.reference (參考文獻) 32.行政院金融監督管理委員會 http://www.fscey.gov.twzh_TW
dc.relation.reference (參考文獻) 33.行政院主計處 http://www.dgbas.gov.tw/zh_TW
dc.relation.reference (參考文獻) 34.行政院衛生署中央健康保險局 http://www.nhi.gov.tw/zh_TW
dc.relation.reference (參考文獻) 35.保險事業發展中心 http://www.iiroc.org.tw/zh_TW