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  • July 2019 (Revised March 2020)
  • Case

At-Bay Cyber Insurance

By: Marco Di Maggio and David Lane
At-Bay was a cyber insurance startup that offered companies coverage against a wide array of cyber risks—exposure to which the firm was able to quickly assess and price on the basis of technical expertise that traditional insurance carriers lacked. In mid-2019, At-Bay... View Details
Keywords: Business Startups; Insurance; Disruptive Innovation; Risk Management; Product Marketing; Distribution Channels; Information Technology; Salesforce Management; Insurance Industry
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Di Maggio, Marco, and David Lane. "At-Bay Cyber Insurance." Harvard Business School Case 220-005, July 2019. (Revised March 2020.)
  • November 1995 (Revised April 1998)
  • Case

National Insurance Corporation

The case visits the catastrophe insurance business at an interesting time in the history of the insurance markets. A major reinsurer, National Insurance, is taking a look at the new insurance derivatives being traded on the Chicago Board of Trade with a view to using... View Details
Keywords: Risk Management; Insurance; Capital Markets; Insurance Industry; United States
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Das, Sanjiv R., and Nils C. Haugestad. "National Insurance Corporation." Harvard Business School Case 296-036, November 1995. (Revised April 1998.)
  • August 2012 (Revised June 2013)
  • Case

Paul Thomson: Walker Insurance

By: Michael Roberts, Jim Sharpe and Sonia Nagala Change
Having just acquired Walker Insurance, Paul Thomson finds himself short of funds to support his original turnaround plan. He can request additional cash from his investor group, hunker down and grow at a slower rate or consider a proposal to buy his business. He has... View Details
Keywords: Crisis Management; Acquisitions; Search Funds; Entrepreneurial Management; Entrepreneurs; Insurance; Turnarounds; Boards Of Directors; Sales Force Management; Entrepreneurship; Insurance Industry; Florida
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Roberts, Michael, Jim Sharpe, and Sonia Nagala Change. "Paul Thomson: Walker Insurance." Harvard Business School Case 813-057, August 2012. (Revised June 2013.)
  • February 2016
  • Article

Labor Unemployment Insurance and Earnings Management

By: Yiwei Dou, Mozaffar N. Khan and Youli Zou
There is relatively little prior evidence on the potential impact of rank and file employees on financial reporting choices outside union negotiations. We contribute to the literature by providing new evidence that firms appear to manage long-run earnings upward in... View Details
Keywords: Earnings Management; Employment; Insurance; Financial Reporting
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Dou, Yiwei, Mozaffar N. Khan, and Youli Zou. "Labor Unemployment Insurance and Earnings Management." Journal of Accounting & Economics 61, no. 1 (February 2016): 166–184.
  • 2024
  • Working Paper

When Insurers Exit: Climate Losses, Fragile Insurers, and Mortgage Markets

By: Ishita Sen, Pari Sastry and Ana-Maria Tenekedjieva
This paper studies how homeowners insurance markets respond to growing climate losses and how this impacts mortgage market dynamics. Using Florida as a case study, we show that traditional insurers are exiting high risk areas, and new lower quality insurers are... View Details
Keywords: Insurance; Natural Disasters; Governing Rules, Regulations, and Reforms; Insurance Industry; Florida
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Sen, Ishita, Pari Sastry, and Ana-Maria Tenekedjieva. "When Insurers Exit: Climate Losses, Fragile Insurers, and Mortgage Markets." Harvard Business School Working Paper, No. 24-051, February 2024. (Revise & Resubmit, Quarterly Journal of Economics.)
  • June 2019
  • Case

Monetizing Insurance at Trov

By: Thales Teixeira, Samy Dana and Leandro A Guissoni
Trov is a disruptive startup in the insurance space (“insurtech”). It allows consumers to simply turn on and turn off insurance for each of their possessions on a mobile app with the swipe of a finger. Consumers love the simple, on-demand, single-item coverage product.... View Details
Keywords: Monetization; Decoupling; Business Startups; Insurance; Disruption; Mobile and Wireless Technology; Strategy; Insurance Industry
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Teixeira, Thales, Samy Dana, and Leandro A Guissoni. "Monetizing Insurance at Trov." Harvard Business School Case 519-082, June 2019.
  • Article

Treatment Of Opioid Use Disorder Among Commercially Insured U.S. Adults, 2008–17

By: Karen Shen, Eric Barrette and Leemore S. Dafny
There is abundant literature on efforts to reduce opioid prescriptions and misuse, but comparatively little on the treatment provided to people with opioid use disorder (OUD). Using claims data representing 12–15 million nonelderly adults covered through commercial... View Details
Keywords: Opioid Treatment; Medication-assisted Treatment; Substance Use Disorder; Private Insurance; Health Disorders; Health Care and Treatment; Insurance; United States
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Shen, Karen, Eric Barrette, and Leemore S. Dafny. "Treatment Of Opioid Use Disorder Among Commercially Insured U.S. Adults, 2008–17." Health Affairs 39, no. 6 (June 2020): 993–1001.
  • January 1993 (Revised November 1995)
  • Case

AXA: The Global Insurance Company

Claude Bebear, the CEO of AXA, the tenth-largest insurer in Europe, has just completed an acquisition of the Equitable, the seventh-largest insurer in the United States. As part of his strategy to make AXA the first truly global insurance company, Bebear is considering... View Details
Keywords: Market Entry and Exit; Insurance; Global Strategy; Acquisition; Insurance Industry; Asia; North America; Europe
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Goodman, John B., and Patrick Moreton. "AXA: The Global Insurance Company." Harvard Business School Case 793-094, January 1993. (Revised November 1995.)
  • 2025
  • Working Paper

Climate Risk and the U.S. Insurance Gap: Measurement, Drivers and Implications

By: Parinitha Sastry, Tess Scharlemann, Ishita Sen and Ana-Maria Tenekedjieva
In a world with rising risk, how much are U.S. households willing to pay for homeowners insurance, and what does their demand imply for the future of insurance markets? We provide the first estimates of household willingness to pay for homeowners insurance and the... View Details
Keywords: Climate Change; Risk and Uncertainty; Insurance; Personal Finance; Consumer Behavior; Mortgages
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Sastry, Parinitha, Tess Scharlemann, Ishita Sen, and Ana-Maria Tenekedjieva. "The Limits of Insurance Demand and the Growing Protection Gap." Harvard Business School Working Paper, No. 25-054, February 2025.
  • 2019
  • Working Paper

Thinking Outside the Box (12): The Benefits of Increased Transparency in Employer-Sponsored Health Insurance for the 180 Million Insured

By: Regina E. Herzlinger and Barak D. Richman
Economists have long noted that the tax exclusion of employer-sponsored insurance (ESI) caused workers to purchase health plans that differ in price and other characteristics from those they would otherwise choose for themselves. We explore the short-term and long-term... View Details
Keywords: After-tax Income; Consumer-driven Health Care; Health Care Costs; Health Insurance; Income Inequality; Tax Policy; Health Care and Treatment; Cost; Insurance; Income; Equality and Inequality; Taxation; Policy; United States
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Herzlinger, Regina E., and Barak D. Richman. "Thinking Outside the Box (12): The Benefits of Increased Transparency in Employer-Sponsored Health Insurance for the 180 Million Insured." Duke Law School Public Law & Legal Theory Series, No. 2020-4, December 2019.
  • April 2010 (Revised June 2010)
  • Background Note

The U.S. Life Insurance Industry

By: Robert C. Pozen and McCall Ann Merchant
This note provides a background on the US life insurance regimes for the life insurance industry, including descriptions of different types of insurance, annuities, and regulation. View Details
Keywords: Insurance; Insurance Industry; United States
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Pozen, Robert C., and McCall Ann Merchant. "The U.S. Life Insurance Industry." Harvard Business School Background Note 310-091, April 2010. (Revised June 2010.)
  • September 1996 (Revised August 1999)
  • Case

Massachusetts Automobile Insurance 1999

By: Richard F. Meyer
The data and background are provided to enable students to determine what deductible insurance they wish to have in Massachusetts. View Details
Keywords: Decisions; Risk Management; Insurance Industry
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Meyer, Richard F. "Massachusetts Automobile Insurance 1999." Harvard Business School Case 897-041, September 1996. (Revised August 1999.)
  • August 2018 (Revised August 2019)
  • Case

Oscar Health Insurance: What Lies Ahead for a Unicorn Insurance Entrant?

By: Leemore Dafny and Victoria Marone
Keywords: Oscar Insurance; Fintech; US Health Care; Affordable Care Act (ACA); Health Insurance Marketplaces; Insurer Competition; Provider Consolidation; Market Entry; Health Care and Treatment; Entrepreneurship; Market Entry and Exit; Negotiation; Growth Management; Insurance Industry; Insurance Industry; New York (state, US); New Jersey
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Dafny, Leemore, and Victoria Marone. "Oscar Health Insurance: What Lies Ahead for a Unicorn Insurance Entrant?" Harvard Business School Case 319-025, August 2018. (Revised August 2019.)
  • winter 1971
  • Article

Patient Incentives and Hospital Insurance

By: Robert S. Kaplan and Lester Lave
Keywords: Health; Insurance; Motivation and Incentives; Health Industry
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Kaplan, Robert S., and Lester Lave. "Patient Incentives and Hospital Insurance." Health Services Research 6 (winter 1971): 288–300. (see also "Further Thoughts on Patient Incentives," Health Services Research (summer 1972): 148-150.)
  • January 2025
  • Supplement

Hippo: Weathering the Storm of the Home Insurance Crisis (B)

By: Lauren Cohen, Grace Headinger and Sophia Pan
Rick McCathron, CEO of Hippo, was optimistic about the InsurTech's path to profitability after navigating the financial uncertainties of 2022. By bundling their home insurance services with third-parties and established insurance incumbents, Hippo was adopting a... View Details
Keywords: Fintech; Underwriters; Big Data; Homeowners' Insurance; Catastrophe Risk; Global Warming; Environment; Business Economics; Vertical Specialization; Bundling; Economies Of Scale; Business Model; Forecasting and Prediction; Climate Change; Environmental Sustainability; Green Technology; Technological Innovation; Natural Environment; Natural Disasters; Weather; Business Strategy; Competitive Advantage; Business Earnings; Insurance; Social Issues; Profit; Growth and Development Strategy; Insurance Industry; California; United States
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Cohen, Lauren, Grace Headinger, and Sophia Pan. "Hippo: Weathering the Storm of the Home Insurance Crisis (B)." Harvard Business School Supplement 225-051, January 2025.
  • 1983
  • Article

Public Insurance Provision and Non-Market Failures

By: Dutch Leonard and Richard Zeckhauser
Keywords: Insurance; Failure
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Leonard, Dutch, and Richard Zeckhauser. "Public Insurance Provision and Non-Market Failures." Geneva Papers on Risk and Insurance 8 (1983).
  • June 2025
  • Case

Waterdrop: AI-Powered Insurance and Healthcare

By: Qi Li, Letian Zhang, Qi Zhou and Qingyi He
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Li, Qi, Letian Zhang, Qi Zhou, and Qingyi He. "Waterdrop: AI-Powered Insurance and Healthcare." Harvard Business School Case 425-103, June 2025.
  • Article

Consumers' Misunderstanding of Health Insurance

By: George Loewenstein, Joelle Y. Friedman, Barbara McGill, Sarah Ahmad, Suzanne Linck, Stacey Sinkula, John Beshears, James J. Choi, Jonathan Kolstad, David Laibson, Brigitte C. Madrian, John A. List and Kevin G. Volpp
We report results from two surveys of representative samples of Americans with private health insurance. The first examines how well Americans understand, and believe they understand, traditional health insurance coverage. The second examines whether those insured... View Details
Keywords: Behavioral Economics; Simplification; Insurance; Consumer Behavior; Health Care and Treatment; Cognition and Thinking; Insurance Industry; Insurance Industry; United States
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Loewenstein, George, Joelle Y. Friedman, Barbara McGill, Sarah Ahmad, Suzanne Linck, Stacey Sinkula, John Beshears, James J. Choi, Jonathan Kolstad, David Laibson, Brigitte C. Madrian, John A. List, and Kevin G. Volpp. "Consumers' Misunderstanding of Health Insurance." Journal of Health Economics 32, no. 5 (September 2013): 850–862.
  • August 1994 (Revised May 1995)
  • Case

Engineering Inspection & Insurance Company

By: Robert H. Hayes
Engineering Inspection & Insurance Co. (EIIC) is a small but highly successful company that offers machinery and boiler inspection and insurance services. After years of above-average growth and profits, both are retreating toward the industry average, policy delivery... View Details
Keywords: Service Operations; Business Strategy; Organizational Design; Organizational Structure; Insurance; Strategic Planning; Problems and Challenges; Insurance Industry; United States
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Hayes, Robert H. "Engineering Inspection & Insurance Company." Harvard Business School Case 695-009, August 1994. (Revised May 1995.)
  • February 2025
  • Supplement

Slice Labs: Creating a Fraud-Free Online Insurance Platform (B)

By: Amit Goldenberg, Max Bazerman and Ruth Page
Keywords: Technology; Insurance; Digitization; Honesty; Trust; Negotiation; Fraud; Ethics; Negotiation Process; Negotiation Tactics; Negotiation Types; Social Psychology
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Goldenberg, Amit, Max Bazerman, and Ruth Page. "Slice Labs: Creating a Fraud-Free Online Insurance Platform (B)." Harvard Business School Multimedia/Video Supplement 925-701, February 2025.
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