Department of Risk Management and Insurance, National Kaohsiung University of Science & Technology, Kaohsiung 824, Taiwan.
Ph.D. Program of Business, College of Business, Feng Chia University, Taichung 40724, Taiwan.
Int J Environ Res Public Health. 2021 Dec 25;19(1):216. doi: 10.3390/ijerph19010216.
In this paper, the impact of both gender and age on the claim rates of dread disease and cancer insurance policies were examined using unique data taken from Taiwan's private health insurance policies issued by non-life insurers during the 2012 to 2015 policy years. Those aged 30-39 served as the reference group. For the total number of dread disease policies, male insureds had a higher non-cancer claim probability than female insureds, while an age under 20 was associated with much lower claim rates for dread disease policies than for ages over 50. The claim rate for dread disease policies increased rapidly beginning at age 40 for both cancerous and non-cancerous diseases amongst male insureds. Amongst female insureds, those under 20 had much lower claim rates for dread disease policies. Only those aged 50-59 had a higher claim rate for non-cancerous diseases. For the total number of cancer insurance policies, male insureds had lower claim rates than female insureds, with an upward trend being associated with age. For male (female) insureds aged over 40 (20), the claim rates of cancer increased with age.
本文利用 2012 年至 2015 年非寿险公司签发的台湾私人健康保险政策的独特数据,考察了性别和年龄对重大疾病和癌症保险理赔率的影响。以 30-39 岁人群为参照组。对于重大疾病保险的总数量,男性被保险人的非癌症理赔概率高于女性被保险人,而 20 岁以下人群的重大疾病保险理赔率远低于 50 岁以上人群。男性被保险人自 40 岁起,癌症和非癌症的重大疾病保险理赔率开始迅速上升。对于女性被保险人,20 岁以下的人罹患重大疾病保险的理赔率要低得多。只有 50-59 岁的人非癌症理赔率较高。对于癌症保险的总数,男性被保险人的理赔率低于女性被保险人,且理赔率随年龄呈上升趋势。对于 40 岁以上(20 岁以下)的男性(女性)被保险人,癌症的理赔率随年龄增长而增加。