• Title/Summary/Keyword: Indemnity Insurance

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Gender Differences in Factors Affecting Purchase of Indemnity Private Health Insurance and Impact of Indemnity Private Health Insurance on Healthcare Use: Korea Health Panel Survey Data from 2010 to 2016 (실손형 민간의료보험 가입의 영향요인과 실손형 민간의료보험이 의료이용에 미치는 영향에서 성별 차이: 한국의료패널(2010-2016))

  • You, Chang Hoon;Kwon, Young Dae
    • The Journal of the Korea Contents Association
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    • v.20 no.3
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    • pp.92-105
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    • 2020
  • This study was aimed to identify factors affecting the purchase of indemnity private health insurance and analyze its effect on healthcare utilization by gender. This study analyzed data of the 2010-2016 Korea Health Panel Survey using panel logit model and panel regression model. Men were less likely to purchase indemnity private health insurance than women. Self-rated health and unmet need for healthcare in women were related to insurance purchases. In men, married people and residents of the metropolitan area were more likely to purchase. The indemnity private health insurance did not affect the women's outpatient expenses per visit, but for men it increased. The indemnity private health insurance significantly increased women's inpatient expenses per admission, but it did not affect men's inpatient expenses. This study confirmed gender differences in the factors affecting the purchase of indemnity health insurance and the impact of indemnity health insurance on healthcare utilization. This suggests that gender differences should be taken into account in private health insurance research and institutional operation.

Factors Influencing the Purchase of Indemnity Private Health Insurance among the Elderly People Aged 65-75 (65-75세 노인의 실손형 민간의료보험 가입 영향요인)

  • You, Chang Hoon;Kang, Sungwook;Ha, Ho-Soo;Kwon, Young Dae
    • Korea Journal of Hospital Management
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    • v.24 no.1
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    • pp.48-56
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    • 2019
  • Purpose: As an interest in the elderly medical expenses increases, elderly people are increasingly purchasing indemnity private health insurance. Authors tried to investigate factors of having the indemnity private health insurance among the elderly people aged 65-75 years. Methods: We conducted panel logit regression analysis on 2,465 subjects as of 2016 using Korean Health Panel from 2010 to 2016. The dependent variable was whether to enroll in the indemnity private health insurance. The explanatory variables included socio-demographic characteristics, economic factors, health status, and health behaviors. Findings: As a result of the analysis of factors of purchasing indemnity private health insurances, it was analyzed that people with larger family, educated, pensioner, high household income or no disability were more likely to have indemnity private health insurance. Practical Implications: Considering the results of this study, the factor of purchasing indemnity private health insurance among elderly people were more likely to be their economic than demographic characteristics such as sex, age, and marital status. Policy makers should make efforts to reduce the burden on the elderly medical expense and to improve equity of medical use through institutional improvement such as raising age limit and lowering premium of indemnity private health insurance and expansion of public health insurance.

Effect of private health insurance on health care utilization in a universal health insurance system: A case of South Korea (민간 의료 보험 가입이 의료 이용에 미치는 영향)

  • Lee, You Jin;Lee, Jinhyung
    • Korea Journal of Hospital Management
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    • v.23 no.2
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    • pp.42-53
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    • 2018
  • Purpose: this study investigates the effect of private health insurance on healthcare utilization. Methodology: For the analysis, we employed the three level nested two part model. Findings: the private health insurance adoption was associated with higher health care utilization. In particular, indemnity and fixed insurances adoption was associated with higher probability of outpatient visit, the number of outpatient visit and outpatient cost. While indemnity insurance adoption was associated with higher inpatient admission probability and inpatient days, fixed insurance adoption was associated only with higher inpatient admission probability. Practical Implications: indemnity and fixed insurance adoption were related with the adverse selection as well as moral hazard.

A Comparative Study on Economic Effect of life insurance and indemnity insurance Industry (생명보험산업과 손해보험산업의 경제적 파급효과 비교 분석)

  • Jung, Kun-Oh;Lim, Eung-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.2
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    • pp.646-652
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    • 2011
  • The interest in personal health is now growing around the world. Accordingly, the insurance industry which is closely related to personal health is becoming more important. Insurance industry can be divided into to main stream, life insurance and indemnity insurance. This study attempts to compare the economic impacts of the life insurance industry and indemnity insurance industry using an inter-industry analysis. The study investigates production-inducing effect, value added inducing effect, employ-inducing effect, sectoral price effect using Exogenous specification. The results show that indemnity insurance industry induces production-inducing effect of 2.7 won, value-added-inducing effects of 1.6 won, employ-inducing effect of 26.9 person, sectoral price effects is 2.0%. On the other hand, life insurance industry induces production-inducing effect of 1.6 won, value-added-inducing effects of 1.0 won, employ-inducing effect of 16.5 person, sectoral price effects is 1.2%. Overall, indemnity inducements has higher economic impacts than life insurance.

Factors Affecting the Purchase of Indemnity Private Health Insurance and Related Factors of Outpatient Healthcare Utilization among Chronic Disease Patients (만성질환자에서 실손형 민간의료보험의 가입 관련 요인과 외래 의료이용의 관련 요인)

  • Hur, Jung Won;Kwon, Young Dae
    • Korea Journal of Hospital Management
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    • v.24 no.3
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    • pp.1-10
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    • 2019
  • Purpose: The purpose of this study was to investigate determinants of purchasing indemnity private health insurance and its impact on the healthcare utilization among outpatients with chronic disease. Methods: The study analyzed 4,997 chronic ill patients using 2015 Korean Health Panel data. Logistic regression analysis was conducted to analyze the factors affecting the purchase of indemnity private health insurance and multiple regression analysis was conducted to analyze the effect of private health insurance on the number of outpatient visits and outpatient expenditures. Findings: The age, education level, and number of chronic diseases were significant factors affecting the purchasing of indemnity private health insurance among chronic patients. As a result of analyzing the impact of indemnity private health insurance on healthcare utilization, the number of outpatient visits for those who enrolled in the indemnity private health insurance was higher than the number of outpatient visits for those who did not. But there was no statistically significant difference in outpatient medical expenses. Practical Implications: The results of this study shows that indemnity private health insurance may cause inequality in the healthcare utilization of the socially vulnerable. It is necessary to seek ways to strengthen the health security of chronic disease patients and high-risk elderly people who need more healthcare.

Interaction between Out-of-Pocket Maximum and Indemnity Health Insurance (본인 부담상한제와 민영 실손의료보험의 상호작용)

  • Young-Hee Nam
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.3
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    • pp.667-673
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    • 2024
  • This study aims to diagnose the issues arising from the relationship between the out-of-pocket maximum in health insurance and private indemnity health insurance and propose policy tasks for institutional improvement. Through literature research, the study analyzed the damage to consumers caused by the non-payment of refunds exceeding the out-of-pocket maximum and the changing role of indemnity insurance due to the strengthening of health insurance coverage. The results confirmed that unilateral interpretation of insurance clauses and incomplete sales practices infringe upon consumer rights, and that insurance premiums do not decrease despite the reduction in coverage of indemnity insurance. Therefore, the study emphasized the urgency of institutional improvements such as rationalization of product structure, transparency of risk rate calculation, and reinforcement of consumer information provision, as well as the need for social consensus on the rational division of roles between health insurance and private insurance. This study is significant in that it provides policy implications for the developmental reorganization of the healthcare system.

A Study on the Interpretation of the Insurer's Liability of Indemnity under the Hull Insurance Clauses of the People's Insurance Company of China (중국선박보험약관에 있어서 보험자의 보상책임에 관한 고찰)

  • 홍성화;마염추
    • Journal of the Korean Institute of Navigation
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    • v.25 no.4
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    • pp.487-512
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    • 2001
  • In 1986, the People's Insurance Company of China(hereinafter called PICC) Hull Insurance Clauses, which were amended on the basis of the version 1972, were put into effect. Since PICC is the biggest state-owned insurance company in China, its hull insurance clauses have been used nationwide. In the clauses are included the following contents: scope of cover, exclusions, period of insurance, automatical termination of insurance, duty of assured, claim and indemnity, treatment of disputes and so on. However, this study is only limited to the legal interpretation of the most important clauses relating to indemnity of the insurer. The writers attempt to supply some basic materials necessary for the establishment and enforcement of the Korean hull insurance clauses.

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A Study on the Some Considerations of Indemnity of Losses caused by Piracy in the Maritime Transportation (해상운송에 있어서 해적행위로 인한 피해보상에 관한 연구)

  • Hong, Sung-Hwa
    • Proceedings of the Korean Society of Marine Engineers Conference
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    • 2006.06a
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    • pp.133-134
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    • 2006
  • Recently, despite of the effects of international Coordination and cooperation to prevent piracy, piracy is on an increasing trend every year. Such circumstances may have a bad effect on the sound development of world economy by means of trade in sea as well as treat to the safety of crews and safe operation of ships. Finally, Modern maritime piracy has become one of the major threats to safety at sea. We having Cargo-owners or Ship-owners attacked by piracy, it causes enormous economic losses. Therefore, Ship-owners and Cargo-owners insure Cargo Insurance, Hull Insurance and P&I Insurance to indemnity of losses which is caused by piracy. The Purpose of this paper was to explain the losses caused by piracy and studying the limits of the possibility of indemnity in the Cargo Insurance, Hull Insurance and P&I Insurance.

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A Study on Experience of the Indemnity Request from Patiences and Indemnity Paid of Malpractice (의료사고시 환자로부터의 배상요구경험과 지불한 배상액에 영향을 미치는 요인에 대한 분석)

  • 민혜영;손명세
    • Health Policy and Management
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    • v.9 no.2
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    • pp.95-117
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    • 1999
  • The purposes of the study was to analysis the factors on the physicians' indemnity experience and indemnity on malpractice. Data was collected from mail interview for the physicians from August, to October in 1996. Questions were asked to the physician who selected with random sample(n=8.338) about the opinion of malpractice insurance. experience that he(she) have requested the indemnity from patience. context of experienced indemnity and demographic characteristics of physician and patience. Response rate is 37.5%(n=3,124). This study was analyzed in two levels' the first. influential factors on whether physician has experience of indemnity and the second. influential factors of indemnity among physicians who had experienced the indemnity. The major findings were as follows : 1. Logistic regression on whether physicians had experience of indemnity request was conducted. And it indicated that statistically meaningful variables of model 1 (about all physicians) were department of surgery, physicians who have intention of insurance fee, physician age and income, physicians who owned the hospitals and statistically meaningful variables of model 11 (about physicians who owned the hospital) were department of surgery and internal treatment. 2. Multiple regression on the influential factors on indemnity was conducted. And it showed that statistically meaningful variables in model 1 were method of malpractice quarrel(physician association), whether physician had malpractice, whether suit succeeded, physician age, average practice time and income and whether physician owned the hospital and statistically meaningful variables of model 11 were whether physician had malpractice, number of outpatient, number of beds. As the conclusion, the thesis was examined about the variables related with experience of indemnity and cost of malpractice. But in order to prevent malpractice and promote medical quality, the reasonable system to solve a malpractice have to settle and cost estimation on malpractice is essential. Therefore an advanced research is progressed with methodology to decide the indemnity bases.

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Determinants of Purchasing Indemnity Private Health Insurance among Adolescents and Children (소아 및 청소년의 실손형 민간의료보험 가입 결정요인)

  • You, Chang Hoon;Kang, Sungwook;Choi, Ji Heon;Kwon, Young Dae
    • The Journal of the Korea Contents Association
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    • v.18 no.10
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    • pp.99-110
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    • 2018
  • As interest in adolescent and children's health risks increases, there is an increase in subscriptions to indemnity private health insurance. The purpose of this study was to investigate determinants of purchasing indemnity private health insurance. We conducted panel logit regression analysis on the sample of 4,567 adolescent and children using Korean Health Panel data from 2009 to 2015. As a result, it was analyzed that the participation of private health insurance for children and adolescents was affected not only by the characteristics of children and adolescents (age, birth order, residence, disability) but also by the characteristics of father (indemnity, disability, chronic disease) and mother (age difference between her and her children, indemnity, unmet needs) and the economic level of households (income). In views of this study, it is necessary to continuously implement policies to strengthen the healthcare of children and adolescents in order to alleviate the anxiety about the health risks of children and the burden of medical expenses caused by late marriages and maternal births. In particular, it is necessary to consider policies for multi-child families and vulnerable classes.