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Mortality at Old Ages
Ben Blakeslee
111/11/2020© 2020 Munich American Reassurance Company. All Rights Reserved. Copyrighted presentation; do not forward.
Old Age Mortality – Why don’t we know already?
Industry data is fairly credible through age 99 and fits the VBT15 industry table reasonably wellSource: https://www.soa.org/resources/research-reports/2019/2009-2015-individual-life-mortality/
211/11/2020
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
50 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90 92 94 96 98
ILEC Mortality Data by Attained Age
Claim Count Actual Qx VBT15 Expected Qx
Credibility
Based on the number of
deaths observed in
each category
Several approaches
taken to measure credibility Generally,
100% credibility
requires >1000 deaths
© 2020 Munich American Reassurance Company. All Rights Reserved. Copyrighted presentation; do not forward.
Old Age Mortality – Why don’t we know already?
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0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
120.0%
0
1000
2000
3000
4000
5000
6000
1980 1983 1986 1989 1992 1995 1998 2001 2004 2007
Age 80+ Duration 6+ A/E by Issue Year
Claim Count A/E VBT15
More recent data shows a downward trend away from VBT15 at older ages This is challenging because data is not
available for recent issue years yet
© 2020 Munich American Reassurance Company. All Rights Reserved. Copyrighted presentation; do not forward.
Old Age Mortality – Why has it trended downward?
411/11/2020
Significant underwriting changes have been introduced over time:
Smoker / Non-Smoker
1980 1990 2000 2010
Blood Testing(HIV/AIDS)
Preferred Class Underwriting
Multiple Preferred Classes
Mature Age Underwriting
Product design changes and interest rate changes are another a significant factor
© 2020 Munich American Reassurance Company. All Rights Reserved. Copyrighted presentation; do not forward.
Underwriting Changes Over Time
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0.0%
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30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
1970
1971
1972
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1974
1975
1976
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1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
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1997
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1999
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2001
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2008
2009
2010
2011
2012
2013
2014
2015
Issue Year
Business Mix by Number of Preferred Classes
1 2 3 4
One way to measure the underwriting changes in
industry experience is via the number of preferred classes
Number of preferred classes increased by issue year
• Only shows NT Classes • Excludes SI Business
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Underwriting Changes Over Time
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0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
120.0%
-
10,000
20,000
30,000
40,000
50,000
60,000
70,000
1 2 3 4Number of Preferred Classes
Age 80+ Duration 6+ A/E
Number Of Deaths A/E ($) 2015VBT
Structures with more preferred classes have lower mortality in industry data
© 2020 Munich American Reassurance Company. All Rights Reserved. Copyrighted presentation; do not forward.
Underwriting Changes Over Time
711/11/2020
Structures with more preferred classes attract more healthy lives
This is expected as additional segmentation yields discounts for healthy lives and charges for unhealthy lives
Preferred classes in the newer structures also have lower mortality than corresponding classes in older structures
A/E is based on VBT 15
Business Mix 1 NT 2 NT 3NT 4NT1
100%64.1%
44.1% 51.7%2 30.2% 25.6%3
35.9% 25.7%13.6%
4 9.0%
A/E VBT15 1NT 2 NT 3NT 4NT1
93.9%81.6% 65.1% 64.7%
2 74.9% 77.8%3
112.3% 98.2% 90.8%4 110.9%
Total 93.9% 95.0% 81.8% 77.8%
74.3% 77.3%
© 2020 Munich American Reassurance Company. All Rights Reserved. Copyrighted presentation; do not forward.
Preferred benefit by duration
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20.0%
40.0%
60.0%
80.0%
100.0%
120.0%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
3NT Structure A/E by Duration VBT15 Ultimate
Best Pref Std Total
Even while underwriting selection effect is wearing off, preferred differentiation shows no
separation
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Preferred benefit by duration
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40.0%
60.0%
80.0%
100.0%
120.0%
140.0%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
Total A/E by Duration VBT15 Ultimate
2NT 3NT
More modern 3NT structures have shown signs of leveling off to ultimate mortality rates
sooner than 2NT
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Preferred benefit by duration
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0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
120.0%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
Preferred/Standard Ratio
2NT 3NT
Both 2NT and 3NT structures show little sign of preferred wear-off even many years after
underwriting
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Preferred structures by age
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0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
80 82 84 86 88 90 92 94 96 98
Female Age 80+ Duration 6+ Qx
2NT 3NT HMD VBT15 Expon. (2NT) Expon. (3NT)
Exponential curves capture mortality growth by age well
These curves show no signs of 2NT and 3NT mortality converging, but data is limited
Extrapolating only a few years implies significantly different qx at age 99
The extrapolation does give the counterintuitive result that 2NT structure has higher mortality than the general population at older ages
Population Source: https://www.mortality.org/cgi-bin/hmd/country.php?cntr=USA&level=1
© 2020 Munich American Reassurance Company. All Rights Reserved. Copyrighted presentation; do not forward.
Preferred mix at older ages
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0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97
Business Mix by AA
% Preferred 2NT % Preferred 3NT
Industry data shows declining concentration in preferred
classes at older ages, likely different than a model projection may show
2NT structures are ~64% preferred class at younger ages and 3NT structures show ~74% in preferred
classes
© 2020 Munich American Reassurance Company. All Rights Reserved. Copyrighted presentation; do not forward.
Mortality Improvement at Older Ages
1311/11/2020
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
78 80 82 84 86 88 90 92 94 96
2NT Experience by AA and Study Year
2009-12
2013-15
Expon. (2009-12)
Expon. (2013-15)
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
7.0%
8.0%
9.0%
78 80 82 84 86 88 90 92 94
3NT Experience by AA and Study Year
2009-12
2013-15
Expon. (2009-12)
Expon. (2013-15)
Splitting experience by study year limits credibility,
but does not show clear signs of mortality
improvement in later years of the study
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Beyond Insured Data
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95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121
Female Unismoke Qx
VBT15 Exponential to .5 at 112 Exponential to 1 at 121
At the point that data is no longer available, extrapolation is needed
Extrapolation can be impactful even given the same start and
end points
Two common approaches:• Exponential• Deceleration (Gamma-
Gompertz, Cubic)
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Old Age Extrapolations
Source: https://pubmed.ncbi.nlm.nih.gov/31295741/1511/11/2020
Old age mortality data often has issues such as age
exaggeration and heaping
Some have argued that as data quality has improved it
has increasingly pointed to an exponential slope at high ages
Others have found that even after cleaning data, there is a
deceleration pattern
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When should the table end?
• Jeanne Calment, the oldest documented person, died at age 122 in 1997.
• Her record can’t be passed for at least 5 years
Source: https://en.wikipedia.org/wiki/Jeanne_Calment
1611/11/2020
1875-1997
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1711/11/2020
Questions?
© 2020 Munich American Reassurance Company. All Rights Reserved. Copyrighted presentation; do not forward.
Mortality at Old AgesOld Age Mortality – Why don’t we know already?Old Age Mortality – Why don’t we know already?Old Age Mortality – Why has it trended downward?Underwriting Changes Over TimeUnderwriting Changes Over TimeUnderwriting Changes Over TimePreferred benefit by durationPreferred benefit by durationPreferred benefit by durationPreferred structures by agePreferred mix at older agesMortality Improvement at Older AgesBeyond Insured DataOld Age ExtrapolationsWhen should the table end? Questions?