Penentuan Premi Menggunakan Metode Limited Fluctuation Credibility Pada Produk Health Insurance Reasuransi Di Indonesia

  • Tiara Yulita Institut Teknologi Sumatera
  • Agus Sofian Eka Hidayat President University
  • Gilang Primajati Universitas Mataram
Keywords: Reinsurance; premium; limited fluctuation credibility; health insurance.

Abstract

A reinsurance company is a company that provides reinsurance services against the risks faced by the insurance company (the insured). An insured is obliged to pay an amount of money in accordance with the agreement as a form of obligation from the insured for his participation in reinsurance which is called a premium. One method that can be used to determine future premiums based on past experience is limited fluctuation credibility which can predict the value of pure premiums in the future based on current data and insurance manual rates. Using the help of the limited fluctuation credibility method, this study will calculate the estimated value of claim frequency, claim size, aggregate losses and pure health insurance premiums using reinsurance claim experience data. The results of these calculations will be analyzed for differences in value with the value given by reinsurance companies in Indonesia. With this research it is hoped that it can become a standard reference for the credibility of reinsurance companies in determining premiums in the future.

References

Akritas, M. 2016. Probability and Statistics with R For Engineers and Scientist. USA. Pearson Education.
Atkinson, D. B. 2019. Credibility Methods Applied to Life, Health, and Pensions. Society of Actuaries.
Ayu, D. 2017. Penentuan Distribusi Kerugian Agregat Tertanggung Asuransi Kendaraan Bermotor Di Indonesia Menggunakan Metode Rekursif Panjer. Bandung. Universitas Islam Bandung.
Gong, Yikai (Maxwell)., Li, Zhuangdi., Milazzo, Maria and Moore, Kristen. 2018. Credibility Methods for Individual Life Insurance. Risks 2018. Vol. 6. 144. DOI: 10.3390/risks6040144. www.mdpi.com/journal/risks.
Indarti, W. P dan Fakhira, S. 2020. Resiko dan Ketidakpastian. Jakarta. FEB Universitas Persada Indonesia.
Klugman, S. A., Panjer, H. H and Willmot, G. E. 2019. Loss Models: From Data to Decision, Ed. 5th. USA. John Wiley & Sons, Inc.
OJK. 2016. Buku 4: Perasuransian. Jakarta. OJK. https://www.ptonline.com/articles/how-to-get-better-mfi-results.
Pinca, J. J and Retnowati, T. 2022. On Insurance Claims Liability PT Jamkrindo. YURISDIKSI: Jurnal Wacana Hukum dan Sains. Vol. 18(1). pp. 68–83. DOI: https://doi.org/10.55173/yurisdiksi.v18i1.125.
Rahma, M. Z dan Mutaqin, A. K. 2021a. Penerapan Metode Limited-Fluctuation Credibility dalam Menentukan Premi Murni pada Asuransi Kendaraan Bermotor di PT XYZ. Indonesian Journal of Applied Statistics. Vol. 4 (2). pp. 126. DOI: https://doi.org/10.13057/ijas.v4i2.51794.
Rahmah, M. Z dan Mutaqin, A. K. 2021b. Uji Kecocokan Distribusi Binomial Negatif untuk Data Frekuensi Klaim Asuransi Kendaraan Bermotor di Indonesia. Prosiding Statistika. Vol. 7 (1). pp. 187–191. DOI: http://dx.doi.org/10.29313/.v7i1.25898.
Thabrany, H. 2014. Dasar – Dasar Asuransi kesehatan Bagian B. Jakarta. PAMJAKI.
Yulita, T dan Effendie, A. R. 2022. Estimation of IBNR and RBNS Reserves Using RDC Method and Gamma Generalized Linear Model. Media Statistika. Vol. 15 (1). pp. 24-35. DOI: https://doi.org/10.14710/medstat.15.1.24-35
Yulita, T., Lubis, C. T., dan Hidayat, A. S. E. 2023. Penentuan Premi Murni di Kabupaten Kepahiang Provinsi Bengkulu dengan Memperhitungkan Peluang Kejadian Gempa Bumi dan Rasio Kerusakan Bangunan. Variance: Journal of Statistics and Its Applications. Vol. 5 (2). pp 147-158. DOI: https://doi.org/10.30598/variancevol5iss2page147-158.
Yulita, T., Lubis, C. T., dan Hidayat, A. S. E. 2024. Penentuan Premi Murni dari Data Klaim Asuransi Kendaraan Roda Empat dengan Jenis Perlindungan Comprehensive. Variance: Journal of Statistics and Its Applications. Vol. 6 (1). pp 75-86. DOI: https://doi.org/10.30598/variancevol6iss1page75-86.
Wilandari, Y. 2012. Asuransi Kesehatan Individu Perawatan Rumah Sakit. Jurnal Matematika FMIPA UNDIP. Vol. 10 (3). pp. 73–78.
Published
2025-06-02
Section
Articles