In this document we present the methodological approach for a Multiple State Actuarial Model in the marital status context. We obtain transition probabilities between married – widower statuses for an individual aged x. Such probabilities are used in the assessment of the expected value for...

This paper presents a case study of a portfolio of individual long-term insurance contracts sold by a Spanish mutual company. We describe the risk levels, the rating structure and the implied cross-subsidies on a portfolio of policies providing health, life and long-term care insurance. We show...

Selection bias results from a discrepancy between the range of estimation of a statistical model and its range of application. This is the case for fraud risk models, which are estimated on audited claims but applied on incoming claims in the design of auditing strategies. Now audited claims are...

Recently, Artís, Ayuso, and Guillén (2002, "Journal of Risk and Insurance" 69: 325-340; henceforth AAG) estimate a logit model using claims data. Some of the claims are categorized as "honest" and other claims are known to be fraudulent. Using the approach of Hausman, Abrevaya, and Scott-Morton...

Les biais de sélection sont créés par des disparités entre le domaine d'estimation d'un modèle statistique et son domaine d'application. C'est le cas pour les modèles évaluant le risque de fraude, qui sont estimés sur les seuls sinistres audités mais appliqués sur tous les sinistres...

Our objective is to analyse fraud as an operational risk for the insurance company. We study the effect of a fraud detection policy on the insurer's results account, quantifying the loss risk from the perspective of claims auditing. From the point of view of operational risk, the study aims to...

La composición de la población española ha cambiado en los últimos años debido a la llegada de la población inmigrante. En este trabajo se acota cuánto podría llegar a cambiar la esperanza de vida en salud y en discapacidad de la población española, debido a la incorporación de un...