Journal of Risk and Insurance

This academic risk management and insurance journal provides research in industrial organization of insurance markets, management of risks in the private and public sectors, insurance regulation and more.

Articles from Vol. 67, No. 2, June

ALASKA HIGH COURT HOLDS THAT SALARIED CLAIMS ADJUSTER OWES GOOD FAITH DUTY TO POLICYHOLDER AND THAT CHILD MOLESTATION RESULTING FROM NEGLIGENT SUPERVISION CLAIM Is WITHIN COVERAGE UNLESS CLEARLY EXCLUDED BY POLICY LANGUAGE
C.P. v. Allstate Insurance Co. (Alaska Supreme Court--March 3, 2000) Dolan and Eleanor Lancaster were homeowners with an adult son, Harold, and his daughter living in the home. When the daughter's friend C.P. was staying overnight, C.R was assaulted...
A Statistical Analysis of Mandatory Pooling across Health Insurers
ABSTRACT Risk-adjusted capitation payments from a central fund to competing health insurers or health plans form an essential feature of market-oriented healthcare reforms in many countries. If these premium-replacing payments do not adequately...
COST MANAGEMENT ACTIVITIES OF PPOs
ABSTRACT Insurance coverage through preferred provider organizations (PPOs) now dominates the market for health insurance, covering more than 40 percent of insured employees. Yet there are few analyses of PPO performance, much less of how PPOs achieve...
Damages to Home from Marijuana Production Deemed "Vandalism" under Homeowners Policy
Bowers v. Farmers Insurance Exchange, 991 P.2d 734 (Washington Court of Appeals- January 25, 2000) For any prospective landlords who thought the '60s were dead comes a cautionary tale from the state of Washington, but one with a happy ending for...
Determinants in Risk-Financing Choices: The Case of Workers Compensation for Public School Districts
ABSTRACT Previous research into workers compensation risk-financing choices has considered only the alternatives of risk transfer in the form of full insurance and risk retention in the form of self-insurance. However, self-insurance is only one...
Factors Affecting the Relative Incidence of Uninsured Motorists Claims
ABSTRACT Estimates of uninsured drivers in the United States hover around 15 percent (NAII, 1998). With extensive concern about insurance affordability and its effect on economic advancement (Joint Economic Committee, 1998) and with expansion of...
Georgia Supreme Court Finds Employment Exclusion in Cgl Policy Insufficient to Bar Coverage for Sexual Harassment Claim
SCI Liquidating Corp. v. Hartford Fire Ins. Co., 2000 Ga. LEXIS 125 (Georgia Supreme Court--February 28, 2000) Policyholder Sunrise Carpet Industries (now SCI Liquidating) was sued for sexual harassment by three former employees, resulting in an...
Information Costs and Health Insurance Contracts
ABSTRACT This article develops an equilibrium pricing model examining the nature of health insurance contracts by considering the relationship between information about risk types and equilibrium prices. Both community-rated (pooling) and risk-rated...
Insurer May Not Rely on Disputed Extrinsic Facts to Deny Coverage Falling within Ambit of Third-Party's Claim as Pleaded
Dairy Road Partners v. Island Insurance Co., Ltd., 992 P.2d 93 (Hawaii Supreme Court-- February 1, 2000) In this case, a policyholder sought coverage under commercial liability policies (a business auto policy, a commercial garage liability policy,...
Insurer's Conduct on Appeal of Dispute Is Relevant to Issue of Whether Insurer Engaged in Unfair Claims Practices
Federated Mutual Ins. Co. v. Anderson, 991 P.2d 915 (Montana Supreme Court--November 23, 1999) In 1991, Conifer Logging leased logging equipment from Jones Equipment with a one-week free trial period. During that trial period, the risk of loss remained...
Is Public Long-Term Care Insurance Necessary?
ABSTRACT This article examines the need for public long-term care (LTC) insurance within an overlapping generations model. The discussion revolves around two items: financing methods and inefficiency of privately provided LTC insurance. Special...
Managed Care: What It Is and How It Works
Managed Care: What It Is and How It Works, by Wendy Knight (Aspen Publishers Inc., 1998). As suggested by the title, Managed Care: What It Is and How It Works is an introductory tome designed for professionals unfamiliar with the managed care concept....
Policyholder Subject to Adverse Medical Examination Entitled to Have Attorney Present and to Videotape Examination
U.S. Security Insurance Co. v. Jeanni M. Cimino, 2000 Fla. LEXIS 498 (Florida Supreme Court--March 9, 2000). A frequent event in tort litigation is the adverse medical examination, usually of the claimant whose condition is in controversy. This...
Quantified Societal Risk and Policy Making
Quantified Societal Risk and Policy Making, edited by R. E. Jorissen and P J. M. Stallen, 1998, Dordrecht, the Netherlands: Kluwer Academic Publishers Reviewer: George L. Head, Ph.D., CPCU, CSP, ARM, FIRM, CLU, American Institute for CPCU/Insurance Institute...
Risk Selection and Optimal Health Insurance-Provider Payment Systems
ABSTRACT This article presents a model of the important health-policy dilemmas of risk selection and moral hazard. When providers can increase revenues by selecting favorable risks, capitation or purely prospective payment is unlikely to be optimal....
The Economics of Property-Casualty Insurance
The Economics of Property-Casualty Insurance, edited by David F. Bradford, 1998, University of Chicago Press This book is a collection of six papers published as a project report by the National Bureau of Economic Research. Its editor, David F. Bradford,...
The Real Deal: The History and Future of Social Security
The Real Deal: The History and Future of Social Security, by Sylvester Schieber and John Shoven, 1999, New Haven: Yale University Press The old cliche that you have to know from where you came if you want to know where you are going is the basic theme...
U.S. Supreme Court Declares That Arbitration Awards May Be Attacked or Confirmed in Any District with Jurisdiction; Actions Involving Arbitration Awards Need Not Be Brought Where Arbitration Took Place
Cortez Byrd Chips, Inc. v. Bill Harbert Construction Co., 120 S.Ct. 1331, 68 U.S.L.W. 4214 (U.S. Supreme Court-March 21, 2000) Although not an insurance case as such, the United States Supreme Court's recent decision in Cortez Byrd Chips will undoubtedly...
Workers Compensation: A Reference and Guide
Workers Compensation: A Reference and Guide, by Peter M. Lencsis, 1998, Westport, Connecticut: Quorum Books Did you know that .... Workers compensation in the United States currently represents a total expenditure of approximately $42 billion per year,...