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The design of optimal reinsurance treaties in the presence of multifarious practical constraints is a substantive but underdeveloped topic in modern risk management. To examine the influence of these constraints on the contract design systematically, this article formulates a generic constrained reinsurance problem where the objective and constraint functions take the form of Lebesgue integrals whose integrands involve the unit-valued derivative of the ceded loss function to be chosen. Such a formulation provides a unifying framework to tackle a wide body of existing and novel distortion-risk-measure-based optimal reinsurance problems with constraints that reflect diverse practical considerations. Prominent examples include insurers’ budgetary, regulatory and reinsurers’ participation constraints. An elementary and intuitive solution scheme based on an extension of the cost–benefit technique in Cheung and Lo …