| With the gradual increase of the elderly population and the trend of aging,a multi-pillar social pension service system has been formed in recent years,with "home care as the mainstay,community care as the backbone,and institutional care as a supplement",and the pension institution industry is rapidly emerging,with medical care integration and intelligent pension as the main development direction,giving full play to the unique advantages of pension institutions in taking care of the unique advantages of nursing institutions in taking care of widows,orphans and disabled elderly people.However,at the present stage,the hardware facilities and service level of elderly institutions in China are insufficient,and the profitability of private elderly institutions is weak.A large number of tort liability risks are not protected,and the number of cases and compensation amounts of disputes about accidental injuries to elderly residents have further increased,causing financial pressure or even bankruptcy of elderly institutions due to huge financial compensation,which affects the sustainable development of the elderly institution industry.The need to transfer the accidental liability risk to senior care institutions has led to the emergence of liability insurance for senior care institutions,which not only helps senior care institutions improve their risk management capabilities but also provides financial support for the portion of damages borne by the institutions to avoid bankruptcy and untimely compensation for victims.The use of insurance to solve the problem of risk management in elderly institutions has been supported by the government of China,and liability insurance for elderly institutions has been piloted in China for more than ten years.Therefore,this paper focuses on the typical pilot scheme of liability insurance for elderly institutions in Shanghai.In 2008,Shanghai officially launched a pilot scheme of liability insurance for senior citizens’ institutions and has achieved remarkable results in terms of insurance coverage throughout the city.The article first interprets the pilot situation in terms of the target and scope of insurance coverage,operation mechanism,and premium subsidy,and analyzes the environment of Shanghai’s implementation of liability insurance for elderly institutions,which is characterized by a serious aging population,a large number of elderly institutions,and favorable government policies,etc.The article finds that Shanghai’s implementation of liability insurance for elderly institutions has significant advantages such as novel products,government subsidy support,and third-party services,but also has problems such as premiums.The effectiveness of the pilot scheme is mainly to reduce the operational risks of elderly institutions,protect the rights and interests of the elderly,and realize the innovation of the insurance industry,thus providing a reference for the development of liability insurance for elderly institutions in other regions.The article describes the development history and current situation of liability insurance for elderly institutions in several regions of China in chronological order and analyzes the problems and reasons in the process of promotion of the development mode of liability insurance for elderly institutions in each region.At the present stage of the development of liability insurance for elderly institutions,there are mainly problems such as insufficient insurance coverage,high incidence of accidents and high payout rate,which are due to the defects of insurance product design,insufficient underwriting motivation,insufficient risk management of elderly institutions themselves and lack of third-party supervision.Meanwhile,by studying the advantageous paths taken by two countries,the United States and Germany,in the process of promoting liability insurance for elderly institutions,we summarize the foreign experience of promoting liability insurance for elderly institutions in several aspects,such as insurance operation mode,premium design and third-party institutions.Finally,based on summarizing the experience of the development of liability insurance for aged-care institutions in advanced regions at home and abroad,the article proposes countermeasures for the current problems in the process of implementing liability insurance for aged-care institutions in China from multiple subjects such as insurance supply side,demand side,and third-party sector,etc.Insurance companies can develop standardized policies and tiered rates,expand insurance coverage,participate in risk management of aged-care institutions,and establish liability insurance The government can improve the premium subsidy mechanism,enhance the enthusiasm of senior care institutions to take out insurance,introduce third-party institutions to improve the efficiency of insurance operation,implement the responsibility division and supervision mechanism of each body,and improve the legal basis for the division of compensation responsibility.The government can improve the premium subsidy mechanism,enhance the enthusiasm for insurance coverage for elderly institutions,introduce third-party institutions to improve the efficiency of insurance operation,and finally realize the sustainable development of liability insurance for elderly institutions by implementing the responsibility division and supervision mechanism of each body and improving the legal basis for the division of compensation liability. |