From Ground-Up Loss to Payment CDF
An ordinary deductible changes the amount paid on each loss: the insured bears the first \(d\) dollars, and the insurer pays the excess above \(d\). To find the distribution of the insurer’s payment, translate each payment threshold back to the corresponding ground-up loss threshold. The boundary at zero matters: a payment of zero occurs whenever the loss does not exceed the deductible, including when it equals the deductible.
Assume throughout that \(X\) is a nonnegative ground-up loss with cumulative distribution function \(F_X(x)=P(X\le x)\), and that the deductible \(d\) is nonnegative. The insurer’s payment per loss is \(Y=(X-d)^+=\max(X-d,0)\). No continuity or density assumption is needed for the CDF formula.
The formula applies whether the ground-up loss distribution is discrete, continuous, or a mixture. A CDF is defined using a “less than or equal to” event, so the formula also handles jumps in \(F_X\). At positive \(y\), the relevant ground-up threshold is \(d+y\), not \(y\) alone.
Why the Formula Holds
For negative \(y\), \(Y\) cannot be negative, so \(P(Y\le y)=0\). For \(y\ge 0\), split the event according to whether the loss is at or below the deductible. If \(X\le d\), then \(Y=0\le y\). If \(X>d\), then \(Y=X-d\), and \(Y\le y\) is equivalent to \(X\le d+y\). Together these cases give exactly the event \(X\le d+y\).
At \(y=0\), the second event in the union is empty, leaving \(\{X\le d\}\). Thus the CDF’s value at zero follows from the same event argument; it is not an extra rule. If the ground-up distribution has an atom at \(d\), that loss is included in \(F_X(d)\), because it produces zero payment.
Reading the CDF Across Its Support
The CDF of \(Y\) is flat at zero for every negative argument, then begins at \(F_X(d)\) when \(y=0\). For nonnegative arguments it follows the ground-up CDF shifted horizontally by \(d\). This description is a translation of thresholds, not a change to the probability scale.
| Payment threshold | Equivalent ground-up event | Probability |
|---|---|---|
| \(y<0\) | \(Y\le y\) is impossible | \(F_Y(y)=0\) |
| \(y=0\) | \(X\le d\) | \(F_Y(0)=F_X(d)\) |
| \(y>0\) | \(X\le d+y\) | \(F_Y(y)=F_X(d+y)\) |
| \(y\ge 0\), upper tail | \(X>d+y\) | \(P(Y>y)=S_X(d+y)\) |
For a continuous ground-up distribution, one may sometimes express the CDF using an integral of its density. But the CDF identity above is more general and is the safer starting point: it remains valid when the loss distribution has discrete outcomes or a mixture of discrete and continuous parts.
Worked Example: A Discrete Ground-Up Loss Model
A hypothetical repair policy has deductible \(d=\$1{,}000\). The ground-up loss \(X\) takes values \(\$0,\$500,\$1{,}000,\$1{,}800,\$2{,}500\), with respective probabilities \(0.10,0.20,0.30,0.25,0.15\). Find \(F_Y(0)\), \(F_Y(800)\), and \(P(Y>800)\).
Method. First accumulate the ground-up probabilities up to each required threshold. The probabilities sum to \(0.10+0.20+0.30+0.25+0.15=1.00\), as required.
At zero payment, the equivalent ground-up event is \(X\le d=\$1{,}000\). Therefore, \(F_Y(0)=F_X(1{,}000)=0.10+0.20+0.30=0.60\). The loss equal to the deductible is included.
For the payment threshold \(\$800\), use the ground-up threshold \(d+800=\$1{,}800\): \(F_Y(800)=F_X(1{,}800)=0.10+0.20+0.30+0.25=0.85\).
The upper-tail probability is the complement: \(P(Y>800)=1-F_Y(800)=1-0.85=0.15\). This also follows directly from \(P(X>1{,}800)\), which is the probability of the \(\$2{,}500\) loss, \(0.15\).
Check. \(F_Y(800)+P(Y>800)=0.85+0.15=1\). The common mistake avoided here is using \(F_X(800)\) rather than \(F_X(1{,}800)\) for the payment CDF.
Continuous Model Applications
For a continuous severity model, the same threshold shift applies. The model supplies \(F_X\) or \(S_X\); the deductible formula determines which ground-up value to evaluate. State the model parameters and support before substituting, because a formula outside its stated support may not apply.
Worked Example: Pareto Type I Payment CDF
Suppose a hypothetical ground-up loss follows a Pareto Type I distribution with scale \(\theta=\$1{,}000\) and shape \(\alpha=2\), so that \(S_X(x)=(\theta/(\theta+x))^\alpha\) for \(x\ge0\). The policy has ordinary deductible \(d=\$300\). Find \(F_Y(0)\), \(F_Y(500)\), and the probability \(0<Y\le500\). Give probabilities to four decimals.
Step 1: Write the ground-up CDF. From \(F_X(x)=1-S_X(x)\), \(F_X(x)=1-(1000/(1000+x))^2\) for \(x\ge0\).
Step 2: Evaluate at zero. The loss threshold is the deductible, \(\$300\): \(F_Y(0)=F_X(300)=1-(1000/1300)^2=1-(10/13)^2=1-100/169=69/169=0.4083\).
Step 3: Evaluate at payment \(\$500\). The ground-up threshold is \(\$300+\$500=\$800\): \(F_Y(500)=F_X(800)=1-(1000/1800)^2=1-(5/9)^2=1-25/81=56/81=0.6914\).
Step 4: Find the probability of a positive payment no greater than \(\$500\). This event is \(0<Y\le500\), so subtract the CDF at zero from the CDF at \(\$500\): \(P(0<Y\le500)=F_Y(500)-F_Y(0)=56/81-69/169=(9464-5589)/13689=3875/13689=0.2831\).
Check. The result is positive and less than \(F_Y(500)=0.6914\). The common mistake avoided is subtracting \(F_X(300)\) from \(F_X(500)\): the correct upper ground-up threshold is \(\$800\), not \(\$500\).
Worked Example: Exponential Severity and a Tail Probability
A hypothetical loss amount \(X\) is exponentially distributed with rate \(\lambda=0.001\) per dollar, so \(S_X(x)=e^{-0.001x}\) for \(x\ge0\). An ordinary deductible is \(d=\$400\). Find \(F_Y(0)\), \(F_Y(600)\), and \(P(Y>600)\). Give probabilities to four decimals.
Step 1: Find the zero-payment CDF value. Since \(F_X(x)=1-e^{-0.001x}\), \(F_Y(0)=F_X(400)=1-e^{-0.4}=1-0.670320=0.329680\), or \(0.3297\).
Step 2: Shift the positive payment threshold. A payment of at most \(\$600\) corresponds to a loss of at most \(\$400+\$600=\$1{,}000\): \(F_Y(600)=F_X(1{,}000)=1-e^{-1}=1-0.367879=0.632121\), or \(0.6321\).
Step 3: Compute the tail. \(P(Y>600)=S_X(1{,}000)=e^{-1}=0.367879\), or \(0.3679\).
Check. \(0.6321+0.3679=1.0000\) after rounding. The common mistake avoided is using \(e^{-0.6}\) for the tail, which would omit the \(\$400\) ground-up loss amount absorbed by the deductible.
Common CDF Traps
- Forgetting the deductible shift. For \(y\ge0\), evaluate \(F_X\) at \(d+y\), not at \(y\).
- Using a strict inequality at the deductible. \(F_Y(0)=P(X\le d)\). Losses exactly equal to \(d\) produce zero payment and belong in this event.
- Giving a nonzero CDF below zero. Because \(Y\ge0\), \(F_Y(y)=0\) for \(y<0\).
- Confusing a CDF with a positive-payment probability. \(F_Y(y)\) includes all payments from zero through \(y\). For \(y\ge0\), \(P(0<Y\le y)=F_X(d+y)-F_X(d)\).
- Taking a complement with the wrong boundary. \(P(Y>y)=P(X>d+y)=1-F_X(d+y)\); when there is an atom at \(d+y\), that atom is not in the strict upper tail.
These translations matter whenever a problem asks for probabilities of insurer payments rather than ground-up losses. A useful routine is to write the payment event first, convert it to an event involving \(X\), and only then substitute into the ground-up CDF or survival function. This makes both the deductible shift and the boundary convention explicit.
Check Your Understanding
For each problem, translate the payment threshold to a ground-up threshold before calculating.
- A hypothetical loss is \(\$0,\$400,\$900,\$1{,}500,\$2{,}400\) with respective probabilities \(0.10,0.20,0.25,0.30,0.15\). The deductible is \(\$900\). Find \(F_Y(0)\), \(F_Y(600)\), and \(P(0<Y\le600)\). (Answer: \(0.55,\ 0.85,\ 0.30\))
- \(X\) is uniform on \([0,2000]\) dollars and \(d=\$500\). Find \(F_Y(0)\), \(F_Y(300)\), and \(P(Y>300)\). (Answer: \(0.2500,\ 0.4000,\ 0.6000\))
- \(X\) is exponential with rate \(0.002\) per dollar and \(d=\$250\). Find \(F_Y(0)\), \(F_Y(250)\), and \(P(0<Y\le250)\), to four decimals. (Answer: \(0.3935,\ 0.6321,\ 0.2387\))
- \(X\) is Pareto Type I with \(\theta=\$1{,}000\), \(\alpha=2\), and \(d=\$300\). Find \(F_Y(0)\), \(F_Y(500)\), and \(P(0<Y\le500)\), to four decimals. (Answer: \(0.4083,\ 0.6914,\ 0.2831\))
- A nonnegative ground-up loss has \(F_X(400)=0.10\), \(F_X(1000)=0.45\), and \(F_X(1600)=0.80\). With deductible \(d=\$400\), find \(F_Y(0)\), \(F_Y(600)\), and \(P(Y>600)\). (Answer: \(0.10,\ 0.80,\ 0.20\))