WHY DO MARKETS FAIL TO FULLY INSURE AGAINST RECLASSIFICATION RISK? Contract Incompleteness vs. Limited Commitment in the Life Insurance Industry Denrick Bayot University of Chicago Abstract In addition to insuring mortality risk, life insurance contracts protect policyholders against the risk of rising premia associated with a policyholder’s change in risk status by providing long-term contracts. Contracts purchased in the life insurance market, fail to fully protect policyholders against such risk. We examine the role of limited commitment and contract incompleteness in explaining why the market fails to provide full insurance against reclassification. Limited commitment arises since contracts are nonbinding, and policyholders with favorable ex-post mortality risk terminate a contract if its price cross subsidizes higher-risk agents. Insurance companies front load premia to subsidize future premia and mitigate a policyholder’s incentive to replace a contract. However, credit constraints prevent the level of front-loading necessary to prevent ex-post low-risk policyholders from replacing a contract, leading to a break-down in full reclassification risk insurance. On the other hand, life insurance contracts do not account for changes to a policyholder’s valuation for life insurance coverage, which is why contracts are incomplete. Ex-post inefficient insurance provision arises with such contract incompleteness since reclassification risk insurance provides subsidy to high-risk individuals that may no longer value life insurance coverage relative to its actuarially fair insurance cost in the future. Thus, a tradeoff between ex-post inefficient insurance provisions and protection against reclassification naturally arises. In equilibrium, firms balance such trade off leading to contracts that partially protect policyholders against reclassification risk. We calibrate a life cycle model of insurance demand and lapsation behavior to match the patterns of life insurance purchases observed in the Survey of Consumer Finance as well as lapsation rates and mortality claims from an industry-wide experience study. After leveraging this model to investigate counterfactual contract environments, we find that limited commitment alone cannot explain the failure of full reclassification risk insurance in the term-life market, and we largely attribute such failure to contract incompleteness. 1 Introduction Consider a scenario where there are gains to a long-term agreement between a firm and a consumer, but the consumer can default on such agreement. Firms employ lock-in mechanisms 1 to ensure consumer participation, and such mechanisms allow both parties to capture the gains achieved through commitment. This paper discusses a cost to binding these consumers that naturally arises when there are non-contractible, idiosyncratic uncertainties about the value consumers place on their relationship with firms. These uncertainties, paired with the lock-in mechanisms used to mitigate default, lead to ex-post inefficient contract participation. We illustrate this scenario in the market for term-life insurance contracts. In addition to providing insurance against mortality risks, insuring against reclassification risk (an increase in premia caused by an unfavorable evolution of mortality risk) is a significant component of life insurance contracts. However, a consumer/policyholder can walk out of a contract simply by ceasing to pay the premia, and policyholders with favorable ex-post mortality lapse a contract if its price cross-subsidizes agents with higher mortality risk. Such strategic lapse behavior plays a key role in shaping contract profiles in the life insurance industry (Hendel and Lizzeri (2003)). Policy payment schedules are front-loaded to subsidize subsequent premia, thereby reducing the policyholder’s incentive to lapse. We find that policyholders seek insurance against reclassification risks and prefer contracts with longer level-term premium duration. A lion’s share of contracts purchased specify a 20-year or more level-term duration (LT20+contracts). Despite the heavy-front loading of premia in these longer-term contracts, almost 40% of policy holders lapse halfway through the level-term duration. This persistent lapsation points to the existence of shocks affecting the policyholder’s demand for mortality risk insurance, such as changes to bequest motives and liquidity-constraint shocks. Lapse patterns in the Health and Retirement Survey indicate that newly divorced agents are more likely to lapse than married individuals. Indeed, divorce increases lapsation probability by about 300%. Patterns of life-insurance holdings across marital status support this view: divorced-male and never-married male individuals share the same life insurance holding patterns. This suggests that at all stages of the lifecycle, changes to bequest motives, especially owing to a recent divorce, affect the policyholder’s valuation of mortality risk insurance. This paper proposes that front-loading premia in these contracts leads to excessive ex-post mortality-risk insurance provisions. The subsidy of future premia locks in future policy holders whose ex-post valuation for mortality risk insurance is less than the cost of providing such insurance. We emphasize that this inefficiency stems from an inability to contract uncertainties that affect contract valuation. Were firms able to contract these uncertainties, contingent rebates could provide appropriate incentives for policy holders to efficiently lapse. Thus this paper highlights the inefficiency that arises from an incomplete contract environment when contract participation is not enforceable. Although the theoretical literature on incomplete contracting has matured, empirical analyses of the effect of incomplete contract environments continues to lag, as does work that quantifies the extent of the inefficiency arising from these environments. Our paper fills this gap by quantifying the ex-post inefficient contract participation that arises from the incomplete market setting in term-life contracts, as discussed above. To our knowledge, we are the first to move beyond empirical analyses of the economic arrangements caused by incomplete contracts and expand the process to include welfare analysis. 2 We use this calibrated model to impute the welfare cost associated with contract incompleteness and limited commitment. To do this, we consider fixed-payment contracting environment where firms charge an entry payment at the time of contracting and a fixed annual premia. Firms in this environment can specify the contract length for up to age 70, and we consider the equilibrium contracts offered for a 40-year old male individuals. We calculate equilibrium contracts in an environment where consumers can commit to not recontracting with another firm (full commitment) and firms can specify participation contingencies that ensure efficient ex-post life insurance holdings (quasi-completeness). We then compare the equilibrium contracts in this baseline environment to the ones that arise without full commitment and quasi-completeness. We find that moving from a quasi-complete and full commitment environment to one with limited commitment and contract incompleteness leads to a substantial welfare loss (more than $1B dollars). Moreover, the problem arising from limited commitment accounts for only 17% of this loss. Policyholders in the life insurance industry continue to face substantial reclassification risks. Indeed, most contracts purchased typically shield the agents against reclassification risk for at most 20 years. Hendel and Lizzeri (2003) argue that such failure arises from the policyholder’s limited-commitment and credit constraints. In particular, they surmise that a policyholder’s credit constraint prevents the level of front-loading necessary to prevent strategic lapsation. The anticipated default of healthy policyholders then leads to a break-down in reclassification risk insurance. We investigate this premise and find that limited commitment alone fails to explain the break-down in full reclassification risk insurance observed in the life-insurance industry. In particular, we find that the average contract length in quasi-complete equilibrium without full commitment is almost equal to the contract environment’s upper bound length (27.5 years versus 30 years). Instead, we find that failure of full long-term insurance or reclassification risk insurance in the life insurance market can be mostly attributed to contract incompleteness. For example, we find that the average contract length in an incomplete contract environment with full commitment is 18.2 years. Adding limited commitment to this environment decreases the average contract length by less than two years (16.7 years). Our result suggests that the non-contractible uncertainty in the policyholders’ valuation for life insurance coverage led to a failure of full reclassification risk insurance in the life-insurance market. The intuition on why such contract incompleteness led to this failure is as follows. By its very nature, a reclassification risk insurance provides subsidy to unhealthy individuals. Thus, individuals in an unhealthy state in the future will receive a discount even without contract front loading. The same unhealthy individual may no longer value life insurance coverage relative its contracting cost in the future. Simply put, the individual’s willingness-to-pay for life insurance coverage may no longer exceed the actuarially fair insurance cost (spot price). But, if the individual’s willingness-to-pay exceeds that of the discounted price, then she will choose to maintain life insurance coverage, leading to ex-post inefficient insurance provisions. In a perfectly competitive market, policyholders ultimately bear this inefficiency and is reflected in the ex-ante contract pricing. Thus, in an environment with contract incompleteness in the policyholders’ valuation for life insurance coverage, a tradeoff between ex-post inefficient insurance provisions and protection against reclassification naturally arises. In equilibrium, 3 firms balance such trade off leading to contracts that partially protect policyholders against reclassification risk. Although this paper focuses on the term life insurance industry, examples of contract features that bind agents are present in many markets with limited commitments. Prepayment penalties in mortgages, infidelity clauses in prenuptial agreements and early-termination fees in utility markets are but a few examples of these mechanisms. Policy makers have questioned whether these lock-in mechanisms lead to inefficient agreements, akin to the ex-post inefficient life insurance holdings observed in this paper. Indeed, such concerns resulted in a series of judicial decisions and regulations that prevent firms in many industries from drawing agreements that bind consumers.1 Our analysis does not favor these laws. While our paper acknowledges the ex-post inefficiencies that could arise from these lock-in mechanisms, we do not claim that such mechanisms are ex-ante inefficient and should therefore be eliminated. In fact, we acknowledge the necessity of these mechanisms when contracts are not enforceable but there are gains to commitment. Rather than prevent agents from drawing contracts that help policyholders commit, regulators should understand the nature of the ex-post loss and seek alternative solutions to mitigating these losses. One such solution, which this paper advocates, encourages firms to compete in a more complete contracting environment. 2 Life Insurance We focus our analysis on term life insurance policies. Unlike cash-value policies, term lifecontracts simply provide coverage to a policy holder’s beneficiary for a specified time frame and the simplicity of their terms makes them fairly homogenous. These contracts can be compared in terms of the coverage period, schedule of payments and the face value (amount paid to the beneficiary in the event of the policy-holder’s death within the coverage period) specified. If the policyholder survives after the coverage period, the contract ceases and no additional benefits are given to the policyholder.2 Almost all term life contracts guarantee fixed coverage until the late stages of the lifecycle (typically 85), provided policyholders continue to pay premia,3 but these contracts vary in their payment schedule. Annual renewable term (ART) contracts have premium levels that increase over time, while level-term (LT) contracts fix the premia for a specified number of years with 1 See, for example, the recent cap on prepayment penalties imposed by the Dodd-Frank Act Section 1414. For the cellular phone industry, a summary of recent cases and state laws against early termination fees can be found here: http://cell-phone-termination-fee.whocanisue.com/. 2 While cash-value insurance (particularly, whole-life insurance) account for a large share of the number of policies issued (51.8% versus 23.9% for term insurance according to the 2009 LIMRA persistency study), term insurance account for a large share of the face amount in force (52.3% by 2004). This is the case since cashvalue policy owners tend to purchase contracts with lower face value. The average face amount exposed for all whole-life contracts in 2004 was $ 39,000, while buyers of term policies purchased contracts with an average face value amount of $309,000. This suggests that agents primarily used cash-value policies as a savings instrument rather than to insure their beneficiaries. 3 A small percentage (approximately 1%) provide decreasing death benefit (Jr. Kenneth Black (2013)) 4 increases thereafter according to a pre-specified (current) schedule of payments akin to an ART contract. 4 The degree of premium front loading varies by contract type, with longer level term contracts exhibiting higher up-front payments. Policyholders face non-trivial reclassification risk The degree of risk reclassification policyholders face is not trivial. Life insurance risk categories tend to be coarse. Agents who qualify for contracts in the standard LI market are typically placed in 2-4 risk categories (e.g., standard, preferred, preferred plus, etc.), but not all consumers qualify for life insurance contracts. Health conditions, such as heart failure, diabetes, or cancer, can prevent an agent from participating in the standard insurance market (Hendren (2013)). While there are some significant risks to changes in risk category, the biggest reclassification risk stems from not being able to requalify for a standard-underwritten insurance contract. Indeed, we find that agents have a high likelihood of falling into a substandard category. Table 1.1 tabulates the one-year hazard rate of a 40-year -old male individual falling into a substandard category based on the National Health and Nutrition Examination (NHANES) III Survey. We use the age of first exposure to a disease that would prevent a prospective insuree from participating in the standard life insurance market to create this “life table”. We follow Hendren (2013) in using a list of diseases most-cited by life insurance underwriting guidelines that would preclude a prospective policyholder from participating in standard life insurance. An agent is in a substandard class if he/she has had one of the following conditions: cancer (except for melanoma), heart failure, diabetes or obesity. Male individuals face substantial reclassification risk; the risk of falling into a substandard class for a 40-year-old male amounts to almost 8% within the next 10 years.5 As pointed out by Hendel and Lizzeri (2003), font-loading contracts enables insurance companies to insure against reclassification risks despite the policy holders’ incentive to strategically lapse. In particular, front-loading premia in these contracts allows for a premium subsidy in subsequent periods and reduces the agent’s incentive to lapse and repurchase a new contract. In their analysis, Hendel and Lizzeri (2003) find that all term contracts offered in 1997 tended to be front-loaded in that the ratio of premium payments over mortality risk declines over time. Since their analysis, the characteristics of ART contracts have drastically changed. premia for ART contracts during the first few years of a contract dropped substantially, perhaps due to reduced search costs (Brown and Goolsbee, 2002). However, such a decrease was paired with a steep rise in premia over the contract duration. Thus, ART contracts offered in the market today no longer exhibit their front-loaded characteristic and closely resemble spot-market insurance contracts. Given this change and the high risks that policyholders face of falling into a substandard risk category, it doesn’t come as a surprise that life-insurance buyers shifted 4 The contract also includes a “guaranteed” schedule. In practice, insurance companies do not deviate from the “current” scheduled specified in the contract. 5 Note that bunching every five years is operative. We attribute this to agents rounding ages when reporting age of first diagnosis. 5 Interval 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 Exposure Count 5172 4979 4809 4627 4467 4347 4191 4066 3933 3814 3723 3571 3478 3343 3235 3138 3011 2913 2807 2709 2618 Hazard (One-YearI) 0.0064 0.0034 0.0044 0.0054 0.0036 0.0110 0.0064 0.0057 0.0074 0.0052 0.0212 0.0064 0.0104 0.0102 0.0093 0.0137 0.0086 0.0093 0.0114 0.0137 0.0302 Survival Rate 1.0000 0.9966 0.9921 0.9866 0.9831 0.9721 0.9658 0.9603 0.9531 0.9480 0.9277 0.9217 0.9120 0.9026 0.8942 0.8817 0.8740 0.8658 0.8558 0.8441 0.8180 Table 1.1: Substandard Classification Risk This table tabulates the risks of falling into an uninsured class by age. We used the age of first exposure to the disease that renders the individual uninsurable (exposure to non-melanoma cancer, heart failure, diabetes and obesity) as the failure event. Individuals that did not report a disease at the time of the survey are counted as a censored observation. We use individuals ages 40 and above from the NHANES III that did not report exposure to one of the diseases before age 40. their purchases away from these ART contracts towards LT contracts. In fact, LT contracts with level term durations lasting 20 years or longer are the most commonly purchased term contracts today. Figure 1.2 highlights this fact, where we observed that LT contracts account for almost the entire share of term contracts purchased across all age groups. Nevertheless, policyholders continue to face nontrivial reclassification risk post level term. For example, almost 15% of 40-year old policyholders own LT 10 contract, and, as mentioned earlier these policyholders face a nontrivial risk of not being able to qualify for a new insurance contract. Why do agents policyholders opt to expose themselves to nontrivial uninsurability risk? Hendel and Lizzeri (2003) argue that credit-constrained individuals cannot afford the level of front-loading necessary to commit a life-insurance policy, causing them to purchase shorter term contract. Given that the cost of life insurance coverage is small relative to average annual consumption (see table 2), we find such reason suspect. 6 Figure 1.2: Distribution of Contract Types by Age This figure displays the lapsation pattern of level term contracts. Panel A provides the mean lapse rate, while panel B calculates the cumulative proportion of individuals that lapse the contract by year. This figure is baed on a large-scale industry-wide experience study from a top actuarial consulting firm. Cumulative lapse rate is calculated based on the mean lapse rates. We exclude policies that were issued for individuals under age 20 and over age 65. Uncertainty in the valuation of life insurance coverage In this paper, we argue that any uncertainty the policyholders’ valuation for life insurance coverage leads to a failure of reclassification risk insurance. How? By its very nature, a reclassification risk insurance provides subsidy to unhealthy individuals. So those that end up in an unhealthy state in the future will always receive a discount even without contract front loading. This same unhealthy individuals may no longer value life insurance coverage relative its contracting cost in the future. Simply put, that individual’s willingness-to-pay life insurance coverage may no longer exceed the actuarially fair insurance cost. However, if the individual’s willingness-to-pay exceeds that of the discounted price, then she will choose to maintain life insurance coverage leading to an ex-post inefficient insurance provision. In a perfectly competitive market, policyholders ultimately bear this inefficiency and is reflected in the ex-ante contract pricing. If such cost exceed the value to insuring reclassification risk, then the equilibrium contracts limit the level of protections agents receive against such risk. In this section, we provide evidences that suggest that policyholders do face tremendous uncertainty in how they value life insurance coverage. 7 Figure 1.3 illustrates the extent of lapsation patterns for level-term contract holders and depicts the average lapse rate for both LT10 and LT20 contracts. LT20 policyholders are less likely to lapse than LT10. This is expected given that premia for LT20 are more likely to be front-loaded relative to LT10. Despite the heavy front-loading of both contract types, we find substantial lapsation. More than half of LT10 contract-holders lapse before the end of the level term, while almost 40% of LT20 contract-holders drop out halfway through the level-term duration. Not surprisingly, LT10 contracts exhibit a jump in lapsation (“shock lapse”) in the post-level term period with almost all existing contract holders dropping two years after the level-term period. Figure 1.3: Mean Lapse Rate by Contract Type This figure displays the distribution of term contract by type. ART includes all contract with non-level premia. LT10 are level term contracts with a 10-year level premium duration. Similarly LT20+ include contracts with level term duration lasting more than 20 years. The figure is based on policies issued in between the years 2004 and 2011 and comes from a large-scale actuary experience study. In the HL framework, the front-loading level necessary to achieve full insurance against reclassification may not be achieved if agents find the large outlay of premia too costly. Distortions relating to optimal consumption smoothing are likely to be limited given that premia for these contracts tend to be small relative to average annual household consumption and 8 income. For example, the level premium for a 40-year-old male who purchases 20-year term insurance with a half-a-million coverage amounted to an annual premium of $592 in 2004. This expenditure accounted for about 1.3% of the median household income.67 . It thus begs the question why firms fail to increase the level of front-loading to curtail the sizable lapsation observed in these contracts. Our theory provides an alternate explanation to this question. Changes to the valuation of life insurance contracts, owing perhaps to changes in bequest motives or income shocks, makes front-loading contracts costly even without credit constraints. The front-loading of contracts leads to inefficient insurance take up when there are ex-post uncertainties to the value of the component of LI contracts that insures against mortality risks. Given this cost, firms shy away from excessive premium front-loading. We do not dismiss the notion that some of these lapses are strategic and involve a replacement of LI contracts. In fact, our theory does not preclude the existence of strategic lapsation. We find, however, that the contracts offered in the market leave little incentive for individuals to strategically lapse due to a favorable ex-post mortality shock. Table 1.2 tabulates the average premia (based on the lowest 15 contracts observed in Compulife) of standard-class level term contracts for a non-smoking male individual. We use a face value amount of 1 million dollars as an illustration. Notice that it does not behoove the policyholder to lapse an LT contract and repurchase the same type of LT contract, unless the agent wishes to extend the level-premium duration. Of course, an agent in an LT20 contract can lapse and repurchase an LT10 contract. The savings for doing this, however, are quite minimal. For example, the savings for a 30-yearold male during the first few years is less than $100 annually and is non-existent after the 8th year. Moreover, dropping a contract during those early years lessens the level-term period and exposes the agent to a higher reclassification risk. Admittedly, the savings from this type of lapsation increases for older individuals, although these individuals would have to drop their LT 20 contract by year 4-5 to realize some form of savings. Actuarial studies dating back to the 1980s emphasize the role of lapsation in deteriorating the insured pool over time, 8 and understanding lapse behavior continues to be of keen interest in the life insurance industry (Black and Skipper, 2012). Unsurprisingly, various explanations abound as to why individuals drop their existing life insurance contracts beyond the “replacement hypothesis” (i.e., the conjecture that individuals strategically lapse). Most of these studies examine lapsation behavior for cash-value life insurance contracts and focus on two main hypotheses: the interest-rate and the emergency-fund hypothesis. The interest-rate hypothesis strictly applies to cash-value insurance policies since they are related to lapsation behavior due to households taking advantage of higher market interest rates. The emergency fund hypothesis, which suggests that households drop their insurance when faced with wealth or income shocks, applies to both term life and cash-value policies, and various empirical works find evidence consistent with this hypothesis (see, for example, Fier and Liebenberg (2013) and surrender and lapse rates with economic variables (2005)). 6 Based on the SCF 2004 survey. During the sample periods Hendel and Lizzeri (2003) analyzed, insurance loads were substantially higher. Credit constraints may have played an important role during these periods 8 See for example, Dukes and MacDonald (1980), and Shapiro and Snyder (1981)) 7 9 Age 30 32 34 36 38 40 42 44 46 48 LT10 929.5 933 940 991 1112.5 1250 1424 1634.5 1889.5 2197 LT20 1184 1243.5 1309 1418 1590.5 1808.5 2120.5 2476 2896.5 3408 Age 50 52 54 56 58 60 62 64 66 68 70 LT10 LT20 2555.5 4002 2971.5 4745 3475 5581.5 4092.5 6764.5 4883 8169.5 5869.5 9875 7167 13180.5 8902.5 16699.5 11022.5 26423.75 13738 39416 17220 46546.67 Table 1.2: Level-term Prices This table tabulates the prices for lever-term contracts in 2004. premia are calculated for a standard-class 40-year old individual with a coverage amount of $1M. We take the 15-lowest price in the Compulife Historical Data and use average the premia. In this subsection we explore the role of changes to a policyholder’s bequest motives in determining lapsation. Bequest motives, particularly protection against income loss or expenses associated with death, are cited as the primary reasons why families purchase life insurance (LIMRA Barometer 2014). Indeed, term-life insurance holding patterns from the SCF data bolster this view (see Table 1.3). In particular, we find that adult men who remained single at the time of the survey (i.e., those who have never married) are less likely to own termlife insurance than currently married individuals (22% vs. 49%). Moreover, the face-value of contracts held by married individuals tends to be larger ($100k) relative to the contracts purchased by men who never married. This difference in ownership rate and amount purchased holds even when one controls for age, assets, income and number of children. We also find that take-up rates by divorced males and the face-value of these LI purchases parallels that of the individuals who never married. It’s not obvious why divorced males are less likely to hold term-life insurance contracts than their married counterparts. It’s tempting to conclude, based on these patterns, that lapsation or termination of contracts ensues after a divorce or moments leading to a divorce. This pattern may simply reflect ex-ante marital attributes (present at the beginning of marriage) that affect the likelihood of a divorce. For example, in efficient household models that account for limited commitment (Voena, 2012), households with a bad match quality at the time of marriage are less likely to purchase insurance during marriage and are more likely to divorce. We do not observe the take-up rates for these divorced individuals during their marriage years so we cannot test the hypothesis that lapsation leads to this stark difference in ownership rates.9 Following Fang and Kung (2012) and Fier and Liebenberg (2013), we used the Household and Retirement Survey (HRS) to examine the impact of divorces on lapsation. The HRS panel contains information on life insurance holdings and purchase behavior for older individuals (above 50). Besides 9 We explored using the SCF’s short 2007-2009 panel. We find no changes in the marital status, however, over these two-sample periods. 10 VARIABLES Ownership (2) (3) (4) 0.00697 (0.0152) -0.00754 (0.0168) -0.0933*** (0.0210) -0.192*** (0.0157) -0.131*** (0.0148) 0.0278* (0.0157) 0.101*** (0.0167) 0.0397** (0.0180) 0.134*** (0.0207) 38.94*** (11.36) 2.986 (11.32) -33.41** (14.90) -105.0*** (13.36) -91.14*** (10.62) 0.487*** (0.0127) 0.00604 (0.0155) -0.0213 (0.0170) -0.166*** (0.0204) -0.241*** (0.0159) -0.191*** (0.0148) 0.0383** (0.0160) 0.113*** (0.0172) 0.0341* (0.0185) 0.430*** (0.0172) NO 9,212 0.067 NO 9,212 0.073 YES 9,212 0.123 (1) Age: 40-60 Age: 50-60 Age: 60-65 Never Married Divorced 0.00234 (0.0154) -0.0455*** (0.0160) -0.209*** (0.0184) -0.270*** (0.0151) -0.198*** (0.0147) 1 Child 2 Children 3 or More children Constant Controls: Income + Networth Observations R-squared Face Amount (5) (6) 298.0*** (8.606) 41.58*** (11.43) 16.74 (12.61) -7.510 (16.58) -86.36*** (13.82) -87.77*** (10.54) 27.59** (11.85) 46.01*** (12.10) 34.21** (14.60) 264.5*** (12.37) 32.90*** (11.29) -0.790 (12.55) -22.90 (16.53) -76.10*** (13.65) -72.53*** (10.60) 30.27*** (11.58) 45.57*** (11.87) 35.81** (14.41) 195.1*** (19.74) NO 3,008 0.042 NO 3,008 0.048 YES 3,008 0.093 Table 1.3: Life Insurance Demand Patterns from the SCF Households Source: Survey of Consumer Finance 2001, 2004 and 2007 waves. Notes: We restrict our households to households with male head of the household in between the ages 30 and 65. We exclude households with networth above the 95% in our analysis. Networth is calculated using the standard SCF’s program for calculating networth. We use the CPI index to adjust all monetary variables (networth, family income and face-value amount) so that they are in 2004 $. Sample weights are used in the regression. Lastly, we use the first implicate in our analysis. 11 allowing us to track changes in life insurance holdings, the HRS explicitly asked individuals whether they “voluntarily” lapsed a life insurance policy between the two waves.10 We mimic the analysis in Fang and Kung (2012) to identify lapse determinants, but we focus on lapsation behavior without contract replacements (i.e., optimal lapsation). We only use HRS waves after 2001: HRS 2002, 2004, 2006, 2008, 2010. This restriction allows us to focus on optimal lapsation as opposed to strategic lapsation. Life insurance premia started to decline during the early 1990s and continued to do so in a monotonic fashion until 2001. Thus, individuals were likely to strategically lapse and waited on repurchasing a policy until premia stabilized to their lower, competitive level.11 Furthermore, we restricted our analysis to male individuals less than 85-years-old who were married during the first sample wave (2002). Individuals without a life insurance policy throughout the sample or those that only owned a life insurance policy during the last wave (2010) are excluded in the analysis. After taking into account all of our restrictions, our data set contains 5,408 males. The bulk of these individuals were only observed for two years, with about 42% surveyed for at least 3 years. Lapsation for the individuals in our HRS sample tends to be lower (averaging around 4.8% in between the sample waves) than the reported average annual lapse rate observed in Figure 1.2. We expect this discrepancy given that the HRS sample is comprised of older individuals who face relatively minimal income shocks. Moreover, life insurance holdings in the HRS data include cash-value holdings, and these policies tend to exhibit lower lapse rates (LIMRA persistency study, 2008). The majority of these reported lapses were voluntary (77%) and almost all voluntary lapses during our sample period are optimal lapsations. In particular, roughly 94% of these lapses were not associated with an insurance replacement. We considered two sets of shocks that possibly affect lapsation. The first set is comprised of characteristics that affect life insurance demand but are unrelated to health or mortality risk. These include wealth (measured as the log of income), percent change in income, the logarithm of the ratio of medical expense to income and changes to marital status. The second set of shocks captures the policy holders’ risk class and includes health specific variables. These include various health conditions, BMI, self-reported health status and a dummy variable (whether the individual had been admitted to a hospital in between waves). Table 1.4 reports a reduced-form logit model of voluntary lapsation behavior without insurance replacement on these two groups of shocks and determinants. 12 All models control for age, education and year fixed effects. We find that recently divorced individuals as well as those with high medical expenditures relative to their wealth are likely to lapse. This holds true even when one controls for health shocks. Moreover, these health shocks do not appear to be correlated with the first set of lapse determinants, given that the coefficients on the first set of shocks do not change when one controls for the policyholder’s health characteristics. We also find evidence of anti-selective behavior (i.e., healthier individuals are more likely to lapse), which is consistent with our conjecture that unhealthy individuals are less likely to completely opt out 10 In particular, the survey asked whether the individual lapsed an LI policy. Furthermore, they ask if the “lapse or cancellation [was] something [the agent] chose to do, or was it done by the provider, [an] employer, or someone else [besides the agent]?”. 11 See, for example, the slides from the 2013 SOA Life & Annuity Symposium which provide evidence of this behavior: https://www.soa.org/Files/Pd/Las/2013/2013-las-session-28.pdf 12 We omit reporting the self-reported health category and the dummy variable capturing hospital visits; these variables were insignificant and followed signs consistent with the idea that individuals with higher mortality risk are less likely to lapse. 12 VARIABLES (1) Shocks (2) Health State (3) Shocks + Health State -11.93 (7.314) -0.300* (0.169) -0.171 (0.142) -0.423 (0.272) -0.00824 (0.0905) 0.000293 (0.00143) -14.99** (6.298) -0.00996 (0.0206) 1.477** (0.656) -1.241 (1.016) 1.180 (1.136) -0.000531 (0.000775) 0.0455* (0.0254) 0.00790 (0.0690) -0.329* (0.188) -0.207 (0.154) -0.358 (0.278) 0.00513 (0.0901) 4.11e-05 (0.00138) -11.09 (7.377) 9,095 Yes HH 13,315 Yes HH 9,018 Yes HH %4 Income -0.0108 (0.0224) Recently Divorced 1.474** (0.653) Recently Married -1.202 (1.008) Recently Widowed 1.178 (1.117) Mortgage-to-Wealth -0.000437 (0.000619) Log Medical Expense 0.0405* (0.0208) Log Income 0.0392 (0.0707) Cancer Heart Attack Stroke BMI BMI2 Constant Observations Demographic FE Cluster Table 1.4: Lapse Determinants Note: Logit estimates are based on a sample from the 2002-2010 HRS Wave. We restrict the sample to individuals that owned life insurance for since 2002 or purchased a life insurance contract before 2010. Only male individuals under the age of 85 are considered in the sample. Lapsation is defined as a voluntary lapsation without contract replacement. Models in columns (2) and (3) also include other health shocks, such as self-reported health and hospital visitation in between waves. These variables were not statistically significant. 13 of the life insurance market. Simply put, risk class affects the valuation of the life insurance contract, where individuals with a high mortality risk are more likely to maintain some form of life insurance coverage. This result casts doubt on an assumption typically made in risk-reclassification models, which assume that agents may simply have no need for an insurance contract in subsequent periods (e.g., a change in bequest motive) independent of their risk class. In these models, optimal lapsation (lapsation without replacement) does not depend on the risk class. 13 To put these numbers into perspective, we used estimates from the logit model with both sets of shocks and imputed the likelihood of a voluntary lapsation without replacement (optimal lapsation) conditional on various divorce status and health conditions (e.g., cancer and heart attack). Values for the covariates are calculated at the mean for an individual with a “poor” reported health status. We find that divorce increases the likelihood that agents optimally lapse by more than three-fold (from 8% to 29% for an individual with cancer or a history of heart attack). Such a substantial percentage increase in lapsation is true across different types of self-reported cancer/heart attack conditions. Antiselective behavior is present for individuals with cancer or a history of heart attack, though divorce has a larger effect on lapsation behavior. Specifically, while divorce increases the probability of lapsing by about 300%, the existence of cancer or heart condition merely decreases the probability of lapsing by about a third. Using the HRS has some disadvantage in that it does not distinguish between term policy and cash-value policy. Moreover, life-insurance demand wanes during retirement years (see table 1.3, and one must be cautious when extrapolating the effect of divorces on the lapsation of policies to younger individuals. Nevertheless, we believe that the results from the HRS data, paired with the evidence on life insurance holdings patterns of younger individuals, suggest that divorce leads to substantial lapsation during all adulthood-lifecycle stages. 3 Lifecycle model of life insurance demand Results from the previous section suggest that one cannot solely attribute the policyholder’s lapsation behavior to a strategic lapsation. Voluntarily lapsed contracts in the HRS sample were likely to not be replaced by another contract. Moreover, we find that these type of lapsation are largely drive by factors unrelated to mortality risks, such as changes to a policyholder’s bequest motives when couples divorce. Within the context of our theoretical model, these results aline to the existence of a nondegenerate ex-post contract valuation φ that is not contracted upon. Our theoretical model points out to an ex-post inefficiency inherent in this environment; that is, excessive and inefficient insurance against mortality risks are likely to ensue over the contract duration. Quantifying the extent of this ex-post inefficiency, not only requires observing factors affecting life insurance demand unrelated to risk, but also requires knowledge of how front loading prevents efficient lapsation. For example, in the HRS data one would need to know the level of front-loading in premia the policy holder faces when choosing to lapse. Furthermore, one must tease out the variations in premium front-loading that cannot be attributed to selection. Consumers with different ex-ante belief of how likely they are to value the contract ex-post 14 may sort into contracts that vary in their degree of front-loading; in this case, the relation between front-loading and lapsation may simply reflect the unobserved component of ex-post valuation. 13 14 As in the Daily, Hendel, and Lizzeri (2008) and Fang and Kung (2010) model. Within the context of our model, this amounts to differences in the distribution of θ 14 We do not know of a dataset that contains household-level information on lapses and also exogenous variation in premium front-loading,15 but we would like to be able to understand the magnitude of this inefficiency in the life insurance industry. To do this, we create a lifecycle model of insurance demand and lapsation behavior that takes into account the relevant shocks that household face when determining optimal life insurance holdings. We calibrate this model to match patters on LI holdings, lapsation and mortality claims found in the data. We then use this model to estimate the welfare losses associated with contract incompleteness and limited commitment. 3.1 The lifecycle model We employ a unitary household lifecycle model with bequest motives for married individual. Male policy holders account for most of the life insurance policies purchased (Hong and Rı́os-Rull (2012)). So, our model focuses on life insurance demand on contracts with the male spouse as the primary insurance holder (i.e., the beneficiaries include everyone in the household but the husband). Following the literature on annuity demand (De Nardi, French, and Jones (2009), and Lockwood (2010)), the household head in our model receives utility from bequeathing individuals at the time of the husband’s death. This bequest motive can be fulfilled through savings or the purchase of a life insurance contract. Households in our model face various risks that affect their demand for life insurance and the need to insure against mortality risks. Thus, agents in our model decide on the optimal savings, insurance purchase and life insurance policy lapsation. We are not the first to apply lifecycle household model in life insurance demand. Examples can be found in Hong and Rı́os-Rull (2012), Hosseini (2007), Hosseini (2008) and Inkmann and Michaelides (2012). But, none of these models account for reclassification risk insurance and assumes that agents face a static, spot-market contract choice set. In these models agents purchase a spot-market contract that is equal to its actuarially fair value plus some insurance load. To our knowledge, we are the first to construct a model that allows for a richer contracting set, one that insures against reclassification risk. In particular, we mimic the contract set currently displayed in the market, which comprises primarily of level term contracts. This section proceeds as follows. We first provide details to each of the model’s components: the shocks agents face, the contracting set, the budget constraints and the agent’s problem. We then discuss parametric assumptions used in our calibration. This subsection is then followed by a discussion on the first-stage calibrated parameters (parameters that can be estimated independent of the lifecycle model) and the information used to impute these values. We then discuss the moments used to calibrate the rest of the parameters that rely on the lifecycle model for identification. Finally, we discuss the fit of our calibrated parameters. Health state and Morality risk We consider two health states ht in our model: insurability (ht = 1) and uninsurability (ht = 0). Agents in our model start the lifecycle with an insurable health state, but health state evolves stochastically according to the law πh (ht+1 |ht ). Mortality risk depends on the health state in each period. We denote the probability of not surviving in period t + 1 conditional on being alive in period t by δtht . 15 The HRS data provides virtually no information on premia paid. In particular, the survey stopped collecting information on premia for term-life insurance in the year 2000. 15 As mentioned earlier, standard LI underwriting typically precludes individuals from purchasing when they fall into a health category deemed uninsurable. We use adverse health conditions that most life insurers use in their criteria in defining uninsurability. In particular, a person is uninsurable if she has the following health condition: cancer (except for melanoma), heart failure, heart attack, diabetes and extreme obesity. In most cases, LI underwriting prevent individuals from purchasing standard LI contracts if they’ve had a history of these adverse health conditions. We thus assume that πh (ht+1 = 1|ht = 0) = 0. Life Insurance Contracts Previous life-cycle models of demand typically assume that households can only purchase spot-market contracts. As mentioned earlier, this assumption does not align with the observed contracts in the market. In our model, households can purchase long-term contracts, and we focus on the two-types of contracts typically purchased in the market: 10-year and 20-year lever term. We characterize these contracts by their per-dollar premia, Pt , face value, Ft and tenureship, dt . These contracts are non-binding so that households at any point in time can choose to lapse by ceasing payment. Households in our model pay the premia at the beginning of the period, and a payment insures the agent against mortality risk in that period. At the end of the level-term, households are left uninsured and can either continue being insured against mortality risk in the spot-market market or purchase a new level-term contract. The linearity assumption of premia in face value is not an innocuous assumption and reflects the limited role of adverse selection in the life insurance industry. In practice, most contracts are linear with some bulk discounts for contracts with large face values (Cawley and Philipson (1999)). Income shocks and the household budget constraint We allow for income shocks to capture the effect of liquidity constraints on lapsation. In particular, household income follows the following process: ln yit = µi + it it = ρi,t−1 + ηit In this equation yit is the per-period income and exp(µi ) captures the income at the beginning of the household’s lifecycle, and the innovation ηit is assumed to be independent across time and individuals. These permanent income shock end at retirement, and during such phase households earn a pension equivalent to their end-of-retirement income multiplied by a replacement ratio. A household in possession of a term contract with premia Pt and face value Ft faces the following capital accumulation constraint if she chooses to keep the contract and pay the premia: at+1 = [at + yit − (ct + Pt F )] (1 + r) In this equation at denotes the asset, ct is the per-period household expenditure beyond lifeinsurance purchases and r is the market interest rate. We assume that individuals cannot leave debt so that paired with a positive mortality risk we have at ≥ 0. Households may opt out of keeping or purchasing a long-term contract, in which case the asset accumulation follows the usual form: at+1 = [at + yit − ct ] (1 + r) 16 . Preferences and Household Problem Our model of household preference closely follows the unitary household model with bequest motive in Lockwood (2013) in that the agent receives utility from leaving a bequest at the time of his death. Bequest can either come from assets accumulated and the face value of a life insurance contract held, if any. In particular, if the agent dies in between period t and t + 1, has accumulated assets at+1 for use in the next period, and purchased a contract with face value F , then the agent receives the following bequest utility: v(at+1 + F |Mt , ξt ) Bequest motives depend on the marital state Mt and an unobservable preference shock ξt . These unobservable preference shock are persistent and follows a random walk: ξt = ξt−1 + ηt . Let Ct = (Pt , F, dt ) denote the agents current life insurance holding with Ct = ∅ with no insurance holdings. Agents in each period can choose to maintain their contract, lapse and purchase a new contract among the set Ct0 of contracts available in the market, assuming the agent is insurable (ht = 1), or opt out of the insurance market. Thus the agents choice set Ct (ht , Ct ) depends on the health status and current-periods insurance ownership: Ct (ht , Ct ) = Ct0 ∪ C̃t (Ct ) ∪ ∅ if ht = 1 Ct (ht , Ct ) = C̃t (Ct ) ∪ ∅ o.w. Here C̃t ((Pt , Ft , dt )) = (Pt , Ft , dt + 1) if the duration is within the level-term period; otherwise, we let it be the empty set. The empty set represents the option to opt out of the life insurance market, and agents in this case can only bequeath through savings. Let ωt = (at , Ct , yit , ht , Mt , ξt ) denote the agents current-period state. The agent in each period chooses his optimal consumption, savings and life-insurance purchase decision. The following bellman equation describes this intertemporal decision: h i ht ht 0 0 Vt (ωt ) = max u(c ) + β δ v(a + F |M , ξ ) + (1 − δ )E[V (ω |ω , c , C )] t t+1 t t t+1 t+1 t t t t t 0 0 0 ct ,Ct =(Pt ,F 0 ,dt ) s.t. budget constraint and Ct0 ∈ Ct (ht , Ct ) 3.2 3.2.1 Calibration and Parameterization Parametric form The households felicity function takes on the standard constant relative risk aversion (CRRA) form : 1−σ u(c) = c1−σ . Our parametric form of bequest motives v(·|Mt , ξt ) closely follow Lockwood’s threshold crossing model but allow for bequest motives to vary across age, marital status and an unobservable preference shock. In particular, we assume the following form; ! σ φt (Mt , ξt ) (κ(Mt ) + b)1−σ vt (b|Mt , ξt ) = 1 − φt (Mt , ξt ) 1−σ 17 φ(·) captures the bequest intensity and admits a logit specification: φt (Mt , ξt ) = exp(αo + αm Mt + αξ ξt ) 1 + exp(αo + αm Mt + αξ ξt ) κ(Mt ) = κo (1 − Mt ) + κm Mt reflects the threshold consumption level below which households prefer not to bequeath an actuarially-fair mortality insurance contract as discussed by Lockwood (2013). We assume a parametric survival function when estimating the mortality risk. As in Finklestein and Porterba (2004), we model the hazard function using the Gompertz distribution and estimate these hazard functions by health type. To be exact, for each health type h, we let the the survival function with respect to mortality take on the form Sh (t) = exp −λh γh−1 (exp (γh t) − 1) . These functions are h (t) then used to impute each period’s mortality risk δtht = Sh (t−1)−S . Sh (t−1) 3.2.2 Assumptions on the stochastic components of the model Agents in our model face income uncertainty, divorce shocks (i.e., Mt is stochastic), uninsurable health shock, mortality risks and an unobservable bequest shock. With the exception of mortality risk and health shocks, we assume that shocks are drawn independently of one another. We make such assumption since the processes are estimated from various data sources (see next subsection). Admittedly, medical studies linking divorce to poor health conditions flood the medical literature (Sher and Noth (2013)). Thus, our estimates on the gains to divorce contingent rebate–conversely, the lock-in inefficiency–is likely to be conservative figure (bias downwards). This is the case since the cost of locking consumers in is higher for unhealthy individuals with high mortality risk. While we do not impose any parametric assumption when estimating the income process, we assume that ηit is normally distributed in our simulations. We also assume that the unobservable bequest shock’s innovation follows a normal distribution; that is, ηξ ∼N (0, 1) so the preference innovation has variance αξ2 . 3.2.3 First-stage parameters We divide our estimation procedure into two stages. Our first-stage estimates involve parameters that are identified without solving the lifecycle model. These include the income process, reclassification and divorce risk. We then use these estimates as calibrated parameters in the lifecycle model. We calibrate the remaining parameters by matching simulated patterns based on our lifecycle model. In particular, we seek out values of the parameter that result in simulated lifecycle profiles that closely matches the patterns of life-insurance demand, lapsation and mortality experience in the data. Income We use information from the biannual 1997-2011 waves of Panel Study of Income Dynamics (PSID) to estimate the household income process. We use the PSID’s measurement of pretax total family income including transfers. Details of the sample selected in our analysis can be found in Appendix B.I. Our estimation consists of two parts. First, we project this measurement on annual dummies, headof-the-household’s age, education and race. We then match the moments of the estimated residuals to estimate the parameters of the income-shock process (ρ and ση2 ) using a standard method of moment 18 ρ 0.5895 (0.0228) ση 0.0053 (0.0005) Table 1.5: Income-process estimates Source: PSID 1997-2011. Refer to the main text for the estimation strategy. approach. 16 In our analysis, the time window in between t and t + 1 consists of a two year period. Table 1.5 reports these estimated parameters, where we find considerable dispersion in the innovation and a persistent shock. We use these estimates and assume that η follows a N (0, σ 2 ) in our lifecycle simulations. Reclassification risk and the uninsurable mortality risk We employ the NHANES III to estimate reclassification risk. The NHANES III provides information on the age at which an exhibited an uninsurable health condition. We previously discussed this risk in the life table tabulated in table 1.1. As mentioned earlier, there appears to be some bunching around certain years, most likely due to respondents rounding their age in the survey. We attempt to smooth this by fitting a nonparametric survival curve that captures reclassification risk. In particular, we first take the restricted sample and fit a cox proportional model with sex and smoker proportionally affecting the baseline hazard. We then non parametrically fit the baseline survival function using the a cubic specification on log survival function: ln S R (t) = βoR + β1R t + β2R t2 . Details of our sample restriction and the variables from NHANES used to define uninsurability can be found in Appendix B.II. Table 1.6 lists the estimated parameters for this survival function as well as the effect of sex and smoker-status on the hazard function. Consistent with the lifetable found in Table 1.1, we find considerable reclassification risk. For example, the probability of falling into uninsurable category within 10 years for a 45-year old male individual , conditional possessing an insurable health status at this age, is approximately 14.34%. Not surprisingly, smoking status substantially increases the reclassification risk (the hazard rate increases by 23 .61%) We restrict our sample to uninsurable individuals and estimate a cox-proportional hazard model on mortality risk. As in the reclassification risk model, we allow sex and smoker status to affect the baseline hazard model. We use a Gompertz distribution to fit the baseline hazard. While our data allows us to non-parametrically estimate this baseline function, we find that the Gompertz distribution provides a good fit relative to the nonparametric fit. This assumption is also consistent with our parametric assumption on the mortality risk of policyholders (insurable individuals), where we make such assumption for computational tractability (see second-stage estimation section). Table 1.7 tabulates the parameters of the Gompertz distribution. Divorce risk Our model takes divorce risk as exogenous, and we let divorce risk vary by age. Admittedly, divorce risk varies by marital duration but this effect can be captured by the age-specific divorce rate. Considering both age and duration specific divorce probabilities significantly increases the dimension the state space in our computation. We use the NSFG 2006-2010 data on married 16 In particular, we match the following moment conditions E[2it ] = ση2 and E[it it−j ] = ρj ση2 for j >= 1. A diagonal weighting matrix is used, and we calculate the standard errors using a bootstrap method. 19 (1) First-stage cox (exp(β 0 x)) t (2) ln Ŝt 0.0174*** (0.000251) -0.000303*** (2.88e-06) t2 Female -0.274*** (0.0357) 0.212*** (0.0563) Smoker Constant -0.252*** (0.00476) Observations R-squared 19,999 20,005 0.990 Table 1.6: Cox Regression This table reports estimates of the uninsurable hazard function. Column 1 reports the first-stage cox-proportion hazard function where uninsurability is the failure event. We then nonparameterically fit the estimated base-line survival curve as a quadratic function of time. The estimates for such fit is displayed in column (2). Refer to the main text for the estimation strategy. Standard errors in parentheses. *** p<0.01, ** p<0.05, * p<0.1 Parameters Female Smoker Constant Observations (1) ln λ (2) γ -0.377*** (0.0426) 0.820*** (0.0685) -9.220*** (0.274) 0.128*** (0.00505) 3,285 3,285 Table 1.7: Baseline Death Hazard for Uninsurable Adults This table reports estimates of the death hazard function for uninsurable class using the NHANES III data and the Mortality File Supplement. Calculations are based on the MLE, where we use the parametric form h(t) = λ exp γt. Estimates are based on a sample of adult individuals age 30 and over. Time is reset so that t = 0 corresponds to the 30th year. Standard errors are calculated using the replicate weight method suggested in the guidebook.*** p<0.01, ** p<0.05, * p<0.1 20 male individuals ages 30 and above to calculate the two-year divorce rates by age. We first estimate a cox proportional hazard model of divorce without parametrically specifying the baseline hazard and allow it to depend on marriage at the time of marriage. We then non parametrically fit the estimated survival function and use this to calculate the marital survival function for a 30-year old male. Figure 1.4 plots the divorce risk across the lifecycle considered and shows a nontrivial rate of divorce up until age 55. In fact, conditional on being married at age 30, a male individual has a 20% chance of getting divorced within 10 years. 1 0.95 0.9 0.85 0.8 0.75 0.7 0.65 30 35 40 45 50 55 60 65 Age Figure 1.4: Marital Survival Function We use the NSFG 2006-2010 data on married male individuals ages 30 and above to calculate the two-year divorce rates by age. We first estimate a cox proportional hazard model of divorce without parametrically specifying the baseline hazard wit age of marriage as a factor affecting the hazard rate. We then non parametrically fit the estimated survival function and use this to calculate the marital survival function for a 30-year old male. Life insurance Pricing We use data provided by Compulife to impute the term-life insurance prices. For each age, we take the average of the 15 lowest premia in the dataset for a nonsmoker, standard class individual issued in 2004. Table 2.1 lists these premia. Other Calibrated Parameters We do not estimate the CRRA parameter σ but use previous studies to calibrate its value. In particular, as in Lockwood (2013) we set this value to 3. The annual discount rate is set at 3%. 3.3 Second-stage calibration and simulation procedure Our second-stage procedure calibrates the remaining preference parameters characterizing bequest motives (αo , α1 , α2 , αm , αξ ) and the parameters governing the insured’s mortality risk profile (βI , λI ). 21 To do this, we use our lifecycle model and simulate insurance purchase behavior, lapse decision and the insured’s mortality experience and chose parameters that match the patterns in data. We target the following moments in our calibration: 1. Ownership Rate: [m1 ] and [m2 ] - We take a sample of male-household heads from the SCF (waves 2001, 2004 and 2007) that were married at some point in their life. These include divorced individuals at the time of the survey. We then calculate the average ownership rate conditional on current marital status: An individual owns a term-life insurance contract if she holds a contract with a face value amounting to at least $75,000. We make such restriction to better approximate individual-life ownership as oppose to group-life or employer-sponsored policies that tend to have low face amounts. We also restrict the sample to household heads in between the age of 30 and 50. The average ownership rate for divorced individuals (m̂1 ) is equal to 28.14%, while 53.17% of married individuals owned a term-life insurance in our sample (m̂2 ). 2. Face value: [m3 ] and [m4 ] We take a subsample of households discussed in the preceding paragraph that owned a life insurance at the time of survey and calculate their average face amount. The face value of insurance purchased by divorced individuals in our sample amounts to about $219k, while married individuals purchase contracts with substantially higher face values ($310k). 3. Lapse rate: [m5 ]. We use information for a large-scale actuary persistency and experience study to impute the 10-year lapse rate of LT20 and consider only contracts issued for male policy holders with ages in between 35 and 45. We restrict the sample to policies issued for a nonsmoker, fully underwritten contract with a face value exceeding $50k. Approximately 37.62% of these policy holders lapse by year 10. 4. Mortality rate: [m6 ], [m7 ], [m8 ], [m9 ] We use the same large-scale actuary to calculate mortality rates during the first 10 years for polices issued at various age groups: 30-34, 35-39, 40-44, 45-49, and 50-54. We take the total number of claim counts within the first 10-years of the contract and divide it by exposure counts (measured as a year and policy). Thus, one can view this statistic as the average mortality rate within the first 10-year of the contract duration. These numbers are .00035, .0004704, .000814, .001272, and .002024 , respectively. We start the lifecycle for a married individual at age 30. We initialize the unobservable bequest parameter by setting ξ = 0 across all simulation, but we allow for heterogeneous starting values for income and assets. The distribution of initial income and assets is drawn from a sample of married male individuals ages 25 to 40 in the SCF. We draw (with replacement and randomly up to the SCF household weights) from a sample of 500 individuals, and for each individual we simulate 1000 lifecycle decisions. To match the first two patterns in the data, we take a cross-section from our simulated life profile. To be exact, for each simulated life, we choose a particular point in the simulated lifecycle profile based on the age distribute of the subsample used to estimate m1 and m2 . We then use this simulated cross-sectional data to calculate the simulated moment moments on take up rates and face-value by marital status. For the moments relating to lapse and mortality rates, take our simulated lifecycle and emulate the experience and lapse data. We then use this data to calculate simulated lapse and 22 mortality rates by age group. Simulated method moments are formed for each parameter guess β, say mSim (β). Our calibration method uses the same technique as a simulated method of moment approach. We minimize the distance between the the simulated and the empirical moments, where we use the diagonal variance-covariance matrix of the empirical moments variance Σ. In particular, our calibrated parameters is based on minimizing the following objective function: min (mSim (β) − m̂)0 Σ (mSim (β) − m̂) (1) β Although we use the same empirical approach as SMM, we do not feel comfortable calling our calibration as estimates and imputing standard errors at this stage. First, we make no formal identification claims, but we suspect that the moments m1 through m5 identify the parameters relating to bequest motive. Similarly, the survival function for insured individuals are likely to be identified by attempting to fit the mortality rates m6 through m9 . Also, given that our use of multiple datasets, properly accounting properly for standard errors is a nontrivial task, and we feel that such exercise, while important in itself, is secondary to the paper’s intent. We are currently working on addressing these two issues, but at the moment we use our calibrated parameters for our counterfactual analysis. 3.4 Model fit Table 1.8 displays the calibrated values found by minimizing the expression (1) using a simulated annealing algorithm, β̂. This table also provides a comparison between the simulated moments mSim (β̂) evaluated at β̂ and our observed empirical moment. With the exception of the average face value of term-life holding ([m4 ] and [m5 ]) our model reasonably fits the targeted patterns in the data. Threshold-crossing level of consumption in our model ($6, 613.1 for divorced individuals and $5, 488.5) for married individuals) is substantially lower than the ones estimated in Lockwood (2013) for older individuals. This result doesn’t come as a surprise given the large take-up rate of term life insurance in the data for ages 30-50 individuals. Parameter αξ κo αo αm κm o λo γo Estimated Parameter 0.0990 6, 613.1 1.2898 1.1047 5, 488.5 exp(-11.4947) 0.0825 Moment Divorced Ownership Rate Marriage Ownership Rate Avg Face Avg Face (Married) First-10 year lapse 30-35 Mort 35-40 Mort 40-45 Mort 45-50 Mort 50-55 Mort Empirical 28.14% 53.17% 219k 310k 37.62 .0004 .0005 .0008 .0013 .002 Table 1.8: Second-stage parameter estimates 23 Matched 27.16% 50.78% 123k 183k 37.14% .0004 .0005 .0007 .0008 .001 4 Welfare Loss: Fixed-Payment Contracting Environments To impute the welfare loss that stem from the policyholder’s lack of commitment and incomplete contracting, we consider a fixed-payment contracting environment. In particular, we define the set of all feasible fixed-payment contracts as follows: Definition 1. A feasible fixed-payment contract signed in date t is a tuple Ct = {pto , pt , T̄ t , lt } that specifies: 1. an entry payment pto : Ωt → R, 2. a fixed annual premia pt : Ωt → R, 3. a contract length: T t : Ωt → N+ , t )T −t , where for each j = 1, · · · , T − j lt 4. and a participation rule lt = (lt+j t+j : Ωt × Ωt+j → {0, 1} j=1 dictates wether a person receives coverage in period t + j. Hence, for each ωt+j and t with t (ω , ·) = 0. t + j > T t (ωt ), we have that lt+j t The contract above mimics the standard term-life insurance market that specifies a level premia for a specified number of years. Unlike the life insurance contracts we observe in the market, we allow for a richer contracting set, one that allows for contracts to depend on the agent’s current state ωt , including the unobservable bequest shocks. We also allow firms to front load or back load payments via an entry payment, pto . Lastly, the contracts specify a contingent participation rule that depend on the realized states in the future. Such rule allow firms to eliminate any ex-post inefficient life insurance holdings if possible. We thus look at environments where this rule is left unrestricted (we refer to this environment as a quasi-complete contracting space) and compare it with an environment where no such rule exists (an incomplete contracting space). −t Given a set of contracts specified for each age t, say (Ct )Tt=1 , let Vt (ωt , Ct (ωt )|(Ct+j )Tj=1 ) denote each policyholder’s value function for contract Ct , conditional on the set of contracts the policy holder −j can possibly purchase in a future date (Ct+j )Tj=1 . In particular, policy holders at any date t0 > t can possibly drop a contract and repurchase the new contract Ct0 . Similarly, let Rt (ωt , Ct (ωt )|(Cj )j6=t ) and Mt (ωt , Ct (ωt )|(Cj )j6=t ) be the expected revenue and mortality/claims cost associated, respectively, with the contract Ct . We are now in a position to characterize a set of equilibrium contracts in the fixed-payment contract environment. Definition 2. A set of contracts (CtE )Tt=1 is an ¯l-equilibrium contract in the fixed-payment contract environment if 1. Each policy has a load of ¯l: E )T −t ) Mt (ωt ,CtE (ωt ),(Ct+j j=1 E )T −t Rt (ωt ,CtE (ωt ),(Ct+j j=1 = 1 − ¯l, for any ωt ∈ Ωt and t = 1, · · · , T . 2. For any other fixed-payment contract with the same load factor ¯l, we have that −t E T −t Vt (ωt , Ct (ωt )|(Ct+j )Tj=1 ) ≤ Vt (ωt , CtE (ωt )|(Ct+j )j=1 ) for any ωt ∈ Ωt and t = 1, · · · , T . 24 EI EII EIII EIV (1) Participation (2) Annual Premia (3) Length (4) Face (5) Take-up (6) Total 4 Welfare -3,548 -5,242 2,432 592 1,775 2,378 1,240 1,682 30 18.2 27.5 16.7 353k 181k 257k 172k 63% 49% 59% 43% $1,081.43 (3.51%) $160.21 (0.52%) $1,312.51 (4.26%) Table 1.9: Average Equilibrium Outcome We set the load factor to 42.1%, which is the average load observed for the LT10 and LT20 contracts found in the market. Columns 1-4 report the average participation fee, annual premia, contract length, and face value across all the equilibrium contracts for a 40-year old individual. Columns 5 and 6 calculates the take-up rate and welfare loss (moving from EI to an alternate environment) for all contracts found in equilibrium. A monte-carlo simulation is used to calculate the averages. Averages are taken over the distribution of assets and income found in the SCF data for ages 35-45 male household head. Marital states and bequest shocks are drawn independently when forming these average profiles. We set the maximum length to age 70. EI reports the results for a contracting environment with full commitment and quasicompleteness. EII reports the results for a contracting environment with full commitment only. EIII reports the results for a contracting environment with limited commitment and quasicompleteness. Lastly, EIV reports the results for a contracting environment with limited commitment and contract incompleteness. In this definition, ¯l is the load associated with each contract. An equilibrium dictates that no other firm can offer a set of contract that makes some consumers better off. In this section, we consider four types of contracting environments and consider the equilibrium contracts found in these environments. We first consider the baseline contracting environment where we assume that firms can force individuals to drop out of the contract in a given period–that is, the rule lt is unrestricted. We refer to such environment as a “quasi-complete” contracting environment since it allows for efficient ex-post participation. We also consider two forms of policyholder commitment. Table 1.9 details the average contract profile for an insurable 40-yr old male individuals in various contracting environments. A monte carlo simulation is used to calculate the averages. Averages are taken over the distribution of assets and income found in the SCF data for ages 35-45 male household head. Marital states and bequest shocks are drawn independently when forming these average profiles. We set the maximum length to age 70. We set the load factor to ¯l = 42.1%, which is the average load observed for the LT10 and LT20 contracts found in the market. 17 . While this load may appear high, its value is within the range found in other front-loaded contracts, such as the long-term care market (Brown and Finkelstein, 2007). Lastly, we restrict contracting to insurable lives and continue to assume that uninsurable lives must self insure through savings. 18 17 We use the compulife average profile that were used in the lifecycle calibration. We then take simulated claims to calculate the expected cost 18 For the contracting environment with limited commitment, we recursively calculate each equilibrium contracts Ct (ωt ). We do not calculate each equilibrium contract but sample the state space Ωt and interpolate the values. We use a product uniform distribution to sample the points for each period t. We then use a linear interpolation method to calculate the equilibrium contracts for the unsampled points. Calculation of equilibrium contracts in an environment with full commitment can independently calculated since lapsation behavior do not depend on contracts specified in future dates. 25 4.1 Full Commitment Environment In this subsection, we consider the case where policyholders can fully commit to paying the premiums whenever the firm provides life-insurance coverage in that period. We refer to this contracting environment as a full-commitment environment. t )T −t is left The first row reports the average contract profile in an environment where lt = (lt+j j=1 unrestricted (EI), while the second row reports the average contract profiles where the participation rule is set to 1 whenever the contract duration is within the contracting length (EII). Thus, in this environment firms provide insurance coverage regardless of the realized states within the specified contracting length. We refer to this environment as an incomplete contracting environment. In the contract environment EI, the full contract length is observed. This is unsurprising given that there are no cost to extending the contract length. If it’s optimal for firms to restrict life insurance coverage in later periods, the participation rule allows the firm to do so without shortening the contract length. In both full-commitment contracting, we observe that entry payments are negative so that contract payments are back loaded. To see why this is the case, notice that our model restricts borrowing so that the insurance companies act as a lender our contracting environments. Indeed, the backloading of contracts decreases with assets. Notice, however, that the average backloading payment increases in the environment EII. The further back-loading of contracts allow for higher annual premia, which curtails inefficient life insurance holdings in the future. Indeed, we find that contracts in this environment are structured to mitigate inefficient lapse. To see this, consider the contract environment CI, where we find that in year 10 only 5.1% of the risk t )T −t are uninsurable. This proportion is lower pool covered according to the participation rule lt = (lt+j j=1 than the expected uninsurable class in year 10, contingent on being insurable at age 40 (approximately 9%). Thus in a complete contracting environment, it is inefficient for life insurance companies to insure some high-risk class (uninsurable) individuals. In contrast, we find that the proportion of insured lives covered in year 10 that are uninsurable increases to 7.7% in the environment EII, which suggest that a high degree of inefficient life insurance coverage for the uninsurable in year 10. While this proportion is higher than what we observe in EI, it pales in comparison to the case when we restrict the entry payment to zero. When we calculate the equilibrium in a setting where firms are not allowed to backload contracts and operate in an incomplete contracting environment, we observe that 10.2% of the insured individuals in year 10 are uninsurable. Unsurprisingly, premia increases in the environment EII, and the contract length shortens almost 12 years. Extending the contract length comes at a cost since it increases the excessive life insurance holdings. We calculate the welfare loss associated with moving from a contract environment CI. To do this, we calculate for each state ωt and equilibrium contract in environment Ej, say CtEj (ωt ), the agents willingness to pay to exchange such a contract with the equilibrium contract observed in EI, say CtEI (ωt ). That is, how much assets is the agent willing to forego to trade the status-quo contract for a contract found in EI. We find that movig from a “quasi-complete” contracting environment to a “complete contracting” environment amounts to an industry-wide loss19 that is greater than one billion dollars. This figure amounts to about $100 loss per policy issued. 19 This figure is taken over contracts observed and purchased across all ages. We then multiply this aggregated amount by a scaling factor to reflect the industry size 26 4.2 Limited Commitment Environment We relax the full-commitment assumption by allowing policyholders to strategically lapse in this subsection. In particular, consumers can drop their coverage and repurchase a new contract if she is insurable. As in the previous subsection, we consider an environment with an unrestricted participation rule (EIII) and environment where firms must provide coverage within the specified contract length (EIV). The environment EIII is similar to the environment analyzed in the Hendel and Lizzeri (2003) framework. Unsurprisingly, we observe contract front-loading and find that contracts require policyholders to pay a participation fee ($2,432 on average). Such front-loading of contracts mitigate the consumer’s incentive to strategically lapse. When comparing the contracts to the contracts observed in environment EI, we find that the front-loading of contracts minimally distorts intertemporal consumption. In particular, the loss associated with contract front-loading amounts to a mere $160 million. Average contracts in environment EIV mimics the contracts observed in the industry during our sample period. Front-loading is minimal ($592 on average) and the annual premia lies roughly in between the annual premia observed for LT10 and LT20 contracts. Unsurprisingly, contract length is substantially reduced in this incomplete contracting environment. Lastly, we find that the loss associated with limited commitment merely accounts for 17% of the welfare loss in environments with contract incompleteness and limited commitment. 4.3 Welfare Gains of a Divorce-Contingent Rebate We consider the welfare effect of a divorce contingent rebate. We first consider a counterfactual were a regulator requires firms to offer a specified rebate if the contracts lapsed within the first ten years and the policy holder changed marital status prior to terminating the contract. The rebate amounts to a specified percentage of the total premia paid in the contract. Using the calibrated parameters, we calculate the per-period value function contingent on the rebate VtR ((at , ωt−a ), where ωt−a is the set of state variables apart from assets and R is the rebate percentage (i.e, if the consumer has paid m amount into the policy before lapsing she receives m × R upon lapsing if she happens to be divorce at the contract termination date). For each ωt−a and at , we defined the policy holders willingness to pay, W R (at , ωt−a ), as the solution to the following equation:20 VtR ((at − W R (at , ωt−a ), ωt−a ) = Vt ((at , ωt−a ) (2) In particular, W R (at , ωt−a ), is the amount of wealth the policy holder is willing to forego for the addition of a divorce-contingent rebate in her existing contract. Let ECtR (at , ωt−a ) denote the expected claims cost for contract issued in date t; that is, the (discounted) face value times the probability that a claim will be initiated during the contract duration. Similarly, let Et PtR (at , ωt−a ) denote the expected (present-value discounted) stream of premia firms expect from the contract contingent on the rebate R issued at time t and ERtR (at , ωt−a ) be the present-value discounted expected rebate cost; these values accounts for the consumers lapsation behavior contingent on a rebate environmnt. Given this 20 For each value ωt in the discretized state space, we calculate W R (·) using a gradient/newton-based optimization method by minimizing the squared distance between the two value functions. 27 notation, welfare estimates contingent on ωt can be defined as follows: GtR (ωt ) = ECt0 (at , ωt−a ) − ECtR (at , ωt−a ) − EPt0 (at , ωt−a ) − EPtR (at , ωt−a ) − ERtR (at , ωt−a ) − W R (at , ωt−a ) (3) Based on our theoretical discussion, a rebate induces efficient lapsation and reduces claims for individuals whose valuation for insuring mortality risks is lower than the mortality insurance cost; the first term in square bracket should reflects the effect of rebates in reducing claims cost. Rebates naturally lower the firm’s expected costs since agents are more likely to lapse; the second square bracket in equation (3) captures this loss. Moreover, the consumer’s valuation of a rebate (her willingness to pay for a rebate) is less than the actual (present-value discounted) rebate amount, which is the firm’s expected present-value cost of providing such divorce-contingent rebate. Thus, the last term in square brackets should be negative. The intuition behind this result comes from viewing the rebate as a lottery and the willingness to pay for such lottery as the certainty equivalent valuation of such gamble. Also, consumers forego mortality risk insurance. We draw samples from the SCF data of married male individuals between the ages 30-50 to estimate the expected welfare gains in the population.21 In our counterfactual analysis, we restrict rebates to LT20 contracts, and, in particular, require firms to rebate a percentage of the total premia paid within the first 10 year of the contract. We fix premia for both LT10 and LT20 contracts at their observed levels. Our draws allow for heterogeneity in income, asset level, and age: (ωi , agei ). For each 20 (ω ), and only include the draw, we use the agents optimal purchase insurance purchase decision,Page i i individuals that optimally purchase an LT20, conditional on a rebate environment, in our calculation. Thus, our total welfare calculation can be summarized as follows: " # X R R 20 Total Welfare Contingent on R ≡ G = Gage (ωi )Page (ωi ) × Scaling Factor i i i The scaling factor scales up our estimates to reflect the industry size.22 We take the same sample of 500 individuals used to estimate term-life ownership in the model calibration, and, for each, draw we simulate 1000 policy experiences (lapsation behavior and mortality experience). We thus have total of 500,000 simulated policy behavior used to calculate the expected revenues, rebates and claims cost. We find that total welfare is maximized by offering 19% rebate. The welfare gains amount to about $32.48 million if firms allowed offered this divorce-contingent rebate. This amounts to about 10.5 basis points of the annual premia collected in 201023 . Industry wide profits decreases (accounting for the loss in revenue from higher lapsation, rebate cost and reduced expected claims) cost by roughly $72.57 million , but this amount is less than the agents aggregate willingness to pay for the rebate contracting feature (about $105.05 million). 21 We use the same weighting as in the preceding subsection. We use the ACLI estimates of 3.8 million term policies issued in 2010. Thus our scaling factor is equal to the 3.8 million divided by the number of policies simulated that purchased a contract. 23 Based on the ACLI 2010 Life Factbook, the LI iindustrry collected about $79,621 million in individual life premia in 2010. Approximately 39% of these policies were term-life contracts. 22 28 5 Conclusion This paper discussed an inherent inefficiency that naturally arises in incomplete contract markets with limited commitment. We show that efforts to lock in agents in this setting lead to inefficient ex-postcontract participation. Such loss can be corrected if firms compete in a richer, more complete contracting environment. We illustrated this inefficiency in the market for term life insurance contracts. The front-loading of premia in these contracts and reduction of future premia allows firms to insure against reclassification risk by reducing the policyholder’s incentive to drop a contract and shop for a possibly less expensive policy. We argue that such reduction in future premia, paired with changes to a policyholder’s bequest motives due to a recent divorce, may result in inefficient mortality insurance holdings. We calibrate a lifecycle model of life insurance demand that matches patterns of life insurance holdings observed in the Survey of Consumer Finance data, where we account for health, income and marital shocks. Then we use this lifecycle model to analyze the welfare gains of a divorce-contingent rebate, and we find modest welfare gains when firms operate in this counterfactual setting. Our welfare analysis leverages the relation between non-contractible unobservable bequest shocks and divorce rates. Since bequest motives are driven by policy holders’ marital status and policy holders face nontrivial divorce risk, we examine welfare gains to introducing divorce-contingent rebates. Of course, other unobservable factors or bequest motives beyond marital status may affect the valuation of a life insurance contract. Thus our welfare calculation provides a lower bound figure for the inefficiency caused by incomplete contracting. Viewed in another manner, our exercise estimates the amount of “money left on the table” when divorce-contingent contracts are not drawn up. Given the nontrivial gains to a rebate-contingent contract, one may wonder why no such contracting feature exists in term-life contracts. Our contract feature is simple to implement. Thus, it is unlikely that the standard transaction-cost argument rationalizes its absences. The regulations in place, which discourage pricing insurance contracts based on anticipated lapsation, may explain the industry’s hesitation in offering a rebate-contingent contract. Justifying these contracts to regulators immediately requires admission of lapse-based pricing, which is a “taboo topic in the life insurance industry” (Gottlieb and Smetters (2013)). Thus our results encourage embracing lapse-based pricing in termlife insurance contracts. Although this paper focuses on life insurance contracts, there are other markets where one suspects excessive contract holdings. In the subprime mortgage market, for example, concerns over prepayment penalties locking homeowners to their existing homes has led regulators to recently cap such penalties.24 However, this law eliminates any benefits associated with borrower commitment, which exist especially for borrowers with subprime-credit ratings. Subprime borrowers face great uncertainty in their future credit ratings, and those who exhibit favorable shocks that lead to better credit (e.g., positive income shocks) are more likely to refinance their loans. If borrowers were able to commit to a loan, then firms could anticipate better ex-post risk exposure and offer lower rates, thereby insuring borrowers against the possibility of not being able to refinance their existing loans. We admit that borrowers face much uncertainty in valuing their existing homes, and prepayment penalties may prevent borrowers from moving into another, more desirable home. However, our analysis suggests that preventing lenders from adding prepayment-penalty clauses is not the solution to correcting this distortion. Rather, regulators should allow the addition of prepayment-penalty 24 See the recent implementation of the Dodd-Frank Act Section 1414 29 waivers provided homeowners sell their existing homes. The subprime mortgage market is not the only market where a firms’ ability to employ lock-in mechanisms has been limited. Scrutiny from policy makers and consumer advocates has led to a series of judicial proceedings against the use of early-termination fees (ETF) in the cellular-phone industry. This pressured firms in this industry to dispose of or cap ETF in their agreements. In general, our paper advocates competition in a more complete contract setting as opposed to simply eliminating these lock-in mechanisms. Of course, our results beg the question why some markets do not currently operate in a more complete contracting environment. This paper does not attempt to answer this question, but we believe that regulators may play an important role in allowing or nudging markets to do so. 30 References Cawley, John and Tomas Philipson. 1999. “An empirical examination of information barriers to trade in insurance.” The American Economic Review 89 (4). Daily, Glenn, Igal Hendel, and Alessandro Lizzeri. 2008. “Does the Secondary Life Insurance Market Threaten Dynamic Insurance?” The American Economic Review :151–156. De Nardi, Mariacristina, Eric French, and John Bailey Jones. 2009. “Why do the elderly save? the role of medical expenses.” Tech. rep., National Bureau of Economic Research. 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Sher, Tamara Goldman and Kathryn Noth. 2013. “Divorce and Health.” Encyclopedia of Behavioral Medicine :616–619. surrender, Modeling and lapse rates with economic variables. 2005. “Kim, Changki.” North American Actuarial Journal . 31 A A.1 Appendices Appendix A: The Income Process We use the 1997-2011 waves of PSID data to estimate the household income process. We use the imputed gross household income (“total family income”) but use the CPI index to convert the nominal income measurement into real income with the year 2005 as the base. We restrict the sample to households with the a male household head ages 30 to 66. We exclude observations with missing information on the household heads education, race and age. Individuals that report a negative income are excluded in this sample, as well as individuals with income below the 1 percentile and above the 99th percentile. We estimate the income process in two stages. First, we estimate the following wage equation: 0 ln(yit ) = βo + βe0 educationi + βr0 ∗ racei + δt + βa0 ageit + β2,a age2it + it We then use the fitted residual ˆit and use a standard method of moment approach to estimate the residual process. In particular we match the following moment conditions E[2it ] = ση2 and E[it it−j ] = ρj ση2 . We use a diagonal weighting matrix and use a bootstrap method to calculate the standard errors. (1) ln yit VARIABLES High School Graduate (0,12) Some College or College Graduate (12,16] Graduate Degree (more than 16 years) Black Other Age Age2 Constant 0.409*** (0.0258) 0.712*** (0.0249) 0.942*** (0.0309) -0.540*** (0.0183) -0.136*** (0.0339) 0.0776*** (0.00581) -0.000807*** (6.26e-05) 8.617*** (0.130) Observations R-squared 37,211 0.234 Appendix Table I: Wage Equation This regression controls for year fixed effect. Standard errors are clustered at the household level. 32 A.2 Appendix B: NHANES III Data We use the NHANES III interview file and link this with the publicly available NHANES III Linked Mortality File, which provides mortality follow-up data from the date of NHANES III survey participation (1988-1994) through December 31, 2006. The NHANES file contains data for 33,994 individuals ages 2 months and older, but we strictly use the “Adult” data file. We also restrict our analyses to agents above the age of 29. The adult data file contains questions pertaining to the “age when 1st told” the person had a certain disease. We use this information to impute the uninsurability risk. An agent is uninsurable if she’s had a history of cancer (except for melanoma), diabetes, stroke, heart attack or obese. 33