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Application and Award Responses to Stricter Screening in Disability Insurance

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  • Mathilde Godard
  • Pierre Koning
  • Maarten Lindeboom

Abstract

We examine the targeting effects of stricter screening in the Dutch disability insurance (DI) program induced by a nationwide reform. The drastic “gatekeeper protocol†increased application costs and revealed more information about individuals’ ability to work. Discontinuity-in-time regressions on administrative data show substantial declines in DI application rates (40 percent in one year) following the reform, particularly among those with difficult-to-verify impairments and less severe health disorders. Individuals who were deterred from applying had worse health and worked less than never-applicants. Changes in average health conditions of awardees were almost fully driven by self-screening and work resumption during the DI sick-pay period.

Suggested Citation

  • Mathilde Godard & Pierre Koning & Maarten Lindeboom, 2024. "Application and Award Responses to Stricter Screening in Disability Insurance," Journal of Human Resources, University of Wisconsin Press, vol. 59(5), pages 1353-1386.
    • Handle: RePEc:uwp:jhriss:v:59:y:2024:i:5:p:1353-1386
    Note: DOI: https://doi.org/10.3368/jhr.1120-11323R1
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    File URL: http://jhr.uwpress.org/cgi/reprint/59/5/1353
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    Cited by:

    1. Krekó, Judit & Prinz, Dániel & Weber, Andrea, 2024. "Take-up and labor supply responses to disability insurance earnings limits," Labour Economics, Elsevier, vol. 89(C).
    2. Koning, Pierre & van Lent, Max, 2022. "Workers' Moral Hazard and Insurer Effort in Disability Insurance," IZA Discussion Papers 15164, Institute of Labor Economics (IZA).
    3. Alpino, Matteo & Hauge, Karen Evelyn & Kotsadam, Andreas & Markussen, Simen, 2022. "Effects of dialogue meetings on sickness absence—Evidence from a large field experiment," Journal of Health Economics, Elsevier, vol. 83(C).
    4. Cockx, Bart & Desiere, Sam, 2024. "Labour costs and the decision to hire the first employee," European Economic Review, Elsevier, vol. 170(C).
    5. Grace Armijos Bravo & Judit Vall Castelló, 2025. "Job competition in civil service public exams and sick leave behaviour," Fiscal Studies, John Wiley & Sons, vol. 46(1), pages 91-123, March.
    6. De Brouwer, Octave & Tojerow, Ilan, 2023. "The Growth of Disability Insurance in Belgium: Determinants and Policy Implications," IZA Discussion Papers 16376, Institute of Labor Economics (IZA).
    7. Pilar Garcia‐Gomez & Pierre Koning & Owen O'Donnell & Carlos Riumalló‐Herl, 2025. "Selective exercise of discretion in disability insurance awards," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 44(3), pages 816-835, June.
    8. Koning, Pierre & Prudon, Roger, 2025. "Sick or Unemployed? Examining Transitions into Sickness Insurance at Unemployment Benefit Exhaustion," IZA Discussion Papers 18264, Institute of Labor Economics (IZA).
    9. Koning, Pierre & Muller, Paul & Prudon, Roger, 2025. "Why does temporary work increase disability insurance inflow?," Labour Economics, Elsevier, vol. 96(C).
    10. Ahammer, Alexander & Packham, Analisa, 2025. "Disability insurance screening and worker health," Journal of Health Economics, Elsevier, vol. 101(C).

    More about this item

    JEL classification:

    • H2 - Public Economics - - Taxation, Subsidies, and Revenue
    • I3 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty

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