Page 177 - Ebook health insurance IC27

Sashi Publications
Group size distribution-
number of people in the
group
Parameters
Claims probability
distribution- number of
claims paid and claim
amount
Claim analysis- Show the
amount of total claims paid
and for the different benefits
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l Number of people covered and premium for
different group sizes for the individual and group
policies.
l Study average premium per person
l Average premium for group
l Claim cost per person and for group
What is the use of analysis
l Percentage of total claim amount paid
l Number of total claims
l Frequency and average of claims
l Expected amount per claim
l Probability of claims of certain sizes
l Expected cost of claims for policies
l Rate calculation for sum insured policies
l Amount of claim paid and corresponding number
of claims for different years and component of
claim costs
l Amount paid for different benefits like nursing,
surgery, miscellaneous
Claim analysis by sum insured
l Number of claims paid
l Amount of claim
l Percentage of total claim paid with sum insured
l Utilisation level of different sum insured ranges
Claim analysis the age bands
l Number of claims for each age band
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