Why the Use of Age and Disability Matters

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    Oxera Why the use of age and disability matters toconsumers and insurers

    74

    Benefits per female policyholder

    Note: Benefits concern the average benefits paid by insurance companies to female policyholders of differingages in 2001.Source: Figure 7.3 is an adaptation of Figure 4 in Riedel, H. (2003), Private Compulsory Long-Term CareInsurance in Germany, The Geneva Papers on Risk and Insurance , 28 :2, pp. 27593.

    A1.4.6 Private medical insuranceClaim costs

    Note: Claim costs are presented as index numbers. The value of claim costs for males in the age category 2125has been set equal to 100.Source: Data provided by PKV has been converted into index numbers.

    0

    2

    4

    6

    8

    10

    12

    15 25 35 45 55 65 75 85 95

    B e n e

    f i t s p e r p o

    l i c y

    h o

    l d e r

    ( 0 0 0

    )

    Age of policyholder

    0

    200

    400

    600

    800

    1,000

    1,200

    under16

    1620 2125 2630 3135 3640 4145 4650 5155 5660 6165 6670 7175 7680 8185 8690 9195 over 95

    C l a i m

    c o s t

    ( i n d e x n u m

    b e r )

    Age categories

    Females Males

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    Oxera Why the use of age and disability matters toconsumers and insurers

    75

    Costs of outpatient treatment by age

    Note: Costs of outpatient treatment are presented by index numbers. The value of index numbers for females andmales in the age category 2125 has been set equal to 100.Source: Data provided by PKV has been converted into index numbers.

    Costs of hospital care by age

    Note: Costs of hospital care are presented by index numbers. The value of index numbers for females and malesin the age category 2125 has been set equal to 100.Source: Data provided by PKV has been converted into index numbers.

    0

    100

    200

    300

    400

    500

    600

    700

    800

    900

    1,000

    under16

    1620 2125 2630 3135 3640 4145 4650 5155 5660 6165 6670 7175 7680 8185 8690 9195 over 95

    C o s t s o f o u t p a t i e n t t r e a t m e n t

    Age categories

    Females Males

    0

    200

    400

    600

    800

    1,000

    1,200

    1,400

    1,600

    under16

    1620 2125 2630 3135 3640 4145 4650 5155 5660 6165 6670 7175 7680 8185 8690 9195 over 95

    C o s

    t s o

    f h o s p

    i t a l c a r e

    Age c atego ries

    Females Males

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    Oxera Why the use of age and disability matters toconsumers and insurers

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    Premiums and claims costs for males

    Note: Claim cost data have been converted into index numbers with a value of 100 for males aged 40.Source: Premiums have been calculated using premium data collected from the premium comparison website,http://www.beste-private-krankenversicherung.de/ . Claim cost data provided by PKV.

    0

    50

    100

    150

    200

    250

    300

    0

    100

    200

    300

    400

    500

    600

    700

    800

    25 30 35 40 45 50 55 60

    C l a i m

    c o s

    t

    M o n

    t h l y p r e m

    i u m

    ( )

    Age of policyholder (years )

    Premium

    Claim cost

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    Oxera Why the use of age and disability matters toconsumers and insurers

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    A1.5 Italy

    A1.5.1 Term li fe insuranceFemales

    Note: Premiums paid for term life insurance offering a cover of 200,000 in the event of death during the next tenyears; mortality rate represents the probability a policyholder will die during the next ten years.Source: Premiums collected from http://www.facile.it/assicurazioni-vita.html ; mortality data obtained fromhttp://en.istat.it/sanita/sociosan/index.html

    Males

    Note: Premiums paid for term life insurance offering a cover of 200,000 in the event of death during the next tenyears; mortality rate represents the probability a policyholder will die during the next ten years.Source: Premiums collected from http://www.facile.it/assicurazioni-vita.html ; mortality data obtained fromhttp://en.istat.it/sanita/sociosan/index.html .

    0%

    1%

    2%

    3%

    4%

    5%

    6%

    7%

    0

    10

    20

    30

    40

    50

    60

    70

    80

    20 25 30 35 40 45 50 55 60

    M or t al i t y r a

    t e M o n

    t h l y p r e m

    i u m

    ( )

    Age of policyholder

    Premium

    Mortality rate

    0%

    2%

    4%

    6%

    8%

    10%

    12%

    14%

    0

    20

    40

    60

    80

    100

    120

    140

    160

    180

    20 25 30 35 40 45 50 55 60

    M or t al i t y r a

    t e

    M o n

    t h l y p r e m

    i u m

    ( )

    Age of policyholder

    Premium

    Mortality rate

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    Oxera Why the use of age and disability matters toconsumers and insurers

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    A1.5.2 Motor in suranceFemales

    Note: Premiums paid for motor third-party liability insurance varying in age keeping other factors fixed; claim costsare presented by index number allowing the comparison of relative claim costs per age category. The indexnumber has been set at a value of 100 for a 40-year-old driver.Source: Premiums collected from htttp://www.assicurazione.it/ ; ANIA provided claim cost data.

    Males: premiums and claim costs

    Note: Premiums paid for motor third-party liability insurance varying in age keeping other factors fixed; claim costsare presented by index number allowing comparing relative claim costs per age category. The index number hasbeen set at a value of 100 for a 40-year-old driver.Source: Premiums collected through htttp://www.assicurazione.it/ ; ANIA provided claim cost data.

    0

    50

    100

    150

    200

    250

    300

    350

    400

    0

    50

    100

    150

    200

    250

    300

    350

    400

    450

    500

    18 19 20 25 30 35 40 45 50 55 60 65 70 75 80

    C l a i m

    c o s t

    ( i n

    d e x n u m

    b e r )

    M o n

    t h l y p r e m

    i u m

    ( )

    Age of policyholder

    Claim cost

    Premium

    0

    50

    100

    150

    200

    250

    300

    350

    400

    0

    50

    100

    150

    200

    250

    300

    350

    400

    450

    500

    18 19 20 25 30 35 40 45 50 55 60 65 70 75 80

    C l ai m c

    o s t

    M o n

    t h l y p r e m

    i u m

    ( )

    Age of policyholder

    Claim cost

    Premium

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    Males: claim frequency and average cost per claim filed

    Note: Claim frequency represents the probability that a policyholder will file a claim; the average claim costindicates the average claim cost in the event policyholders filed a claim.Source: ANIA, presented in Statistica Annuale RC Auto Esercizio 2009 e Rilevazione ad hoc Dati CARD,December 20th 2010.

    A1.5.3 Private medical insurancePremiums by age category

    Note: Premiums are presented in the form of index numbers allowing comparison of premiums for differing agecategories. The index number has been set at a value of 100 for premiums in the age category 3540.Source: ANIA provided net premium ratios, which have been used to establish index numbers for differing agecategories.

    0

    1

    2

    3

    4

    5

    6

    0%

    5%

    10%

    15%

    20%

    25%

    18 19 20 25 30 35 40 45 50 55 60 65 70 75 80

    A v

    er a g e c l ai m c

    o s t ( 0

    0 0 )

    C l a i m

    f r e q u e n c y

    Age of policyholder

    Claim frequency

    Cost per claim

    -

    50

    100

    150

    200

    250

    300

    350

    under 15 1520 2025 253 0 303 5 3 54 0 4045 4550 5055 5560 6065 6570 70 75 over 75

    P r e m

    i u m s

    ( i n

    d e x n u m

    b e r )

    Age categories (blocks of five years)

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    A1.6 The Nether lands

    A1.6.1 Term li fe insuranceFemales

    Note: Premiums paid for term life insurance offering cover of 200,000 in the event of death during the next tenyears; mortality rate represents the probability a policyholder dies during the next ten years.Source: Premiums obtained from http://www.independer.nl/ ; mortality data obtained from www.ag-ai.nl/ .

    Males

    Note: Premiums paid for term life insurance offering cover of 200,000 in the event of death during the next tenyears; mortality rate represents the probability a policyholder dies during the next ten years.Source: Premiums collected from http://www.independer.nl/ ; mortality data obtained from www.ag-ai.nl/ .

    0%

    1%

    2%

    3%

    4%

    5%

    6%

    7%

    8%

    9%

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    20 25 30 35 40 45 50 55 60

    M or t al i t y r a

    t e

    M o n

    t h l y p r e m

    i u m

    ( )

    Age of policyholder

    Premium

    Mortality rate

    0%

    2%

    4%

    6%

    8%

    10%

    12%

    14%

    0

    20

    40

    60

    80

    100

    120

    140

    160

    180

    20 25 30 35 40 45 50 55 60

    M or t al i t y r a

    t e

    M o n

    t h l y p r e m

    i u m

    ( )

    Age of policyholder

    Premium

    Mortality rate

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    A1.6.2 Pension annuit iesFemales

    Note: Pensions paid out when making a lump-sum investment of 200,000 in annuities; life expectancy indicatesthe expected number of years a policyholder will live.Source: Pensions collected from http://www.pensioenkoers.nl/direct-berekenen/ ; life expectancies established usingmortality data attained from www.ag-ai.nl/ .

    Males

    Note: Pensions paid out when making a lump-sum investment of 200,000 in annuities; life expectancy indicatesthe expected number of years a policyholder will live.Source: Pensions obtained from http://www.pensioenkoers.nl/direct-berekenen/ ; life expectancies established usingmortality data obtained from www.ag-ai.nl/ .

    0

    5

    10

    15

    20

    25

    30

    35

    0.0

    0.2

    0.4

    0.6

    0.8

    1.0

    1.2

    1.4

    1.6

    1.8

    55 60 65 70 75

    L i f e

    ex

    p e c t an

    c y ( y e ar s

    ) M o n

    t h l y p e n s

    i o n

    ( ' 0 0 0 )

    Age at time pension annuity begins

    Life expectancy

    Pension

    0

    5

    10

    15

    20

    25

    30

    0.0

    0.2

    0.4

    0.6

    0.8

    1.0

    1.2

    1.4

    1.6

    1.8

    2.0

    55 60 65 70 75

    L i f e

    ex

    p e c t an

    c y ( y e ar s

    ) M o n

    t h l y p e n s

    i o n

    ( ' 0 0 0 )

    Age at time pension annuity begins

    Life expectancyLife expectancy

    Pension

    Life expectancy

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    A1.6.3 Motor in suranceFemales

    Note: Premiums paid for motor third-party liability insurance keeping factors other than age and gender fixed;claim cost reflects relative claim costs per age category with a value of 100 for a 40-year-old driver.Source: Premiums obtained from http://www.independer.nl/ ; claim cost data provided by Verbond van Verzekeraars.

    Males

    Note: Premiums paid for motor third-party liability insurance keeping factors other than age and gender fixed;claim cost reflects relative claim costs per age category with a value of 100 for a 40-year-old driver.Source: Premiums obtained from http://www.independer.nl/ ; claim cost data provided by Verbond van Verzekeraars.

    0

    50

    100

    150

    200

    250

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100

    20 25 30 35 40 45 50 55 60 65 75

    C l ai m c

    o s t

    M o n

    t h l y p r e m

    i u m

    ( )

    Age of policyholder

    Premium

    Claim cost

    0

    50

    100

    150

    200

    250

    300

    350

    400

    0

    20

    40

    60

    80

    100

    120

    140

    160

    180

    20 25 30 35 40 45 50 55 60 65 75

    C l ai m c

    o s t

    M o n

    t h l y p r e m

    i u m

    ( )

    Age of policyholder

    Premium

    Claim cost

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    Oxera Why the use of age and disability matters toconsumers and insurers

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    A1.6.4 Disabili ty in suranceMales

    Note: Premiums concern premiums paid for disability insurance providing cover to a policyholder in the event hewould be unable to work in his current profession. A gross income of 40,000 and a minimum disabilitypercentage of 25% were assumed. Average premiums for the age categories presented in the figure werecalculated using premiums for differing ages.Source: Verbond van Verzekeraars provided perceived risk percentages, which are calculated by dividing thepayment within a fiscal year by the insured amount in that same year. Premiums collected fromhttp://www.datishetverschil.nl/ .

    0.0%

    0.5%

    1.0%

    1.5%

    2.0%

    2.5%

    3.0%

    3.5%

    0

    50

    100

    150

    200

    250

    1530 3140 4150 5160

    P er c

    ei v

    e d r i s k

    M o n

    t h l y p r e m

    i u m

    ( )

    Age categories

    Premium Perceived risk percentage

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    A1.7 Group of selec ted countries

    A1.7.1 Long-term care insurance

    Note: Prevalence is determined on the basis of self-reporting. No data available for the UK.Source: Based on Figure 3 in DG Employment, Social Affairs and Equal Opportunities of the EuropeanCommission (2008), Long-term care insurance in the European Union.

    0

    10

    20

    30

    40

    50

    60

    70

    80

    1624 2534 3544 4554 5564 6574 7584 85>

    P r e v a

    l e n c e o

    f l o n g - t e r m

    i l l n e s s

    Age categories

    Czech Republic Germany Franc e Italy Netherlands

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