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Application and Award Responses to Stricter Screening in Disability Insurance

Author

Listed:
  • Mathilde Godard

    (CREST - Centre de Recherche en Économie et Statistique - ENSAI - Ecole Nationale de la Statistique et de l'Analyse de l'Information [Bruz] - X - École polytechnique - ENSAE Paris - École Nationale de la Statistique et de l'Administration Économique - CNRS - Centre National de la Recherche Scientifique, GATE Lyon Saint-Étienne - Groupe d'Analyse et de Théorie Economique Lyon - Saint-Etienne - ENS de Lyon - École normale supérieure de Lyon - UL2 - Université Lumière - Lyon 2 - UJM - Université Jean Monnet - Saint-Étienne - CNRS - Centre National de la Recherche Scientifique, Legos - Laboratoire d'Economie et de Gestion des Organisations de Santé - Université Paris Dauphine-PSL - PSL - Université Paris sciences et lettres)

  • Pierre Koning
  • Martin 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% in one year) following the reform, particularly among difficult-to-verify impairments and less severe health disorders. Individuals that 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 selfscreening and work resumption during the DI sick-pay period.

Suggested Citation

  • Mathilde Godard & Pierre Koning & Martin Lindeboom, 2022. "Application and Award Responses to Stricter Screening in Disability Insurance," Post-Print hal-03689792, HAL.
    • Handle: RePEc:hal:journl:hal-03689792
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    Cited by:

    1. Andreas Haller & Stefan Staubli & Josef Zweimüller, 2024. "Designing Disability Insurance Reforms: Tightening Eligibility Rules or Reducing Benefits?," Econometrica, Econometric Society, vol. 92(1), pages 79-110, January.
    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. Bart Cockx & Sam Desiere, 2023. "Labour costs and the decision to hire the first employee," Working Papers of Faculty of Economics and Business Administration, Ghent University, Belgium 23/1071, Ghent University, Faculty of Economics and Business Administration.
    5. 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).
    6. Tunga Kantarcı & Jan‐Maarten van Sonsbeek & Yi Zhang, 2023. "The heterogeneous impact of stricter criteria for disability insurance," Health Economics, John Wiley & Sons, Ltd., vol. 32(9), pages 1898-1920, September.

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    More about this item

    Keywords

    Disability Insurance; Screening; Applications; Awards; Targeting;
    All these keywords.

    JEL classification:

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

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