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Microeconomic Theory



                   Notes       2. Adverse Selection

                               When insurance company knows less for the future incidents from the customer, then it creates adverse
                               selection like personal illness insurance market. In this, the person knows more from the insurance
                               policy, which however check his health while insured him. So the insurance company takes premium
                               on the basis of national average. He will motivate more ill people to get insured than less fit people.
                               On  the  other  hand,  fit  people  thinks  that  he  is  about  to  pay  more  against  his  low  individual  risk.
                               Other hand, the ill people think that he is paying fewer premiums against his high risk. As a result,
                               the higher risk people buy more insurance while lower risk people do not buy insurance. This is the
                               problem of adverse selection which will bankrupt the insurance companies. This condition makes the
                               high premium in insurance and thus the ill people stop getting insurance because they think that the
                               individual payment is lower than policy premium.
                               To getting rid from this adverse selection problem, the insurance company gets various premiums on
                               the basis of various age limits and the nature of risk for industries. Thus the premium amount is more
                               for high risk people than the low risk people. To solve the adverse selection, the insurance company
                               fixes the rate for both the groups as shown in Fig. 29.3. Every person has OM money which is less in case
                               of illness till OA. The illness possibility for fit people is 3 to 1 or 0.25 and ill people have 1 to 1 or 0.50. On
                               this assumption, the budget line for fit people is B  which touches their indifference curve I  on point E
                                                                      H
                                                                                                       H
                               and ill people has B  line which touches their indifference curve I  on point T. According to insurance
                                                                                   U
                                               U
                               company, the fit people should take insurance policy on T point with 3:1 possibility and ill people
                               should take policy on point E with 1:1 possibility. But the insurance company cannot give two different
                               policies because it cannot differentiate between these two groups. So it collects similar premium from
                               both groups. As a result, ill people will get policy on point E with 3:1 possibility and when company
                               needs to pay OC amount as payment and it will bankrupt the company. In this situation, company gives
                               two options. One, for fit people on 3:1 possibility, it will take MP premium. They will be on I  curve
                                                                                                          H1
                               on point S which touches his budget line B . If illness happens, the company will pay OB money to this
                                                                 H
                               group. Second, for ill people it will take MP  premium on 1:1 possibility on point T and will pay OC
                                                                   1
                               money to this group. This result is only possible equilibrium. It can possible if insurance company can
                               know about the fit and ill people by repetitive medical tests and past health history.
                                                                    Fig. 29.3



                                                             Healthy  Adverse Selection


                                                                               45°
                                                             M     R
                                                             P
                                                                          E  I H
                                                                 S         I
                                                            P            T  H1
                                                             1                     B H
                                                                             I
                                                                             U
                                                                              B U
                                                             0
                                                                   AB C     Unhealthy





                                              The work of an insurance company is to give decisiveness to any loss incident.




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