The desirability of micro health insurance is usually beyond doubt but the sustainable provision is a different matter. Even traditional insurance economics have issues which complicate the adequate coverage of risks but the problems in the microinsurance environment are even more dicult to handle. When looking for an approach on how to analyse risks in micro health insurance and how to insure them one will fail to find one. So far, data is very rare. Usually it is only possible to find a small amount of data extracted out of small scale studies/ evaluations. The microinsurance database of the World Bank is an attempt to collect all kinds of relevant data concerning microinsurance but so far, there is only some basic data for six countries.
Recently there has been the attempt to start an analytical framework on how to assess insurability of risk in microinsurance. Biener and Eling provide a starting point by adjusting the insurability criteria of Berliner to a microinsurance environment. This paper will continue the work in the area of micro health insurance and suggests a further criterion to be used when assessing the insurability of risk.
Contents
1 Relevance of Micro Health Insurance
2 Health Insurance Economics
2.1 The principles of Insurance
2.2 Adverse Selection
2.3 Moral Hazard
2.4 Micro Health Insurance
3 Risk and Insurability
3.1 The Concept of Risk
3.2 The Concept of Insurability
4 Insurability in Micro Health Insurance
4.1 Adaptation of Berliner’s Criteria .
4.2 Actuarial Criteria
4.3 Market Criteria
4.4 Societal Criteria
5 Discussion and the way forward
6 References
7 Appendix
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