A series of studies investigate the decision processes of actuaries, u
nderwriters, and reinsurers in setting premiums for ambiguous and unce
rtain risks. Survey data on prices reveal that all three types of thes
e insurance decision makers are risk averse and ambiguity averse. In a
ddition, groups appear to be influenced in their premium-setting decis
ions by specific reference points such as expected loss and the concer
n with insolvency. This behavior is consistent with a growing analytic
al and empirical literature in economics and decision processes that i
nvestigates the role that uncertainty plays on managerial choices. Imp
roved risk-assessment procedures and government involvement in providi
ng protection against catastrophic losses may induce insurers to reduc
e premiums and broaden available coverage.