Controlling the effects of adverse selection in flexible benefit plans: A pricing-based approach
Cherie Ng,
Barbara Sanders and
Jean-François Bégin
Insurance: Mathematics and Economics, 2022, vol. 105, issue C, 293-312
Abstract:
Most flexible group benefit plans are currently designed and priced based on deterministic assumptions about the plan members' option selection. This can cause an adverse selection spiral—healthier insureds drop out of richer options, increasing the concentration of high-risk insureds covered in these options and thereby causing skyrocketing insurance rates. In this study, we propose and analyze a solution for the spiral based on pricing. Pricing-based strategies are infamously difficult to implement in practice as the deposit rates, the option selection, and the experience are interconnected: the pricing decisions impact selection patterns, which in turn influence the claims. We show that our pricing solution successfully controls the effects of adverse selection and keeps the flexible benefit plans sustainable and stable over time, unlike the current practice.
Keywords: Group insurance; Flexible benefits; Cafeteria plans; Multiple-choice environment; Adverse selection (search for similar items in EconPapers)
JEL-codes: D81 G22 J32 (search for similar items in EconPapers)
Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:eee:insuma:v:105:y:2022:i:c:p:293-312
DOI: 10.1016/j.insmatheco.2022.04.008
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