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Sample Dissertation Format - Scor

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3 Introduction to Actuarial Pricing Techniques<br />

This chapter gives an overview of the pricing techniques used to price health insurance<br />

products. The details of these techniques will be set out in chapters 4, 5 and 6. They are<br />

drawn from The Actuarial Education Company (2010).<br />

Actuaries use a series of steps to derive an appropriate price for insurance policies. Firstly,<br />

they use a suitable model to project the cost of the future claims under the policy; this cost is<br />

called the risk premium. This risk premium is then increased to cover the company’s future<br />

expenses, the cost of capital and reserves, and the required profit margin to give the gross or<br />

office premium which is ultimately charged to the policyholder.<br />

Pricing a product an ongoing process and like most actuarial work can be viewed in the<br />

context of the Actuarial Control Cycle. The Actuarial Control Cycle is illustrated as follows:<br />

Figure 1. The Actuarial Control Cycle<br />

Source: Bellis, Lyon, Klugman and Shepherd (2010).<br />

The cycle is carried out in an environment with external forces which the actuary must<br />

consider, as well as the requirements for the actuary to act with professionalism.<br />

For pricing, the problem is calculating suitable premiums that satisfy the company’s<br />

profitability requirements. The solution is to develop a robust pricing model to calculate<br />

these premiums. Monitoring the results will include evaluating the company’s experience and<br />

comparing this with the assumptions used in the pricing model.<br />

The process of deriving the premiums has been divided into the following steps for the<br />

purpose of this research:<br />

1. Data collection and analysis<br />

2. Setting assumptions<br />

Monitor<br />

Result<br />

Define<br />

Problem<br />

- 10 -<br />

Develop<br />

Solution

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