Health insurance math
The health insurance mathematics is a branch of actuarial mathematics . As the name suggests, it deals with the subject of health insurance . This refers to health insurances that are suitable to replace the statutory health insurance in whole or in part (substitute health insurance). The substitute health insurance is operated by private health insurance companies. In the Federal Republic of Germany, according to Section 12 of the VAG, it may only be operated in the manner of life insurance . It follows from this requirement that a health insurance company must name a responsible actuary in accordance with Section 11 a VAG .
Tasks of health insurance mathematics
- Calculation of the premiums on an actuarial basis using probability tables and other statistical data, in particular taking into account the relevant assumptions about the risk of disability and illness, mortality, the age and gender dependency of the risk, the probability of cancellation taking into account security and other surcharges and one Discount rate of a maximum of 3.5%.
- Calculation of the aging provision according to §341f HGB
- Review of the company's financial position to ensure that the obligations arising from the insurance contracts can be permanently met
- Review of solvency rules
- Premium changes
- Proof of the profitability of optional tariffs according to § 53 SGB V
