当心索赔时的黑寡妇:三个案例的报告。

Q3 Medicine
Vera F Dolan
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引用次数: 0

摘要

人寿保险承保人和医务主任都知道,道德风险会增加投保人遭受不利后果的风险。在签发保单时对拟投保人进行核保调查,以确保不存在可能的道德风险。然而,并非所有涉及道德风险的情况都能在核保和签发保单时发现,可能只有在索赔时才能发现。这里介绍三个在法律事务中为预期寿命承保的案例,作为在严重伤害和/或死亡时发现道德风险的例子。所有这三个案例都涉及一名妇女操纵她的男性伴侣,使其陷入增加男性严重受伤和/或死亡风险的境地,从而使该妇女获得经济利益。这些 "黑寡妇 "在很长一段时间内做出了巨大努力,以确保为其男性伴侣设置的道德风险能够通过诉讼获得巨额经济利益。因此,人寿保险业认为,"黑寡妇 "设置的道德风险具有足够的反选择性和投机性,足以在保单签发后的任何时候拒绝理赔。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Beware the Black Widow at Claim Time: A Report of Three Cases.

Moral hazard is well known to life insurance underwriters and medical directors to increase the risk of adverse consequences to insured individuals. The underwriting investigation of proposed insureds at time of policy issue is done to ensure no likely moral hazard exists. However, not all situations involving moral hazard may be identified at time of underwriting and policy issue, and may only be identified at time of claim. Three cases that were underwritten for life expectancies in legal matters are described here as examples of moral hazard identified at time of severe injury and/or death. All three of these cases involved a woman who manipulated her male partner into situations that increased the man's risk of severe injury and/or death to the woman's financial benefit. Such "black widows" made a great deal of effort over an extensive period of time to ensure that the moral hazard set up for their male partners resulted in a substantial financial windfall through litigation. The moral hazard set up by a black widow thus can be considered by the life insurance industry as sufficiently anti-selective and speculative to deny a claim at any time after policy issue.

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来源期刊
CiteScore
0.50
自引率
0.00%
发文量
6
期刊介绍: The Journal of Insurance Medicine is a peer reviewed scientific journal sponsored by the American Academy of Insurance Medicine, and is published quarterly. Subscriptions to the Journal of Insurance Medicine are included in your AAIM membership.
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