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    Some Fundamental Theorems of Risk ManagementAuthor(s): N. A. Doherty

    Source:The Journal of Risk and Insurance,

    Vol. 42, No. 3 (Sep., 1975), pp. 447-460Published by: American Risk and Insurance AssociationStable URL: http://www.jstor.org/stable/251700 .

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    Some

    Fundamental Theorems

    of

    Risk Management

    N.

    A.

    DOHERTY

    ABSTRACT

    This paper

    explores the

    role of premium

    loadings

    in risk management

    decisions. It

    shows

    how the expected

    utility

    hypothesis

    might be

    applied

    to risk management situations and how rational insurance decisions

    depend

    on

    the nature of

    the

    premium loading.

    Finally

    the

    paper

    examines

    the

    'moral hazard'

    argument

    that insurance

    discourages ex-

    penditure

    on

    loss prevention.

    The relationship

    between

    insurance and

    loss

    prevention is

    shown

    to depend on

    the size

    and nature

    of the

    premium

    loading.

    The

    contribution which

    risk management

    has made

    to the

    management

    sciences

    has been its stress

    on the interdependence

    between

    the alternative

    methods

    of

    handling

    risk. It

    therefore

    becomes

    inappropriate

    for

    a

    firm

    to formulate an optimal insurance program without reference to its pro-

    gram

    for loss prevention.

    Conversely,

    the

    viability of

    any given

    loss pre-

    vention

    program

    depends

    on

    the

    level

    of

    insurance

    and

    the conditions

    under

    which it is

    arranged.

    The

    purpose

    of

    this

    paper

    is to

    show how

    the

    nature

    and

    extent of this interdependence

    rest upon

    the premium

    structure

    and,

    in

    particular,

    the

    size

    and structure

    of the

    premium loadings.

    The importance

    of

    the

    premium

    loadings

    for

    optimal

    insurance and

    risk

    management

    decisions

    has

    been

    recognized

    by

    several economists and,

    collectively, their works form a theoretical basis for risk management.

    Some

    of

    the

    more important

    conclusions

    from

    this literature are brought

    together

    here

    and this

    is used as

    a

    basis

    for

    further

    exploration

    of the

    relationship

    between risk

    management

    decisions

    and

    premium

    loadings.

    Risk

    Management

    and

    Expected

    Utility Hypothesis

    An individual

    or

    firm starts

    with

    an

    initial

    level

    of

    wealth, A,

    which is

    exposed

    to

    the

    prospect

    of destruction

    or

    damage by

    some

    specified

    perils.

    The

    analysis

    of this

    paper

    is

    appropriate

    in

    the case where

    the

    wealth is

    in the form of a proprietorial interest in certain productive assets or con-

    sumer

    goods.

    N. A. Doherty,

    B.Phil.,

    F.C.I.I.,

    is Stewart

    Wrightson

    Research Fellow in

    the

    University

    f Nottingham,

    United

    Kingdom.

    This

    paper

    was submitted

    n

    April,

    1974.

    This

    paper

    is

    part

    of a wider

    study

    into the

    economicsof insuranceand

    loss pre-

    vention

    sponsored

    y

    Stewart

    Wrightson,

    Ltd.

    The authorwishes to

    recordhis thanks

    to them

    and

    to an

    anonymous

    eferee

    of this

    journal

    who has

    made many

    helpful

    suggestions.

    (447)

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    448

    The

    Journal of

    Risk

    and Insurance

    The potential

    losses

    to

    the

    individual can

    be

    described

    in

    the

    form of

    a

    probability

    distribution such as that shown in

    Figure

    la. Here the

    value

    0

    on

    the

    x

    axis

    represents

    a zero loss and the value

    ON is

    the maximum

    Loss

    )

    Expected

    income

    distribution

    distribution

    1~~a lb

    FIGURE

    a

    FIGURE b

    possible

    loss

    the

    individual

    can sustain.

    It

    is

    useful to consider

    this

    loss

    distribution

    in

    a

    slightly different form, where the horizontal axis records

    not the loss

    itself but how much wealth or income remains after

    the loss

    and/or any insurance

    premium has been

    deducted.

    In

    Figure lb, OA

    is

    the

    initial

    wealth

    and the outcome x

    = 0

    represents a total loss. Figure

    lb

    is

    simply

    a

    mirror image of la. This

    distribution is referred

    to as

    the

    expected income distribution. Clearly

    the individual can change the

    shape

    of his

    expected

    income distribution

    by

    purchasing

    insurance

    and

    in

    the

    limiting case full

    insurance would be

    represented by

    a

    distribution which

    showed

    an

    outcome

    of

    A

    -

    R with an

    associated probability of

    1. The

    term R

    denotes the

    insurance premium.

    Decisions

    facing

    the firm about

    whether

    it

    purchases

    insurance,

    or

    how much it purchases, might be graphically represented as a choice

    between various

    probability

    distributions

    each

    of

    which

    corresponds

    to

    a different level

    of

    insurance.

    One device for

    ranking competing

    distribu-

    tions

    is

    the

    expected utility hypothesis' by

    which each

    distribution

    can be

    associated with

    a real

    number

    and

    the

    ordering

    of

    these real

    numbers

    provides

    a

    preference

    ordering

    over

    the various

    probability distributions.

    Figure

    2

    combines

    four

    separate

    diagrams,

    the

    first

    of which, 2(a),

    shows

    the

    probability

    distribution

    f(x) appearing

    in

    lb which

    shows

    the

    income prospect

    if no

    insurance

    is

    purchased.

    Directly underneath

    2a

    is

    a utility of income function U1(x). This satisfies the requirement of dimin-

    ishing marginal

    utility

    of

    income,2

    which

    implies

    aversion

    to

    risk. The

    horizontal

    axis

    of

    2b

    has

    the

    same variable. as

    the horizontal axis

    of

    2a and

    furthermore they

    are

    drawn

    on

    the

    same

    scale.

    Part

    2c is

    merely

    a

    45

    'See for example

    K.

    H.

    Borcb, The

    Economics

    of Uncertainty, Princeton Studies

    in Mathematical

    Economics No.

    2,

    Ch. 3.

    2

    For

    our application,

    the

    utility

    function

    must

    also satisfy the well-known Von

    Neumann/Morgenstern

    axiom and be determined

    up

    to linear

    transformation.

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    Some

    Fundamental

    Theorems

    of Risk

    Management 449

    *%

    4

    U

    j

    jNO

    I

    I

    J

    -V9 ____________._ __ _____ ____ __ _ ___/&

    FIGURE

    2.

    The Bernoulli

    Theorem

    o l

    ~ ~ t

    O

    U~~~~~

    0

    X~~~~~~~

    FIGURE

    3.

    Risk Aversion

    and the Demand

    for Insurance

    /dgree

    line which

    renders the

    horizontal

    axis

    of 2c

    directly comparable

    -with

    the

    vertical

    axis

    of 2b. The

    final

    part

    of

    Figure

    2

    can now be used

    to

    -construct

    what

    might

    be

    called

    the

    utilityequivalents

    of the

    probability

    Zlistributions;

    t is

    from

    these

    that a

    preference ordering

    can

    be obtained.

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    450 The

    Journal of

    Risk and

    Insurance

    The

    utility equivalent of the probability

    distribution can

    be constructed

    as follows. For any possible outcome, e.g. (x

    =

    x:), there is

    an associated

    probability,

    p(xj),

    shown on the vertical axis of 2(a). If

    u,

    is individual

    I's

    utility function, then xj can be given

    a

    utility value

    or index

    U(xj).

    The co-ordinates

    U(xj)

    and

    P(xj)

    can now be plotted in 2(d) and

    are

    shown

    with an

    X. By repetition the whole distribution g(U1(x) )

    can

    be

    constructed.3 If one wishes to establish a preference ordering

    over

    several

    probability distributions drawn in 2a then all that needs to be done

    from

    the

    expected utility hypothesis is to compare the

    means of

    the

    corresponding distributions appearing in 2d.

    The

    standard propositions about insurance purchasing under actuarially

    fair

    premiums can now be clearly illustrated. The actuarial premium

    is

    OA-OD where

    1

    is the mean of f(x). With full insurance the individual's

    income will be

    '1

    with certainty. This prospect is shown as

    0

    on the U (x)

    axis. However, if he does not insure, the expected utility is the mean of

    g(U,(x)

    ) which is

    (?

    on the U(x) axis. The ordering is such that

    the

    full insurance

    prospect

    is

    preferred. The result depends on the concavity

    of the utility function to the

    x

    axis. If it had been linear,

    (0

    and

    ?

    would

    coincide

    indicating

    that the

    individual

    is

    indifferent between

    full

    insur-

    ance and

    self

    insurance. If the

    utility function were convex

    (0

    and

    0

    would have the reverse

    ordering thereby indicating

    a

    preference for

    self

    insurance

    even

    at actuarial

    premiums.

    Turning

    back to

    U1(x),

    if

    the

    premium quoted by

    the insurers is OA-

    OX1

    then

    a situation of

    indifference between full insurance and self insur-

    ance

    results since

    the

    expected

    utilities

    from

    these alternatives are equal.

    The difference

    between OID

    and OA1

    measures

    the

    risk

    premium or, in other

    words

    the maximum sum

    the

    individual

    is

    willing to pay

    in

    order to off-

    load

    the

    risk.

    The risk

    premium

    is

    dependent upon the intensity of aversion

    to risk.4

    Figure

    3 is

    drawn

    along

    similar

    lines

    to Figure

    2

    but a second

    utility function U2(x) has been added.

    U2(x)

    is

    constructed

    to

    display

    a

    lower

    intensity of aversion to risk than

    U1

    (

    x)

    and

    the

    effect

    is

    that the

    risk

    premium is reduced to O-D-OX2.

    In

    the limiting

    case where

    the utility function is linear, the risk premium

    will

    be zero. These

    propositions

    are

    of

    an

    'all

    or

    nothing' nature, whereas

    risk management

    has

    underlined

    the

    possibility that the optimal insurance

    strategy may

    well

    involve

    some measure

    of risk

    sharing between the

    insurer and

    the

    insured.

    The

    next

    section

    considers the

    optimality

    condi-

    tions for

    various

    forms

    of

    risk

    sharing.

    Optimality

    Conditions

    for Insurance and Risk

    Retention

    Risk

    sharing

    is

    commonly practiced

    in

    many

    insurance

    markets

    but

    it

    appears

    in various

    forms. Coinsurance occurs where the insurers

    limit their

    liability

    to

    a

    given percentage

    of

    any

    loss. A

    deductible

    is a

    fixed

    sum

    3

    Formally g(U1(x) )

    =

    f

    (x)

    for

    all

    x.

    4

    Intensity

    of

    risk aversion

    is

    measured

    by

    the coefficient

    of

    risk

    aversion. The

    absolute coefficient

    of

    risk aversion

    is

    given by U /U'

    for each

    level

    of

    x.

    See J. W.

    Pratt

    Risk Aversion

    in the

    Large

    and in the

    Small,

    Econometrica

    32, (Jan.-April

    1964) and K. J. Arrow Aspects of the Theory of Risk Bearing, Helsinki 1965.

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    Some Fundamental

    Theorems

    of

    Risk

    Management

    451

    deduction

    from

    each claim

    so

    that the

    insured

    himself

    bears

    losses

    below

    this sum. Where

    the loss exceeds

    this

    sum

    the insurers

    pay the

    difference.

    A franchise

    is similar

    to a deductible

    but,

    unlike

    it,

    the insurers

    are

    fully

    liable

    for losses

    over the

    deductible

    amount.

    A fourth

    form

    of

    risk sharing

    is the

    first loss

    arrangement.

    Here,

    the insurers

    will pay

    the

    amount

    of

    the loss or a

    given sum,

    whichever

    is the lower.

    The text concentrates

    on

    the optimality

    conditions

    for

    coinsurance

    and deductibles,

    although

    an

    attempt

    is made later

    to order

    these and other

    forms

    of risk

    sharing.

    If

    the income

    prospect

    is

    represented

    in

    the form

    of

    a discrete

    prob-

    ability distribution

    the

    expected

    utility is

    given

    by

    n

    I

    pJU(A

    -

    L;)

    where

    pi is

    the

    probability

    that

    a

    loss

    of

    size

    Li

    will

    occur

    A

    is initial

    wealth

    U is

    the

    appropriate

    utility

    function

    n

    is

    the

    number

    of

    possible

    outcomes

    (including

    the

    outcome

    in

    which

    no

    loss

    occurs)

    Fortunately

    the

    presentation

    can be simplified

    very considerably

    by

    con-

    sidering a binomial probability distribution in which only two outcomes

    are

    possible.

    This

    simplification

    does

    not affect

    the

    main

    conclusions

    of

    the

    paper,

    as

    can

    be

    demonstrated

    easily

    by

    appropriate

    differentiation

    with

    a

    multi

    outcome

    distributions

    There

    is a

    probability

    p

    that a loss

    will occur

    and

    it will assume

    a

    single

    value L. This

    state

    is denoted

    by

    subscript

    0.

    There

    is

    a

    residual

    probability

    (1-p)

    that no loss

    will

    occur;

    that

    state

    being

    denoted

    by

    subscript

    1.

    If no

    insurance

    is

    purchased,

    the

    expected

    utility

    of the income prospect

    is given by:

    6

    U (1 -

    p)U(A)

    +

    pU(A- L)

    Coinsurance

    If the

    individual

    or

    firm

    coinsures,

    the

    expected

    utility

    is given

    by:

    III(i) U

    (1

    -

    p)U(A

    -

    =w

    L)

    +

    pU(A-

    =w L

    -

    (1-

    )L)

    where

    a

    is the

    proportion

    of insurance

    7r

    is the

    price of

    insurance.7

    5Many of

    the writers cited

    here

    take

    advantage

    of

    this

    simplification because

    it can

    be used to produce fairly general results.

    6The presentation here is similar to

    that

    of

    Ehrlich and

    Becker. However, a differ-

    ence

    does arise in the definition of the

    price

    of insurance.

    Here,

    it is defined as

    the

    rate

    at which

    certainty income

    can

    be transformed into

    income

    in

    state

    0

    only. The

    reason

    for using

    this definition

    is that

    insurers

    rarely make the

    payment

    of

    premium

    contingent

    on whether

    a

    loss

    occurs.

    Thus

    the

    E

    & B

    symbols

    are

    equivalent

    to

    my

    aL

    -

    a7rL

    or,

    in other

    words, my

    net

    insurance

    payment

    in state 0 is

    functionally

    related to r.

    See

    I

    Ehrlich

    and

    G. S.

    Becker,

    Market

    Insurance,

    Self

    Insurance

    and

    Self Protection

    J.P.E. Vol. 80, 1972.

    7

    Incomes

    in

    each state

    of the world are

    defined net of

    tax. If

    premiums and

    uninsured

    losses are both

    tax

    deductible,

    then

    the

    real

    price

    of

    insurance

    is

    the rate at which

    net of tax premiums can be used to make good contingent net of tax losses.

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    Some Fundamental

    Theorems

    of Risk Management

    453

    Deductibles

    The optimality

    conditionsfor deductibles turn out to be similarto those

    for coinsurance.

    The

    expected

    utility

    from

    the income

    prospect

    is

    given by:

    III(iv)

    U

    =

    (1

    -

    p)U(A-

    (L

    -))

    +

    pU(A

    -

    wr(L-)-)

    where A

    is the deductible

    The

    maximisingconditions

    are

    given

    by

    III

    (v)

    dd (1

    -

    p)Ulr +

    pU(

    r-1)

    =

    0

    which implies

    full insurance if the premium

    is

    actuarially

    fair

    (7

    =

    p);

    and

    III

    (v) d2U

    (_-

    U Tr2 +

    2

    2

    (1- )Ul

    1

    pUO(

    X

    -1)

    <

    0

    which

    holds if U

    <

    0. With a proportionate loading

    the first order

    con-

    dition

    is:

    III(vii)

    (1

    -

    p)(l

    +

    m)pU{ +

    p((1

    +

    m)p

    -

    M)UI

    0

    which if m > 0 and p > 0 implies that

    U01

    > U I which in turn implies

    less

    than

    full insurance.

    If

    the

    premium

    includes

    a

    lump

    sum

    loading,

    the result

    is the same as

    that considered

    under

    coinsurance.

    If insurance

    is purchased

    at

    all,

    then full insurance

    will

    be optimal.

    However,

    the lump

    sum tax

    itself might

    be sufficient

    to dissuade

    firmsfrom

    buying insurance.

    Summarising,

    he Mossin

    and Smiththeorems

    show that partial

    insurance

    will

    always

    be optimal where

    a

    proportionate

    oading

    is imposed.12

    At

    first

    sight,

    it seems that

    most property

    insurances

    are calculated

    on

    the

    basis of proportionate oadings. A common practice of property insurers

    is

    to use target

    loss ratios

    as the basis

    of premium

    calculations.'3

    The

    premiums

    for

    each

    class of insureds

    are

    calculated at

    a set ratio of

    the

    expected

    claims costs.'4

    Where coinsurance

    is

    undertakenat

    some

    given

    percentage

    the premium

    s usually,

    though

    not

    always,

    the

    same

    percentage

    of

    the

    full

    insurance

    premium

    and the

    assumptions

    of Mossin

    and

    Smith

    seem

    appropriate.

    However,

    when risk

    sharing takes

    the form of

    deductibles,

    franchises

    or

    first

    loss

    policies,

    then

    the premium

    loadings

    are not

    likely to be

    of a

    simple proportionate nature if only because this would involve a detailed

    12

    Sometimes the

    insured is only offered a limited number of choices. For example,

    he may be offered

    either full cover at a stated premium or a given deductible at

    an

    alternative

    premium. In

    these cases

    it is

    impossible

    to

    anticipate the

    ordering

    of these

    alternatives unless the

    insured's utility function is exactly specified.

    13

    See Report on the

    Supply of Fire Insurance, The Monopolies Commission, London

    HMSO, 2nd August

    1972, paras

    168-178.

    14Each

    class

    contains a group

    of

    insureds

    who

    are considered to be relatively

    homogeneous in terms

    of loss expectancies.

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    454

    The

    Journal of Risk

    and

    Insurance

    knowledge

    of

    the loss

    density

    function.

    Premium

    structures

    often contain

    crude

    or

    arbitrary premium

    reductions for

    deductibles

    and, in the

    case

    of

    larger

    insureds, the

    premium reduction

    is often

    determined

    by

    bargain-

    ing between the insurer and the insured and/or his brokers. It is there-

    fore

    important

    to state the

    conditions under

    which risk

    sharing may

    be

    optimal in

    terms of the

    premium

    saving and in

    a way which

    applies

    to

    each of

    the forms

    of risk

    sharing.

    In

    Figure

    4

    the

    distribution

    f(x)

    represents the

    individual's

    expected

    income if he does

    not

    insure (i.e. it is

    comparable with

    f (x)

    in Figures

    lb,

    2a and 3a). If

    he fully

    insures, then

    his

    expected income

    will be

    the

    initial wealth OA

    minus

    the

    required premium R1.

    In

    other words

    his

    expected income is OB with a

    probability

    of one.

    R,

    (OA

    -

    OC) is the

    premium for

    coinsurance at

    the

    rate

    of

    fifty percent

    of all

    losses and

    the

    appropriate distribution for

    50

    percent

    coinsurance

    is

    g(x). The

    diagram

    is

    constructed so that

    the mathematical

    value of

    g(x)

    is

    equal to OB

    or,

    in

    other

    words, the actuarial

    values

    of the

    coinsurance

    option

    and

    the

    full

    insurance option

    are

    equal.

    If the

    utility equivalent distribution

    had been

    drawn,

    as in

    Figures

    2

    and

    3, and the

    utility

    function were

    linear,

    then

    clearly

    the

    firm

    would

    be

    indifferent between full insurance

    and

    coinsurance.

    If,

    however,

    the utility

    function were concave, the expected utility theorem, as illustrated in

    Figures

    2

    and

    3

    suggests

    that full

    insurance

    would

    be

    preferred.

    Further-

    more,

    concavity

    of

    the

    utility

    function

    suggests

    that the

    coinsurance

    option

    would

    never

    be

    chosen unless its

    actuarial

    value

    exceeded

    that

    of the

    full insurance

    option.

    arc

    RI

    FIGURE

    4.

    The

    Preconditions

    for

    Risk

    Retention

    This

    conclusion

    can

    be

    presented

    in

    another manner. The

    actuarial

    value of the

    coinsurance

    option

    can

    only

    exceed that

    of the

    full

    insurance

    option

    if

    the

    premium

    reduction

    for

    coinsurance

    is

    greater

    than

    the actuarial

    value

    of the

    uninsured

    risk.

    In

    order to

    induce

    a risk

    averter

    to

    coinsure,

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    Some Fundamental Theorenm

    of Risk Management 455

    it is a necessary, but not sufficient, condition

    that

    the

    reduction in

    premium

    exceeds the actuarial value of the uninsured risk. The term risk sharing

    can be substituted for coinsurance in

    the last sentence since it can be

    shown that it also applies to other forms of partial insurance.

    This coinsurance condition is compatible

    with the theorems of Mossin

    and Smith since they assume the premium loading to be a percentage

    markup on the actuarial value.'5

    On the other hand, if the premium

    loading

    is

    independent of the actuarial

    value, i.e. a lump sum tax,

    then

    the conditions for risk sharing are not

    met,

    and as seen above, the firm

    will

    either fully insure or escape the

    tax altogether by self insuring. In

    principle the application of the condition to more complex premium struc-

    tures is simple, though of course in practice knowledge of the probability

    distribution

    is

    required.

    Arrow ' has shown that, given a choice between two policies of equiva-

    lent

    actuarial value, a

    risk

    averter would prefer one with a deductible

    to

    one

    subject to coinsurance. This ranking

    can be extended to produce

    a

    preference ordering over the various forms of risk sharing.

    The effects of the various forms of risk sharing on the individual's

    ex-

    pected income distribution are shown in Figure 5. In all cases the

    maximum

    attainable

    wealth

    is the initial

    wealth

    OA minus the premium

    OA-GB.

    The effect of coinsurance is to compress the possible outcomes over a

    smaller

    range of values of

    x

    and

    in figure 5(a). Insuring with a deductible

    has

    the effect of chopping off the tail

    of

    the

    original density function

    and

    replacing this with a probability mass

    at the wealth value relating to

    the

    deductible

    (i.e. c

    in

    figure 5(b) ).

    A franchise has a similar effect to

    the

    deductible but

    the

    probability

    mass is

    replaced

    at a wealth level

    relating

    to

    the initial

    wealth minus the insurance premium (B

    in

    fig. 5(d) ).

    The

    first loss policy effectively extracts the probability mass relating to losses

    between

    zero

    and the upper

    limit

    and replaces

    this

    with

    a

    probability

    mass at the initial wealth minus the insurance premium (see fig. 5(c) ).

    The

    model

    developed

    earlier can now

    be

    used

    to yield a preference

    ordering

    over the various forms of

    risk

    sharing,

    on the

    assumption

    that

    the

    actuarial

    values of

    all

    the

    alternative policies

    are

    identical. This

    is done

    by pairing

    off

    the

    distributions and

    comparing the

    means

    of

    their

    utility

    equivalents.

    To

    illustrate,

    the

    deductible

    policy

    and the

    first

    loss

    policy

    are

    compared

    in

    fig.

    6. In

    part (a)

    the

    probability

    distributions

    relating

    to the two

    options

    are

    constructed;

    the

    deductibles option denoted by

    diagonal shading and the first loss option is not shaded. The actuarial

    values

    of

    the two

    options

    are identical at

    4a,

    but in

    part (b)

    which shows

    the

    utility equivalent

    distributions

    it

    is

    seen

    clearly

    that the

    deductible

    option

    has a

    higher utility

    value

    (

    (2)

    on the

    U(x) axis)

    than

    the

    first

    loss

    option ( (1)

    on

    the

    U(x) axis.)

    This outcome

    is a

    necessary

    conse-

    15

    If the insurers charge a premium of (1 + m) times the expected claims cost then

    the premium reduction

    will

    be (1 + m) times

    the

    expected value

    of the

    uninsured

    risk.

    6K. J. Arrow, Uncertainty and the Welfare Economics

    of

    Medical Care, A.E.R.

    Vol. LIII No. 5, (December 1963).

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    456 The Journal

    of

    Risk and Insurance

    Thy)

    i,

    T t~~~~D~vdb/

    zQB-OC

    X

    x

    piu6

    ~FrJ

    E

    Loss

    frnchis

    4

    x~~~~ a

    FIGURE

    5.

    Alternative Methods

    of Risk Sharing

    a)educyibcK

    f

    ow

    (6)

    cle

    fte

    Pva

    4

    >

    |;e

    dedmlcfibk_

    )

    < |

    s/4

    k

    0

    0p

    1

    2

    FIGURE 6.

    Comparison of

    Deductible and First Loss Policies

    quence

    of

    the

    concavity

    of the

    utility

    function and similar comparisons

    show

    the

    deductiblespolicy

    to be

    preferred

    o

    each

    of

    the

    other alternatives

    and

    both

    the

    franchise

    and

    coinsurance

    policies

    preferred

    to the first

    loss

    policy.

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    Some

    Fundamental Theorems

    of

    Risk

    Management

    457

    Interdependence

    Between Insurance and

    Loss

    Prevention

    Loss

    prevention provides an

    alternative strategy towards risk.

    The

    firm

    may

    be able to reduce the

    probability

    that a certain undesirable

    event will

    occur, or

    reduce the financial

    impact

    if

    it

    does

    occur, by

    means of

    safety

    devices. These may include

    sprinkler

    systems, burglar alarms, safer

    work-

    ing procedures,

    etc. The optimal size

    for a loss

    prevention program

    is

    defined

    where the

    costs

    and

    benefits are

    equated

    at

    the

    margin.

    However,

    these

    costs and

    benefits depend on the

    level of

    insurance

    and

    the conditions

    under which it is

    transacted.

    The effect of risk transfer is to

    relieve

    the

    insured

    of the direct financial

    consequences of certain events

    and

    this

    in

    turn

    implies

    a zero

    sum

    gain

    from

    the

    installation of

    safety

    devices.

    This

    may lead to a change in loss probabilities, which is described as moral

    hazard.

    Counteracting this, the insurers

    might devise

    premium structures

    which grant premium reduction for

    loss prevention

    systems.

    For example,

    under

    an

    actuarially

    fair

    premium

    structure, the expected

    return from a

    loss

    prevention

    program

    for a firm

    which

    is

    fully insured is the

    reduction

    in

    the expected

    value

    of

    the

    loss; this is, of

    course, the

    same expected

    return as

    in

    the

    case where

    no

    insurance is

    purchased.

    The

    interdependence

    between

    insurance

    and loss

    prevention is shown

    by considering

    exogenous

    changes

    in

    the

    level

    of

    insurance on

    the optimal-

    ity conditions for loss prevention. This will reveal whether insurance and

    loss

    prevention

    are

    complements

    or

    substitutes.

    The

    utility of

    the income

    prospect

    is:

    IV(i)

    U

    =

    (1

    -

    p(r))U(A

    -

    =

    L

    w(r)

    -

    r

    +

    p(r)U(A-

    =Lr

    (r)

    -(1 -)L

    -

    r)

    where r

    is

    the

    level

    of

    expenditure

    on

    loss

    prevention,

    and the

    other

    symbols

    are

    as

    expressed

    earlier.

    The optimal level of loss prevention for any given level of insurance is

    given

    by

    the first

    order condition:

    IV(ii)

    au

    -pb(r)

    U

    (A

    -

    as ''L

    -

    r)

    -

    U(A

    -

    (r)L

    -

    (1

    -L

    -

    r

    -(1

    -

    p(r))U;(

    -

    '(r)L

    +

    1)

    -

    p(r)UO(s:

    v(r)L

    +

    1)

    -

    0

    and the

    appropriate

    second order

    condition. In

    order

    to show

    the effect of

    exogenous changes

    in

    the level of

    insurance

    on

    self

    protection

    expenditure,

    take the derivative of

    the

    first order

    condition;

    this

    gives dr/da

    =-N/m

    where

    M

    is the second

    order

    condition,

    which

    will

    be

    negative,

    so that

    the

    sign

    of

    dr/da

    will

    be

    the same as

    the

    sign

    of

    N.

    N

    is

    given by:

    IV(iii)

    N

    -

    p' (r){UL

    i(r)

    -

    UoL(

    ir(r)

    -

    1)}

    -(1

    -

    p(r]UlL

    :'(r)

    +

    (1

    -

    p(r))U (

    -L

    :'(r)

    +

    1)L

    x(r)

    -p(r)UOL

    I'

    (r)

    +

    p(r)U (

    -L

    r

    I(r)

    +

    1) (L(

    ir) -

    1))

    In

    the

    actuarial

    case, 7r(r)

    =

    p(r)

    and N

    simplifies

    to:

    IV(iv) Lp'

    (r)(2p(r)

    -

    1)(U;

    -

    U1)

    + L(

    Lp(r)

    +

    1)p(r)(1

    -

    p(r))(

    -

    Ulf

    1

    p 0)(U

    ~

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    458

    The

    Journalof

    Risk

    and

    Insurance

    Ehrlich

    and

    Becker

    point out

    that in

    this

    case

    market

    insurance and

    loss

    prevention

    may

    turn

    out

    to

    be

    complementary if

    p is

    not

    very

    small

    and

    U

    is

    concave.17,

    18

    However,

    a

    similar

    result

    may

    occur

    where

    the

    premium includes a loading factor. For example, if the premium includes

    a

    lump

    sum

    loading

    (premium=

    aLp (r)

    + k)

    then

    N

    would be

    the

    same as in

    the

    actuarial

    case.

    Since

    M

    also

    would

    be

    unchanged

    then

    the

    rate of

    substitution

    would

    be

    identical.

    A

    more

    interesting

    case is

    where

    the

    loading is

    related to the

    sum

    insured.

    By

    substituting a

    premium of

    the

    form

    ap (r)

    L

    +

    akL into

    IV (i)

    and

    appropriate

    differentiation,

    N

    emerges as

    follows:

    IV(v)

    pL(r)L(2p(r)

    +

    k

    -

    -

    UO)

    -L(

    Lp'(r)

    +

    1)f(p(r)

    -

    P

    -

    kp(r))(U' - U )

    +kUl}

    As

    with the

    actuarial

    case,

    this

    may

    result

    in

    complementarity

    between

    insurance and

    loss

    prevention if

    p is

    not

    very

    small

    and

    U is

    concave.

    For

    example,

    if

    U is

    quadratic

    then

    insurance

    and

    loss

    prevention

    will be

    complements

    if

    (2p(r)

    +

    k

    -

    1) > 0.

    (This is a

    sufficient,

    but

    not

    neces-

    sary,

    condition.)

    The

    widespread

    use

    of target loss

    ratios

    implies

    a

    proportionate

    loading

    factor. By substituting

    7r

    r)

    =

    (1 + m )p

    (

    r) where m>1 and appropriate

    differentiation,

    then

    N

    becomes:

    IV(vi)

    p'

    (r)L{(2p(r)(1

    +

    m)

    -

    -

    -

    mUjj-

    .

    +

    L

    (

    L(1

    +

    m)p'(r)

    +

    1){P(r)(1

    -

    p(r)

    -

    mp(r))

    (U

    -

    U )

    +

    mp(r)U';}

    The conditions for

    a

    positive

    sign

    for this

    expression

    are

    more

    complex.

    For

    example,

    if

    U is

    quadratic

    then

    N

    will

    certainly

    be

    positive

    if

    (a) U2p

    r)(1

    +

    m)

    -

    1) > 0 and

    (b)

    Ulf

    PI

    W

    .Tr

    p(r)(

    L(1

    +7;

    mp

    W

    -+1)

    and

    may

    be

    positive

    if

    only

    one

    of these

    conditions

    is

    met.

    Furthermore,

    complementarity

    is

    likely

    to

    occur

    at lower

    levels of

    p

    under

    a

    proportion-

    ate

    loading

    than

    in

    the

    actuarial or

    lump

    sum

    cases.

    It

    may

    also

    be

    noted

    that the

    lower

    the coefficient

    of

    risk

    aversion

    the

    more

    likely

    it

    is that

    insurance and loss prevention will turn out to be complementary. In the

    limit,

    dr/da

    will

    certainly

    be

    positive

    if U

    is

    linear

    since

    the

    firm

    will

    maximize

    its

    expected

    return.

    It

    is

    interesting

    to

    compare

    the

    expected

    payback

    to

    loss

    prevention

    expenditure

    under

    different

    assumptions

    about

    the

    premium

    loading.

    In

    Figure

    7,

    the

    expected

    payback

    to a loss

    prevention

    program

    is

    defined

    I

    See Ehrlich

    and

    Becker, op.

    cit., p. 642.

    8

    Note hat

    (aLp'(r) + 1)

    is

    positive by

    the first order

    condition.

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  • 8/9/2019 251700.pdf

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    460

    The Journal

    of

    Risk

    and

    Insurance

    defining

    and

    identifying premium

    loadings. In

    practice, if

    the premium

    loading is

    to be

    related

    mathematically

    to the

    actuarial value

    of the

    policy

    then

    the

    expression must

    contain

    some

    random

    error

    because

    the

    actuarial

    value itself is not known with certainty. Perhaps one of the strongest points

    of

    the

    rational

    model

    is

    that it

    draws attention

    to

    the

    type of

    information

    which is

    required for

    better risk

    management.