The basic principle of premium calculation in the private health insurance is the so-called principle of equivalence. This means that over the entire period ensured (normally life-long) the total of the premiums must match the total of the benefits, including the expenses caused by the writing and administration of the policies, for each category of equivalent risk. The premiums are calculated for each insured person on the basis of the risks involved, according to the principle of equivalence and are thus always adjusted to the individual health risk. The magnitude of the individual health risk is determined by the benefits under the tariff, the person’s age at the start of the insurance cover (entry age) and the insured‘s sex. The premium remains unchanged throughout the insured period if the actual benefits granted match those on which the calculation of the premium is based. In reality, caused by cost increases of public health, the benefits and (as a consequence) the premiums are changed throughout the insured period. The principle of equivalence is therefore only fulfilled at the moment of calculation and is thus static.
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