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Can price collars increase insurance loss coverage?

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  • Chatterjee, Indradeb
  • Hao, MingJie
  • Tapadar, Pradip
  • Thomas, R. Guy

Abstract

Loss coverage, defined as expected population losses compensated by insurance, is a public policy criterion for comparing different risk-classification regimes. Using a model with two risk-groups (high and low) and iso-elastic demand, we compare loss coverage under three alternative regulatory regimes: (i) full risk-classification (ii) pooling (iii) a price collar, whereby each insurer is permitted to set any premiums, subject to a maximum ratio of its highest and lowest prices for different risks. Outcomes depend on the comparative demand elasticities of low and high risks. If low-risk elasticity is sufficiently low compared with high-risk elasticity, pooling is optimal; and if it is sufficiently high, full risk-classification is optimal. For an intermediate region where the elasticities are not too far apart, a price collar is optimal, but only if both elasticities are greater than one. We give extensions of these results for more than two risk-groups. We also outline how they can be applied to other demand functions using the construct of arc elasticity.

Suggested Citation

  • Chatterjee, Indradeb & Hao, MingJie & Tapadar, Pradip & Thomas, R. Guy, 2024. "Can price collars increase insurance loss coverage?," Insurance: Mathematics and Economics, Elsevier, vol. 116(C), pages 74-94.
  • Handle: RePEc:eee:insuma:v:116:y:2024:i:c:p:74-94
    DOI: 10.1016/j.insmatheco.2024.02.003
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    1. James Mittra, 2006. "‘Genetic exceptionalism’ and precautionary politics: Regulating for uncertainty in Britain's genetics and insurance policy process," Science and Public Policy, Oxford University Press, vol. 33(8), pages 585-600, October.
    2. R. Guy Thomas, 2008. "Loss Coverage as a Public Policy Objective for Risk Classification Schemes," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 75(4), pages 997-1018, December.
    3. Auerbach, Alan J. & Kotlikoff, Laurence J., 1991. "The adequacy of life insurance purchases," Journal of Financial Intermediation, Elsevier, vol. 1(3), pages 215-241, June.
    4. Liran Einav & Amy Finkelstein & Mark R. Cullen, 2010. "Estimating Welfare in Insurance Markets Using Variation in Prices," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 125(3), pages 877-921.
    5. Thomas C. Buchmueller & Sabina Ohri, 2006. "Health Insurance Take-up by the Near Elderly," NBER Working Papers 11951, National Bureau of Economic Research, Inc.
    6. Neale Mahoney & E. Glen Weyl, 2017. "Imperfect Competition in Selection Markets," The Review of Economics and Statistics, MIT Press, vol. 99(4), pages 637-651, July.
    7. MingJie Hao & Angus S. Macdonald & Pradip Tapadar & R. Guy Thomas, 2019. "Insurance loss coverage and social welfare," Scandinavian Actuarial Journal, Taylor & Francis Journals, vol. 2019(2), pages 113-128, February.
    8. Devin G. Pope & Justin R. Sydnor, 2011. "Implementing Anti-discrimination Policies in Statistical Profiling Models," American Economic Journal: Economic Policy, American Economic Association, vol. 3(3), pages 206-231, August.
    9. Pietro Tebaldi, 2022. "Estimating Equilibrium in Health Insurance Exchanges: Price Competition and Subsidy Design under the ACA," NBER Working Papers 29869, National Bureau of Economic Research, Inc.
    10. Michael Geruso & Timothy J. Layton & Grace McCormack & Mark Shepard, 2023. "The Two-Margin Problem in Insurance Markets," The Review of Economics and Statistics, MIT Press, vol. 105(2), pages 237-257, March.
    11. Michael Hoy, 2006. "Risk Classification and Social Welfare*," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 31(2), pages 245-269, April.
    12. Mark V. Pauly & Kate H. Withers & Krupa Subramanian-Viswana & Jean Lemaire & John C. Hershey, 2003. "Price Elasticity of Demand for Term Life Insurance and Adverse Selection," NBER Working Papers 9925, National Bureau of Economic Research, Inc.
    13. Levon Barseghyan & Francesca Molinari & Ted O'Donoghue & Joshua C. Teitelbaum, 2013. "The Nature of Risk Preferences: Evidence from Insurance Choices," American Economic Review, American Economic Association, vol. 103(6), pages 2499-2529, October.
    14. B. Douglas Bernheim & Lorenzo Forni & Jagadeesh Gokhale & Laurence J. Kotlikoff, 2003. "The Mismatch Between Life Insurance Holdings and Financial Vulnerabilities: Evidence from the Health and Retirement Study," American Economic Review, American Economic Association, vol. 93(1), pages 354-365, March.
    15. Thomas, R. Guy, 2009. "Demand Elasticity, Risk Classification and Loss Coverage: When Can Community Rating Work?," ASTIN Bulletin, Cambridge University Press, vol. 39(2), pages 403-428, November.
    16. Keith M. Marzilli Ericson, 2014. "Consumer Inertia and Firm Pricing in the Medicare Part D Prescription Drug Insurance Exchange," American Economic Journal: Economic Policy, American Economic Association, vol. 6(1), pages 38-64, February.
    17. George A. Akerlof, 1970. "The Market for "Lemons": Quality Uncertainty and the Market Mechanism," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 84(3), pages 488-500.
    18. Keith M. Marzilli Ericson & Amanda Starc, 2015. "Pricing Regulation and Imperfect Competition on the Massachusetts Health Insurance Exchange," The Review of Economics and Statistics, MIT Press, vol. 97(3), pages 667-682, July.
    19. Goda, Gopi Shah, 2011. "The impact of state tax subsidies for private long-term care insurance on coverage and Medicaid expenditures," Journal of Public Economics, Elsevier, vol. 95(7-8), pages 744-757, August.
    20. Benjamin R. Handel & Jonathan T. Kolstad, 2015. "Health Insurance for "Humans": Information Frictions, Plan Choice, and Consumer Welfare," American Economic Review, American Economic Association, vol. 105(8), pages 2449-2500, August.
    21. Liran Einav & Amy Finkelstein, 2023. "Empirical analyses of selection and welfare in insurance markets: a self-indulgent survey," The Geneva Risk and Insurance Review, Palgrave Macmillan;International Association for the Study of Insurance Economics (The Geneva Association), vol. 48(2), pages 167-191, September.
    22. Dixit, Avinash K., 1990. "Optimization in Economic Theory," OUP Catalogue, Oxford University Press, edition 2, number 9780198772101.
    23. Barry K. Goodwin, 1993. "An Empirical Analysis of the Demand for Multiple Peril Crop Insurance," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 75(2), pages 425-434.
    24. Dosis, Anastasios, 2022. "Price caps and efficiency in markets with adverse selection," Journal of Mathematical Economics, Elsevier, vol. 99(C).
    25. Hao, MingJie & Macdonald, Angus S. & Tapadar, Pradip & Thomas, R. Guy, 2016. "Insurance Loss Coverage Under Restricted Risk Classification: The Case Of Iso-Elastic Demand," ASTIN Bulletin, Cambridge University Press, vol. 46(2), pages 265-291, May.
    26. Jonathan Gruber & Benjamin D. Sommers, 2019. "The Affordable Care Act'S Effects On Patients, Providers, And The Economy: What We'Ve Learned So Far," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 38(4), pages 1028-1052, September.
    27. Chatterjee, Indradeb & Macdonald, Angus S. & Tapadar, Pradip & Thomas, R. Guy, 2021. "When is utilitarian welfare higher under insurance risk pooling?," Insurance: Mathematics and Economics, Elsevier, vol. 101(PB), pages 289-301.
    28. Michael Rothschild & Joseph Stiglitz, 1976. "Equilibrium in Competitive Insurance Markets: An Essay on the Economics of Imperfect Information," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 90(4), pages 629-649.
    29. Hao, MingJie & Macdonald, Angus S. & Tapadar, Pradip & Thomas, R. Guy, 2018. "Insurance loss coverage and demand elasticities," Insurance: Mathematics and Economics, Elsevier, vol. 79(C), pages 15-25.
    30. Saurabh Bhargava & George Loewenstein & Justin Sydnor, 2017. "Choose to Lose: Health Plan Choices from a Menu with Dominated Option," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 132(3), pages 1319-1372.
    31. Benjamin R. Handel, 2013. "Adverse Selection and Inertia in Health Insurance Markets: When Nudging Hurts," American Economic Review, American Economic Association, vol. 103(7), pages 2643-2682, December.
    32. Nathaniel Hendren, 2021. "Measuring Ex Ante Welfare in Insurance Markets [Some Aspects of Optimal Unemployment Insurance]," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 88(3), pages 1193-1223.
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    More about this item

    Keywords

    Insurance loss coverage; Risk classification; Price collar; Demand elasticity; Marginal revenue-to-cost ratio; Arc elasticity; Partial community rating;
    All these keywords.

    JEL classification:

    • D82 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Asymmetric and Private Information; Mechanism Design
    • G22 - Financial Economics - - Financial Institutions and Services - - - Insurance; Insurance Companies; Actuarial Studies

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