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1

Gláserová, Jana. "Accounting methodical approaches of business entities in comparisson to bank accounting and to insurance company accounting in the Czech Republic." Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis 58, no. 6 (2010): 133–42. http://dx.doi.org/10.11118/actaun201058060133.

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Bank and insurance must follow the ACT on Accounting No.563/1991 in their financial statement preparation. Banks must use the special decree of Ministry of Finance for Banks and other financial institution due to their special operations and requirements Czech National Bank. The methodical approach to the valuation and recording of basic items balance sheet in banks and other financial institutions are compatible with IAS/IFRS. As well insurances must use special decree of Ministry of Finance for Insurances due to their special operations – cession of insurance. The paper is concerned with the basic items of balance sheet banks and insurances and its comparations with balance sheets of other business entities.
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2

Wulandari, Tri Mei, and Dina Fitrisia Septiarini. "ANALISIS PERBANDINGAN KONDISI FINANCIAL DISTRES0S PADA PERUSAHAAN ASURANSI JIWA SYARIAH DI INDONESIA DAN MALAYSIA BERDASARKAN MODEL DISKRIMANASI ALTMAN." Jurnal Ekonomi Syariah Teori dan Terapan 5, no. 12 (June 19, 2019): 1035. http://dx.doi.org/10.20473/vol5iss201812pp1035-1050.

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The purpose of this research is to know the difference of financial distress condition of sharia life insurance company in Indonesia and in Malaysia in period 2013-3105 with Atman Zscore model. Using a quantitative approach with Mann Whitney's test. Sampling method using purposive sampling. This study uses secondary data taken from the official website of each company. The data used are the company's financial statements covering balance sheet, and income statement. The results of the Altman Z-score discriminant model were then tested using spss version 22. Mann Whitney test results showed that there was a significant difference between the financial distress condition of sharia life insurance companies in Indonesia and Malaysia. The results of this study proves that the condition of sharia life insurance companies in Indonesia is better than in Malaysia.
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3

Ridho, Muhammad. "PERAN OTORITAS JASA KEUANGAN DALAM MELINDUNGI PEMEGANG POLIS ASURANSI AKIBAT PAILITNYA PERUSAHAAN ASURANSI (Studi Putusan Mahkamah Agung Nomor 408 K/Pdt.Sus-Pailit/2015)Abstract." Jurnal Hukum Kaidah: Media Komunikasi dan Informasi Hukum dan Masyarakat 19, no. 2 (March 13, 2020): 292–328. http://dx.doi.org/10.30743/jhk.v19i2.2444.

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AbstractThe Financial Services Authority as an institution that oversees activities in the insurance sector functions to create a financial system that grows in a sustainable and stable manner and can foster public confidence in the insurance industry. Within the scope of supervision in the insurance sector, the Financial Services Authority has the authority to submit bankrupt statements to insurance companies in order to protect the interests of insurance policy holders.The purpose of the research in this thesis is to analyze the authority of the Financial Services Authority in the insolvency of insurance companies, to analyze the legal protection of customers who are harmed by the insolvency statement of insurance company to analyze the legal considerations of judges in the Supreme Court’s Decision No. 408 K/ Pdt. Sus-Pailit /2015.The research method used is descriptive analysis that leads to normative juridical research that is research conducted by referring to legal norms that is examining library materials or secondary materials, and secondary data by processing data from primary legal materials, secondary legal materials and tertiary legal materials.The results showed that the Authority of the Financial Services Authority in the insolvency of insurance companies is based on the Bankruptcy Law and Suspension of Debt Payment Obligation (‘UU KKPU’) and Financial Services Authority Act (‘UU OJK’) with its implementation arrangement and the Financial Services Authority’s position as the party submitting an application for bankruptcy statements through the Board of Commissioner of Financial Services Authority. Protection provided to insurance policy holders in the case of bankruptcythat is guaranteed the position of policy holder in the event ofbankruptcy to the insurance company.Judge’s legal consideration in the decision of the Supreme Court Number 408 K/ Pdt. Sus-Pailit /2015 so as to decide on PT. AsuransiJiwaBumiAsih Jaya declared bankrupt is the OJK as a financial service sector supervisory agency authorized to submit bankruptcy requests for insurance companies because PT AsuransiJiwaBumiAsih Jaya is proven to have debt in the form of payment of the policy holder’s claim liability.Key-Words: Role of OJK, Insurance Policy, Bankruptcy.
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4

Xuanyuan, Shihao, Shiang Xuanyuan, and Ye Yue. "Application of C4.5 Algorithm in Insurance and Financial Services Using Data Mining Methods." Mobile Information Systems 2022 (August 23, 2022): 1–8. http://dx.doi.org/10.1155/2022/5670784.

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The insurance financial management information system has accumulated a large amount of data as the insurance financial system has improved and the number of people investing in insurance has increased rapidly. The performance of the insurance agency significantly contributes to the industry’s growth, which leads to economic prosperity. Different financial ratios were developed to investigate it, taking into consideration the insurance provider’s stability, insolvency, profitability, and leverage. The profitability of organizations and insurers is used to evaluate the general effectiveness. In order to achieve this goal, this study examines the impact of insolvency, leverage, stability, scope, and impartiality of capital on the efficiency of Chinese life insurers. The study of financial statements examines a company’s overall financial health throughout time. It is a method of identifying a company’s financial assets and liabilities by integrating a statement of financial position and balance sheet features. It provides a systematic approach to assessing and evaluating the company’s predicament. Using the experimental results, the scores of several insurance firms are compared, and their performance is described based on these results. The effective use of these data to assist decision-makers in developing more reasonable financial insurance investment policies have emerged as a significant challenge that must be addressed. This study utilized the decision tree C 4.5 mining algorithm to analyze insurance financial system data, identify key factors influencing insurance finance, and assist decision-makers in optimizing policy parameters. Finally, the consequence of an increase is analyzed using a previously unseen method to assess the precision of the prediction result.
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5

Vivian, Robert, and Hugh-David Hutcheson. "Derivation of a framework for annual financial statements of a property-casualty insurance firm: From Adam Smith to the modern insurance firm." South African Journal of Economic and Management Sciences 18, no. 1 (March 4, 2015): 14–31. http://dx.doi.org/10.4102/sajems.v18i1.713.

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This article derives a framework for annual financial statements of a property-casualty insurer from first principles using Adam Smith’s statement of the operation of an insurer as the point of departure. The derivation incorporates’ current standard accounting principles and regulatory requirements. In the end it will be seen that a substantial correlation exists between the final derived framework and current published statements of a modern property-casualty insurer. It remains to be seen if a similar correlation will continue to exist once the long awaited international accounting standard for insurers is finalised. The article accordingly demonstrates that Adam Smith’s statement can be used to derive a workable framework for the accounting and hence management of modern property-casualty insurers. A number of important conclusions flow from the article. Firstly the distinction between provisions and reserves must be understood and maintained failing which solvent insurers may be portrayed as being insolvent, second a new provision should be raised, a Year to Close Provision where it is unclear that existing provisions adequately cover outstanding liabilities and third the IBNR provision should be restricted to claims in the pipeline for the year under consideration.
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6

Weshah, Sulaiman, Mohammad Elessa, Ayman Shanti, Rafat Salameh, and Saqer Al-Tahat. "Earning Management Practices within ERP Environment: A Case Study of ERP’s Companies Listed in Amman Stock Exchange." WSEAS TRANSACTIONS ON BUSINESS AND ECONOMICS 18 (May 10, 2021): 846–54. http://dx.doi.org/10.37394/23207.2021.18.80.

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The present study aims to explore if the earning management practices differ for companies adopted Enterprise Resources Planning (ERP) systems within three categories (Bank and Insurance, Services, and Manufacturing) companies of listed (ERP)’s companies in Amman Stock Exchange (ASE). Therefore, their financial statements from 2012 to 2019 have been analysed depending on modified Jones model (1995). The study revealed that there is a positive relationship between (ERP)’s manufacturing sector companies with earning management practices, while there is no statistically significant correlation between the (ERP)’s services sector companies, (ERP)’s bank and insurance sector companies with earning management. Also, it doesn’t matter of adopting ERP systems to be engaged or not with earning management practices. Therefore, the study recommends users of manufacturing companies’ financial statement to focus on the increase inside financial statements of manufacturing sector
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7

Knežević, Snežana, and Aleksandra Mitrović. "Cash flow statement and financial decision-making in insurance companies." Bankarstvo 47, no. 4 (2018): 108–23. http://dx.doi.org/10.5937/bankarstvo1804108k.

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8

Al-Mohammadi, Mohammed Falah, and Bushra N. Abdullah Al-Mashhdani. "The Reflection of the Adoption of IFRS 17 “Insurance Contracts” on the Procedures for Auditing Insurance Contracts in the Iraqi Environment." Journal of Economics and Administrative Sciences 27, no. 129 (September 30, 2021): 198–213. http://dx.doi.org/10.33095/jeas.v27i129.2185.

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IFRS 17 aims to provide a unified basis for accounting for all types of insurance contracts, including reinsurance contracts, in a manner that benefits both investors and insurance companies and enhances the ability of the financial statements of insurance companies for comparison between companies listed in financial markets around the world. According to this standard, insurance contracts are accounted for on the basis of the Asset-Liability Approach and the use of fair values that the standard requires updating regularly in order to provide more useful information to the users of financial statements, as a result of the failure of reporting requirements for insurance contracts in the Iraqi environment to provide adequate and honestly representative information about the result of the activity and the financial position as a result of the failure of the requirements of the unified accounting system for banks and insurance companies with regard to providing appropriate bases for recognition, measurement, presentation and disclosure of insurance contracts compared to IFRS 17. Consequently, the insurance contracts audit program prepared by the Federal Board of supreme audit is insufficient and lacks the necessary procedures, also, this program includes audit procedures for insurance companies only and does not include companies that deal in contracts of an insurance nature, as well as the absence of an integrated program or guide approved by private auditing companies and offices in the Iraqi environment for the purpose of auditing these contracts, which requires a statement of the importance of adopting the International Financial Reporting Standard IFRS 17 and its reflection on the audit procedures that auditors must adopt when auditing insurance contracts. The two researchers relied on the opinions of a sample of academics and professionals specialized in this field by preparing a questionnaire that focused on the importance of adopting IFRS 17 and the reflection of adoption on the procedures for auditing these contracts in the Iraqi environment. The most prominent finding of the research is the need to adopt IFRS 17 because it provides clear and specific guidelines that help provide more useful information to users of financial statements in companies that deal in insurance contracts, as well as the impact of adopting this standard on the insurance contract audit procedures approved by the Federal Board of supreme audit and private auditing companies and offices in the Iraqi environment
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9

Buzzichelli, Francesca, and Roberto Di Pietra. "Risk profile disclosure requirements for Italian insurance companies: Differences in the financial statement preparation." FINANCIAL REPORTING, no. 1 (July 2013): 43–79. http://dx.doi.org/10.3280/fr2013-001004.

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The content of the annual report of insurance undertakings is regulated by art. 2428 of Italian Civil Code, as well as by the Insurance Code and specific Italian Insurance Supervisor's regulations. The paper compare the existing legislations, providing an overview of the different requirements, with particular attention to the risk profile disclosure. Moreover, the paper analyzes a significant sample of Italian insurance groups annual reports (from 2007 to 2009 financial year), using content analysis, in order to highlight the level of compliance with the existing rules and the level of preparedness for the upcoming Directive 2009/138/EC requirements (Solvency II Directive), which will come into force starting from 2012 financial year.
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10

Gláserová, Jana. "Differences in financial statements of business entities in the Czech Republic." Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis 61, no. 2 (2013): 335–43. http://dx.doi.org/10.11118/actaun201361020335.

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Ministry of Finance in the Czech Republic identifies and defines four types of accounting entities that are engaged in business activities. These are the “normal” business entities, business entities as banks, commercial insurance companies and health insurance companies. For each of these types of entities the Ministry of Finance issued relevant regulations that contain specific accounting policies arising mainly from the specifics of the scope of business activities of these entities. The effects of these specifics are ultimately shown also in the individual parts of the financial statement closing. In contrast the International Financial Reporting Standards (IFRS) and also generally accepted accounting principles of the United States (U.S. GAAP) are valid for all listed entities regardless of their size and scope of activities. The ongoing globalization of the world, transnational mergers and acquisitions of various companies brings the requirements for unification of accounting policies in order to achieve comparability of financial statements closing of companies from different countries, their transparency and completeness of published information in the individual countries. This paper deals with the definition of significant differences in the items of financial statement closing of different types of business entities in the Czech Republic and with the formulation of proposals for individual types of entities, which would contribute to easier orientation and grater comparability for the needs of different users of accounting information.
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11

Puławska, Karolina. "Financial Stability of European Insurance Companies during the COVID-19 Pandemic." Journal of Risk and Financial Management 14, no. 6 (June 12, 2021): 266. http://dx.doi.org/10.3390/jrfm14060266.

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The European Insurance and Occupational Pensions Authority suggests that as the coronavirus disease 2019 (COVID-19) pandemic has caused significant disruption to the economy, businesses, and people’s lives, national supervisory authorities should mitigate the pandemic’s impact on the European insurance sector. The functioning of insurance companies is in danger as they must balance a drastic increase in the number of claims with their capital and solvency stability. In this study, we evaluate the effects of the COVID-19 pandemic on insurance companies using European insurance companies’ financial statement data from 2010 to 2020. The results unambiguously demonstrate that the pandemic has negatively affected the functioning of the insurance sector. In particular, the return on assets decreased in German and Italian insurance companies during the pandemic. Furthermore, the solvency ratio decreased in the Belgian, French, and German insurance sectors. Conversely, the Polish insurance sector was unaffected. Moreover, we did not find any effects on the Z-score ratio in our sample. Lastly, the value of receivables owed to Belgian insurance companies increased. Based on this evidence, we argue that European legislators should discuss how to manage the probable financial problems of insurance companies during the COVID-19 pandemic.
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12

Hidayat, Cecep, Iskandar Putong, and Idi Setyo Utomo. "Corporate Marketing Strategy Model (Case Study in Indonesian Insurance Company)." Advanced Science Letters 21, no. 4 (April 1, 2015): 913–17. http://dx.doi.org/10.1166/asl.2015.5933.

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This study aims to develop a model of corporate marketing strategy using six indicators of Arthur D Little which uses the company’ financial statements in the insurance field listed in Indonesian Stock Exchange. The number of samples used is equal to the number of population, such as nine companies that are still active in doing trading and reporting the financial statement periodically and published at stock exchange website. By using the interpretation, there are six indicators found as the Corporate Marketing Strategy. The result is standardized using the Zcore methods which are tested by Confirmatory Factor Analysis model. The given result is modeled by using Principal Component Analysis-Exploratory Factor Analysis, and retested by using the Confirmatory Factor Analysis. Therefore, given the result that it is initially come up as a Corporate Marketing Strategy that consists of six indicators variable with two variables factors, such as Effectiveness Strategy (product, management and system, technology, and operation strategy) and Efficiency Strategy factors (market and retrenchment strategy).
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13

Mas'udin, Mas'udin. "IDENTIFIKASI PERMASALAHAN FINANSIAL PADA JAMINAN SOSIAL KESEHATAN NASIONAL." INFO ARTHA 1, no. 2 (November 14, 2017): 111–19. http://dx.doi.org/10.31092/jia.v1i2.142.

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The national social health security program (JKN) is a government program that aims to provide social insurance of health care for all Indonesian people. Within three years of implementation, the JKN program has provided many benefits to the community. However, there is a financial problem indicated by the financial statements of social health insurance program, which is estimated experiencing financial distress. This study aims to identify financial problem of social health insurance program. The research used mix method that is quantitative and qualitative method with sequence explanatory design. Data is taken from Healthcare and Social Security Agency (BPJS) financial statement year 2014 - 2016, and analyzed using Altman (Z-Score) model and Zmijewski (X-Score) model. The result of the study shows that the social health security program has financial distress. Program jaminan kesehatan nasional (JKN) merupakan program Pemerintah yang bertujuan memberikan kepastian jaminan kesehatan yang menyeluruh bagi seluruh rakyat Indonesia. Dalam tiga tahun pelaksanaannya, program JKN telah memberikan banyak manfaat bagi masyarakat. Namun laporan keuangan program jaminan sosial kesehatan menunjukkan adanya permasalahan finansial, yang diduga mengalami financial distress. Penelitian ini bertujuan untuk mengidentifikasi permasalahan finansial program jaminan sosial kesehatan. Metode penelitian yang digunakan mix method, yaitu kuantitatif dan kualitatif dengan desain urutan pembuktian (sequential explanatory). Data bersumber dari laporan keuangan BPJS Kesehatan tahun 2014 s.d 2016, dan dianalisis menggunakan model Altman (Z-Score) dan model Zmijewski (X-Score). Hasil studi menunjukkan bahwa Program Jaminan Sosial Kesehatan mengalami financial distress.
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14

Stepanova, Marina. "Consumer Extremism in the Insurance Market: Problem Statement." Bulletin of Baikal State University 31, no. 3 (October 22, 2021): 374–81. http://dx.doi.org/10.17150/2500-2759.2021.31(3).374-381.

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Consumer extremism has recently taken the form of a mass phenomenon, gradually penetrating into the insurance industry. Since it negatively affects not only the reputation and financial position of individual insurers, but also the development of the insurance market as a whole, the task of finding ways to counteract the facts of unfair behavior of consumers of services is becoming urgent. It should be borne in mind that consumer extremism is a complex, multifaceted phenomenon: it has legal, and at the same time social, economic, psychological foundations, motives and consequences. Therefore, it is extremely important to go beyond the purely legal aspects in this research. In this regard, the purpose of the work was to identify the most significant aspects in the study of consumer extremism as a phenomenon that takes place in the insurance market. As a result of the study, we came to the conclusion that it is necessary to take into account both the consumer's polysubject connections, which arise in the insurance market, and the multidisciplinary ones, which are formed within a particular insurance transaction. When assessing a possible area of relations where consumer extremism can manifest itself, we should take into account all scenarios of consumer’s activity from the passive one, in which the relationship does not go beyond the «policyholder — insurer», to the proactive one, when representatives of the insurance infrastructure are involved in the relationship. In the result a set of measures has been offered which would help prevent consumer extremism cases while implementing insurance relationships.
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15

Zuhra, Fitria, and Bustamam Bustamam. "EVALUASI PENERAPAN NO.108 AKUNTANSI ASURANSI SYARIAH (STUDI KASUS PADA TAFAKUL KELUARGA BANDA ACEH)." Jurnal Ilmiah Mahasiswa Ekonomi Akuntansi 5, no. 4 (April 5, 2021): 614–20. http://dx.doi.org/10.24815/jimeka.v5i4.16894.

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The purpose of this study was to determine how the suitability of the recognition, measurement, presentation and disclosure of sharia insurance accounting in the tafakul banda aceh family. This researt using descriptive statistical analysis or qualitative method. The data obtained trough a direct interview with Mr.Jamaluddin as head of the the tafakul banda aceh family agency. The result of the study show that from the financial statements they made, they revealed that there were investments in tabarru’ funds, assets, then allowances discussed, financial health, contributions, metc.participants, tabarru’ funds, investment funds,technical allowances allowances, and asset details of this statement are in accordance with item no.108.
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16

Vržina, Stefan. "Importance of deferred income tax in insurance companies: Case of the Republic of Serbia." Tokovi osiguranja 38, no. 2 (2022): 50–87. http://dx.doi.org/10.5937/tokosig2201050v.

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Insurance companies in the Republic of Serbia (RS) are required to report deferred income tax in accordance with the International Accounting Standards (IAS) 12 - Income Taxes. They recognize deferred tax assets and deferred tax liabilities on the balance sheet or deferred tax expenses and deferred tax income on the income statement. This paper examines the materiality of the deferred income tax in Serbian insurance companies, as well as its impact on assessing profitability and corporate income tax burden. The research conducted from 2017 to 2020 covered 16 insurance companies, and has shown that the effective tax rates in an average Serbian insurance company are lower than the prescribed rate of income tax. The research results have shown that typically, deferred tax does not materially represent a significant item in a statement of financial position of insurance companies. In addition, when assessing profitability and corporate income tax burden of insurance companies, deferred income tax is not a significant item on a balance sheet.
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17

Altuntas, Muhammed, and Jannes Rauch. "Concentration and financial stability in the property-liability insurance sector: global evidence." Journal of Risk Finance 18, no. 3 (May 15, 2017): 284–302. http://dx.doi.org/10.1108/jrf-10-2016-0128.

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Purpose This paper aims to examine the effect of concentration in the insurance sector on insurer stability for a large set of developed and developing countries. In particular, the authors test whether concentration reduces financial fragility in the insurance sector (“concentration-stability view”) or decreases stability in the insurance sector (“concentration-fragility view”). Design/methodology/approach The authors use a data set of 14,402 firm-year observations of property-liability insurers who appear in A.M. Best’s Statement File Global database during the period 2004-2012. They use regression analyses to examine the effect of concentration on the stability of insurance firms and apply different measures of concentration. Findings The results provide empirical support for the “concentration- fragility view”; that is, higher levels of concentration are associated with decreases in the insurance sector’s financial stability. Research limitations/implications The results have important policy implications, given that a primary purpose of insurance regulation is to protect policyholders against insurance firm defaults. Originality/value No previous research analyzes how recent trends in competition and consolidation, which have led to changes in insurance market concentration, affect the stability of insurance firms around the world. This research is the first paper that provides evidence on the relation between concentration and stability in the insurance sector.
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18

Keune, Marsha B., and Karla M. Johnstone. "Staff Accounting Bulletin No. 108 Disclosures: Descriptive Evidence from the Revelation of Accounting Misstatements." Accounting Horizons 23, no. 1 (March 1, 2009): 19–53. http://dx.doi.org/10.2308/acch.2009.23.1.19.

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SYNOPSIS: The purpose of this paper is to provide a descriptive analysis of companies’ previously uncorrected financial statement misstatements using disclosures recently mandated by Staff Accounting Bulletin No. 108 (SAB No. 108). We analyze 355 companies that disclose and correct 792 misstatements in their financial statements filed from November 15, 2006, to February 15, 2008. We present descriptive evidence on the size and industry distribution of companies who disclose SAB No. 108 adjustments, showing that larger companies and those in the banking/insurance/real estate industries are most commonly represented in our sample. We also describe the types of audit firms that are associated with these companies. The results show that the concentration of sample companies in the banking/insurance/real estate industries are most often audited by the smallest audit firms in the market, and there is considerable variation in the application of quantitative materiality thresholds for SAB No. 108 disclosures across audit firms. Finally, our descriptive analyses reveal insights about the nature, direction, and magnitude of specific misstatements corrected by SAB No. 108. For example, we show that the most common SAB No. 108 misstatement corrections involve current liabilities, deferred taxes, revenue recognition, and leases. In addition, many companies in our sample used SAB No. 108 to correct misstatements identified in the current year to avoid restating prior period financial statements.
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19

Iroth, Natasia, Jullie J. Sondakh, and Stanley Kho Walandouw. "ANALISIS PENGAKUAN PENDAPATAN DAN BEBAN PADA PT. ASURANSI ADIRA DINAMIKA CABANG MANADO." GOING CONCERN : JURNAL RISET AKUNTANSI 15, no. 2 (February 21, 2020): 159. http://dx.doi.org/10.32400/gc.15.2.28027.2020.

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Concerning about the public interests and companies interests for financing which can be done by transferring loans to insurance companies. Every company needs to apply applicable accounting standards. Financial approval in accordance with the required standards is very important. The purpose of this study was to determine whether income and expenses at PT. Asuransi Adira Branch of Manado complies with statement of financial accounting standard number 28. The analytical method used is descriptive, to analyze the suitability between the recognition of income and expenses made by the company with applicable standards. The results showed that PT. Asuransi Adira Branch of Manado should continue to strive to continue making statement of financial accounting standard number 28 as a guideline in accounting practices.
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Sthembiso Msomi, Thabiso. "Evaluating the influence of leverage and liquidity on the financial performance of general insurance companies in Sub-Saharan Africa." Insurance Markets and Companies 13, no. 1 (August 5, 2022): 36–46. http://dx.doi.org/10.21511/ins.13(1).2022.04.

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The factors of the insurance industry’s business performance are of concern to a variety of participants in any economy, such as the government, politicians, policyholders, and speculators. There has been very little research on this issue in Sub-Saharan Africa, with the majority focusing on specific factors that influence the performance of insurance businesses. The purpose of this paper was to evaluate the influence of leverage and liquidity on financial performance of general insurance companies in Sub-Saharan Africa. The study used descriptive correlational techniques to obtain panel data across 113 general insurers operating in Sub-Saharan Africa as of December 31, 2019, for 11 years (2008–2019). The pooled OLS, fixed effects and random effects models were estimated with the financial performance measures (proxied by ROA) as the dependent variables where the Hausman test was employed to test the hypothesis. The study found that there is a negative negligible link between leverage and financial performance, whereas there is a positive association between liquidity and financial performance. The study suggested that proper liquidity management is critical for insurance businesses to enhance a company’s value as well as financial success. The focus should be on establishing a proper asset-liability mix, in which a company’s total liabilities do not exceed its total assets. Furthermore, organizations require cash flow policy recommendations to optimize profit potential while limiting liquidity risk in the financial statement.
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Sarjono, Bayu. "Total Benchmarking Sebagai Alat Menilai Kewajaran Laporan Keuangan Dan Pemenuhan Kewajiban Perpajakan." AKRUAL: Jurnal Akuntansi 6, no. 1 (October 1, 2014): 1. http://dx.doi.org/10.26740/jaj.v6n1.p1-16.

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AbstractThe objective of this research is to provide empirical evidence on the utilization of total benchmarking ratio as a mean to assess the fairness of financial statement and the fulfilment of tax obligation in financial intermediaries sector. Variables to be tested in this research are 14 ratio of benchmarking total consist of: Gross Profit Margin (GPM), Operating Profit Margin (OPM), Pretax Profit Margin (PPM), Corporate Tax to Turn Over Ratio (CTTOR), Net Profit Margin (NPM), Dividend Payout Ratio (DPR), Value-added Tax Ratio (pn), Salary/Sales Ration (g), Interest/Sales Ratio (b), Rent/Sales Ratio (s), Depreciation/Sales Ratio (py), Outside-business Revenue/Sales Ratio (pl), Outside-business Cost/ Sales (bl), Other-input/Sales Ratio (x). This research incorporates financial intermediaries sector because it has contributed to the 5 largest tax revenue in last 5 years. The research method used is descriptive qualitative method by calculating ratios then compare them to the benchmark set by the Directorate General of Taxes. The sample of this research is Business Field Classification (Klasifikasi Lapangan Usaha) in the financial intermediary sector: foreign exchange banks, insurance and consumer financing companies. The type of data used is secondary data, that is audited financial statements gathered form ICMD. The research results show that the largest ratio difference for foreign exchange banks and insurance companies is at interest expense; however, the largest ratio difference for consumer financing is at outside-business Costs.
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Barham, E. Hart Bise, John R. C. Robinson, James W. Richardson, and M. Edward Rister. "Mitigating Cotton Revenue Risk Through Irrigation, Insurance, and Hedging." Journal of Agricultural and Applied Economics 43, no. 4 (November 2011): 529–40. http://dx.doi.org/10.1017/s1074070800000055.

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This study focuses on managing cotton production and marketing risks using combinations of irrigation levels, put options (as price insurance), and crop insurance. Stochastic cotton yields and prices are used to simulate a whole-farm financial statement for a 1,000 acre furrow-irrigated cotton farm in the Texas Lower Rio Grande Valley under 16 combinations of risk management strategies. Analyses for risk-averse decision makers indicate that multiple irrigations are preferred. The benefits to purchasing put options increase with yields, as they are more beneficial when higher yields are expected from applying more irrigation applications. Crop insurance is strongly preferred at lower irrigation levels.
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Purwaningrum, Sulistio, and Dian Filianti. "DETERMINAN PERTUMBUHAN ASET PERUSAHAAN ASURANSI JIWA SYARIAH DI INDONESIA PERIODE 2013-2018." Jurnal Ekonomi Syariah Teori dan Terapan 7, no. 5 (July 3, 2020): 955. http://dx.doi.org/10.20473/vol7iss20205pp955-970.

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This study aims to examine and determine the determinants of asset growth in Sharia Life Insurance Companies in the 2013-2018 period. This study uses a quantitative approach with the data used are secondary data from the financial statement panel data of each Sharia Life insurance company. The independent variables used in this study are Participant Contributions, Investment Returns, Operating Expenses, and Claims. The dependent variable is the growth of Sharia Life Insurance Company Assets in Indonesia for the period 2013-2018. The population in this study amounted to 30 Sharia life insurance companies registered with the Financial Services Authority. The sampling technique in this study was purposive sampling with 11 companies selected as samples. . The results of this study indicate that partially the participant contributions and claims variables have a significant negative effect. Investment returns and operating expenses have a significant positive effect on the growth of sharia life insurance company assets. Simultaneously participant contributions variables, investment returns, operating expenses, and claims show a significant influence on the growth of sharia life insurance company assets. Keywords: Participant Contributions, investment returns, operating expenses, claims, asset growth
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Bowen, Robert M., S. Jane Jollineau, and Barbara A. Lougee. "WaMu's Option-ARM Strategy." Issues in Accounting Education 29, no. 4 (January 1, 2014): 557–75. http://dx.doi.org/10.2308/iace-50702.

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ABSTRACT At the end of 2007, Washington Mutual, Inc. (generally known as “WaMu”) was the largest savings and loan bank in the U.S., based on assets ($328 billion) and revenue ($25.5 billion). Less than nine months later, WaMu was seized by federal regulators and sold to JPMorgan Chase for $1.9 billion in a transaction facilitated by the Federal Deposit Insurance Corporation (FDIC). During the worst recession since the Great Depression, WaMu became the largest U.S. bank failure in history. This case illustrates how a financial institution's business strategy affects risk and how these characteristics are revealed in the financial statements. Students assume the role of a financial analyst examining WaMu's 2007 10-K after its release in March 2008. In particular, they evaluate the quality of WaMu's loans and the adequacy of WaMu's estimates for loan losses, one of the most important discretionary accruals for financial institutions. Students gain insights into the consequences of WaMu's business strategy to emphasize high-margin loan products by comparing WaMu to (1) the relatively conservative Wells Fargo Bank and (2) the average large FDIC bank. This case has been used successfully in graduate-level financial statement analysis courses.
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Al-Manaseer, Sufian, and Suleiman Al-Oshaibat. "Validity of Altman Z-Score Model to Predict Financial Failure: Evidence From Jordan." International Journal of Economics and Finance 10, no. 8 (July 24, 2018): 181. http://dx.doi.org/10.5539/ijef.v10n8p181.

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This paper aims to investigate the Validity of Altman z-score model to predict financial failure in insurance companies listed on Amman Stock Exchange (ASE) over the period 2011-2016. To achieve the goal of the study, the study depended on the different statistics analytical method and Multiple Linear Regression through doing the statistical analysis of the independent variables on the dependent variable related to the subject of the study through the (E-views) program in order to cover the analytical part of the study, in addition to the descriptive method through relying on books, periodicals, previous studies and financial reports of the insurance companies of the study’ sample, whether the direct or the indirect ones, to cover the theoretical part. The result of the study finds a high predictive power for Z-score model. Moreover, the findings reveal that Z-Score model could be valuable instrumental indicators for many users of financial statement such as financial managers, auditors, lenders, investors, to make right decisions in the face of financial failure.
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Astuti, Christina Dwi. "FAKTOR FAKTOR YANG BERPENGARUH TERHADAP KETEPATAN WAKTU PELAPORAN KEUANGAN." JURNAL INFORMASI, PERPAJAKAN, AKUNTANSI, DAN KEUANGAN PUBLIK 2, no. 1 (May 5, 2019): 27. http://dx.doi.org/10.25105/jipak.v2i1.4425.

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<table class="NormalTable"><tbody><tr><td width="550"><span class="fontstyle0">The aim of this research is to find out which are factors that impact the timeliness<br />of company's financial statement</span><span class="fontstyle2">. </span><span class="fontstyle0">The object of this research is companies (except banking, securities, insurance, properties and non banking Credit Agencies) listed at Jakarta Stock Exchange for 2001 - 2005 using purposive judgment sampling. From 207 companies, there are 125 companies being samples of this research. Hypothesis test of this research is using logistic regression method, with</span><span class="fontstyle3">a</span><span class="fontstyle0">= 5% revealed that auditor reputations, audit opinion, size (proxy by market values) and ownership structure (outsider and insider) have impact to the timeliness of financial statement, but leverage (proxy by debt to equity ratio), ages and profitability (proxy by ROA) haven't impact to the timeliness of financial statement.</span></td></tr></tbody></table>
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Iankova Natchkova, Maia. "SPECIFIC ISSUES OF THE ACCOUNTING AND THE FINANCIAL AUDIT IN THE PENSION FUNDS." Knowledge International Journal 31, no. 1 (June 5, 2019): 41–47. http://dx.doi.org/10.35120/kij310141i.

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The pension funds attract funds from the social securers and the secured persons of the additional obligatory and voluntary pension insurance of individuals. The raised funds of the additional obligatory and voluntary pension insurance contributions are managed, invested and paid in form of additional pensions of the pension funds to the secured persons in case of occurrence of the insured events provided in the legislation, in the regulation of the pension fund and in the pension fund contracts. The social importance and development of the activity of pension funds enforce its individual financial reporting, analysis and auditing, its dynamic and effective management and its specific supervision by a state supervisory body. The activity-specific objects of accounting lead to the invention of specific approaches and methods of financial reporting, analysis and auditing which enrich the applied general methodology of accounting. Its purpose is to introduce and analyze those specific issues in the mentioned financial institutions which shall improve the management, investment and spending of funds raised for the individual batches of the secured persons of the pension funds. Special attention is paid to the specific activity of the pension funds in a high-risk environment which leads to the formation of specific objects of financial reporting and auditing; preparation of specific so called Supervisory financial reports, analysis of specific indicators for profitability, solvency and liquidity of the funds; determination of reliable framework for the auditors to express their opinion in relation to the fulfillment of the accounting principle “Operating Company”. The specific objects of accounting concern specific items in the asset side of the balance and income statement of pension funds. The main item on the asset side of the balance having the largest share in relation to the other assets of the pension funds are investments in financial assets and instruments. One of the central requirements of the State Supervisory Body is that the raised funds of pension insurance contributions of secured persons shall be invested in financial assets and instruments in order to bring additional income for distribution between the secured persons and the managing pension insurance company. This study presented some of the important and socially significant, and therefore monitored by the State Supervisory Body, specific objects of accounting of pension funds. The activity of the shown financial entities is diverse, accompanied by the development of the insurance and financial risk up to a high extent. The variety of specific objects of accounting leads on his part to a variety of applied accounting methods, research and analysis in light of best international practices which shall contribute to a significant extent to the diligent management and spending of accumulated funds of Pension Funds. The establishment of internal system for surveillance of financial and market risks occurring in the conditions, the establishment of balanced system of methods for preventive analysis, diagnosis and budjeting, the definition of key indicators and the development of reporting, control and analysis processes, will contribute to the comparability, the precise and correct presentation of accounting information in the organization’s financial statement, to its asset and liability and to the establishment of precise risk management systems. The present study can be used in the financial reporting and in various types of financial audit, such as internal audit, executed by the internal structures of the financial enterprises independent financial audit, executed by certified public accountants, registered auditors, and external audit, executed by the State Supervisory Authority or other state bodies.
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28

Rosalie, Eugenia, and Novi S. Budiarso. "ANALISIS PENGAKUAN PENDAPATAN DAN BEBAN MENURUT PSAK NO. 28 PADA PT. ASURANSI TRI PAKARTA CABANG MANADO." ACCOUNTABILITY 6, no. 1 (June 20, 2017): 81. http://dx.doi.org/10.32400/ja.16030.6.1.2017.81-91.

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Uniformity in the preparation of a financial report needs to be done to get the results of a financial report is good and trustworthy. For that every company needs to implement the applicable accounting standardization in order to create information that is easily understood by users of information. In a financial statement of the most important is the recognition of revenues and expenses in accordance with the applicable standardization. The purpose of this study was to determine the recognition of revenues and expenses made by PT. Tri Pakarta insurance in accordance with the standardization that exists is under PSAK No. 28 about insurance. The method used is descriptive analytical method, which is a method of research based on the search data- data will then be analyzed and described later concluded in accordance with the purpose of this study. From these results it can be concluded that PT. Insurance Tri Pakarta has made the recognition of revenues and expenses that have taken the appropriate standardization of existing ie, revenue is recognized based on the contract effective or calculated in accordance with its useful life, and the burden of claims in connection with the events of loss to the insurance objects insured, covers claims approved (settled claims), claims in process (outstanding claims), claims incurred but not yet reported and claim settlement expenses (claims settlement expenses), recognized as an expense claim when there is an obligation to meet claims or losses when the report came up.Keywords : Revenues, Expenses, Insurance, PSAK NO. 28
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29

Wilkie, A. D., D. J. Le Grys, A. S. Macdonald, T. M. Ross, and C. D. Daykin. "Human Genetics and Financial Services. A Discussion Meeting with Supporting Papers." British Actuarial Journal 3, no. 5 (December 1, 1997): 969–1058. http://dx.doi.org/10.1017/s1357321700005195.

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The Profession held a joint seminar on ‘Human Genetics: Uncertainties and the Financial Implications Ahead’ with the Royal Society of London in September 1996. Papers submitted to that seminar included four from the profession and several from the medical, legal, social and scientific communities.This Sessional Meeting is designed to provide a forum for discussion amongst a wider actuarial audience. The topic is important to the profession, not only in relation to life insurance, but perhaps even more in relation to health insurance. The four papers by the actuarial authors are reproduced, together with a short third party summary of the whole seminar and a more detailed summary by C.D. Daykin of the actuarial, legal and social points raised in the discussions.The meeting takes the form of a panel discussion. Each of the panellists is to be invited to make introductory comments on their papers to update them where appropriate in the light of developments since September 1996 (for example the ABI statement) and will also suggest specific topics for discussion at the meeting. There is then an opportunity for members and guests to raise and debate all relevant issues.
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30

Sarjono, Haryadi, Arko Pujadi, and Henry Wono Wong. "Penerapan Metode Balanced ScoreCard Sebagai Suatu Sistem Pengukuran Kinerja pada PT Dritama Brokerindo, Jakarta Timur." Binus Business Review 1, no. 1 (May 30, 2010): 139. http://dx.doi.org/10.21512/bbr.v1i1.1063.

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This research was done in insurance company of PT Dritama Brokerindo, East Jakarta, by using Balanced Scorecard method, with four perpectives which measured, which are the finance perpective (financial statement), customer perpective (quizioner), perpective process internal business (quizioner) and in growth, and study perpective (quizioner). With total employees 18 employees people, serving company customer about almost 1500.Research method which used is descriptive method with research type is case study. data analyse Technique which used is using primary data processing, like : field study, interview, quizioner and also secondary data with data collecting from company which is in the form of financial statement year 2005 - 2008. Research result that, performance PT Dritama Brokerindo which during the time measured traditionally, the management not get clear information, and measured about non finansial aspect of company. Triedly apply system of performance measurement with Balanced Scorecard, got the comprehensive and more complete result about condition of company which in fact. Pursuant to result of research from entirety aspect, obtained a total score 110, or value three which shown Good Enough criterion.
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31

Konstantinovic, Dejan, Vesna Lazarevic, Valentina Milovanovic, Mirjana Lapcevic, Vladan Konstantinovic, and Mira Vukovic. "Financial sustainability of home care in the health system of the Republic of Serbia." Srpski arhiv za celokupno lekarstvo 141, no. 3-4 (2013): 214–18. http://dx.doi.org/10.2298/sarh1304214k.

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Introduction. Over the last several years, during the economic crisis, the Ministry of Health and the Republican Health Insurance Fund (RHIF) have been faced with new challenges in the sphere of healthcare services financing both in the primary as well as other types of health insurance in the Republic of Serbia (RS). Objective. Analysis of cost?effectiveness of two models of organization of home treatment and healthcare in the primary insurance, with evaluation of the cost sustainability of a single visit by the in?home therapy team. Methods. Economic evaluation of the cost of home treatment and healthcare provision in 2011 was performed. In statistical analysis, the methods of descriptive statistics were employed. The structure of fixed costs of home healthcare was developed according to the RS official norms, as well as fixed costs of providing services of home therapy by the Healthcare Centre "New Belgrade". The statement of account for provided home therapy services was made utilizing the RHIF price list. Results. The results showed that the cost of home healthcare and therapy of the heterogeneous population of patients in the Healthcare Centre "New Belgrade" was more cost?effective in relation to the cost of providing home therapy services according to the RS official norms. Conclusion. Approved costs utilized when making a contract for services of home therapy and healthcare with the RHIF are not financially sustainable. It was shown that the price of 10 EUR for each home visit by the in?home therapy team enables sustainability of this form of providing healthcare services in RS.
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32

Sajuyigbe, Dr Ademola Samuel, Tajudeen A. Odetayo, and Adewumi Z. Adeyemi. "Financial Literacy and Financial Inclusion as Tools to Enhance Small Scale Businesses’ Performance in Southwest, Nigeria." Finance & Economics Review 2, no. 3 (September 24, 2020): 1–13. http://dx.doi.org/10.38157/finance-economics-review.v2i3.164.

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Purpose: The study sought to examine the impact of financial literacy and financial inclusion on small businesses’ overall performance with special reference to Southwest Nigeria. Methods: Descriptive survey research sketch was adopted for this study, while the purposive sampling method was employed to choose forty small scale businesses registered with SMEDAN from each state capital of South Western of Nigeria that engaged in petty trading, bakeries, block-making, soup-making, tailoring, and agro-allied, totaling 240 participants as a sample size for the study. Data were collected by using a closed-ended questionnaire designed for the study, while simple percentage, mean, standard deviation, Pearson Product Moment Correlation (PPMC), and Ordinary Least Square (OLS) was used to analyze the data. Results: The findings disclose that financial literacy and financial inclusion jointly and independently affect small businesses’ performance. It revealed a positive and significant relationship between financial literacy and financial inclusion. However, the study depicts that majority of business operators did not have financial knowledge such as working capital management, accounting records system, financial reporting, cashbook maintenance, income statement, daily cash reconciliation, internal control on cash, and cash budget. Also, the study confirmed that the majority of small business entrepreneurs are financially excluded from micro-financing, emergency loans, employ purchase financing, business bank loans, and micro-insurance plan Services. Implications: The implication of this study is that if the Central Bank of Nigeria partnership with other professional organizations to promote financial literacy and inclusion programs to all business entrepreneurs across the nation, it will motivate more business entrepreneurs in Nigeria to have access to finance.
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33

Santoso, Yudy Dwi, Nurmala Ahmar, and JMV Mulyadi. "Penyajian Pendapatan Komprehensif Lain Dan Komponennya Pada Industri Keuangan." Liquidity 6, no. 1 (April 10, 2017): 19–31. http://dx.doi.org/10.32546/lq.v6i1.37.

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This research was conducted with the aim to analyze the presentation of the components of other comprehensive income / other comprehensive income (OCI) after IFRS implementation in the industrial sector of financial that is listed in the Indonesia Stock Exchange in 2012-2015. The sample in this research is 91 financial sector companies. The finance industry has 5 sub-sectors such as banking sub-sector, sub-sector financial institution sub sector, securities company sub sector, insurance sub sector and other sub sector. Analysis techniques in the study using cross tabulation analysis and the difference test was done by Cramer V test because of its nominal nature. Testing does not require the assumption of normality because it belongs to the nonparametric statistical group. The results of the hypothesis testing of the financial industry sector proved that the foreign exchange component, available for sale securities, hedge funds and associtions were found to be different, while the components of employee benefits and revaluation of assets were not found in the income statement and other comprehensive income.
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34

Vidal-Meliá, Carlos, Manuel Ventura-Marco, and Juan Manuel Pérez-Salamero González. "Social Insurance Accounting for a Notional Defined Contribution Scheme Combining Retirement and Long-Term Care Benefits." Sustainability 10, no. 8 (August 9, 2018): 2832. http://dx.doi.org/10.3390/su10082832.

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This paper develops a social insurance accounting model for a notional defined contribution (NDC) scheme combining retirement and long-term care (LTC) contingencies. The procedure relies on standard double-entry bookkeeping and enables us to compile a “Swedish” type actuarial balance sheet (ABS) following a framework equivalent to an open group approach. This methodology is suitable for reporting the system’s solvency status and can show periodical changes in the system’s financial position by means of an income statement. The information underpinning the actuarial valuation is based on events and transactions that are verifiable at the valuation date, without considering expected future trends. The paper also contains an illustrative example to make it easier for policymakers to understand the main advantages and difficulties of our proposal. The policy conclusions stress the need to properly report social insurance benefits to enhance transparency and sustainability and to improve decision-making because it is in the public interest to do so.
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35

Marhasova, V. G., and D. P. Kovalenko. "PROBLEM ISSUES OF THE FUNCTIONING OF THE UKRAINE INSURANCE MARKET AND FEATURES OF ITS PRUDENTIAL REGULATION." Scientific bulletin of Polissia, no. 3(19) (2019): 17–21. http://dx.doi.org/10.25140/2410-9576-2019-3(19)-17-21.

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Urgency of the research. The Ukraine insurance market shows a decrease in the dynamics of development, so the search for the latest forms and methods to stimulate the efficiency of domestic insurance companies is important and timely. A comprehensive analysis of the performance of insurers of Ukraine is necessary to develop proposals to improve the efficiency of the insurance market. Target setting. In recent years, the development of the national insurance market has been characterized by a number of destabilizing factors: economic and political instability, declining effective demand for insurance services, low public confidence, expectations of a financial crisis in the country and the world. Thus, the study of the main trends in the insurance market and the problems of its prudential regulation is of great practical importance. Actual scientific researches and issues analysis. Theoretical and applied aspects of the insurance market are represented by scientific works of such famous scientists as L. Alekseenko, V. Bazylevych, K. Bazylevych, V. Vyhovska, K. Vobly, O. Gamankova, O. Zhuravka, A. Yermoshenko, O. Kozmenko, V. S. Osadets, N. Tkachenko, V. Furman, V. Shakhov, T. Yavorska, etc. Uninvestigated parts of general matters defining. Systematic research is needed to ensure effective prudential regulation as an effective mechanism for influencing the performance of insurance companies. The research objective. Analysis of the state of the Ukraine insurance market will identify the main problems that slow down its development and outline possible ways to solve them. The statement of basic materials. This article analyzes the state and trends of the Ukraine insurance market. It is established that the activity of insurance companies of the country does not meet the needs of the national economy. Conclusions. Proposals to increase the efficiency of the domestic insurance market have been developed, in particular: the need to modernize approaches to ensuring the protection of their customers through the creation of an effective system of control over compliance with solvency standards by insurance companies.
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Ferguson, Andrew, and Gabriel Pündrich. "Does Industry Specialist Assurance of Non-Financial Information Matter to Investors?" AUDITING: A Journal of Practice & Theory 34, no. 2 (September 1, 2014): 121–46. http://dx.doi.org/10.2308/ajpt-50930.

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SUMMARY Previous studies in the financial economics literature highlight the value of non-financial information in Internet and telephony stocks (Amir and Lev 1996; Trueman, Wong, and Zhang 2001). Other studies consider the financial and share price performance implications of assurance of non-financial information such as ISO 9000 certification (Corbett, Montes-Sancho, and Kirsch 2005), Total Quality Management awards (Hendricks and Singhal 1997), and non-financial information disclosure (Coram, Monroe, and Woodliff 2009). However, prior studies have occurred in settings where disclosure and assurance of non-financial information is voluntary. We provide evidence on the value of assurance of non-financial information where the assurance of public resource disclosures made under the JORC Code by Australian Mining Development Stage Entities are mandatory. The assurance role undertaken by Competent Persons reporting under the JORC Code bears many close similarities to the financial reporting assurance role undertaken by auditors. Further, the information environment of MDSEs is characterized by high information asymmetry and the reality that the utility of non-financial technical information supersedes financial statement information in firm valuation. We document very weak evidence of greater abnormal returns evident when reserve disclosures are provided by specialist mining consultants. In supplementary analysis, we test for implications of switching mineral consultant and find that clients experience significant positive abnormal returns when the successor is larger. Overall, our findings support the insurance hypothesis, in that mandatory specialist assurance matters little where litigation risk is low.
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37

Hindley, D. J., M. Allen, A. J. Czernuszewicz, D. C. B. Ibeson, W. D. McConnell, and J. G. Ross. "The Lloyd's Reinsurance to Close Process." British Actuarial Journal 6, no. 4 (December 1, 2000): 651–720. http://dx.doi.org/10.1017/s1357321700001963.

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ABSTRACTGeneral insurance syndicates at Lloyd's are required to obtain a Statement of Actuarial Opinion (SAO) in relation to their solvency reserves. This paper focuses on the reinsurance to close (RITC) process at Lloyd's, which is not currently subject to such opinions although some Lloyd's syndicates choose to obtain informal opinions from actuaries in relation to RITC. The paper analyses the current RITC process and suggests two types of opinion that actuaries could provide in relation to RITC. We also consider briefly financial condition opinions for Lloyd's syndicates. The International Accounting Standards Committee (IASC) published their issues paper on insurance accounting during the drafting of this paper, and we include some consideration of the application of the IASC's fair value concept to the future claim liabilities of Lloyd's syndicates. Lloyd's may be subject to unprecedented changes in the next few years, and we therefore consider the effect of these potential changes both on the existing actuarial solvency opinions and on our suggested opinions in relation to RITC. Our aim is to carry out an objective analysis of this unique reserving process and to offer suggestions as to how actuaries might add value to the process, taking into account how Lloyd's might change in future. Because of these changes, much of the paper has direct application to non-Lloyd's insurance companies.
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Silva, Jerferson Freitas da, Fausto Alexandre Vasconcelos Silveira, Antônia Wigna de Almeida Ribeiro, and Antonio Jorge Fernandes. "VERIFICAÇÃO DA GERAÇÃO E DISTRIBUIÇÃO DE RIQUEZA DAS EMPRESAS DE SEGUROS BRASILEIRAS NO PERÍODO DE 2015 A 2017." Revista Gestão e Desenvolvimento 17, no. 1 (January 3, 2020): 129. http://dx.doi.org/10.25112/rgd.v17i1.1715.

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De forma geral há um consenso de que as instituições necessitam de meios que lhes sirvam de fontes de dados para que possam promover seus gerenciamentos com segurança. No Brasil, os instrumentos de gestão normatizados pela legislação societária são os demonstrativos contábeis financeiros. Alguns demonstrativos, por sua vez, apresentam significativa relevância no contexto econômico social. Verifica-se, portanto, a Demonstração do Valor Adicionado (DVA) como um demonstrativo financeiro que se adequa a esse tipo de informação. Nesse contexto, o objetivo principal desta pesquisa é apresentar a geração e a distribuição do valor adicionado gerado pelas organizações de capital aberto segmentada como seguradoras e listadas na B3 (B3 S.A – Brasil, Bolsa, Balcão), durante o período de 2015 a 2017. Para tanto, utilizou-se da pesquisa do tipo documental e descritiva, de natureza qualitativa, através de uma análise nas DVA’s das instituições pesquisadas. Concluiu-se que o período de 2015 a 2017 propiciou uma queda na capacidade de gerar valor para as entidades seguradoras. Dentre as quais, a companhia BB – Seguridade Participações S.A demostrou maior capacidade de geração de riqueza, como também foi a que menos destinou o valor adicionado ao seu corpo de funcionários. Quanto à distribuição de valor notou-se que a maior parcela foi destinada à formação de reservas de lucros, sendo também uma considerável quantia destinada aos acionistas. De forma geral, o governo e os funcionários foram os que menos se beneficiaram do valor adicionado.Palavras-chave: Geração e distribuição de riqueza. Demonstração do Valor Adicionado. Seguradoras da B3.ABSTRACTIn general, there is a consensus that institutions need means that they serve as data sources so that they can promote their management with security. In Brazil, the standardized management tools for the corporate legislation, are the financial statements. Some statements, for your time, have significant relevance in the social economic context. Therefore, the Value Added Statement (VAS) is presented as a financial statement that is adequate for this type of information. In this context, the main objective of this research is to present the generation and distribution of the added value generated by publicly traded companies segmented as insurers and listed on the B3 (B3 S.A – Brasil, Bolsa, Balcão), during the period from 2015 to 2017. For this purpose, the documentary and descriptive research of a qualitative nature was used, through an analysis in the VAS’s of the research institutions. It was concluded that the period 2015 to 2017 caused a decrease in the capacity to generate value for the insurance companies. Among them, the company BB – Seguridade Participações S.A demonstrated greater capacity for wealth generation, but it was also the one that attributed the least added value to its employees. Regarding the distribution of value it was noted that the largest portion was destined for the formation of reserves, and also a good amount destined to the shareholders. In general, government and employees were the ones that benefited least from value added.Keywords: Generation and distribution of wealth. Value added statement. Insurers of the B3.
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39

Meropol, Neal J., Deborah Schrag, Thomas J. Smith, Therese M. Mulvey, Robert M. Langdon, Diane Blum, Peter A. Ubel, and Lowell E. Schnipper. "American Society of Clinical Oncology Guidance Statement: The Cost of Cancer Care." Journal of Clinical Oncology 27, no. 23 (August 10, 2009): 3868–74. http://dx.doi.org/10.1200/jco.2009.23.1183.

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Advances in early detection, prevention, and treatment have resulted in consistently falling cancer death rates in the United States. In parallel with these advances have come significant increases in the cost of cancer care. It is well established that the cost of health care (including cancer care) in the United States is growing more rapidly than the overall economy. In part, this is a result of the prices and rapid uptake of new agents and other technologies, including advances in imaging and therapeutic radiology. Conventional understanding suggests that high prices may reflect the costs and risks associated with the development, production, and marketing of new drugs and technologies, many of which are valued highly by physicians, patients, and payers. The increasing cost of cancer care impacts many stakeholders who play a role in a complex health care system. Our patients are the most vulnerable because they often experience uneven insurance coverage, leading to financial strain or even ruin. Other key groups include pharmaceutical manufacturers that pass along research, development, and marketing costs to the consumer; providers of cancer care who dispense increasingly expensive drugs and technologies; and the insurance industry, which ultimately passes costs to consumers. Increasingly, the economic burden of health care in general, and high-quality cancer care in particular, will be less and less affordable for an increasing number of Americans unless steps are taken to curb current trends. The American Society of Clinical Oncology (ASCO) is committed to improving cancer prevention, diagnosis, and treatment and eliminating disparities in cancer care through support of evidence-based and cost-effective practices. To address this goal, ASCO established a Cost of Care Task Force, which has developed this Guidance Statement on the Cost of Cancer Care. This Guidance Statement provides a concise overview of the economic issues facing stakeholders in the cancer community. It also recommends that the following steps be taken to address immediate needs: recognition that patient-physician discussions regarding the cost of care are an important component of high-quality care; the design of educational and support tools for oncology providers to promote effective communication about costs with patients; and the development of resources to help educate patients about the high cost of cancer care to help guide their decision making regarding treatment options. Looking to the future, this Guidance Statement also recommends that ASCO develop policy positions to address the underlying factors contributing to the increased cost of cancer care. Doing so will require a clear understanding of the factors that drive these costs, as well as potential modifications to the current cancer care system to ensure that all Americans have access to high-quality, cost-effective care.
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40

LUPU, Aurel Constantin, and Oana Raluca IVAN. "ACHIEVING THE SUSTAINABLE DEVELOPMENT GOALS." ANNALS OF THE UNIVERSITY OF ORADEA. ECONOMIC SCIENCES 30, no. 2 (December 2021): 147–54. http://dx.doi.org/10.47535/1991auoes30(2)016.

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The purpose of this paper is to examine the state of Romania’s sustainable development using statistical indicators (green investments, employment rate, GDP expenditure on research, development, and innovation, greenhouse gas emissions, share of renewable energy in gross final energy consumption, early school leavers, tertiary educational attainment, and people at risk of poverty or social exclusion). The method used in this research work is bibliographical and statistical research. The topic of sustainability has experienced a new upswing. Society demands sustainable business from companies and wants transparent information in return. The importance of sustainable action is also reflected in investment decisions: the classic financial key figures are no longer the exclusive reason for an investment. Rather, non-financial indicators are expected to provide further information about the long-term value of a company. In 2014, EU member states adopted a directive to expand the reporting of large capital market-oriented companies, credit institutions, financial services institutions and insurance companies. Since 2017, this Nonfinancial Information (NFI) Directive has been mandatory for capital market-oriented companies in Austria within the framework of the Sustainability and Diversity Improvement Act (NaDiVeG). In concrete terms, this means that capital market-oriented companies must publish a non-financial statement or a separate non-financial report in addition to the management report. The number of companies generating and providing non-financial information to interested users is steadily increasing around the world, while the quality of disclosure of such information is increasing. Year by year, as evidenced by numerous studies and stakeholder surveys. In Romania, green initiatives have resulted in an increase in the share of renewable energy in total energy consumption, a decrease in school dropouts, and an increase in the number of students enrolled in bachelor’s degree programs.
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Kim, Won Jun, Jae Hyun Kim, Hye Jin Yoo, Jang Won Son, Ah Reum Khang, Su Kyoung Kwon, Ji Hye Kim, et al. "A Position Statement of the Utilization and Support Status of Continuous Glucose Monitoring in Korea." Journal of Korean Diabetes 22, no. 4 (December 31, 2021): 225–37. http://dx.doi.org/10.4093/jkd.2021.22.4.225.

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The accuracy and convenience of continuous glucose monitoring (CGM), which efficiently evaluates glycemic variability and hypoglycemia, are improving. There are two types of CGM: professional CGM and personal CGM. Personal CGM is subdivided into real-time CGM (rt-CGM) and intermittently scanned CGM (isCGM). CGM is being emphasized in both domestic and foreign diabetes management guidelines. Regardless of age or type of diabetes, CGM is useful for diabetic patients undergoing multiple insulin injection therapy or using an insulin pump. rt-CGM is recommended for all adults with type 1 diabetes (T1D), and can also be used in type 2 diabetes (T2D) treatments using multiple insulin injections. In some cases, short-term or intermittent use of CGM may be helpful for patients with T2D who use insulin therapy other than multiple insulin injections and/or oral hypoglycemic agents. CGM can help to achieve A1C targets in diabetes patients during pregnancy. CGM is a safe and cost-effective alternative to self-monitoring blood glucose in T1D and some T2D patients. CGM used in diabetes management works optimally with proper education, training, and follow up. To achieve the activation of CGM and its associated benefits, it is necessary to secure sufficient repetitive training and time for data analysis, management, and education. Various supports such as compensation, insurance coverage expansion, and reimbursement are required to increase the effectiveness of CGM while considering the scale of benefit recipients, policy priorities, and financial requirements.
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Abdurahim, Ahim, Hafiez Sofyani, and Sigit Arie Wibowo. "Membangun Good Governance di Lembaga Amil Zakat, Infaq dan Shadaqah (LAZ): Pengalaman Dua LAZ Besar di Indonesia." INFERENSI: Jurnal Penelitian Sosial Keagamaan 12, no. 1 (August 1, 2018): 45–64. http://dx.doi.org/10.18326/infsl3.v12i1.45-64.

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This study aims to explore experiences of two big LAZs in Indonesia, namely Lazis Based on Islamic Organization X and Rumah Zakat in complying requirements as a good governance Lazis, with reference to Religion Ministerial Decree (Keputusan Menteri Agama/KMA) 333/2015 about Guidance on Giving Permit Establishment of Amil Zakat Institute and Statement of Financial Accounting Standards (PSAK) No. 109 on Accounting for Zakat and Infak/Alms. Specifically, this study was conducted with interview and observation techniques. Object observations are: Legality, Organizational Structure, Human Resource Quality, Work Program Planning, Implementation Work, Data Management, and Reporting. This study indicate hat there are several points of the requirements that become obstacles, namely: Registered as an Islamic social institution that manages the field of education, da'wah and social or institutional bodies law, Having a planned program plan and trstruktur, Have the technical, administrative and financial skills to carry out its activities, Have state health insurance (BPJS) and employment or other insurance for its employees, and able to raise funds at least 50 billion for LAZNAS. From the various obstacles that arise, the two LAZ has a similar pattern in solving them, namely by adopting the practice of New Public Management for the management and governance of Lazis can run well. In addition, synergy with various parties, such as academics and NGOs, and utilize the progress of information technology by building an e-donation system to optimize the collection of zakat and infaq potentials from various regions in Indonesia. The results of this study are expected to be an input for other LAZ in improving the quality of management and governance, especially related to the filing of legality to the Ministry of Religious Affairs of Indonesia regulated in KMA 333 2015.
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Nakonechna, Yuliia, and Anastasia Rybalka. "Financial support of state social guarantees in Ukraine." University Economic Bulletin, no. 45 (May 27, 2020): 206–17. http://dx.doi.org/10.31470/2306-546x-2020-45-206-217.

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Relevance of the research topic. The development and improvement of the financial system of Ukraine is hindered by the low social responsibility of the state, society, and business. The modern transformation of principles and approaches to the determination of socially important social standards and the sources of their financing requires a deep theoretical understanding of the problems of social security of the population, therefore, the study of the issue of financing social guarantees by the state is timely and relevant. Formulation of the problem. Social guarantees are those essential elements in the functioning of the state, determine the stability of society and its security, and affect the implementation of the social and economic policies of the government. It is this element that should ensure the guarantee of a decent standard and quality of life for every citizen, and, consequently, a high level of well-being of the population as a whole. Analysis of recent research and publications. The role and essence of social guarantees in the fulfillment of the social function of the state has been thoroughly investigated in many scientific works of modern economists. A separate issue of financial support of social guarantees is the work of О. D. Vasilik,S. H. Batazhok, V. M. Grineva, V. P. Gorina, D. I. Sukhovиy, N. D. Hlazko, L. V. Lysyak, V. M. Oparin, V. B. Tropinа, V. M. Fedosov and others. Highlighting unexplored parts of a common problem. The question of ways to overcome the contradiction between the real needs of citizens receiving social support of the state and those financial opportunities (resources) of the state with which it can provide these needs of the population remains insufficiently studied. Setting goals, research objectives. The purpose of the article is to identify contemporary problems of financing state social guarantees in Ukraine. The goal determines the need to solve the following tasks: to analyze the nature, types of social guarantees, evaluate budget indicators of social security of citizens, identify obstacles and necessary steps towards the implementation of a full-fledged mechanism of financial guarantees of social protection of the population. Method or methodology of the study. When writing the article, a set of scientific research methods was used: general scientific and special methods, in particular, system-structural analysis and synthesis, the method of statistical analysis, comparison, generalization, as well as graphical and tabular methods to clearly illustrate the phenomena studied and the like. Statement of the main material (results of work). The article reveals the essence of state social guarantees as a system of financial support of an adequate standard of living of an individual. Priority tasks for ensuring the functioning in Ukraine of an effective financial mechanism for providing social guarantees to the population are highlighted. The article states that most of the financing of social guarantees is based on the expenses of the state budget and local budgets. The basic standard on the basis of which the calculation of the volume of social guarantees and benefits aimed at social protection and social security is carried out is the cost of living. An important source of financial support for social guarantees are social non-budget funds, which include the Pension Fund of Ukraine, the Social Insurance Fund and the Compulsory State Social Insurance Fund for Unemployment. The financial resources accumulated in them are directed to the material support of a significant part of the citizens of the state who are participants in the system of national pension and social insurance and are designed to overcome the consequences of social insurance events. Scope of the results. The theoretical provisions, conclusions and suggestions presented in the article, developed on the basis of the analysis of indicators of state financial support of social guarantees, develop the theory and practice of the policy of financing social guarantees in the country, allow us to identify ways and directions for improving it to achieve social protection and increase the welfare of the population. Conclusions and results can be used in planning social expenditures of the government, in socio-economic research of scientific analytical centers, in the educational process of economic faculties of higher educational institutions. Conclusions are consistent with the article. State social guarantees play an important role in the functioning of the state, because through the system of social guarantees the state affects the redistribution of GDP, under their influence indicators of financing various social programs are formed, which determines the directions and priorities of state policy. Based on the results of the study, it was concluded that it is necessary to draw up and publish a “social” budget - a product of public dialogue between state and non-state financial institutions, employers, independent authoritative economists, and public organizations, which will contribute to the development of civil society in a socially oriented country.
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44

Dontoh, Alex, Joshua Ronen, and Bharat Sarath. "Financial Statements Insurance." Abacus 49, no. 3 (September 2013): 269–307. http://dx.doi.org/10.1111/abac.12012.

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45

Poliatykina, Larysa, Iryna Samoshkina, and Olena Slavkova. "ECONOMIC ASPECTS OF THE DEVELOPMENT OF INSURANCE ACTIVITY OF SMALL BUSINESSES." Baltic Journal of Economic Studies 5, no. 4 (October 29, 2019): 197. http://dx.doi.org/10.30525/2256-0742/2019-5-4-197-202.

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The goal of the article is to summarize and highlight the main economic aspects of the development of insurance activities of small businesses in the countries of Eastern Europe. The small business performs a number of important economic and social tasks. The main arguments in favour of the features of the organization and operation of insurance activities of small businesses are considered. The purpose of the research. The purpose of this scientific research is to develop a methodological approach to the organization of insurance activities in small business and make proposals on the ways of their improvement. Insurance provides reliable protection of property interests of entrepreneurs and the population in case of losses caused by fire, natural disaster, technogenic accidents, traffic accidents, and many other unforeseen circumstances. Problem statement. In the economy of countries of Eastern Europe, there are a number of features of small business development. Entrepreneurship contributes to the expansion of the sector of employment, the creation of new employment opportunities for the unemployed population, and the dismissal of employees from enterprises, which operate inefficiently. Insurance provides reliable protection of property interests of entrepreneurs and the population in case of losses caused by fire, natural disaster, technogenic accidents, traffic accidents, and many other unforeseen circumstances. Insurance has proved itself as a form of accumulation of funds of citizens to solve their social problems (health, pensions, education, etc.). In recent years, insurance is widely used in the event of third-party liability. The issue on the problems of the organization of insurance activities of small businesses has been and is studied in detail in periodicals and special literature. Methodology. The analysis of the operation of small business and the features of its conduct was made during the study. The issues of the formation and operation of small business, as well as workflow management and business administration at these enterprises, are controversial. As a result of the research, the regulatory framework of the operation of insurance enterprises in the sphere of small business has been analysed. The article focuses on the main arguments in favour of the features of the organization and operation of insurance activities of small businesses. There is a need for the intensification of insurance activities. Practical implications. The study of scientific works and the practice of economic activity indicate that some of the theoretical provisions regarding the interpretation of the features of the organization and operation of insurance activities of small businesses are of a polemical character, and a number of important aspects of their organization, evaluation, and the methods of organization should be improved. Value/originality. The main directions of the insurance activity of small businesses in the global economy have been studied. The ways and directions of activation of insurance activities are offered. The strategy of the development of small and medium-sized businesses in the insurance sector in Ukraine is proposed. The strategy is aimed at ensuring the gradual development of insurance activities of small businesses, given the temporarily limited financial support and significant challenges in the economy of Eastern European countries.
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46

Labisi, Titilola O., Anthony T. Podany, Nada A. Fadul, Jason D. Coleman, and Keyonna M. King. "Factors associated with viral suppression among cisgender women living with human immunodeficiency virus in the United States: An integrative review." Women's Health 18 (January 2022): 174550572210922. http://dx.doi.org/10.1177/17455057221092267.

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Introduction: Women account for 23% of new human immunodeficiency virus diagnoses in the United States, yet remain understudied. Adherence to antiretroviral therapy and consequent viral suppression are keys to preventing human immunodeficiency virus transmission, reducing risk of drug resistance, and improving health outcomes. Objectives: This review identified and synthesized peer-reviewed studies in the United States describing factors associated with viral suppression among cisgender women living with human immunodeficiency virus. Methods: We searched five databases: Cumulative Index to Nursing and Allied Health (CINAHL), PubMed, Embase, Scopus, and PsycINFO, and reported the findings using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eligible studies included: (1) peer-reviewed English-language articles published since 2010; (2) includes only cisgender women; (3) participants were at least 18 years of age; (4) reported metrics on viral loads; and (5) conducted in the United States. Results: Fourteen studies in total were reviewed. Eight studies had adult women living with human immunodeficiency virus, four recruited only pregnant women, and two included only racial minority women. The most commonly reported factors negatively associated with viral suppression were substance use ( n = 4), followed by availability of health insurance, financial constraint, complexity of human immunodeficiency virus treatment regimen ( n = 3), and intimate partner violence ( n = 2). Other factors were depression, race, and age. In addition, all four studies that included only pregnant women reported early human immunodeficiency virus care engagement as a significant predictor of low viral loads pre- and post-partum. Conclusion: Substance use, financial constraint, lack of health insurance, human immunodeficiency virus treatment regimen type, intimate partner violence, and late human immunodeficiency virus care pre–post pregnancy were the most common factors negatively associated with viral suppression. There is a paucity of data on viral suppression factors related to transgender and rural populations. More human immunodeficiency virus research is needed to explore factors associated with human immunodeficiency virus treatment outcomes in transgender women and cisgender women in rural U.S. regions.
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47

Kolesnichenko, Ol'ga Viktorovna. "Foreign experience of application of special systems of restitution for damages to health as a result of work accidents and occupational diseases (on the example of Germany and Great Britain) and prospects of borrowing it by Russia." Право и политика, no. 8 (August 2020): 18–32. http://dx.doi.org/10.7256/2454-0706.2020.8.33119.

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The subject of this research is the legislation and practice of its implementation, as well as the legal doctrine of Russia, Germany and Great Britain on the existing special systems of compensation for damage inflicted to health as a result of work accidents and occupational diseases. The author examines the special systems of restitution for occupational damage that represent starkly different versions of implementation of basic models developed in global practice (Bismarck and Beveridge). Attention is focused on the key issues of compensation for occupational damage using the legal means available in the Russian Federation. Analysis is conducted on the existing foreign experience on the matter. The author&rsquo;s special contribution to the research of the topic consists in the statement that for establishing balance within the system of restitution for occupational damage it is necessary to clearly demarcate the three types of compensations: guaranteed social security paid from the budget funds in terms of obligations assumed by government &nbsp;to support vulnerable population groups; obligations in tort recovered from the tortfeasor, considering the grounds and limits of civil liability; insurance payments, which represent partial coverage of inflicted damage based on the terms of insurance contract. The scientific novelty lies in determination of the prospects for improving the national special system of restitution for occupational damage. It is substantiated that in such system the distribution of losses between different types of compensations should be based on the criteria of preferred form of compensation (payment in kind or financial compensation); legal nature of separate elements of reparation (incapacitation, occupational disease, etc.); type of payments (recurring or lump sum), purpose of compensation; calculation of payments.
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48

Potapchik, E. G. "WHICH HEALTH FINANCING MODEL IS BETTER: TAX-FINANCED OR SOCIAL HEALTH INSURANCE? WHAT DOES INTERNATIONAL EXPERIENCE PROVE?" Social Aspects of Population Health 67, no. 1 (2021): 9. http://dx.doi.org/10.21045/2071-5021-2021-67-1-9.

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In Russia disputes on the need to abandon Compulsory Health Insurance (CHI) and return to the tax-based financing are yet to subside. At present, after the statement of the President of the Russian Federation V. Putin about the possibility to establish a state health care corporation, discussions on the issue have only escalated. Purpose. To conduct a comparative assessment of the public health financing model impact on the access and structural characteristics of health care delivery in the developed countries. Material and methods. Assessment of the potential impact of public funding models on the health system performance is carried out by analyzing variations in the main indicators of financial access, health care uptake and health status of the population, achieved in the developed countries with different health financing models. Results. Health care expenditures in countries with CHI are higher than in countries with the tax-based financing model. In countries with CHI the share of administrative expenses is slightly higher than in countries with the tax-based financing system. The share of spending on preventive care is slightly higher in countries with the tax-based financing system. There is a slightly lower level of outpatient and inpatient care uptake in countries with the tax-based financing system compared to countries with CHI. The premature mortality rate in countries with CHI is slightly lower than in countries with the tax-based system. Conclusion. The obtained data indicate that there are no significant differences in the access and structural characteristics of medical care in the health care system of the developed countries with different financing models. The main difference remains the level of health expenditures. In countries with CHI, the level of health expenditures is higher than in countries with the tax-based financing, which is largely due to the existence of a separate source of funding. The level of administrative costs in countries with CHI is also higher than in countries with the tax-based system.
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49

Bustani, Bustani. "The Effect Of Return On Assets (ROA), Net Profit Margin (NPM), Dividend Payout Ratio (DPR) And Dividend Yield (DY) On Stock Prices In The Subsectors Insurance Company Listed In Indonesia Stock Exchange Period 2015-2018." Ilomata International Journal of Tax and Accounting 1, no. 3 (July 31, 2020): 170–78. http://dx.doi.org/10.52728/ijtc.v1i3.113.

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This study aims to examine the effect of Return on Assets (ROA), Net Profit Margin (NPM), Dividend Payout Ratio (DPR), Dividend Yield (DY) on Share Prices in Insurance sub-sector companies listed on the Indonesia Stock Exchange period 2015- 2018. This type of research is explanatory research. This study took a population of 16 companies with a sample of 10 companies selected through purposive sampling, so the number of sample observations over 4 years to 40 companies. The data used are secondary data, namely financial statement data in the form of ROA, NPM, DPR and DY ratios from 2015-2018. Secondary data was collected through documentation of research objects obtained by the IDX. Furthermore, the data were analyzed using multiple linear regression which had previously been fulfilled the classic assumption test as a prerequisite for conducting a regression test. The results of this study ROA and NPM significantly influence stock prices. DPR and DY have no effect on stock prices. The coefficient of determination (R2)worth of 0.29%, which means that the ROA, NPM, Parliament and DY explain the effect on stock prices by 29%, while the value of 71% is influenced by other variables not included in this study.
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50

Vakkalanka, B. K., K. Ruda, and T. O'Brien. "Influence of health insurance status on breast cancer diagnosis and treatment delay: A safety net hospital's experience." Journal of Clinical Oncology 25, no. 18_suppl (June 20, 2007): 6592. http://dx.doi.org/10.1200/jco.2007.25.18_suppl.6592.

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6592 Background: Given barriers to access, uninsured women with breast cancer might experience delays in diagnosis and treatment when compared to insured women. The influence of insurance status on breast cancer outcome was addressed at a single institution whose mission statement requires that all pts be treated the same, regardless of their ability to pay Methods: Records of all pts with breast cancer seen from 1/00- 12/04 at a safety net hospital were reviewed. Insurance status was defined at the time of the first abnormal mammogram. Cases were divided into Group A (private insurance), B (medicaid or medicare) or C (uninsured). Time to diagnosis (TDx) was defined as the interval from abnormal mammogram to pathologic diagnosis of breast cancer. Time to treatment (TRx) was defined as time from pathologic diagnosis to definitive surgical therapy. Results: 560 cases were reviewed. Group A: 48%, B: 33%, C: 19%. Median age= 57 (GrpA=53, B= 67, C= 55). Race Caucasian 59%; AA 34%; other 7%. Stage (0, I, II, III and IV, in %, respectively): Grp A= 14.6, 42.9, 31.5, 7.1 and 3.9; Grp B= 13.1, 46, 22.7, 12.5 and 5.7; Grp C = 13.9, 33.7, 32.7, 11.9 and 7.9. No significant diff between groups, although there was a trend towards later (III/IV) pts in grps B and C than A (18.2% and 19.8% vs 10.9%, respectively). Mean TDx: Grp A= 50.6 days, B= 68.1d and C=52.8d; p= 0.006 when Group B was compared to the other two groups but there was no difference between uninsured and private groups. Mean TRx: 43.8d, 48.6d and 47.8 days, respectively, for groups A, B and C, without any statistical difference between any of the groups. Conclusions: A 5-year review of breast cancer cases at a large safety net hospital did not reveal any difference in the time to diagnosis or initiation of treatment for insured vs. uninsured pts. Uninsured and medicaid/medicare pts tended to present with later stage disease, perhaps due to access problems. A statistically significant delay in diagnosis was noted in the medicaid/medicare group but it is unlikely that this difference (18 days) was clinically important. Because uninsured pts are provided care at greatly discounted rates at our institution, these results may differ from those at other institutions. Further studies addressing this issue are warranted. No significant financial relationships to disclose.
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