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Health Insurance

Cost-sharing and premium design for health and accident products.

A medical expense is split between insured and insurer through the deductible, the coinsurance, the cap, and the sum insured. The tariff, by contrast, depends on age, hospital level, and occupation.

Read the decision, cash flows, assumptions, method, interpretation, and limits as one continuous case.

Actuarial case explained

How is a medical expense shared between insured and insurer?

Purpose

Decision informed

Look at premium, deductible, coinsurance, cap, and sum insured together.

Benefits and cash flows

  1. 1Initial deductible borne by the insured.
  2. 2Coinsurance on remaining eligible expense.
  3. 3Insurer payment subject to the contractual limit.

Assumptions

AssumptionValue / unitSource and status
MorbidityAge bandsIllustrative
Illustrative laboratory rates
Hospital levelRelative factorIllustrative
Model assumption
Medical trendNot modeledConvention
Explicit limitation

Method

Cost sharing

The contractual cost-sharing structure is calculated separately from the illustrative tariff.

Pago aseguradora = min(SA, (Gasto − Deducible) × (1 − coaseguro))

Results and interpretation

An age-based premium is not a renewal projection: the engine includes neither experience nor medical trend.

Applied example

Laura's renewal

Laura, age 45, renews a major medical plan with a $5,000,000 sum assured, a $40,000 deductible, and 10% coinsurance. The premium increases every year even without claims.

Adjust the parameters to observe how the result changes.

Annual premium

Actuarial interpretation

The illustrative tariff increases with age through morbidity bands. It is not a renewal projection: this engine includes neither experience data, medical inflation, nor trend, so those assumptions must be modeled and validated separately.

Validation and limits

What is checked

  • Deductible, coinsurance, and sum-insured boundaries.
  • Accident indemnity cross-checks.

What it does not prove

  • There is no frequency-severity model fed by experience data.
  • The loss ratio comes out of the premium itself, so it is circular and illustrative only.