The Life care annuity : A new empirical examination of an insurance innovation that addresses problems in the markets for life annuities and long-Term Care Insurance

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      <subfield code="a">The Life care annuity</subfield>
      <subfield code="b">: A new empirical examination of an insurance innovation that addresses problems in the markets for life annuities and long-Term Care Insurance</subfield>
      <subfield code="c">Jason Brown, Mark Warshawsky</subfield>
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      <subfield code="a">The life care annuitythe integration of the life annuity with long-term care insurance coverageis intended to deal with major problems in the currently separate markets for life annuities and long-term care insurance. The integration would allow the inclusion of most of the population currently rejected by underwritingthose in poor health or lifestyles but who would not go immediately into long-term care claimwho also have lower life expectancies. We make use of the Health and Retirement Study, on individuals in retirement and their disability incidence, exploiting the panel nature of the survey to estimate transition probabilities in and out of disability states according to numerous demographic and health characteristics. This allows for analysis of disability and mortality risk across a number of dimensions. We find that different risk groups at age 65 have similar projected long-term care expenses, but that the level-periodic-premium structure of most long-term care insurance policies creates incentives for individuals to separate into different risk pools according to observable characteristics, justifying the underwriting observed on the market. Yet we also find that gender-rated life care annuities could succeed in pooling risks currently segmented in the market for long-term care insurance, thus qualifying individuals at or near retirement for permanent long-term care insurance coverage who do not currently qualify, and allowing for life annuities to be purchased more cheaply than in the stand-alone annuity market now subject to adverse selection.</subfield>
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      <subfield code="w">MAP20077000727</subfield>
      <subfield code="t">The Journal of risk and insurance</subfield>
      <subfield code="d">Nueva York : The American Risk and Insurance Association, 1964-</subfield>
      <subfield code="x">0022-4367</subfield>
      <subfield code="g">02/09/2013 Volumen 80 Número 3 - septiembre 2013 </subfield>
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