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Medical Expense Disability-Morbidity Decrease Stress

AdvancedRequires external valuation

Calculate the Stressed Claim Cost and Stressed Medical Inflation Rate instantly.

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Current Claim Cost

€1 000

×

Claim Cost Stress Multiplier

95.0%

=

Stressed Claim Cost

€950

Current Medical Inflation Rate

3.0%

-

Medical Inflation Reduction

1.0%

=

Stressed Medical Inflation Rate

2.0%

Claim Cost Shock Impact

Shock charge
Retained value
ModuleShockPre-shockPost-shockCharge
Claim Cost-5%1 000 €950 €50 €

Medical Inflation Shock Impact

Shock charge
Retained value
ModuleShockPre-shockPost-shockCharge
Medical Inflation Rate-1%3,0 %2,0 %1,0 %
1Step 1

Stressed Claim Cost

Stressed Claim Cost=Current Claim Cost×(1Claim Cost Stress Rate)\mathrm{Stressed\ Claim\ Cost}=\mathrm{Current\ Claim\ Cost}\times(1-\mathrm{Claim\ Cost\ Stress\ Rate})
2Step 2

Stressed Medical Inflation Rate

Stressed Medical Inflation Rate=Current Medical Inflation RateMedical Inflation Reduction\mathrm{Stressed\ Medical\ Inflation\ Rate}=\mathrm{Current\ Medical\ Inflation\ Rate}-\mathrm{Medical\ Inflation\ Reduction}

Understand the Medical Expense Disability-Morbidity Decrease Stress

Overview

Article 155 requires the decrease-stress direction to be assessed when medical expense disability-morbidity risk may be adverse under lower claim-cost or medical-inflation assumptions.[1]

Input Terms

  • Current Claim Cost: Representative pre-stress medical expense claim cost for the portfolio slice being tested.[1]
  • Current Medical Inflation Rate: Inflation assumption used for medical payments in the technical provisions.[1]

Technical Rationale

Article 155 uses paired increase and decrease stresses because medical expense disability-morbidity risk can be adverse in either direction depending on the benefit design, reserving basis, and premium structure.[1] This page isolates the decrease assumption so the valuation model can evidence the lower claim-cost and medical-inflation scenario separately from the capital-selection step.

The decrease scenario remains separate because Article 155 selects the direction that is more adverse after the undertaking's valuation model measures the basic-own-funds effect.

Important Notes

  • This is a stress-specification page, not a basic-own-funds loss bridge.
  • Final medical expense disability-morbidity risk uses the larger prepared loss across the increase and decrease scenarios.

Sources

  1. Delegated Regulation (EU) 2015/35 - Art. 155 (Medical expense disability-morbidity risk sub-module) - EIOPA

Default values are illustrative sample inputs for navigation, training, and QA. Replace them with controlled data before using the result in capital analysis, governance, or reporting decisions.