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 CONTENTS OF THE OCTOBER 2003 ISSUE 
  Vol.71(3) 
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 Page éditoriale / 
Editorial Page Articles généraux / General articles La 
crise du SRAS Articles évalués / Evaluated articles Gestion des risques et gouvernance d’entreprise 
La satisfaction des patients américains sous le régime 
« Managed Care » 
Underwriting Profits : Are the Data Consistent with 
« Rationally Priced »Insurance Cycles ? Columns Étude 
technique 
Chronique actuarielle 
Faits d’actualité – Assurance - 
Gestion des risques 
Assurances et gestion des risques 
Chronique des chaires en assurance et en 
gestion des risques 
Chronique juridique 
Chronique de documentation 
 
 
 
 
 
 
 
 
La crise du SRAS The author has tracked down the evolution of SARS crisis in the world, from February to June 2003. As he was finishing this, there have been 8,500 SARS cases reported and 810 deaths. So, it is not one of the true mass killers it was supposed to be in comparison with other world past or actual pandemic, such as aids, plague, malaria, tuberculosis, diarrhea diseases, measle, thyphoid fever, or influenza. After some general comments of the virus, called Severe Acute Respiratory Syndrome, he observes the appearance of that pneumonia-like virus in several Asia-Pacific countries and its subsequent spread to Canada in the Toronto area. He comments on the role played by the World Health Oganization. Finally, he describes its impact on the economy in general, particularly the tourist industry, and its minor effect on the insurance industry, because SARS is excluded from several insurance policies. Finally, lessons are drawn, such as some steps to prevent and control the virus propagation. 
 
 
 
 
 
 
 
 
 
 
Les fusions dans le secteur de l’assurance : des mariages 
de raison parfois mouvementés 
Mergers are an important aspect of 
today’s world economy. The insurance sector is also concerned by this external 
growth strategy. A successful example is the one of AXA whose fast international 
growth is partly the result of this strategy. Whatever the success of AXA in 
merging various companies world-wide, it is necessary to avoid a too idealictic 
view on merger consequences and, on the contrary, to acknowledge potential 
economic and managerial difficulties. The aim of this article is to describe 
difficulties which could arise after a merger in the insurance sector. A 
case-study approach will be used for this purpose, using the case of a merger 
between two French insurance companies. After presenting the history and the 
culture of both companies, the merger will be described. The main economic and 
managerial difficulties will be highlighted. 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gestion des risques et gouvernance d’entreprise NOTE: Texte présenté à l’atelier « Remise en question de la gouvernance au sein des entreprises : oui mais encore » organisé par M. Marc Renaud, président du Conseil de recherches en sciences humaines du Canada, dans le cadre de La Conférence de Montréal, le 7 mai 2003. 
We take up the question of 
potential conflicts between the objectives of risk management policies and those 
connected with maximization of the firm’s value. This question is a timely one, 
since many firms have special committees devoted to the evaluation and 
management of risks—banks and insurance companies in particular.  In the wake of 
the Enron affair, various proposals have been formulated regarding the 
composition of the different committees set up by boards of directors. In the 
financial literature, it is now a widely accepted fact that risk management 
issues can give rise to conflicts of interest between heads of firms and 
shareholders, notably when executives are remunerated in stock options.  In our 
opinion, the board’s evaluation and risk management committee must be composed 
only of independent directors who hold no options to purchase the firm’s shares. 
 
 
 
 
 
 
 
 
 
 
La satisfaction des patients américains sous le 
régime « Managed Care » 
In the United States, « Health 
Maintenance Organizations » (HMO) undertook to master the growth of the 
costs of the health. Numerous patients complained about the quality of the care 
under this regime and about limitations that HMO imposed on them, in particular 
in access to care. To the quality care issues under this regime added the 
anxieties concerning patients’ satisfaction. Has the former degraded under the 
regime HMO? On this subject, numerous studies compare the satisfaction of the 
patients under the regime HMO to that of the patients in the traditional system 
with « Fee-For-Service payment » (FFS). They also concern the vulnerable 
patients, such as the old or deprived persons, illustrating how difficult it is 
to measure of quality. 
 
 
 
 
 
 
 
Underwriting Profits : Are the Data Consistent with “Rationally Priced” 
Insurance Cycles? 
Cummins and Outreville (1987) 
suggested that the cyclical nature of insurance profits might result from the 
combination of insurance prices created in an environment of rational 
expectations with lags in information and in profit reporting. Their theoretical 
model predicts the autoregressive properties of underwriting profits. They 
interpret the model as an AR2 process, and from this, they derive the range of 
cycle lengths and conclude that the hypothesis is in general agreement with the 
empirical results they present. This paper looks in more detail at empirical 
tests of this “rational pricing with lags” model of insurance cycles. We find 
the predicted cycle lengths are often not in the same range as most of the 
observed cycle lengths. The predicted joint range of the two AR2 coefficients is 
fairly restricted and the empirical data seem to be away from this region. The 
values of R2 predicted by the theory are lower than most of 
those observed empirically. We show that under the Cummins and Outreville 
hypothesis, the autocorrelation coefficients at lags of three or more should be 
zero. Data by line of insurance from the United States for the periods 1960 to 
1980 and 1973 to 1997, from Europe for the years 1955 to 1979, and from Asia for 
various periods show that this consequence of the model is contrary to the 
empirical evidence. 
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