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Optimal Portfolio Choice with Health-Contingent Income Products: The Value of Life Care Annuities

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  • Shang Wu
  • Hazel Bateman
  • Ralph Stevens

Abstract

We study optimal retirement portfolio choice and welfare when individuals can choose between stocks, bonds, and either a life-contingent (life) annuity or a health-contingent (life care) annuity. We develop a life-cycle model of annuitization, consumption, and investment decisions for a single retired individual who faces stochastic capital market returns, uncertain health status, differential mortality risks, and uncertain out-of-pocket health care expenditure, including at end of life. Using the calibrated model, we find that life care annuities are more attractive than life annuities and would enhance annuity demand by 12 percentage points. Life care annuities allow individuals to reduce precautionary savings and consume more throughout retirement, with individuals willing to pay a loading of up to 21% for access to the product.

Suggested Citation

  • Shang Wu & Hazel Bateman & Ralph Stevens, 2023. "Optimal Portfolio Choice with Health-Contingent Income Products: The Value of Life Care Annuities," North American Actuarial Journal, Taylor & Francis Journals, vol. 27(2), pages 278-302, April.
    • Handle: RePEc:taf:uaajxx:v:27:y:2023:i:2:p:278-302
    DOI: 10.1080/10920277.2022.2073453
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