Professional Documents
Culture Documents
Author(s): N. A. Doherty
Source: The Journal of Risk and Insurance, Vol. 42, No. 3 (Sep., 1975), pp. 447-460
Published by: American Risk and Insurance Association
Stable URL: http://www.jstor.org/stable/251700 .
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DOHERTY
ABSTRACT
This paper explores the role of premium loadings in risk management
decisions. It shows how the expected utility hypothesis might be applied
to risk management situations and how rational insurance decisions
depend on the nature of the premium loading. Finally the paper
examines the 'moral hazard' argument that insurance discourages expenditure on loss prevention. The relationship between insurance and
loss prevention is shown to depend on the size and nature of the
premium loading.
The contribution which risk management has made to the management
sciences has been its stress on the interdependence between the alternative
methods of handling risk. It therefore becomes inappropriate for a firm
to formulate an optimal insurance program without reference to its program for loss prevention. Conversely, the viability of any given loss prevention program depends on the level of insurance and the conditions
under which it is arranged. The purpose of this paper is to show how the
nature and extent of this interdependence rest upon the premium structure
and, in particular, the size and structure of the premium loadings.
The importance of the premium loadings for optimal insurance and
risk management decisions has been recognized by several economists and,
collectively, their works form a theoretical basis for risk management.
Some of the more important conclusions from this literature are brought
together here and this is used as a basis for further exploration of the
relationship between risk management decisions and premium loadings.
448
Loss
distribution
1~~a
FIGUREla
Expected income
distribution
lb
FIGURElb
possible loss the individual can sustain. It is useful to consider this loss
distribution in a slightly different form, where the horizontal axis records
not the loss itself but how much wealth or income remains after the loss
and/or any insurance premium has been deducted. In Figure lb, OA is
the initial wealth and the outcome x = 0 represents a total loss. Figure lb
is simply a mirror image of la. This distribution is referred to as the
expected income distribution. Clearly the individual can change the shape
of his expected income distribution by purchasing insurance and in the
limiting case full insurance would be represented by a distribution which
showed an outcome of A - R with an associated probability of 1. The
term R denotes the insurance premium.
Decisions facing the firm about whether it purchases insurance, or
how much it purchases, might be graphically represented as a choice
between various probability distributions each of which corresponds to
a different level of insurance. One device for ranking competing distributions is the expected utility hypothesis' by which each distribution can be
associated with a real number and the ordering of these real numbers
provides a preference ordering over the various probability distributions.
Figure 2 combines four separate diagrams, the first of which, 2(a),
shows the probability distribution f(x) appearing in lb which shows the
income prospect if no insurance is purchased. Directly underneath 2a is
a utility of income function U1(x). This satisfies the requirement of diminishing marginal utility of income,2 which implies aversion to risk. The
horizontal axis of 2b has the same variable. as the horizontal axis of 2a and
furthermore they are drawn on the same scale. Part 2c is merely a 45
'See for example K. H. Borcb, "The Economics of Uncertainty," Princeton Studies
in Mathematical Economics No. 2, Ch. 3.
2 For our application, the utility function must also satisfy the well-known Von
Neumann/Morgenstern axiom and be determined up to linear transformation.
-V9
____________._
__
_____
jNO
____
__
*%
449
_ ___/&
U~~~~~
olL
A~ t
!IAx
0
FIGURE 3.
ON
X~~~~~~~
450
451
deduction from each claim so that the insured himself bears losses below
this sum. Where the loss exceeds this sum the insurers pay the difference.
A franchise is similar to a deductible but, unlike it, the insurers are fully
liable for losses over the deductible amount. A fourth form of risk sharing
is the first loss arrangement. Here, the insurers will pay the amount of
the loss or a given sum, whichever is the lower. The text concentrates on
the optimality conditions for coinsurance and deductibles, although an
attempt is made later to order these and other forms of risk sharing.
If the income prospect is represented in the form of a discrete probability distribution the expected utility is given by
n
I
where
pJU(A - L;)
pi
Fortunately the presentation can be simplified very considerably by considering a binomial probability distribution in which only two outcomes
are possible. This simplification does not affect the main conclusions of
the paper, as can be demonstrated easily by appropriate differentiation
with a multi outcome distributions There is a probability p that a loss
will occur and it will assume a single value L. This state is denoted by
subscript 0. There is a residual probability (1-p) that no loss will occur;
that state being denoted by subscript 1. If no insurance is purchased, the
expected utility of the income prospect is given by: 6
U
+ pU(A- L)
(1 - p)U(A)
Coinsurance
If the individual or firm coinsures, the expected utility is given by:
III(i)
(1 - p)U(A -
=w L) + pU(A- =w L - (1-
7r
)L)
5Many of the writers cited here take advantage of this simplification because it can
be used to produce fairly general results.
6The presentation here is similar to that of Ehrlich and Becker. However, a difference does arise in the definition of the price of insurance. Here, it is defined as the rate
at which certainty income can be transformed into income in state 0 only. The reason
for using this definition is that insurers rarely make the payment of premium contingent
on whether a loss occurs. Thus the E & B symbols are equivalent to my aL - a7rL or,
in other words, my net insurance payment in state 0 is functionally related to r. See
I Ehrlich and G. S. Becker, "Market Insurance, Self Insurance and Self Protection"
J.P.E. Vol. 80, 1972.
7 Incomes in each state of the world are defined net of tax. If premiums and uninsured
losses are both tax deductible, then the real price of insurance is the rate at which
net of tax premiums can be used to make good contingent net of tax losses.
452
111(ii)
-(1
- p)U'w L
~~1
pU0L( w
pUL7r1
and
III(iii)
d2U
-2
d a
(1.-
2
p) (7r L) U1
2
p(L(7r-1))U0<
III(ii)a
+ m)LU{
p((l
+ m)p -
1)LUt
where m is the loading factor. Since p is positive then if m>O the equation
p(l
- p)U{L
p(l
- p)U'L
which implies full insurances However, this case does present the possibility of a corner solution,"1in which case calculus techniques will fail to
reveal the optimal solution. The loading is apparently a "lump sum tax"
which applies to all policyholders but its imposition may be avoided if
no insuranceis purchased.The expected utility function thereforebecomes
discontinuousat a = 0. The optimal solution will then either be the full
insurancesolution (a= 1) given by equation III(ii)b or the corner solution (a = 0) in which no insuranceis purchased.
8 In which case the premium= apL ( 1+m) where m is the loading factor.
J. Mossin, "Aspects of Rational Insurance Purchasing,"J.P.E. 76 (July-Aug. 1968)
V. L. Smith, "Optimal Insurance Coverage," J.P.E. 76 (Jan.-Feb. 1968).
'0This conclusion is reached by Parkin & Wu who point out that if the premium
loading is independent
the actuarial and non-actuarial schemes are identical." See J. M. Parkin & S. Y. Wu,
"Choices Involving Unwanted Risky Events and Optimal Insurance," A.E.R. 62 (Dec.
1972).
"- This point has been made by M. Jones-Lee in an unpublished paper.
453
III(iv)
(1 - p)U(A-
+ pU(A -
(L -))
wr(L-)-)
dd
(1 - p)Ulr
pU(
r-1)
which implies full insurance if the premium is actuarially fair (7 = p); and
III (v)
d2U
(_-
2 "(1-
U"Tr2
)Ul
1
pUO(X -1)
<
which holds if U" < 0. With a proportionate loading the first order condition is:
III(vii)
(1 - p)(l
+ m)pU{
p((1
+ m)p -
M)UI
which if m > 0 and p > 0 implies that U01> U I which in turn implies
less than full insurance. If the premium includes a lump sum loading,
the result is the same as that considered under coinsurance.If insurance
is purchasedat all, then full insurancewill be optimal. However, the lump
sum tax itself might be sufficientto dissuade firms from buying insurance.
Summarising,the Mossin and Smith theoremsshow that partial insurance
will always be optimal where a proportionateloading is imposed.12 At
first sight, it seems that most property insurances are calculated on the
basis of proportionateloadings. A common practice of property insurers
is to use target loss ratios as the basis of premium calculations.'3The
premiums for each class of insureds are calculated at a set ratio of the
expected claims costs.'4 Where coinsuranceis undertakenat some given
percentagethe premiumis usually, though not always, the same percentage
of the full insurancepremium and the assumptionsof Mossin and Smith
seem appropriate.
However, when risk sharing takes the form of deductibles, franchisesor
first loss policies, then the premium loadings are not likely to be of a
simple proportionate nature if only because this would involve a detailed
12 Sometimes the insured is only offered a limited number of choices. For example,
he may be offered either full cover at a stated premium or a given deductible at an
alternative premium. In these cases it is impossible to anticipate the ordering of these
alternatives unless the insured's utility function is exactly specified.
13 See Report on the Supply of Fire Insurance, The Monopolies Commission, London
HMSO, 2nd August 1972, paras 168-178.
14Each class contains a group of insureds who are considered to be relatively
homogeneous in terms of loss expectancies.
454
arc
RI
FIGURE 4.
455
456
t~~~~D~vdb/ zQB-OC
i,
Thy)
frnchis
~FrJ E Loss
piu6
x~~~~
sowf 9cle
deducyibcK
a)
fte
|;e
Pva *>
4
<
dedmlcfibk_ )
(6)
s/4
0p
457
(1 - p(r))U(A - = L w(r) - r
- r)
where r is the level of expenditure on loss prevention, and the other symbols
are as expressed earlier.
The optimal level of loss prevention for any given level of insurance is
given by the first order condition:
IV(ii)
au
-pb(r)
(A - as ''L - r) - U(A -
U
-(1
- p(r))U;(
'(r)L
(r)L - (1 -L
+ 1)
+ 1) - p(r)UO(s: v(r)L
- r
0
and the appropriate second order condition. In order to show the effect of
exogenous changes in the level of insurance on self protection expenditure,
take the derivative of the first order condition; this gives dr/da =-N/m
where M is the second order condition, which will be negative, so that
the sign of dr/da will be the same as the sign of N. N is given by:
IV(iii)
p' (r){UL
-(1
- p(r]UlL
-p(r)UOL
Lp' (r)(2p(r)
i(r)
:'(r)
I' (r)
- 1)(U;
(1 - p(r))U"(
p(r)U
-L :'(r)
( -L rI(r)
+ 1)L x(r)
+ 1) (L( ir)
1))
- U1) +
L(
Lp(r) + 1)p(r)(1
- p(r))(
p 0)(U
~Ulf
458
Ehrlich and Becker point out that in this case market insurance and
loss prevention may turn out to be complementary if p is not very small
and U is concave.17, 18 However, a similar result may occur where the
premium includes a loading factor. For example, if the premium includes
a lump sum loading (premium= aLp (r) + k) then N would be the
same as in the actuarial case. Since M also would be unchanged then
the rate of substitution would be identical.
A more interesting case is where the loading is related to the sum insured.
By substituting a premium of the form ap (r) L + akL into IV (i) and
appropriate differentiation, N emerges as follows:
IV(v)
pL(r)L(2p(r)
- UO)
k -
-L(
+ 1)f(p(r)
Lp'(r)
- P
kp(r))(U'
- U") +kUl}
p' (r)L{(2p(r)(1
+
L(
+ m) -
L(1 + m)p'(r)
1){P(r)(1
-mUjj-
- p(r)
The conditions for a positive sign for this expression are more complex.
For example, if U is quadratic then N will certainly be positive if
(a)
U2p r)(1
m) - 1) > 0
(b)
Ulf
.Tr
and
PI W
459
as the reduction in the expected loss. The size of the loss prevention program
is assumed a continuous variable. The line OX measures the payback
to loss prevention assuming no insurance is purchased and the dotted line
is a simple 450 device. A program of size OR would equate cost with
Paybackt
/45
/o55/Ptenevr6of
AOX
A/,'
i0 S r
FIGURE
7.
expected payback and a programof size OSwould yield the highest margin
of expected payback over cost. In the actuarial case, the payback would
be exactly the same as in the no insurancecase and the firm which sought
to maximise expected income would optimize at OS. Similarly with the
lump sum loading, the payback is (E, + m) - (E, + m.) (where E, is
the expected loss before the program and E, is the expected loss after
the program and m, is the loading) which is again shown by OX.With a
proportionateloading the expected payback is (I + m) (E - E2). This
results in a new curve OZwhich gives a higher payback for any given
programand maximisesnet payback at a higher level of loss prevention.
The phenomenon described by insurers as moral hazard implies that
insureds substitute between insurance and loss prevention. The notion
was challenged by the Ehrlich and Becker conclusion that if premiums
are actuarially fair and loss probabilities are fairly high then insurance
and loss prevention may well be complimentary.In fact, a stronger conclusion can be reached under less unrealistic assumptions. Where the
premium loading is positively related to the actuarialvalue then complementarity is likely to ensue at lower levels of loss probability and/or
where the insured'scoefficientof risk aversionis relatively low.
Conclusion
The theorems which are summarised and extended in this paper are
quite specific and there is little need to repeat them. As an explanationof
risk management behaviour the value of these -theorems is limited by
the paucity of data on loss probabilities.Access to such data is obviously
crucial in co-ordinatingstrategies towards risk but it is also importantin
460