| Article ID: | iaor20083189 |
| Country: | United Kingdom |
| Volume: | 23 |
| Issue: | 4 |
| Start Page Number: | 307 |
| End Page Number: | 317 |
| Publication Date: | Jul 2007 |
| Journal: | Applied Stochastic Models in Business and Industry |
| Authors: | Tessera Abebe |
| Keywords: | medicine, probability |
The paper develops two probabilistic models for claim size in health insurance based on the claims of families and individuals covered by the policy. First general models for the numbers of families and persons covered by a medical insurance are developed. These are then used to construct models for claim size. Applications of these general models are then analysed and discussed.