What is the probability of a customer going through this insurance procedure?

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Discussion Overview

The discussion revolves around the probability of customers classified as high, medium, or low risk going through an insurance company's claim procedure. Participants explore the implications of this classification system, particularly focusing on how it affects low and high-risk customers over a two-year period. The conversation includes aspects of conditional probability and fairness in the procedure.

Discussion Character

  • Exploratory
  • Technical explanation
  • Debate/contested
  • Mathematical reasoning

Main Points Raised

  • Some participants question the interpretation of "going through this procedure," suggesting it may refer to the entire process leading to a low-risk classification.
  • Participants present different probability calculations for customers classified as low or high risk, with varying interpretations of the procedure's fairness.
  • One participant suggests that the probabilities for being classified as high, medium, or low risk are not necessary if the risk type is already known.
  • There is a discussion about the assumptions behind the probabilities, with some participants expressing uncertainty about how to derive them from the given information.
  • One participant provides a detailed breakdown of probabilities for a low-risk customer transitioning through the risk categories over two years.
  • Another participant raises concerns about the fairness of the procedure from different perspectives, questioning whether it benefits low-risk customers or imposes costs on high-risk customers.

Areas of Agreement / Disagreement

Participants do not reach a consensus on the interpretation of the procedure or its fairness. Multiple competing views remain regarding the calculations and implications of the risk classification system.

Contextual Notes

Some participants express uncertainty about the assumptions underlying their calculations and the definitions of terms used in the problem. There are unresolved questions about how to represent the probabilities and the appropriateness of the procedure.

Who May Find This Useful

This discussion may be of interest to those studying probability theory, insurance risk assessment, or those exploring the implications of classification systems in decision-making processes.

steven187
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Hello all

I found this question rather interesting and very confusing, check it out

an insurance company classifies its customers as either high risk 5% of people, medium risk 25% of people, and low risk 70% of people. now the probability of a high risk customer making a claim in the first year is 75%, medium risk 45% and low risk is 5%, now if the companies prcocedure is to place new customers in high risk,and if they don't make a claim in first year then they will be placed into medium risk in the second year and if they don't make a claim in the second year then they will be placed into low risk.

firstly what is the probability of a customer going through this procedure if
actually he is a low risk customer.
secondly what is the probability of a customer going through this procedure if actually he is a high risk customer.
lastly would such a procedure be fair on customers?

I was only able to do the first bit, don't know if I am correct, please correct me if I am wrong
P(Procedure|low risk)=P(does not make claim&high risk)+
P(does not make claim&medium risk)=0.05*0.25+0.25*0.55=0.15

steven
 
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I have only an imperfect sense of what it means for "a customer going through this procedure." Because, by definition, all new customers go through it, don't they? I am guessing that what it means is "a customer going through all of it and coming at the end as being classified as a low-risk customer." Is that the right understanding?

And, about fairness: from whose point of view? It may be great for low-risks but costly for high-risks, or vice versa. Do you mean "someone who doesn't know his/her risk type," e.g. "the average customer" (an imaginary construct if there ever was one)?
 
well here is a more clearer version of the problem this might help (some numbers have changed by the way)

a motor vehicle insurance company divides policyholders into 3 catagories: high, medium and low risk. the high risk group contains 10% of people, and they each have a 35% chance of making a claim during a particular year. the medium risk contains 20% of people, and they each have a 15% of chancw of making a claim during a yaer. the low risk group contains the remaining 70% of people, and they each have a 5% chance of making a claim during a year. the company's general procedure is to put a new policy holder into the risk group in the first year. if the person doesn't make a claim, they move into the medium risk group in the second year, and then into the low risk group in the third year.what is the probability that this will happen if the person is actually a low risk driver? what if they are actually a high risk driver? does the companys procedure seem to be fair?

well there it is, well out of all my knowledge about probability i can't answer this problem, i got a feeling there is a problem with the question, anyway any suggestions would be helpful

steven
 
hello all

would anybody know what sub-topic this might relate to? I have tried looking for a similar problem but that didnt help, i have looked at conditional probability, but i can't see how it relates to it?

steven
 
a motor vehicle insurance company divides policyholders into 3 catagories: high, medium and low risk. the high risk group contains 10% of people, and they each have a 35% chance of making a claim during a particular year. the medium risk contains 20% of people, and they each have a 15% of chancw of making a claim during a yaer. the low risk group contains the remaining 70% of people, and they each have a 5% chance of making a claim during a year. the company's general procedure is to put a new policy holder into the [high] risk group in the first year. if the person doesn't make a claim, they move into the medium risk group in the second year, and then into the low risk group in the third year.what is the probability that this will happen if the person is actually a low risk driver?
P1[high|low] = 1 (by assumption)
P2[med|low] = 0.95
P3[low|low] = 0.95
Therefore
P[low|low] = 0.952
 
hello there

so does this mean that

P[of being placed into low risk after 2 years|that the customer is actually low risk]=P1[high|low]*P2[med|low]*P3[low|low]
but how does one obtain these probabilities:

P1[high|low] = 1 (by assumption)
P2[med|low] = 0.95
P3[low|low] = 0.95
Therefore
P[low|low] = 0.952

from the information given all I can obtain is the following

P[H]=0.1
P[M]=0.2
P[L]=0.7

P[C|H]=0.35
P[Cnot|H]=0.65

P[C|M]=0.15
P[Cnot|M]=0.85

P[C|L]=0.05
P[Cnot|L]=0.95

P[CnH]=0.035
P[CnotnH]=0.065

P[CnM]=0.03
P[CnotnM]=0.17

P[CnL]=0.035
P[CnotnL]=0.665

P[C]=0.1
P[Cnot]=0.9

P[H|C]=0.35
P[H|Cnot]=0.072222222

P[M|C]=0.3
P[M|Cnot]=0.188888888

P[L|C]=0.35
P[L|Cnot]=0.738888888

and how does one draw a tree diagram for such problem, I have attached a diagram of my tree diagram check it out and update me if I have made any mistakes

steven
 

Attachments

See, the problem asks "what is the probability of a low risk person going through the procedure?" In this question the person's type is a given. One does not need 0.1, 0.2, 0.7, because the probability of being type X for a type X person is 1.00. Heretofore:

I know I am low risk (given in the problem). In the 1st year being placed in the H category is 1.00 (because the problem says so). At the end of my 1st year with 95% chance I will sail into the M category (with 0.05 prob I will stay on as H). In my 2nd year I have 0.95 prob to begin my 3rd year in category L. (With prob 0.05 I will stay in the M category.)

Suppose I filed a claim in the 1st year and stayed as an H for a 2nd year. If in the second year I do not file a claim (as will be the case with 0.95 prob) then I will end up in the M category at the end of 2 years.

So, GIVEN THAT I AM A LOW-RISK PERSON:
Being placed in the L category at the end of 2 years is 0.95 squared.
Being placed in the M category is 0.95 * 0.05 + 0.05 * 0.95.
Being placed in the H category is 0.05 * 0.05.
They add up to 1.00, as they should.

You can derive a similar reasoning for a high risk type.

Your tree in the attachment is for a person who does not know what type he or she is; because it starts with 3 branches with attached probs 0.1, 0.2, 0.7. If someone knows his or her risk type then they already know which of these 3 branches he or she is on, and does not need the other two branches. This is like giving you a probability problem that starts as "there is a 0.1 prob that an insurance enrollee's name is Charles, a 0.2 prob that it is William, and a 0.7 prob that it is Steven. All enrollees start out in the H category. For someone named Steven, there is a 0.95 chance that he will file a claim in his first year, etc." and then goes on to ask "what is the probability of ending up in the L category for someone named Steven?" Well, if you know your name is Steven, then you don't really need the 0.7 (and the 0.2 and the 0.1), do you? For you, being named Steven is a given, so it has a probability of 1.00.

On the other hand if the problem had asked "for a random enrollee who may be named Charles, William or Steven with respective probs 0.1, 0.2, and 0.7, what is the probability of ...?" then you do need the 0.1, the 0.2, and the 0.7, because in this question, "being named Steven" is not a given, it is probabilistic.
 

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