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De-risking long-term care insurance

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Abstract

In this paper, we propose a de-risking strategy model for LTC insurers facing with longevity and disability risks, by constructing hedge positions with vanilla disability swaps and options. We rely on long-term care insurance in a multiple state framework. The optimal hedge level for each de-risking strategies is computed, respectively, by minimizing the total cost of the de-risking strategy under the Conditional Value-at-Risk (CVaR) constraint on the total unfunded liabilities and minimizing the CVaR under a total cost constraint. A numerical application is performed, and the results suggest that a de-risking strategy based on disability derivatives can be a viable solution to reduce the portfolio riskiness of LTC insurers.

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References

  • American Association of Retired Persons (AARP) (2017) Long-term support and services. Public Policy Institute, New Delhi

  • Brouhns N, Denuit M, Van Keilegom I (2005) Bootstrapping the Poisson log-bilinear model for mortality forecasting. Scand Actuar J 3:212–224

    Article  MathSciNet  Google Scholar 

  • Bucher-Koenen T, Schultz J, Spinder M (2017) Long term care insurance across Europe. In: Borsch-Supan A, Kneip T, Litwin H, Myck M, Weber G (eds) Ageing in Europe supporting policies for an inclusive society. Walter de Gruyter GmbH & Co KG, Berlin, pp 353–368

    Google Scholar 

  • Cairns AJG, Blake D, Dowd K (2006) A two-factor model for stochastic mortality with parameter uncertainty: theory and calibration. J Risk Insur 73:687–718

    Article  Google Scholar 

  • Cairns AJG, Blake D, Dowd K, Coughlan GD, Epstein D, Ong A, Balevich I (2009) A quantitative comparison of stochastic mortality models using data from England and Wales and the United States. N Am Actuar J 13(1):1–35

    Article  MathSciNet  Google Scholar 

  • Cairns AJG, Blake D, Dowd K, Coughlan GD, Epstein D, Khalaf-Allah M (2011) Mortality density forecasts: an analysis of six stochastic mortality models. Insur Math Econ 48:355–367

    Article  MathSciNet  Google Scholar 

  • Cox SH, Lin Y (2007) Natural hedging of life and annuity mortality risks. N Am Actuar J 11:1–15

    Article  MathSciNet  Google Scholar 

  • Cox SH, Lin Y, Shi T (2018) Pension risk management with funding and buyout options. Insur Math Econ 78:183–200

    Article  MathSciNet  Google Scholar 

  • D’Amato V, Di Lorenzo E, Haberman S, Sagoo P, Sibillo M (2018) De-risking strategy: longevity spread buy-in. Insur Math Econ 79:124–136

    Article  MathSciNet  Google Scholar 

  • European Commission (2018) The 2018 ageing report: economic and budgetary projections for the EU Members States (2016–2070). European Economy, Institutional Paper 79

  • Gori C (2019) Changing long-term care provision at the local level in times of austerity—a qualitative study. Ageing Soc 39:2059–2084

    Article  Google Scholar 

  • Haberman S, Pitacco E (1999) Actuarial models for disability insurance. Chapman and Hall, London

    MATH  Google Scholar 

  • Hsieh M, Wang JL, Chiu Y, Chen Y (2018) Valuation of variable long-term care annuities with guaranteed lifetime withdrawal benefits: a variance reduction approach. Insur Math Econ 78:246–254

    Article  MathSciNet  Google Scholar 

  • Levantesi S, Menzietti M (2012) Managing longevity and disability risks in life annuities with long term care. Insur Math Econ 50:391–401

    Article  MathSciNet  Google Scholar 

  • Levantesi S, Menzietti M (2018) Natural hedging in long term care insurance. ASTIN Bull 48(1):233–274

    Article  MathSciNet  Google Scholar 

  • Lin Y, Tan KS, Tian R, Yu J (2014) Downside risk management of a defined benefit plan considering longevity basis risk. N Am Actuar J 18(1):68–86

    Article  MathSciNet  Google Scholar 

  • Lin Y, MacMinn RD, Tian R (2015) De-risking defined benefit plans. Insur Math Econ 63:52–65

    Article  MathSciNet  Google Scholar 

  • Lin Y, Shi T, Arik A (2017) Pricing buy-ins and buy-outs. J Risk Insur 84:367–392

    Article  Google Scholar 

  • Maegebier A, Gatzert N (2014) The impact of disability insurance on a portfolio of life insurances. Friedrich-Alexander-University Working paper

  • NAIC (2016) The state of long-term care insurance: the market, challenges and future innovations. NAIC Report, Washington, DC

  • Pavolini E, Ranci C, Lamura G (2017) Long-term care in Italy. In: Greeve B (ed) Long-term care for the elderly in Europe. Routledge, New York, pp 75–92

    Google Scholar 

  • Shane MK, Cox LA (2009) Issuance decisions and strategic focus: the case of long-term care insurance. J Risk Insur 76(1):87–108

    Article  Google Scholar 

  • Shao A, Chen H, Sherris M (2019) To borrow or insure? Long term care costs and the impact of housing. Insur Math Econ 85:15–34

    Article  MathSciNet  Google Scholar 

  • Wu S, Bateman H, Stevens R, Thorp S (2019) Flexible long-term care insurance: an experimental study of demand. Cepar, Sydney

    Google Scholar 

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Funding

This study was not funded by any profit or non-profit organization.

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Correspondence to Massimiliano Menzietti.

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Communicated by Philippe de Peretti.

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Appendix

Appendix

In the following, we show the results of the numerical application for females (see Table 10, 11, 12, 13, 14, 15 and Fig. 8).

Table 10 LTC insurer strategies without and with hedging
Table 11 Optimal disability option strategy under different \(\delta ^\mathrm{DO}\) and \(p^\mathrm{DO}\). Optimization problem in Eq. 4.1: min \(E[\mathrm{TC}^\mathrm{DO}]\)
Table 12 Optimal disability option strategy under different \(\delta ^\mathrm{DO}\) and \(p^\mathrm{DO}\). Optimization problem in Eq. 4.3: min \(\mathrm{CVaR}_{99.5\%}[\mathrm{TUL}^\mathrm{DO}]\)
Table 13 Optimal disability option strategy under different \(\pi \) and \(p^\mathrm{DS}\). Optimization problem in Eq. 4.1: min \(E[\mathrm{TC}^\mathrm{DS}]\)
Table 14 Optimal disability option strategy under different \(\pi \) and \(p^\mathrm{DS}\). Optimization problem in Eq. 4.3: min \(\mathrm{CVaR}_{99.5\%}[\mathrm{TUL}^\mathrm{DS}]\)
Table 15 Optimal hedging strategy under different \(\psi _1^{j}=\psi _2^{j}\). Other optimization parameters: \(p^{j}=0.1\%\)\(\forall j\), \(\pi =4\%\) and \(\delta ^\mathrm{DO}=4\%\)
Fig. 8
figure 8

Distribution of the total unfunded liabilities \(\mathrm{TUL}^j\) without and with hedging \(j=\mathrm{DO}, \mathrm{DS}\)

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D’Amato, V., Levantesi, S. & Menzietti, M. De-risking long-term care insurance. Soft Comput 24, 8627–8641 (2020). https://doi.org/10.1007/s00500-019-04658-0

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