• 보험의학회지
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• 제2권1호
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• pp.53-64
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• 1985

• 보험의학회지
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• 제1권1호
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• pp.38-53
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• 1984

• Journal of Periodontal and Implant Science
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• 제49권4호
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• pp.248-257
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• 2019

Purpose: The purpose of this retrospective study was to investigate the relationships of types of dental insurance coverage in Korea with sociodemographic characteristics and the prevalence of systemic and oral diseases, as well as to evaluate the socioeconomic impact of Korean dental insurance policies. Methods: Sample cohort data from 2006 to 2015 were obtained from the National Health Insurance Service. Patients were divided into 2 groups. The exposed group comprised patients who received insurance benefits for complete dentures, removable partial dentures, and implant care, while the control group comprised patients who did not receive these benefits. The type of insurance coverage and the prevalence of systemic and oral diseases were compared between the 2 groups. Results: Patients who received benefits in the form of complete dentures, removable partial dentures, and implants had similar sociodemographic characteristics in terms of sex, age, income quintile, and type of insurance coverage to the control group. The prevalence of hypertension, anemia, renal disease, rheumatoid arthritis, osteoporosis, asthma, and cerebral infarction was higher in the exposed group than in the control group (P<0.05). The prevalence of periodontal diseases and dental caries was also higher in the exposed group. Conclusions: Korean dental health insurance policy has been beneficial for the medical expenses of low-income and elderly people suffering from a cost burden due to systemic diseases. However, since there is a tendency to avoid invasive interventions in older patients due to the high risk of systemic diseases, insurance coverage of dentures may be more helpful from a socioeconomic perspective than coverage of dental implant treatments.

• 한국산학기술학회논문지
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• 제21권12호
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• pp.469-474
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• 2020

본 연구는 기존의 연구가 설명하지 못하는 저소득계층의 낮은 수요, 위험회피성향이 높을수록 낮은 수요를 보이는 점과 같은 소액보험의 특성을 건강보험에 관한 이론모형을 바탕으로 설명하고 있다. 특히 이러한 특성은 소득이 낮을 수록, 위험회피성향이 높을수록 보험 수요가 높다는 기존의 보험 이론과 배치되는 측면이 존재한다. 본 연구는 기존 1기간 모형에 비해 본 연구는 2기간 모형을 가정하고 있다. 그 결과 첫째, 기존 1기간 모형 하에서와 달리 소득의 감소가 언제나 질병 예방의 노력을 감소시킨다는 것을 보이고 있다. 둘째, 계리적으로 공정한 보험료 하에서 개인이 전부보험을 선택한다는 기존 연구결과와는 달리 소득이 낮은 경우 보험 수요가 낮아질 수 있다는 것을 보이고 있다. 셋째, 본 연구는 미래에 대한 전망이 개선될수록 보험 수요가 낮아질 수 있으며, 넷째, 위험회피성향이 증가할수록 보험수요가 증가해야 한다는 기존 연구결과와는 달리, 보험자에 대한 신뢰 부족 및 파산 우려가 큰 경우 위험회피성향이 증가할수록 보험수요가 오히려 낮아질 수 있다는 것을 이론적으로 증명하고 있다.

• 보건행정학회지
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• 제25권2호
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• pp.107-117
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• 2015

Background: The purpose of this study is to analyze the cost for the denture treatment in accordance with the government's plan to expand the National Health Insurance coverage for dental prothesis from July 1, 2012. Methods: We developed the draft of classification of the treatment activities based on the existing researches and expert's review and finalized the standard procedures through confirming by Korean Dental Association. We also made the list of input at each stage of treatments. We conducted survey of 100 dental clinics via post from April 4 to May 20 in 2011 and 37 clinics took part in the survey. The unit of cost calculation is the process from the first visit for denture treatment to setting of denture and adjustment. The manufacturing process performed by dental technician was not included in the cost analysis. Results: The process for the complete denture treatment was classified with 10 stages. The partial denture treatment was classified with 8 stages. The treatment time per each denture is about 5.6 hours for complete dentures and about 6.6 hours for partial dentures. The treatment cost were from 591,108 won to 643,913 won for complete denture and from 670,219 won to 738,840 won for partial denture in 2011, depending on the location, type of the clinics and the types of physician's income. Conclusion: This study shows the example of cost analysis for the treatment to set the fee schedule. Measures to get representative and accurate information need to be made.

• Journal of Preventive Medicine and Public Health
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• 제53권4호
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• pp.285-288
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• 2020

The health insurance system in Korea is well-established and provides benefits for the entire national population. In Korea, when patients are treated at a hospital, the hospital receives a partial payment for the treatment from the patient, and the remaining amount is provided by the health insurance service. The Health Insurance Review and Assessment Service (HIRA) assesses whether the treatment was appropriate. If HIRA deems the treatment appropriate, the doctor can receive payment from the health insurance service. However, this system has several drawbacks. In this study, we aimed to provide examples of the problems that can occur in relation to HIRA assessments in Korea through actual clinical cases.

• 통상정보연구
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• 제11권1호
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• pp.309-331
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• 2009

In 25th April. 2008, the Korea legislature gave advance notice on the Revision Bill of Commercial Law in Insurance Division in partial, one of which is the principle of utmost good faith to be codified in accordance with the effectuation of the Revision Bill enforcement. For this, even though the disclosure duty is not included in the Revision Bill, it should also be discussed in relation to the principle of utmost good faith because it is based upon the principle of utmost good faith and forms a part of utmost good faith. In Marine Insurance industry in Korea, there are the sections and the clauses in relation to the English governing law included in the Policies and the Clauses used in Korea and, also, they still come into effect for the Korea Courts' judgements. So. we, Korea, should carefully pay attention to the trend of English courts' leading case, academic world and insurance industry on the disclosure duty in U.K. This study is thus based upon sections 17 and 18~20 of the Marine Insurance Act 1906 and sections 651, 652 and 655 of Commercial Law in Insurance Division, which appear throughout this work. The objective of this work is to analyse the duty of disclosure on Korean and English Insurance Laws including cases cited in this work, comparing the differences resulted from the analysis of the two countries‘laws and legal cases.

• 응용통계연구
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• 제25권1호
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• pp.67-79
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• 2012

우리나라 자동차보험 시장은 이미 성숙기에 접어들어 성장률이 감소하고 있는 추세이다. 이러한 시기에는 새로운 고객을 유치하는 것보다도 기존 고객을 유지하는, 즉 가입한 보험회사에 대한 충성도를 높이는 것이 새로운 마케팅 경쟁전략의 목표가 될 수 있을 것이다. 이에 본 연구에서는 개인용 자동차보험시장의 현 경쟁 환경 및 향후 변화될 환경에 맞추어 손해보험회사들이 새로운 자동차보험 마케팅 전략을 수립하는데 도움이 되는 마케팅 전략을 도출 제시하고자 한다. 이를 위하여 자동차보험 가입자를 대상으로 설문조사를 진행하였고, 일반화가법부분선형모형을 활용하여 분석을 시행하여 충성도에 영향을 주는 유의한 고객만족도 요인을 찾아내었다.

• 응용통계연구
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• 제26권2호
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• pp.321-333
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• 2013

신뢰도 이론은 적정하고 합리적인 보험료를 산정하기 위한 보험통계학의 이론 중 하나이다. 본 논문에서는 신뢰도의 개념과 함께 기존에 절리 사용되고 있는 여러 가지 부분신뢰도(유효대수 법칙, 제곱근 법칙, 뷸만, 뷸만-스트라웁)를 소개하고, 새로운 부분신뢰도(새로운 유효대수 법칙, 새로운 제곱근 법칙)를 제안하였다. 또한 실제 자료를 이용하여 기존의 방법과 새로운 방법으로 부분신뢰도와 부과보험료를 추정하였으며, 추정된 부과보험료와 전체 손해액의 차이를 비교하여 정확성을 알아보았다. 실제 자료를 바탕으로 분석한 결과, 본 논문에서 제안하는 새로운 부분신뢰도를 적용하여 부과보험룔를 산출한 것이 기존의 방법보다 오차가 개선되는 것을 확인할 수 있었다.

• 무역상무연구
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• 제69권
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• pp.407-426
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• 2016

The Marine Insurance Act 1906 (MIA 1906) has been a successful piece of legislation, having rarely been amended and having established, or served as an influence in the development of, the basis of marine insurance legislation in several countries. However, it has been recognised that some parts of the MIA 1906 have begun to show their antiquated nature, especially where established principles which were once thought to reflect undoubted propositions of law are now being openly criticised. Since 2006, the Law Commission and Scottish Law Commission (the 'Law Commissions') have been engaged in a major review of insurance contract law, finally leading to the Insurance Act 2015. The Insurance Act 2015 received Royal Assent on 12 February 2015, and was based primarily on the joint recommendations of the Law Commissions. The 2015 Act made substantial changes to several main areas of marine insurance law & practice: (i) the replacement of the pre-contractual duty of disclosure with a duty to make a "fair presentation of the risk"; (ii) the abolition of the "insurance warranty" under the Marine Insurance Act 1906, s.33, and provision of a new default remedy of suspension of liability until the breach is cured; (iii) partial codification of the fraudulent claims rule in insurance contract law, etc. The Act did not provide for any new statutory duty for insurers to investigate or pay claims in a timely fashion, although this may be revisited in the next Parliament. Moreover, the Law Commissions have reopened their consideration of the doctrine of insurable interest. The 2015Actmay not then signal the end of the legislative programme in this area.