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Title:Primerjalna analiza zdravstvenih zavarovanj izbranih zavarovalnic v Sloveniji
Authors:ID Roškarič, Blaž (Author)
ID Jagrič, Vita (Mentor) More about this mentor... New window
Files:.pdf MAG_Roskaric_Blaz_2023.pdf (1,75 MB)
MD5: B8186F346EB2D282DC391C29F9A93369
 
Language:Slovenian
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:EPF - Faculty of Business and Economics
Abstract:Zdravstveno zavarovanje ima dandanes v naših življenjih zelo pomembno vlogo. Namreč, z zdravstvenim zavarovanjem ne poskrbimo samo za lastno zdravje, temveč se s tem zaščitimo tudi pred visokimi stroški zdravstvenih storitev. V primeru, da zdravstvenega zavarovanja nimamo sklenjenega, moramo za vsako zdravstveno storitev odšteti kar nekaj denarja. Če pa imamo sklenjeno zavarovanje, potem je zavarovalnica tista, ki pokrije nastale stroške storitev oz. nam te tudi vrne. Začetek nastajanja zdravstvenega zavarovanja v Sloveniji sega v 19. stoletje in se je razvijalo skozi različna obdobja – prva svetovna vojna, Kraljevina SHS, druga svetovna vojna, Jugoslavija in samostojna država. Največji razvoj in napredek zdravstvenega zavarovanja v Sloveniji se je zgodil po osamosvojitvi države. Zakonska opredelitev zdravstvenega zavarovanja pravi, da je to zavarovanje, ki v primeru bolezni, poškodbe ali posebnega zdravstvenega stanja krije različne stroške in izplačila v povezavi z zdravstvenimi storitvami, zdravili, medicinsko-tehničnimi pripomočki in denarnimi nadomestili. Poznamo dve vrsti zdravstvenih zavarovanj, in sicer obvezno ter prostovoljno, ki ima uvedeno štiri oblike, in sicer dopolnilno, dodatno oz. nadstandardno, nadomestno in vzporedno zdravstveno zavarovanje. Za vsako od teh so opisane, predstavljene in prikazane različne lastnosti in pomembnosti. Štiri največje slovenske zavarovalnice, Triglav, Zdravstvena zavarovalnica, d.d., Sava, d.d., Generali d.d. in Vzajemna, d.v.z., so v zadnjih letih povečale delež velikosti na zavarovalniškem trgu in tako utrdile svoj položaj med največjimi. Omenjene slovenske zavarovalnice so bile primerjane na podlagi naslednjih petih primerjalnih kriterijev: zavarovalna vsota, zavarovalna premija, doba trajanja zdravstvenih zavarovanj, število zavarovancev in čisti prihodki od zavarovalnih premij iz zdravstvenih zavarovanj. Podatki o teh primerjalnih kriterijih so bili pridobljeni iz letnih oz. finančnih poročil in uradnih spletnih strani omenjenih zavarovalnic. Glavne ugotovitve kažejo, da imajo štiri največje slovenske zavarovalnice enako lastnost glede dobe trajanja ZZ, in sicer pri vseh štirih je doba trajanja eno leto, medtem ko se v višini zavarovalne vsote, zavarovalne premije, številu zavarovancev in čistih prihodkov od zavarovalnih premij iz ZZ razlikujejo oz. so med seboj primerljive. To je seveda odvisno od tega, kateri zavarovalni produkt zdravstvenega zavarovanja ima zavarovanec pri omenjenih zavarovalnicah. Podatkov o tem, koliko znaša višina zavarovalne vsote pri Savi nimajo razkritih, kajti to je del internega akta in posledično poslovna skrivnost.
Keywords:zdravstveno zavarovanje, zavarovalnica, obvezno in prostovoljno zdravstveno zavarovanje v Sloveniji, produkti zdravstvenih zavarovanj, slovenske zavarovalnice.
Place of publishing:Maribor
Publisher:B. Roškarič
Year of publishing:2023
PID:20.500.12556/DKUM-84170 New window
UDC:368.942
COBISS.SI-ID:159272451 New window
Publication date in DKUM:19.07.2023
Views:1013
Downloads:459
Metadata:XML DC-XML DC-RDF
Categories:EPF
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Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:23.04.2023

Secondary language

Language:English
Title:Comparative analysis of health insurance policies of selected insurance companies in Slovenia
Abstract:Health insurance plays a very important role in our lives today. Health insurance not only takes care of our own health, but also protects us against the high costs of healthcare. If you do not have health insurance, you will have to pay quite a lot of money for each health service. But if we have insurance, it is the insurance company that will cover the costs of the services or reimburse us for them. Health insurance in Slovenia dates back to the 19th century and has evolved through different periods - the First World War, the Kingdom of SHS, the Second World War, Yugoslavia and the independent state. The most significant development and progress of health insurance in Slovenia took place after the country's independence. The legal definition of health insurance is that it is insurance which, in the event of illness, injury or a specific medical condition, covers various costs and payments in connection with health services, medicines, medical-technical devices and cash benefits. There are two types of health insurance, namely compulsory and voluntary, which take four forms, namely supplementary, additional or extra-standard, substitute and parallel health insurance. For each of these, different features and importance are described, presented and illustrated. The four largest Slovenian insurance companies, Triglav, Health Insurance Company, d.d., Sava, d.d., Generali d.d. and Vzajemna, d.v.z., have increased their share of the size of the insurance market in recent years, thus consolidating their position among the largest. The Slovenian insurers were compared on the basis of the following five comparative criteria: sum insured, premium, duration of health insurance, number of insured and net health insurance premium income. Data on these benchmarks were obtained from the annual or financial reports and the official websites of the insurance companies concerned. The main findings show that the four largest Slovenian insurers share the same characteristics in terms of the duration of health insurance, i.e. all four have a duration of one year, while they differ or are comparable in terms of the insured sum, the insurance premium, the number of insured persons and the net premium income from health insurances. This depends, of course, on which health insurance product the insured person has with these insurers. Sava does not disclose information on the amount of the sum insured, as this is part of an internal act and therefore a business secret.
Keywords:health insurance, insurance company, compulsory and voluntary health insurance in Slovenia, health insurance products, Slovenian insurance companies.


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