Analysis of Claim Experience in Private Health Insurance to Establish a Relation Between Deductibles and Premium Rebates

Many studies concerning the frequency of claims by size in health insurance are not generally known *). A possible explanation of this circumstance could be the fact that in most countries this line of insurance has been brought entirely within the ambit of social insurance. Also from the side of the social insurance very few investigations have been published **). In this paper we will analyze the claim experience (relating to the calendar year I972) of a private health insurance business. The data have been subdivided according to three levels of coverage (in increasing order of benefits these are: class III, class IIb and class IIa). The claim payments comprise nursing costs, auxiliary costs and the fees for specialist treatment in and out of the hospital.