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Factors Impacting Group Long-Term Care Insurance Enrollment Decisions

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  • Patricia Schaber
  • Marlene Stum

Abstract

This paper examines factors that influence whether or not employees choose to enroll in a group long-term care insurance plan. A conceptual family decision-making framework is used to group factors to study the enrollment decision of 509 state employees who were offered a long-term care insurance plan in 2000. Logistic regression results revealed that employee age, perceived risk, perceived affordability, decision-making style (communication with others and use of information), goals of control and choice, goal of financial peace of mind, household income, and potential caregiver availability explained 68.7% of the decision to enroll. Results support the key role of perception, specifically the perceived risk of needing long-term care and the affordability of the insurance plan, in the decision outcome. Copyright Springer Science+Business Media, LLC 2007

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  • Patricia Schaber & Marlene Stum, 2007. "Factors Impacting Group Long-Term Care Insurance Enrollment Decisions," Journal of Family and Economic Issues, Springer, vol. 28(2), pages 189-205, June.
    • Handle: RePEc:kap:jfamec:v:28:y:2007:i:2:p:189-205
    DOI: 10.1007/s10834-007-9062-y
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    References listed on IDEAS

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    1. Sloan, Frank A & Norton, Edward C, 1997. "Adverse Selection, Bequests, Crowding Out, and Private Demand for Insurance: Evidence from the Long-Term Care Insurance Market," Journal of Risk and Uncertainty, Springer, vol. 15(3), pages 201-219, December.
    2. Norton, Edward C., 2000. "Long-term care," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 17, pages 955-994, Elsevier.
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    Cited by:

    1. Courtney Harold Van Houtven & Norma B. Coe & R. Tamara Konetzka, 2015. "Family Structure and Long‐Term Care Insurance Purchase," Health Economics, John Wiley & Sons, Ltd., vol. 24(S1), pages 58-73, March.
    2. Yung-Ting Su, 2008. "Looking Beyond Retirement: Patterns and Predictors of Formal End-of-Life Planning Among Retirement Age Individuals," Journal of Family and Economic Issues, Springer, vol. 29(4), pages 654-673, December.
    3. Jason Murasko, 2008. "Married Women’s Labor Supply and Spousal Health Insurance Coverage in the United States: Results from Panel Data," Journal of Family and Economic Issues, Springer, vol. 29(3), pages 391-406, September.
    4. Angela Woosley & Sharon M. Danes & Marlene Stum, 2017. "Utilizing a Family Decision-Making Lens to Examine Adults’ End-of-Life Planning Actions," Journal of Family and Economic Issues, Springer, vol. 38(1), pages 33-44, March.
    5. Lambregts, Timo R. & Schut, Frederik T., 2020. "Displaced, disliked and misunderstood: A systematic review of the reasons for low uptake of long-term care insurance and life annuities," The Journal of the Economics of Ageing, Elsevier, vol. 17(C).
    6. Eling, Martin & Ghavibazoo, Omid & Hanewald, Katja, 2021. "Willingness to take financial risks and insurance holdings: A European survey," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 95(C).
    7. Kuo-Liang Chang & George Langelett & Andrew Waugh, 2011. "Health, Health Insurance, and Decision to Exit from Farming," Journal of Family and Economic Issues, Springer, vol. 32(2), pages 356-372, June.
    8. Martin Eling & Omid Ghavibazoo, 2019. "Research on long-term care insurance: status quo and directions for future research," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 44(2), pages 303-356, April.
    9. Amanda Barnett & Marlene Stum, 2012. "Couples Managing the Risk of Financing Long-Term Care," Journal of Family and Economic Issues, Springer, vol. 33(3), pages 363-375, September.
    10. Xuewen Sheng & Timothy Killian, 2009. "Over Time Dynamics of Monetary Intergenerational Exchanges," Journal of Family and Economic Issues, Springer, vol. 30(3), pages 268-281, September.
    11. David Zimmer, 2009. "Insurance Arrangements Among Married Couples: Analysis of Benefit Substitution and Compensating Differentials," Journal of Family and Economic Issues, Springer, vol. 30(4), pages 428-439, December.

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