自費團體保險經營之研究—以T團體為例

An Empirical Research On Voluntary Group Insurance—Taking T Company as An Example

李國清(Kuo-Ching Lee)

指導教授 ： 郝充仁

共同指導教授 ： 汪琪玲(Chi-Ling Wang)

淡江大學/商學院/保險學系保險經營碩士在職專班/碩士(2009年)

https://doi.org/10.6846/TKU.2009.00321

摘要

我國團體保險市場自1971年發展至今已經37年，在投保人數與總保費收入上已有長足的進步；但近年來，由於國內政治問題不斷，國家競爭力衰退，致使外商投資怯步、中小企業倒閉、大型企業出走，團體保險市場的發展至此遇到瓶頸。在此不利的環境下，如何讓保險公司的業務持續發展？如何讓企業團體能以較低廉的成本繼續為員工辦理團體保險？如何讓員工繼續獲得團體保險的保障？「自費團體保險」是一個逐漸被採用的方式之ㄧ。
本研究利用個案研究方式，統計分析員工及其眷屬的投保與理賠狀況，探討實際經營中員工與眷屬在幾項風險因子中的反應與改變，同時探討被保險人面對保費調整前後的投保行為改變與意涵；雖然僅是個案研究結果，但為使「自費團體保險」得以良性運作與長期發展，在本文的最後並對保險公司與企業團體提出幾項經營「自費團體保險」的建議。

關鍵字

團體保險 ； 逆自留

並列摘要

For the past 37 years, from 1971, the group insurance market in Taiwan had been growing so rapidly that the number of insureds and the volume of premium income had increased significantly over the years.
However, in recent years, worsening economic condition and political issues have impeded foreign investments and forced many domestic companies to close operation or relocated their factories and employees to other countries seeking for more favorable profits. And, in consequence, this trend will inevitably affect the group insurance market in Taiwan.
Under this unfavorable situation, the “Voluntary Group Insurance” may be the answer to revitalize the market, in that it will provide lower insurance premium for the insureds and their independents.
This study examines claims experience of those insured under group insurance policies, surveys the insured and their dependent’s reaction towards the adjustment of premium and several other risk factors.
In order to facilitate the adoption and for the development of “Voluntary Group Insurance”, this study offers some suggestions for insurance companies those are interesting in this new business.

並列關鍵字

Group Insurance ； Adverse Retention

參考文獻

7.李榮俊，2006，個人傷害保險死殘廢率結構妥適性研究--以A壽險公司為例，淡江大學保險學系碩士論文。

2.Browne, M. J., 1992, Evidence of Adverse Selection in the Individual Health Insurance Market, Journal of Risk and Insurance, 59,13-33.

3.Cawley, J. and T. Philipson, 1999, An Empirical Examination of Information Barriers to Trade in Insurance, American Economics Review,89(4),827-846.

4.Dionne G. and N. A. Doherty, 1994, Adverse Selection, Commitment, and Renegotiation: Extension to and Evidence from Insurance Markets. The Journal of Political Economy, 102(2),209-235.

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