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Care-dependent tontines

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  • Chen, An
  • Chen, Yusha
  • Xu, Xian

Abstract

With the gradual deepening of aging, the affordability of long-term care (LTC) services in aging societies will become increasingly questionable. Both private stand-alone LTC insurance and care-dependent annuity do not seem to provide efficient solutions, due to their high risk charges. In this article, we propose two ways of combining the long-term care business with retirement tontines, i.e. care-dependent tontines, which shift a part of longevity risk to policyholders and provide increased payments in care-dependent state. We determine the optimal payment structures of these products that maximize the individuals' expected lifetime utility. Using realistic risk loadings based on data from China Health and Retirement Longitudinal Study (CHARLS) and capital requirement of China Risk Oriented Solvency System (C-ROSS), it is shown that both care-dependent tontines present as better choices for individuals, comparing to care-dependent annuities. The results are robust in a different regulation scheme – Solvency II. Our findings contribute to improving the penetration of elderly care insurance with appealing care-dependent insurance products.

Suggested Citation

  • Chen, An & Chen, Yusha & Xu, Xian, 2022. "Care-dependent tontines," Insurance: Mathematics and Economics, Elsevier, vol. 106(C), pages 69-89.
  • Handle: RePEc:eee:insuma:v:106:y:2022:i:c:p:69-89
    DOI: 10.1016/j.insmatheco.2022.05.002
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    1. Zhou-Richter, Tian & Gründl, Helmut, 2011. "Life care annuities: Trick or treat for insurance companies?," ICIR Working Paper Series 04/11, Goethe University Frankfurt, International Center for Insurance Regulation (ICIR).
    2. Denuit, Michel & Lucas, Nathalie & Pitacco, Ermanno, 2019. "Pricing and Reserving in LTC Insurance," LIDAM Reprints ISBA 2019030, Université catholique de Louvain, Institute of Statistics, Biostatistics and Actuarial Sciences (ISBA).
    3. Pla-Porcel, Javier & Ventura-Marco, Manuel & Vidal-Meliá, Carlos, 2016. "Life Care Annuities (Lca) Embedded In A Notional Defined Contribution (Ndc) Framework," ASTIN Bulletin, Cambridge University Press, vol. 46(2), pages 331-363, May.
    4. Havranek, Tomas & Horvath, Roman & Irsova, Zuzana & Rusnak, Marek, 2015. "Cross-country heterogeneity in intertemporal substitution," Journal of International Economics, Elsevier, vol. 96(1), pages 100-118.
    5. Evans, William N & Viscusi, W Kip, 1991. "Estimation of State-Dependent Utility Functions Using Survey Data," The Review of Economics and Statistics, MIT Press, vol. 73(1), pages 94-104, February.
    6. Jeffrey R. Brown & Amy Finkelstein, 2008. "The Interaction of Public and Private Insurance: Medicaid and the Long-Term Care Insurance Market," American Economic Review, American Economic Association, vol. 98(3), pages 1083-1102, June.
    7. Milevsky, Moshe A. & Salisbury, Thomas S., 2015. "Optimal retirement income tontines," Insurance: Mathematics and Economics, Elsevier, vol. 64(C), pages 91-105.
    8. Jeffrey R. Brown & Amy Finkelstein, 2009. "The Private Market for Long‐Term Care Insurance in the United States: A Review of the Evidence," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 76(1), pages 5-29, March.
    9. David C. Webb, 2009. "Asymmetric Information, Long‐Term Care Insurance, and Annuities: The Case for Bundled Contracts," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 76(1), pages 53-85, March.
    10. Ermanno Pitacco, 2016. "Premiums for Long-Term Care Insurance Packages: Sensitivity with Respect to Biometric Assumptions," Risks, MDPI, vol. 4(1), pages 1-22, February.
    11. Bauer, Daniel & Börger, Matthias & Ruß, Jochen, 2010. "On the pricing of longevity-linked securities," Insurance: Mathematics and Economics, Elsevier, vol. 46(1), pages 139-149, February.
    12. John Ameriks & Joseph Briggs & Andrew Caplin & Matthew D. Shapiro & Christopher Tonetti, 2020. "Long-Term-Care Utility and Late-in-Life Saving," Journal of Political Economy, University of Chicago Press, vol. 128(6), pages 2375-2451.
    13. Davidoff, Thomas, 2010. "Home equity commitment and long-term care insurance demand," Journal of Public Economics, Elsevier, vol. 94(1-2), pages 44-49, February.
    14. Haberman, Steven & Renshaw, Arthur, 2009. "On age-period-cohort parametric mortality rate projections," Insurance: Mathematics and Economics, Elsevier, vol. 45(2), pages 255-270, October.
    15. Friedman, Bernard, 1974. "Risk Aversion and the Consumer Choice of Health Insurance Option," The Review of Economics and Statistics, MIT Press, vol. 56(2), pages 209-214, May.
    16. Jason Brown & Mark Warshawsky, 2013. "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," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 80(3), pages 677-704, September.
    17. Menahem E. Yaari, 1965. "Uncertain Lifetime, Life Insurance, and the Theory of the Consumer," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 32(2), pages 137-150.
    18. Szpiro, George G, 1986. "Measuring Risk Aversion: An Alternative Approach," The Review of Economics and Statistics, MIT Press, vol. 68(1), pages 156-159, February.
    19. Chen, An & Rach, Manuel, 2019. "Options on tontines: An innovative way of combining tontines and annuities," Insurance: Mathematics and Economics, Elsevier, vol. 89(C), pages 182-192.
    20. Hoermann, Gudrun & Ruß, Jochen, 2008. "Enhanced annuities and the impact of individual underwriting on an insurer's profit situation," Insurance: Mathematics and Economics, Elsevier, vol. 43(1), pages 150-157, August.
    21. Colin M. Ramsay & Victor I. Oguledo, 2020. "Doubly Enhanced Annuities (DEANs) and the Impact of Quality of Long-Term Care under a Multi-State Model of Activities of Daily Living (ADL)," North American Actuarial Journal, Taylor & Francis Journals, vol. 24(1), pages 57-99, January.
    22. Chen, An & Hieber, Peter & Klein, Jakob K., 2019. "Tonuity: A Novel Individual-Oriented Retirement Plan," ASTIN Bulletin, Cambridge University Press, vol. 49(1), pages 5-30, January.
    23. Hanewald, Katja & Li, Han & Shao, Adam W., 2019. "Modelling multi-state health transitions in China: a generalised linear model with time trends," Annals of Actuarial Science, Cambridge University Press, vol. 13(1), pages 145-165, March.
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    2. Chen, An & Rach, Manuel, 2023. "Actuarial fairness and social welfare in mixed-cohort tontines," Insurance: Mathematics and Economics, Elsevier, vol. 111(C), pages 214-229.

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    More about this item

    Keywords

    Tontine; Care-dependent; Lifetime utility; Optimal retirement product; Annuity;
    All these keywords.

    JEL classification:

    • G22 - Financial Economics - - Financial Institutions and Services - - - Insurance; Insurance Companies; Actuarial Studies
    • G13 - Financial Economics - - General Financial Markets - - - Contingent Pricing; Futures Pricing

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