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FRM Part I · FRM Exam Part I · Insurance Companies and Pension Plans

A health insurer charges a single premium based on the average risk of the population. Healthy individuals find the price too high and decline coverage, leaving a riskier pool and forcing the insurer to raise premiums further. Which statement best describes this process?

This is adverse selection leading to a premium spiral. With one average-risk price, healthy people exit, the remaining pool is riskier, and the insurer must raise premiums again. The problem comes from hidden information before the contract, unlike moral hazard, which concerns behavior after coverage starts.

  1. AAdverse selection that can lead to a premium spiralCorrect
  2. BMoral hazard that is controlled by deductibles
  3. CDiversification that lowers the insurer's loss ratio
  4. DReinsurance that transfers longevity exposure

Explanation

Because the insurer cannot distinguish risk types, low-risk people leave and the pool worsens, which pushes premiums higher. This is adverse selection, a pre-contract information asymmetry. Moral hazard concerns post-contract behavior, so it is wrong.

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