Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

Suppose that the insurance company would set the premium by imposing a zero profit restriction. That is, the premium would be set to be (1+L)EB,

Suppose that the insurance company would set the premium by imposing a zero profit restriction. That is, the premium would be set to be (1+L)EB, where L is the loading factor and EB is the expected benefit. Let us assume that L = 20%. a. Let us first consider a homogenous population of 10,000 people, each has a probability of 0.3 to incur a medical bill of $10,000, and a probability of 0.7 to be healthy. If the insurance company decides to offer health insurance plans with a uniform premium to this population, what would be the premium? b. Let us now assume that there are 1,000 newcomers to this population. However, the newcomers are less healthy. They have a probability of 0.5 to incur a medical bill of $20,000 and a probability of 0.5 to be disease free. If the insurance company cannot distinguish the newcomers from the rest, it has to offer health insurance plans with a uniform premium to everyone. What would be the new premium in dollar amount? Calculate the percentage change in premiums for the existing policy holders. c. Based on this simple calculation, what can we say about the impact of pre-existing condition provision included in the ACA?

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image_2

Step: 3

blur-text-image_3

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

Auditing Processing Learn About Types Of Audits For Auditors Auditing For Dummies

Authors: Mazie Dannenberg

1st Edition

B097DGKYS7, 979-8524930576

More Books

Students also viewed these Accounting questions

Question

Persuasive Speaking Organizing Patterns in Persuasive Speaking?

Answered: 1 week ago