包含保险人理赔义务的三方和解谈判:结构模型与医疗过失索赔证据

Three-Party Settlement Bargaining with an Insurer Duty to Settle: Structural Model and Evidence from Malpractice Claims

Journal of Law, Economics, and Organization · 2015
被引 5
ABS 3

中文导读

将被告保险人的理赔义务纳入三方和解模型,利用德克萨斯州医疗过失索赔数据估计模型,发现保单限额和理赔义务是和解谈判的核心,并预测更严格的理赔义务会减少审判、增加限额内和解。

Abstract

Prior efforts to specify and then empirically estimate structural models of the outcomes of tort lawsuits involve only two parties—plaintiff and defendant. We incorporate the defendant’s insurer and its “duty to settle” into a three-party settlement model. In medical malpractice cases, there is both anecdotal and quantitative evidence that policy limits and the insurer’s duty to settle are central parts of settlement bargaining. We estimate the model using a Texas database of closed, paid medical malpractice claims. Both the data and our model predict a mass of cases with a settlement offer by the plaintiff exactly at limits; a smaller but still sizeable mass of cases with payout exactly at limits (both in pre-trial settlements and after trial), and substantial haircuts (payout < damages) in tried cases with damages > limits. In counterfactual analysis, we predict that, as duty-to-settle liability becomes stricter, there will be: more at-limits offers, fewer trials, fewer at-limits payments in tried cases, more insurer payments above limits, and smaller haircuts.

法律经济学侵权法保险经济学医疗过失