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On the design of optimal insurance policies under manipulation of audit cost

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  • Picard, Pierre

Abstract

This article characterizes optimal insurance policies under deterministic auditing in a situation where the policyholders can misrepresent their losses. Under exogenous audit cost, a straight deductible is optimal when the policyholders can inflate their claims by intentionally increasing the damages. If policyholders can manipulate the audit cost and the insurer is unable to observe the cost incurred by his or her auditor, then the auditor should receive contingent fees. When the auditor is risk-averse, the optimal insurance policy involves some degree of coinsurance. An upper limit on coverage is optimal when the auditor is infinitely risk-averse. Copyright 2000 by Economics Department of the University of Pennsylvania and the Osaka University Institute of Social and Economic Research Association.

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Bibliographic Info

Paper provided by CEPREMAP in its series CEPREMAP Working Papers (Couverture Orange) with number 9605.

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Length: 36 pages
Date of creation: 1996
Date of revision:
Handle: RePEc:cpm:cepmap:9605

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Cited by:
  1. Dionne, Georges & Gagne, Robert, 2002. " Replacement Cost Endorsement and Opportunistic Fraud in Automobile Insurance," Journal of Risk and Uncertainty, Springer, vol. 24(3), pages 213-30, May.
  2. Dionne, G., 1998. "La mesure empirique des problemes d'information," Papers 9833, Paris X - Nanterre, U.F.R. de Sc. Ec. Gest. Maths Infor..
  3. Georges Dionne & Florence Giuliano & Pierre Picard, 2003. "Optimal Auditing for Insurance Fraud," Cahiers de recherche 0329, CIRPEE.
  4. Georges Dionne & Florence Giuliano & Pierre Picard, 2009. "Optimal Auditing with Scoring: Theory and Application to Insurance Fraud," Management Science, INFORMS, vol. 55(1), pages 58-70, January.
  5. Hau, Arthur, 2008. "Optimal insurance under costly falsification and costly, inexact verification," Journal of Economic Dynamics and Control, Elsevier, vol. 32(5), pages 1680-1700, May.
  6. Carlier, Guillaume & Dana, Rose-Anne, 2005. "Rearrangement inequalities in non-convex insurance models," Economics Papers from University Paris Dauphine 123456789/5389, Paris Dauphine University.
  7. Carlier, G. & Dana, R.-A., 2005. "Rearrangement inequalities in non-convex insurance models," Journal of Mathematical Economics, Elsevier, vol. 41(4-5), pages 483-503, August.
  8. P. Picard, 1998. "Insurance fraud : theory," THEMA Working Papers 98-26, THEMA (THéorie Economique, Modélisation et Applications), Université de Cergy-Pontoise.
  9. Bénédicte Coestier & Nathalie Fombaron, 2003. "L'audit en assurance," THEMA Working Papers 2003-41, THEMA (THéorie Economique, Modélisation et Applications), Université de Cergy-Pontoise.

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