保险合同审计分析

Xiaogang Xiang, Zhenwen Zhang
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引用次数: 0

摘要

本文基于博弈论和被保险人审计努力可计量的假设,分析了保险市场中被保险人夸大损失状态以获取更多赔偿的问题,得出了最优保险契约模型和最优解。由于审计成本的原因,保险公司的最优审计策略是不费力审计策略,而不是费力审计策略。被保险人的预期边际效用相对于最终财富,在事故状态和无事故状态下是相同的。此外,本文还得出了被保险人在高损失状态下应得到超额赔偿,在低损失状态下应得到不足赔偿的结论,这与我们在保险市场上看到的普通保险合同是相反的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of Insurance Contract with the Auditing Efforts
Depending on the game theory and the hypothesis that the insured's auditing efforts could be measured, the paper analyses the problem that the insured often exaggerate the loss state to extract more compensation in the insurance market, and leads to the optimal insurance contract model and the optimal solution. Because of the auditing cost, the insurer's optimal auditing strategy is the no-effort-auditing strategy, not the effort-auditing strategy. The insured's expected marginal utility with respect to final wealth is the same in the accident state as in the no accident state. Moreover, the paper concludes the conclusion that the insured deserve overcompensation in the high-loss state and under compensation in the low-loss state, which is contrary to the common insurance contracts as we can see in the insurance market.
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