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MAP20230022009Kanani Dizaji, AtefehUpdating Bonus Malus indexing mechanism to adjust long-term health insurance premiums / Atefeh Kanani Dizaji, Amir T. Payandeh NajafabadiSumario: Economic shocks, high inflation, longevity, and new emerging technologies make the long-term health care insurance challenging for insurers. To overcome this problem, an indexing mechanism has been employed to update predicted premiums based on the new information in hand. Such indexing mechanisms have thus far failed to consider the available policyholder's risk experience at its updating time. This article employs the well-known bonusmalus system to introduce a bonusmalus indexing mechanism that takes into account the policyholder's risk experience in its updating mechanism. More precisely, it uses the bonusmalus system's idea to update the premium of each policyholder based upon her or his risk experience as well as updated inflation. The theoretical foundation of this approach has been developed and its practical implementation is shown through a simulation studyEn: North American actuarial journal. - Schaumburg : Society of Actuaries, 1997- = ISSN 1092-0277. - 06/09/2023 Tomo 27 Número 3 - 2023 , 15 p.1. Empresas de seguros. 2. Asistencia sanitaria. 3. Percepción del riesgo. 4. Primas de seguros. 5. Simulación. 6. Métodos de análisis. I. Payandeh Najafabadi, Amir T.. II. Título.