• Title/Summary/Keyword: Insurance Consumer

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Determinants of Out-of Pocket Health Insurance Expenditure by the Employed in the US. (미국 근로자 가계의 의료보험지출과 영향요인)

  • 김혜연;홍성희
    • Journal of the Korean Home Economics Association
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    • v.39 no.3
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    • pp.93-105
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    • 2001
  • The purpose of this study was to examine the factors associated with health insurance expenditures of the employed in the US. The data were from the 1994 Consumer Expenditure Surrey and the sample selected was admits aged 18 to 64 who were either a single head of household or part of a married couple. Results of Tobit regression indicated that age, education, and occupation of household head, region of residence, number of earners, homeownership(as a proxy for wealth), total expenditure(as a proxy for income), health care expenditures(as a proxy for health status) are significantly related to out-of-pocket health insurance expenditures by the employed.

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Research on the Tasks Performed by Firm′s Consumer Department: Evaluation and Efficiency of those Tasks (기업 소비자 부서의 업무현황, 평가, 효율성에 대한 연구)

  • 허경옥
    • Journal of the Korean Home Economics Association
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    • v.42 no.6
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    • pp.137-149
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    • 2004
  • This research analyzed the tasks performed by firm's consumer department, evaluation, and efficiency of those tasks. In addition, regression analysis was employed to find what factors influence the level of evaluation and efficiency of tasks performed by firm's consumer department. Research results summarized as follows. First, two thirds of the appropriate amount of resources and systems for the consumer department were equipped and the score of evaluating for consumer counseling tasks was high. Second, the amounts of resources and systems being equipped by the firm's consumer department were greater in insurance companies and firms with more employees, firms with 70% to 100% female employees in the consumer department, firms that listed their stocks, and firms with the consumer department located higher than the second floor. Third, the score of evaluating the tasks performed by the firm's consumer department was greater in firms that listed their stocks, owned great resources and systems, and had a higher degree of work satisfaction. Finally, the task of consumer counseling performed by the consumer department turned out to be effective in firms that listed their stocks, were recently established, and owned necessary resources and systems.

The Effect of Social Responsibility Activities of Insurance Company on Consumer Based Brand Equity and Intention to Pay Premium Price : Moderating Effect of the Level of SNS Usage (보험회사의 사회적책임활동이 고객기반 브랜드자산과 프리미엄가격 지불의도에 미치는 영향 : SNS 활용수준의 조절효과)

  • Cheun, Bu-Gi;Park, Hyeon-Suk
    • Journal of Digital Convergence
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    • v.18 no.8
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    • pp.185-199
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    • 2020
  • This study examined the effects of insurance company's CSR activities on customer-based brand assets and customers' intention to pay premium prices in order to identify the possibility of CSR activities as an insurance company's differentiated marketing strategies. Throughout collecting 510 surveys, this study has proved that economic and charitable activities had a effect on customer-based brand assets, also economic and environmental activities had a effect on intention to pay premium prices. In addition, the mediating role of the customer-based brand asset between economic and charitable activities and intention to pay premiums was proved. Lastly, it was confirmed that the level of SNS usage moderates the relationship between economic activities and customer-based brand assets. Based on the results, this study provides insurance companies with an effective marketing strategy of the CSR program.

Ethically Questionable Consumer Behaviors: Korean and American Perspectives

  • Lee, Jungki;Fullerton, Sam
    • Asia Marketing Journal
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    • v.21 no.3
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    • pp.21-46
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    • 2019
  • This study compares the ethical inclination regarding consumer misbehaviors from two countries with contrasting cultural characteristics. National samples of South Korean and American adults provided their perceptions of the appropriateness of 12 ethically questionable consumer actions. The scenarios ranged from illegal actions, such as fraudulently inflating one's losses when filing an insurance claim to legal, yet questionable, actions such as purchasing an item that the buyer recognizes as having been mispriced. The 12 scenarios exhibited a wide range of mean responses in both countries, thereby supporting the oft-stated premise that consumer ethics is a situational phenomenon. Findings indicate not only where the cultures diverge but also where they converge towards a degree of congruence. Plausible explanations for differences based upon cultural dynamics are provided.

Consumer protection in e-commerce: the Safety Transaction Service in Korea (전자상거래에서 소비자 보호방안에 관한 연구)

  • Yoo, Soonduck;Choi, Kwangdon
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.29-36
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    • 2013
  • To accommodate the rapid growth of e-commerce transactions, non-face-to-face transactions, businesses use a wide variety of payment methods. However, many of these payment mediums are not secure as shown by increases in fraudulent transactions. In this paper, we analyze a particular e-commerce transaction medium, the Safety Transaction Service (STS). This system protects consumers through a wide variety of safeguards: safety settlement systems (escrow), consumer damage compensation insurance, payment guarantee, and secure bank settlement. In contrast to the safeguards, we identify the limitations and concerns with the STS and potential legal and political improvements. The plethora of payment methods limits the consumers ability to distinguish between the secured and unsecured transaction services. Regulation and consumer based verification of transaction services are essential to root out dangerously fraudulent systems. We propose the development of specific standards to these systems, in particular the need for consumer confirmation and clear settlement documentation. Only through the active promotion of scrutiny and improvement to STS will consumers be protected in e-commerce.

Underwriting Method of Worksite Marketing Product (Worksite Marketing 상품과 언더라이팅 기법)

  • Kim, Cheong-Nyun;Chung, Sung-Wan
    • The Journal of the Korean life insurance medical association
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    • v.24
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    • pp.97-117
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    • 2005
  • Internally Korean insurance market is that whole life products' growth are becoming slowdown that's why new insurance products have appeared on the market in consideration of consumer's needs recently. Externally domestic insurance market competitions has drifted from insurance industry to whole financial industry since bankasurance started. Life insurance companies should open up a new market to survive from severe competitions. Worksite marketing can be an alternative. An insurer make arrangements with an employer about an insurance terms which an insurer offers in Worksite marketing. Then eligible individuals enroll in the plans at their own discretion and pay 100 percent of the premium for coverage through payroll deductions. An employer doesn't need to pay extra money for additional benefit but can raise employee's loyalty and satisfaction of company through worksite marketing. An employee can be covered at discounted premium rate and less strict underwriting guidelines to an insurer compared to individual insurance. In developed countries specially U.S insurance market, Worksite marketing is getting very popular and growing rapidly due to the advantages. Worksite marketing has both individual insurance characters and group insurance characters. Individual insurance characters are that employees enroll in the plans at their own discretion and pay 100 percent of the premium for coverage. Group insurance characters are that actively at work and participation etc. An insurer have to reflect these two characters on Worksite marketing when an insurance company work out a plan for developing products and underwriting guidelines. When an insurer devise worksite products, one should consider participation level which means percentage of eligible employees participating. Participation is related to anti-selection. As we know underwriting is essential for every kind of insurance, especially underwriting plays major role in worksite marketing. We can see that in the below. Firstly, it has a function in calculation of premium rate. When calculate premium rate for worksite products underwriters have to estimate expected participation level and risk factors. So underwriters and acturies keep in close contact with each other. Secondly, underwriting methods are important. When an insurer underwrite worksite products, there are three kinds of underwriting methods. These are Simplified issue underwriting, Full underwriting and Guaranteed issue underwriting. Simplified issue underwriting typically requires no medical examination, but usually requires supplying satisfactory answers to one or several health and/or lifestyle questions. Full underwriting requires a complete medical history questionnaire that may further require an exam. Guaranteed issue underwriting means that coverage is issued without the employee having to provide evidence of insurability. When insurer set the GI limit are usually based on the type of industry, number of eligible employees, the average amount of coverage and participation level. In addition to insurer should have a clear definition of eligible employee on the insurance provision and application form. It will minimize possibility of trouble claims and anti-selection. An insurer also establish preexisting condition exclusion and special guidelines for late entrants. When an insurer introduce Worksite marketing to Korean insurance market, an insurer has to examine market research to analyze potential market and strategy of sales most of all. Also an insurer should review real situation of the U.S, England and Japanese market etc. There are a lot of new technologies about worksite marketing process that an insurer should learn. When an insurer consider many things which we explained it can be a real alternative.

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A Study on the Alteration in Duty of Disclosure in the Marine Insurance Act 1906 (1906년 해상보험법상 고지의무의 변경에 관한 연구)

  • KIM, Chan-Young
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.71
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    • pp.171-194
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    • 2016
  • In the UK, the legal principle for the duty of disclosure established in Carter v Boehm case was codified in the Marine Insurance Act 1906("MIA"). The duty of disclosure under the MIA is the pre-contractual duty by the insured and therefore, the insured should disclose the every material circumstance that would influence a prudent insurer's judgement. If the insured violates the duty of disclosure, the insurer is entitled to avoid the insurance contract, regardless of whether there was the deliberate or reckless breach, which is unfavorable to the insured. The Law Commission reviewed the duty of disclosure under the MIA in detail and provided the Insurance Act 2015 for the purpose of enhancing the interests of the insured. The Insurance Act 2015("Act"),while the basic legal structure of the duty of disclosure under the MIA still remains, amends it in respect of non-consumer insurance and furthermore, integrate the duty of disclosure and the duty not to misrepresent into the duty of fair presentation of risk. And according to the Act, the insurer is required to more actively communicate with the insured before entering the contract with the result that, if the insured fails to disclose the material circumstance but provides the sufficient information to put the insurer on notice, the insurer should further inquire for the purpose of the insured's revealing the material circumstance. In addition, the Act details the insured's constructive knowledge of material circumstance by reviewing the current case law and introduces a new system for the insurer's proportionate remedy against the insured's breach of the duty of fair presentation of risk.

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The factors of oral health beliefs on scaling performance by national health insurance coverage in consumers (치과의료소비자의 구강건강신념이 건강보험 급여화에 따른 스케일링 행위에 영향을 미치는 요인)

  • Lee, Myung-Sun;Lim, Hee-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.1
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    • pp.31-38
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    • 2015
  • Objectives: The purpose of this study is to investigate the factors of oral health beliefs on scaling performance by national health insurance coverage in consumers. Methods: The subjects were 353 people living in Seoul, Incheon, and Gyeonggi-do from September 25 to October 20, 2013. They filled out the self-reported questionnaire after receiving informed consents. The questionnaire included 6 questions of general characteristics, 6 questions of oral health behavior, 6 questions of health insurance coverage, and 1 question of subjective oral health recognition. The oral health belief consisted of 6 questions of seriousness, 6 questions of susceptibility, 8 questions of barriers, 5 questions of benefit, and 3 questions of self-efficacy measure by Likert 5 scale. Cronbach's alpha in the study was 0.759. Data were analyzed using SPSS version 20.0 for frequency analysis, t-test, ANOVA, post-hoc Scheffe test, Pearson's correlation coefficient, and binary logistic regression. Results: The influencing factors of oral health belief model were Seriousness(${\beta}=0.091$), Self efficacy(${\beta}=-0.471$) and age(${\beta}=0.855$)(p<0.05). Those who had highly perceived seriousness and younger age tended to have probability of scaling performance. Higher self-efficacy tended to take more chance to have scaling performance probability. Conclusions: In order to cover the scaling by national health insurance, it is very important to notice the benefit of health insurance coverage of scaling to the consumers. National health insurance coverage enables the scaling practice to be easily accessible to the people. Easy access to scaling by low cost strategy can improve the oral health behavior.

Main Trends for Reforming the Law of Insurance Contract in England - Focused on the Insured's Post-Contract Duty of Good Faith in relation to Claims - (영국 보험계약법의 주요 개혁동향 - 보험금청구와 관련한 피보험자의 계약체결 후 선의의무를 중심으로 -)

  • Shin, Gun-Hoon
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.53
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    • pp.207-229
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    • 2012
  • In IP 7 and LCCP 201, Law Commission considers the insured's duty of good faith after the formation of the contract. This article intends to review and analyse the legal implications of proposals in IP 7 and LCCP 201. The results of analysis are following. First, Law Commission propose to end the remedy of avoidance under MIA 1906 section 17, because avoidance of past claims is unprincipled, impractical and unnecessarily harsh. Secondly, LC proposes that an insured who makes a fraudulent claim should forfeit the whole claim which the fraud relates, but that the fraud should not invalidate previous and legitimate claims. Thirdly, LC proposes to introduce a statutory right for the insurer to claim damages for the reasonable, foreseeable costs of investigate a fraudulent claim in specific circumstances and that damages would be limited to those cases where the insurer can show an actual, net loss. Finally, LC provisionally propose that an express fraud clause should be upheld in business insurance, whereas in consumer insurance, any term which purports to give the insurer greater rights in relation to fraudulent claims that those set out in statute would be of no effect.

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The Present Situation, Problems, Improving Plans about the Establishment and the Operation of a Medical Association - Mainly on the Violations of the Rules Regulating Medical Institute's Opening - (의료협동조합의 의료기관 개설·운영 현황과 문제점 및 개선방안 - 의료기관 개설기준 위반을 중심으로 -)

  • KIM, JOON RAE;BAEK, NAM BOK;LEE, YOON HAK
    • The Korean Society of Law and Medicine
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    • v.16 no.2
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    • pp.227-261
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    • 2015
  • Cooperative associations are established in order to enhance the rights and the interests of their members and serve the local communities, and actually do much for the local society. And among these, consumer cooperatives are spontaneously founded, particularly in the spirit of mutual help, in order to promote the common welfare of the members. Meanwhile, because the current medical law qualifys noncommercial corporation to open medical institution, consumer cooperative and noncommercial- corporation cooperative which are established under the Cooperative Act have the right to do. However, though cooperative association should be founded for common interests of the members who are weaker parties of society, it became rapidly to be abused as means of circumvention of law. Especially as National Health Insurance Corporation stepped up the investigation and the collection of unfair profits against the hospital owned by non-medical personnel who are unable to establish a medical institution, setting up medical institutions as a roundabout way to avoid the restricts dramatically increased in number. In this study, we are going to introduce the current dualised normative system regulating the establishment of a medical cooperative association, and find a way to improve the system and make up for the week points. And we will look though the present situation about medical cooperative association's opening, operating, and closing, and review the normative and systematic improving plans.

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