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This article investigates optimal reinsurance treaties minimizing an insurer’s risk-adjusted liability, which encompasses a risk margin quantified by distortion risk measures. Via the introduction of a transparent cost-benefit argument, we extend the results in Cui et al. [Cui, W., Yang, J. & Wu, L. (2013). Optimal reinsurance minimizing the distortion risk measure under general reinsurance premium principles. Insurance: Mathematics and Economics 53, 74–85] and provide full characterizations on the set of optimal reinsurance treaties within the class of non-decreasing, 1-Lipschitz functions. Unlike conventional studies, our results address the issue of (non-)uniqueness of optimal solutions and indicate that ceded loss functions beyond the traditional insurance layers can be optimal in some cases. The usefulness of our novel cost-benefit approach is further demonstrated by readily solving the dual problem of minimizing …