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Incentive-Compatible Guaranteed Renewable Health Insurance

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Author Info
Bradley Herring
Mark Pauly

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Abstract

Multi-period theoretical models of renewable insurance display front-loaded premium schedules that both cover lifetime total claims of low-risk and high-risk individuals and provide an incentive for those who remain low-risk to continue to purchase the policy. In practice, however, an age profile of premiums that decreases with age might result in relatively high premiums for younger individuals which they may consider unaffordable. In this paper, we use medical expenditure data to estimate an optimal competitive age-based premium schedule for a benchmark renewable health insurance policy. We find that the amount of prepayment by younger individuals that would be necessary to cover future claims is mitigated by three factors: high-risk individuals will either recover or die, low-risk expected expense increases with age, and the likelihood of developing a high-risk condition increases with age. Although medical cost growth over time increases the amount of prepayment necessary, the resulting optimal premium path generally increases with age. We also find that actual premium paths exhibited by purchasers of individual insurance with guaranteed renewability is close to the optimal schedule we estimate. Finally, we examine consumers' gain in expected utility associated with the guaranteed renewability feature.

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Publisher Info
Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 9888.

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Date of creation: Aug 2003
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Handle: RePEc:nbr:nberwo:9888

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Related research
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Find related papers by JEL classification:
G22 - Financial Economics - - Financial Institutions and Services - - - Insurance; Insurance Companies
I10 - Health, Education, and Welfare - - Health - - - General

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  1. H. Brown & Luke Connelly, 2005. "Lifetime Cover in Private Insurance Markets," International Journal of Health Care Finance and Economics, Springer, vol. 5(1), pages 75-88, January. [Downloadable!] (restricted)
  2. H. Shelton Brown & Luke B. Connelly, 2005. "Market failure in long-term private health insurance markets: a proposed solution," Applied Economics Letters, Taylor and Francis Journals, vol. 12(5), pages 281-284, April. [Downloadable!] (restricted)
  3. Volker Meier, 2005. "Efficient Transfer of Aging Provisions in Private Health Insurance," Journal of Economics, Springer, vol. 84(3), pages 249-275, 05. [Downloadable!] (restricted)
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  4. Baumann, Florian & Meier, Volker & Werding, Martin, 2004. "Transferable Ageing Provisions in Individual Health Insurance Contracts," CESifo Working Paper Series CESifo Working Paper No. , CESifo Group Munich. [Downloadable!]
    Other versions:
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