O estudo descreve o resseguro no âmbito do Direito Internacional, partindo da constatação da pulverização dos riscos através do mercado global para abordar temas relevantes, tais como: a diferenciação entre resseguro internacional e contrato internacional de resseguro, os usos e costumes internacionalmente aceitos e a autonomia da vontade das partes como fundamento aos contratos de resseguro. São perquiridas também as fontes do direito ressecuritário no âmbito internacional. As relações jurídicas entre Estado e resseguradores e as relações contratuais entre seguradores e resseguradores devem ser regidos pela máxima boa-fé. Essa abordagem reporta-se a princípios consagrados no Direito Internacional do Investimento como padrão de referência para a regulação da atividade ressecuritária e como limite à intervenção dos Estados Descreve-se ainda o resseguro no Brasil, traçando um histórico evolutivo do monopólio à abertura do mercado e constatando algumas iniciativas nacionais do uso do seguro e do resseguro como ferramenta de atração e proteção de investimentos. / The study describes the reinsurance under international law, starting from the fact of the risks of spraying through the global market to approach relevant issues such as: the difference between international reinsurance and international reinsurance contract, international custom, as evidence of a general practice accepted as law and part autonomy as a base to reinsurance contracts. It is also investigated the sources of international Reinsurance law. The legal relations between the state and reinsurers and contractual relations between insurers and reinsurers should be governed by the utmost good faith. This approach refers to the principles enshrined in International Law Investment as a reference standard for regulating the reinsurance activity and to limit the intervention of the States. It is also described the reinsurance in Brazil, an evolution from monopoly to open market and noting some national initiatives in the use of insurance and reinsurance as a tool for attraction and protection of investments.

過去台灣的地震保險一直受到忽略，因此缺乏完整的地震損失資料。本研究主要的目的是利用統計方法來模擬地震損失，估計地震損失所造成的直接損失金額，並且進一步討論如何控制地震超額損失保險的預期損失。 本研究推論災害性地震發生頻率是一個負二項分配﹔而損失幅度則利用所求出的房屋倒塌數模型，再假設每一棟倒塌房屋的個設價格作加總而得，因此模擬出地震損失，可以估計出預期地震損失，並且可以進一步建立地震損失機率分布情況。 對於控制地震超額損失保險的預期損失，本研究提出以理賠上限與理賠起始點兩種方式來作損失控制。實證結果發現，利用理賠上限作超額再保險會比較可以控制地震損失。同時也可以利用模擬出的結果來決定應該如何設立理賠上限與理賠起始點。 / The earthquake insurance in Taiwan is ignored for many years, so that the data of earthquake is lacked. This study applied the statistical methods to simulate the earthquake losses in Taiwan, and estimated the loss amount, and discussed how to control the expected loss of excess-of-loss insurance. The frequency of disaster earthquake is a negative binomial distribution. And the severity of each disaster earthquake is to sum up the assumed dollar amount of each damaged houses. Compounding the frequency of earthquake with the severity of earthquake, we can simulate the losses of earthquake. Hence the expected earthquake losses and the probability density function of earthquake losses are built. In order to control the expected loss of excess-of-loss reinsurance, this study compared the results of the trigger level and the capped level of the reinsurance claim, and concluded that the capped level is better than trigger level in controlling the expected loss of excess-of-loss insurance.

保險業及再保險業以往對於巨災危險的風險管理方式大部份都佼給全世界的再保險承保能量去承擔。然而從1995年開始，美國芝加哥交易所(CBOT)與產物損失部門(PCS)共同推出巨災保險選擇權，提供保險人以及再保險人利用國際金融市場移轉核保業務上所承擔之巨災危險的管道。此種業務上的巨災危險提供保險業處理巨災損失的新管道，例如產險業因為天然災害或是人為疏失所導致的鉅額核保損失以及壽險業的團體保險和健康保險的鉅額損失。巨災保險選擇權是一種新的衍生性金融商品，其交易標的物是專門針對保險業所承保的業務（尤其是巨災），因此如果運用得當，除了能有效的分散核保風險之外，更可以避免傳統的再保險契約所衍生的問題。 本研究在第一章首先說明台灣地區是地震、颱風以及水患等天然災害頗為集中的地區，因為傳統再保險的分散風險方式有其成本較高以及資訊不對稱的問題，所以保業以及再保險業應該考慮其他類型的危險管理策略。第二章以巨災保險選擇權評價的相關基礎理論為主要的架構，並且探討美國PCS所開發的巨災保險選擇權，並說明如何利用此種金融工具移轉保險與再保險人因地理上的核保因素所產生的風險。 第三章以及第四章討論模擬方法與分析模擬所得的結果，我們並利用情境分析的方式，探討在單位時間內，平均跳躍次數對於每一個模型中假設，交易標的物為損失指數時的影響，以及依此損失指數所得對於巨災保險選擇權價格之變化幅度。第五章則是歸納本研究所得的結果並且提出後續研究的建議。 / The insurance and reinsurance industries traditionally transfer their insurance risk of catastrophe disasters through the international reinsurance market. Since the capacity of the international reinsurance market is not always available to cover the entire risks. In 1995, CBOT (Chicago Board of Trade) and PCS (Property Claims Service) have begun trading the PCS catastrophe options Through the catastrophe options, the insures and reinsures could hedging their operating risks in the international financial market. These risks consist of large amount of underwriting losses from the natural disasters, personal default in property insurance, inflation of claims amount and the large claims in group insurance and health insurance. The loss ratios of the insured business are trading through the catastrophe options. Hedging the operating risks of the insures and reinsures in the financial market could effectively reduce the costs and avoid the complexity from the reinsurance contracts. In this study, we have reviewed the development of the catastrophe option. Asian style call options are illustrated to monitor the process of option pricing. The trading loss ratios are modeled through lognormal distribution based on the claim experience collected from 1970-1996. The methodology of pricing the modified options based on pure jump model proposed by Cox, et al (1976) and the jump diffusion model proposed by Merton (1976) are discussed. Computer simulations and scenario analysis are performed to investigate the pricing of Asian style catastrophe option under various proposed models. Sensitivity analysis is also completed at various parameters in the jump process. Finally, comments on future works and the limitation of the proposed risk-transfer mechanism using catastrophe options are discussed.

台灣產險公司正面臨日趨多樣的核保風險，新興風險的不確定性促使保險公司經理人高度的依賴再保險機制。既然保險公司高度的依賴再保險機制，或許有人會質疑，再保險機制是否為最適的風險管理策略？ 隔離資產型風險防護公司(Protected Cell Company, PCC）之運用，乃是近年來企業風險理財的重大變革之一，本文之目的即是要探討PCC之架構以及分析PCC運用於台灣產險業之可行性。 本文將分析重點放在PCC運用在租賃性專屬保險（rent-a-captive）的可行性分析上，藉由分析其風險成本，來探討PCC作為租賃性專屬保險時，是否比商業再保更具有成本效益。 藉由實證分析結果，本文發現除了巨災風險、尖端風險（peak risks）及其他具高損失幅度可能性之業務外，PCC作為租賃性專屬保險時，PCC會比商業再保更適合於產險公司。本文亦發現PCC運作的時間愈長，愈能節省其風險成本。此外，本分析亦指出在PCC為純粹專屬保險的前題下，符合監理機關的最低設立資本要求會是PCC之最適設立資本。 / Because Taiwan’s non-life insurance companies now face an increasing array of underwriting-risks, the high uncertainty may cause insurance company managers highly depend on reinsurance mechanism. One may doubt that whether reinsurance mechanism is the optimal risk management strategy although it is the most frequently utilized approach. The purpose of this paper is to explore the structure of PCC and analysis the feasibility of PCC for Taiwan’s non-life insurance industry because the use of Protected Cell Company（PCC）structure is one of the most significant developments in the world of corporate finance and risk management during the recent years. This paper will focus on the feasibility of PCC when it is used as Rent-A-Captive, based on the analysis of cost of risks, to study whether PCC has better cost efficiency than reinsurance mechanism. The finding of this research shows that PCC as rent-a-captive is more suitable than commercial reinsurance for non-life insurance company except catastrophe risks, peak risks, and high loss severity business. It also finds the longer we use PCC as rent-a-captive, the more we can save its cost of risks. Besides, the analysis indicates that paid-up capital of PCC which just meets the minimum capital required by the regulation will be optimal in case PCC is a pure captive.

我國保險法令對於市場中分屬不同業務性質之保險經紀人，於監理規範上並無太大之區別。而於實際之財產保險與人身保險之經紀業務中，其間實具有相當大之差異性存在。再就保險之需求者而言，企業型之被保險人與消費型之被保險人，本屬相當不同之市場族群，這也正說明近年關於金融消費者保護法之立法，即係著眼於金融消費者市場保護措施的建立。惟對於企業型之被保險人市場，於保險法相關之規範上，則相應缺少一些差異性之規範設計。 我國保險法令關於直接保險業務與再保險業務並未依國內市場之業務與國際市場之業務而區分，自然造成我國保險經紀人之業務類別僅分為「直接保險經紀業務」及「再保險經紀業務」二分法之現象。而保險經紀人執行此等「前衛業務」時，事實上其所應負責任之對象為該等原始被保險人，而非被再保險人〈即原保險人〉。但相較於國內保險法規上之分類類別，也只能將其視為「再保險」之一類別，此時該等執行此類「前衛業務」之保險經紀人依此法令上之二分法類別設計，將同時具備執行「直接保險經紀業務」及「再保險經紀業務」之情形，雖然於我國法令規範上，經紀人公司得經營保險經紀人業務及再保險經紀業務，但同時也衍生於法規上如何處理利益衝突之問題。但於此等「前衛業務」，保險經紀人事實上所應負責任之對象應僅指該等原始被保險人，而非被再保險人〈即原保險人〉，此時若又將其同視為兼具執行「再保險經紀業務」，則自然發生法令規範與事實關係不符之謬誤。 本文對於保險經紀人同時經營保險經紀業務與再保險經紀業務之問題，於根本上探討保險經紀人於實務作業之具體情形，並分析其法律地位與相關之義務與責任，希望對於保險法相關規範之發展上，能對於不同業務屬性之保險經紀業務行為，發展出一套不同之思路與設計，藉以消彌監理與實務間之鴻溝。並期待法規應引領國內保險公司，能真正專注於實質保險本業之經營，對於大型企業體之財產保險需求，能真正作為承接實質風險之保險人，而非甘於僅處於前衛業務所安排之出單公司，以類似於保險中介人收取服務費用之模式經營。如此，對於被保險人而言，則可相對免除國內出單費用之成本；對於保險經紀人而言，亦可達到為被保險人最大利益考量之執業職責。 基於目前法規對於跨國保險、境外保險及剩餘保險等問題呈現法規缺漏之現象，本文亦延伸探討目前相關法令對於境外保單議題之處理方式。目前之保險法167-1條未將企業等非消費者被保險人購買境外保單之情形排除於外，實無益於維護金融市場秩序、保障消費者權益之立法目的，應予排除。另鑑於境外保單交易多具跨國性質，基於罪刑法定主義之明確性原則，立法者應將「代理、經紀、招攬保險業務」定義清楚，避免嗣後爭議。 本論文以產物保險為主軸，於第二章中介紹保險相關的輔助人，保險係人類創造新文明之過程中損失分擔之機制，這個機制則需要許多人之努力方得以運轉，保險契約之締結，除了契約當事人以外，尚需要有許多相關人士的輔助，才得以使保險機制能更有效的運作，此等保險相關的輔助人各司其職，目的均在使得保險制度之運作更為流暢與正當。第三章及第四章分別論述保險經紀人之市場功能與法律地位、保險經紀人之行為規範與專業責任及義務，以及我國保險法令關於保險經紀人之相關規範。第五章至第七章深入探討保險經紀人處理境外保單之相關問題、P&I制度、國際金融業務境外保險之議題，並檢討現行法制對於保險經紀人處理境外保單之法律問題。並於第八章文末提出修法建議與結論。 本論文以現代經濟社會對保險制度之期待為標的，以保險服務業對整體經濟社會發展所產生之影響及其願景為研究背景，期待藉由保險實務工作者與政府主管機關、法律學界與實務界之共同努力，能使保險實務之運作更趨於完善，並使國內保險事業與國際保險市場之發展密切接軌，形成一套保險從業人員得所依循之「執業典範」，以為日後相關保險從業人員及主管機關得以遵循及評鑑的共同指標，使投保大眾對於保險制度之運作更具有信賴與安全感，給予全體社會一個穩健、安全又合諧的經濟環境。

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Submitted by ALESSANDRA VASCONCELOS ARAÚJO RODRIGUES CARNEIRO (lelevar@gmail.com) on 2016-08-30T11:37:27Z No. of bitstreams: 1 Dissertação Mestrado. Alessandra V. A. Rodrigues Carneiro (29.08.16).pdf: 1344012 bytes, checksum: c098ba2e7f96772ca0f42cb9ac4c3df5 (MD5) / Approved for entry into archive by Leiliane Silva (leiliane.silva@fgv.br) on 2016-09-05T13:15:02Z (GMT) No. of bitstreams: 1 Dissertação Mestrado. Alessandra V. A. Rodrigues Carneiro (29.08.16).pdf: 1344012 bytes, checksum: c098ba2e7f96772ca0f42cb9ac4c3df5 (MD5) / Approved for entry into archive by Marcia Bacha (marcia.bacha@fgv.br) on 2016-09-12T12:49:53Z (GMT) No. of bitstreams: 1 Dissertação Mestrado. Alessandra V. A. Rodrigues Carneiro (29.08.16).pdf: 1344012 bytes, checksum: c098ba2e7f96772ca0f42cb9ac4c3df5 (MD5) / Made available in DSpace on 2016-09-12T12:50:15Z (GMT). No. of bitstreams: 1 Dissertação Mestrado. Alessandra V. A. Rodrigues Carneiro (29.08.16).pdf: 1344012 bytes, checksum: c098ba2e7f96772ca0f42cb9ac4c3df5 (MD5) Previous issue date: 2016-08-02 / O presente trabalho tem por objeto o estudo do modelo de governança da Superintendência de Seguros Privados – Susep, autarquia comum, confrontando-o com o modelo de autarquia especial, principalmente com o de agência reguladora, espécie daquele. O estudo teve origem em pesquisa exploratória, por meio da realização de entrevistas com executivos que atuam e possuem larga experiência no setor de seguros privados, resseguro, previdência complementar aberta e capitalização. Conforme as observações colhidas nas entrevistas, os principais problemas característicos do modelo de governança atual da Susep são ausência de independência orgânica e de autonomia financeira e orçamentária. O presente trabalho aprofundou na literatura nacional a compreensão dessas características no âmbito das agências reguladoras federais brasileiras, em contraste com as características atuais peculiares ao modelo de governança de autarquias comuns. O modelo das agências reguladoras foi escolhido pois a maioria dos próprios entrevistados manifestou entendimento no sentido de que o atual modelo de governança da Susep está ultrapassado e que a adoção do modelo de agência reguladora seria o mais adequado para o setor. Foram consultadas a legislação e doutrina especializada em agências reguladoras, Direito Tributário e Direito Econômico, bem como examinados acórdãos do Tribunal de Contas da União e pesquisas, relatórios e estudos nacionais já realizados nas searas da independência orgânica e da autonomia financeira e orçamentária das agências reguladoras federais brasileiras. Também foram analisados diversos projetos de lei em tramitação no Congresso Nacional, que propõem alterações na estrutura organizacional das agências reguladoras federais brasileiras e nas leis que tratam da gestão financeira e orçamentárias dessas agências. Por fim, concluiu-se que, embora a criação de uma agência reguladora para o setor de seguros privados, resseguro, previdência complementar aberta e capitalização possa contribuir para a superação de problemas associados ao modelo atual de governança da Susep, tal modelo não trará uma solução definitiva para os problemas atualmente existentes na Susep no que diz respeito à ausência de independência orgânica e de autonomia financeira e orçamentária do órgão. Além disso, embora o modelo de agência reguladora possa apresentar vantagens em relação ao modelo de autarquia comum, o modelo de governança das agências reguladoras federais brasileiras necessita ser aperfeiçoado para que se assegure maior independência e efetiva autonomia financeira e orçamentária. / This study's purpose is the study of the governance model of the Superintendency of Private Insurance - SUSEP, common autarchy, confronting it with the special autarchy, mainly with the regulatory agencies. The study originated in exploratory research through interviews with executives who work and have extensive experience in the private insurance industry, reinsurance, open private pension and capitalization. As the observations made in interviews, the main characteristic problems of the current governance model Susep are no organizational independence and financial and budgetary autonomy. This work has deepened in the national literature understanding these characteristics within the brazilian federal regulatory agencies, in contrast to the current peculiar characteristics of the governance model of common autarchy. The model of regulatory agencies was chosen because most of the interviewees expressed understanding in the sense that the current governance model of Susep is outdated and that the adoption of the regulatory agency model would be the most appropriate for the sector. Specialized law and doctrine regulatory agencies were consulted, so as Tax and Economic Laws. There were examinated judgments of the Court of Audit and researches, national reports and studies carried out in the fields of organic independence and financial autonomy and budget of brazilian federal regulatory agencies. There were also analyzed several bills pending in Congress that propose changes in the organizational structure of the brazilian federal regulatory agencies and laws dealing with financial management and budget of these agencies. Finally, it was concluded that although the creation of a regulatory agency for the private insurance industry, reinsurance, open private pension and capitalization can contribute to overcoming problems associated with the current model of governance of Susep, such a model will not bring a definitive solution to the current problems in the Susep regarding the lack of organizational independence and financial and budgetary autonomy of the organ. Furthermore, although the regulatory agency model may present advantages over common autarchy model, the governance model of the brazilian federal regulatory agencies needs to be improved to ensure greater independence and effective financial and budgetary autonomy.

O estudo descreve o resseguro no âmbito do Direito Internacional, partindo da constatação da pulverização dos riscos através do mercado global para abordar temas relevantes, tais como: a diferenciação entre resseguro internacional e contrato internacional de resseguro, os usos e costumes internacionalmente aceitos e a autonomia da vontade das partes como fundamento aos contratos de resseguro. São perquiridas também as fontes do direito ressecuritário no âmbito internacional. As relações jurídicas entre Estado e resseguradores e as relações contratuais entre seguradores e resseguradores devem ser regidos pela máxima boa-fé. Essa abordagem reporta-se a princípios consagrados no Direito Internacional do Investimento como padrão de referência para a regulação da atividade ressecuritária e como limite à intervenção dos Estados Descreve-se ainda o resseguro no Brasil, traçando um histórico evolutivo do monopólio à abertura do mercado e constatando algumas iniciativas nacionais do uso do seguro e do resseguro como ferramenta de atração e proteção de investimentos. / The study describes the reinsurance under international law, starting from the fact of the risks of spraying through the global market to approach relevant issues such as: the difference between international reinsurance and international reinsurance contract, international custom, as evidence of a general practice accepted as law and part autonomy as a base to reinsurance contracts. It is also investigated the sources of international Reinsurance law. The legal relations between the state and reinsurers and contractual relations between insurers and reinsurers should be governed by the utmost good faith. This approach refers to the principles enshrined in International Law Investment as a reference standard for regulating the reinsurance activity and to limit the intervention of the States. It is also described the reinsurance in Brazil, an evolution from monopoly to open market and noting some national initiatives in the use of insurance and reinsurance as a tool for attraction and protection of investments.

O objetivo deste trabalho é examinar o seguro de riscos de engenharia como instrumento para o desenvolvimento. A perspectiva adotada é a da articulação entre direito e economia política: parte-se da ideia de que as categorias jurídicas instauram determinada economia política. Nesse sentido, os contratos de seguro serão entendidos de forma indissociada das operações comunitárias em que se encerram e de sua especial tarefa de reorganização social e econômica. A função social dos contratos de seguro é revelada como conteúdo obrigatório da própria autonomia da vontade atinente a esses contratos. A relação entre seguro e desenvolvimento é ainda mais evidente nos seguros de risco de engenharia, objeto específico deste trabalho. Institucionalizada desde a década de 1930, a função desenvolvimentista desses seguros tem seu declínio a partir dos anos 1970 com nítida agravação no ano de 2007, quando ocorre a abertura do mercado brasileiro de resseguro. Defende-se a tese de que a legislação brasileira sobre seguro de risco de engenharia é inadequada, atuando de forma impeditiva do desenvolvimento nacional. A principal razão para isso está na perda paulatina de conteúdo desses seguros, em parte promovida pelo próprio Estado, capturado pelos interesses dos empresários do setor. A tentativa de anulação da teoria do interesse consagrada não só na longeva praxe dos seguros, como pela doutrina nacional e estrangeira e plasmada no art. 757 do Código Civil, é um dos principais argumentos explorados. Por fim, são apresentados dispositivos do Projeto de Lei do Senado n. 477/2013, que procura trazer para o sistema de direito positivo a primeira lei de contrato de seguro da história brasileira, com o objetivo de reordenar as relações contratuais, eliminando as principais práticas desfuncionalizadoras e em busca dos escopos fixados na Constituição de 1988. / The aim of this study is to examine engineering risk insurance as an instrument of development. The perspective adopted here is an articulation between Law and Political Economy, beginning with the idea that legal categories determine political economy. In this sense, insurance contracts are construed as non-dissociated from the community operations to which they belong and from their special task of social and economic reorganization. The social function of insurance contracts is seen as an inexorable part of the autonomous will involved in such contracts. The relationship between insurance and development is even more evident in engineering risk insurance, which is the specific object of this study. Having been institutionalized since the 1930s, the developmental function of this type insurance began to decline in the mid-1980s, and clearly worsened in 2007, when the Brazilian reinsurance market was opened. We propose that the Brazilian legislation on engineering risk insurance is inadequate and acts as an impediment to national development. The main reason for this is the gradual loss of content in this type of insurance, in part promoted by the State itself, captive to the interests of industry executives. The attempt to nullify the theory of interest well established not only in longstanding insurance practice, but also in national and international tenets, and shaped by Article 757 of the Brazilian Civil Code is one of the main arguments explored here. Finally, we present some provisions of Senate Bill no. 477/2013 that seeks to incorporate into the system of positive law Brazils first law of insurance contract, the aim of which is to reorder contractual relations by eliminating the major defunctionalizing practices, in keeping with the intentions of the 1988 Constitution.

Technical provisions representthe most important item of the liabilities of insurance companies. First chapter of this thesis deals with the characteristics and the sense of provisions in any accounting entity. The next chapters are concerned with the regulation of provisions according to the current czech account and tax law and to the IAS/IFRS. The next chapter is the most extensive. This chapter describes technical provisions and rules for their creation, accountig, measurement according to the current valid law in the Czech republic. The subchapters describe the particular technical provisions and their differenties and calculation. The related topics of the reinsurance and the financial placing are presented here too. The examplas for accounting of the technical provisions int the life and the non-life insurance company are shown in the practical part of this thesis.