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保险需求与强制参保的理由:来自工伤保险的证据

The Demand for Insurance and Rationale for a Mandate: Evidence from Workers’ Compensation Insurance
American Economic Review · 2022 · Marika Cabral、Can Cui、Michael S. Dworsky

中文摘要

工伤保险为工作相关伤害提供无过错保障,在几乎所有州均要求强制参保。我们利用一个没有强制参保要求的独特市场的行政数据,借助监管保费调整进行识别,估计工伤保险的需求。我们发现,保费提高1%会导致参保覆盖率下降约0.3%。基于这些估计结果和成本数据,我们考察了政府为提高参保覆盖率而进行干预的潜在理由。该分析表明,若干形式的市场失灵——如逆向选择、市场势力和外部性——在这一情境下可能并不足以构成强制参保的理由。

Abstract

Workers' compensation insurance, which provides no-fault coverage for work-related injuries, is mandatory in nearly all states. We use administrative data from a unique market without a coverage mandate to estimate the demand for workers' compensation insurance, leveraging regulatory premium updates for identification. We find that a 1 percent increase in premiums leads to approximately a 0.3 percent decline in coverage. Drawing upon these estimates and data on costs, we examine potential justifications for government intervention to increase coverage. This analysis suggests that several forms of market failure-such as adverse selection, market power, and externalities-may not justify a mandate in this setting.
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