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11/15/2013
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GROUP LIFE DEMOGRAPHIC TRENDS
AND MORTALITY IMPROVEMENT
Amy Whinnett, FSA, MAAA
Date: 21 November 2013
Purpose
To assess the impact of recent
trends in aging and mortality
improvement on Group Life
experience and to provide a
framework for developing future
best estimate assumptions
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Agenda
1. Demographic Trends
Historical Changes
Future Projections
Cost of Aging
2. Mortality Improvement
Historical Population Trends
Segmentation
3. Mortality Improvement and Aging Projections
Current Industry Practices
Considerations for Future Projections
DEMOGRAPHIC TRENDS
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Recent Aging Trends in the US Workforce
Population as driver of
work force
Labor force
participation rate
impact
Aging of Baby Boomer
population
Impact of 2007-2009
recession
Group Life insured
trends
Stable growth in average age over the past decade
40.0
40.5
41.0
41.5
42.0
42.5
43.0
Average Age of US Workforce
Source: US Bureau of Labor Statistics
Male Female
40.0
40.5
41.0
41.5
42.0
42.5
43.0
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Average Age of US Workforce Source: US Bureau of Labor Statistics
Male Female
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Future Demographic Trends in the US Workforce
Aging projected to
continue through 2020
Aging rate expected to
decline in post-recession
period
Females expected to
continue to represent
47% of US workforce
Future drivers include
fertility, mortality,
immigration, education
Older work force driven
by financial conditions
and access to healthcare
Stable growth in average age over the past decade
30.0
32.0
34.0
36.0
38.0
40.0
42.0
44.0
1980 1990 2000 2010 2020
Median Age of US Workforce Source: US Bureau of Labor Statistics
Male Female
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The Cost of Aging
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Cost of one year of aging varies based on age of the insured population
-15%
-10%
-5%
0%
5%
10%
15%
17-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90
Annual Average Cost of Aging
Male
Female
MORTALITY IMPROVEMENT
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Population Mortality Improvement
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1.3%
-2% -1% -1% 0% 1% 1% 2% 2% 3% 3%
20-35 35-65 65-85 85-100 Total 20-65
Male Avg Mortality Improvement
Compressed Mortality File
2000-2007 2007-2010 2000-2010
0.9%
-2%
-2%
-1%
-1%
0%
1%
1%
2%
2%
3%
20-35 35-65 65-85 85-100 Total 20-65
Female Avg Mortality Improvement
Compressed Mortality File
2000-2007 2007-2010 2000-2010
Population mortality improvement steady at 1% per year for working ages
Lifestyle Drivers of Mortality Improvement – Obesity
Levels
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Rates of obesity drive mortality improvement rates and vary by geographical location
Source: CDC Behavioral Risk Factor Surveillance System
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Lifestyle Drivers of Mortality Improvement - Smoking
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Smokers experienced little or no mortality improvement over past decade
Source: CDC Behavioral Risk Factor Surveillance System
Mortality Improvement by Region
Up to +/- 2% variation
in mortality
improvement by
geographical region
Lifestyle variances
including obesity and
smoking
Access to health care
as driver – potential for
narrower gap with
health care reform
Mortality improvement variation reflected by geographical region
Region States
1 CT, ME, MA, NH, RI, VT
2 NJ, NY
3 DE, DC, MD, PA, VA, WV
4 AL, FL, GA, KY, MS, NC, SC, TN
5 IL, IN, MI, MN, OH, WI
6
AR, LA, NM, OK,
TX
7 IA, KS, MO, NE
8 CO, MT, ND, SD, UT, WY
9 AZ, CA, HI, NV
10 AK, ID, OR, WA
0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
1 2 3 4 5 6 7 8 9 10
Male Female
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Mortality Improvement by Education Level
Indicator of MI by
socioeconomic status
Highest education
levels reflect MI
approximately double
population levels
Mortality deterioration
at lowest education
levels
1999-2011 NCHS MI of
counties by per capita
income reflect
consistent patterns
Mortality improvement varies significantly by education level
-3.0%
-2.0%
-1.0%
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
Male Female
Mortality Improvement Rates by Highest Education Level 1993-2001 US 25-64 Year Old Adults
Some HS
HS Graduate
Some College
College Graduate
All
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Mortality Improvement by Education Level and Cause
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Significant spread in mortality improvement by education regardless of cause of death
-6.0%
-4.0%
-2.0%
0.0%
2.0%
4.0%
6.0%
Accidental Deaths
Diabetes COPD
Mortality Improvement Rates by Education and Cause
1993-2001 US 25-64 Year Old Adults
Some HS
HS Graduate
Some College
College Graduate
All
-2.0%
-1.0%
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
Cancer Stroke Heart Disease
Mortality Improvement Rates by Education and Cause
1993-2001 US 25-64 Year Old Adults
Some HS
HS Graduate
Some College
College Graduate
All
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Industries with Lowest Education Level Attained
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Agriculture
Forestry, Fishing and Hunting
Accommodation and Food Services
Construction
Administrative and Support and
Waste Management Services
Transportation and Warehousing
Mining
Quarrying, and Oil and Gas
Extraction Manufacturing
Potential Reduction in Mortality
Improvement of 0.5-1% Below
Standard MI Assumption
No HS Diploma
18%
High School
Only 38%
Some College
29%
Bachelors Degree+
15%
Education Level of US Workforce by NAICS Segment
Source: Bureau of Labor Statistics, 2009
Industries with Average Education Level Attained
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Retail Trade
Health Care and Social Assistance
Real Estate and Rental and Leasing
Arts, Entertainment, and
Recreation
Wholesale Trade
Utilities
Assume Standard MI Assumption
No HS Diploma
10%
High School
Only 31%
Some College
35%
Bachelors Degree+
24%
Education Level of US Workforce by NAICS Segment
Source: Bureau of Labor Statistics, 2009
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Industries with Highest Education Level Attained
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Federal, State and Local
Government
Educational Services
Information
Finance and Insurance
Management of Companies and
Enterprises
Professional, Scientific, and
Technical Services
Potential Increase in Mortality
Improvement of 0.5-1% Above
Standard MI Assumption
No HS Diploma
4%
High School
Only 20%
Some College
30%
Bachelors Degree+
46%
Education Level of US Workforce by NAICS Segment
Source: Bureau of Labor Statistics, 2009
MORTALITY IMPROVEMENT AND AGING
PROJECTIONS
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Current Industry Practice
2013 Munich Re survey of 27 Group Life carriers
45% of carriers incorporate mortality improvement assumptions in pricing
active lives (includes most large carriers)
17% apply MI assumption to retirees and spouses
11% apply MI assumption to dependents
Review of 10 carriers’ income statements for 2008-2012
Claims as % of volume has been stable, indicating MI offset by aging
Higher rate of aging during recession 2007-2009 indicates potentially higher
mortality improvement during that period
Industry rule of thumb assumptions of 1-1.5% per year MI for males, 0.5-0.75%
for females
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Monitoring Historical Experience
SOA 2013 Group Life Mortality Study
Comparison with 2006 study to assess trends by segment (age, gender,
traditional/voluntary, industry)
Consider data limitations of study comparison such as company mix,
changes in risk control
Carrier level historical experience to set manual rate MI assumptions
Monitor trends in A/E incidence
Regression model fitting study year as variable
Case level MI trends for experience rating
Monitoring system for census changes at case level is key to understanding
Isolate impact of aging against mortality improvement
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Setting Future Aging and Mortality Improvement
Assumptions
Consider timeframe between experience period and rate effective period
Years of experience used in setting manual/experience rate
Gap between experience period and rate effective date
Rate Guarantee period, renewal practices, manual rate filing frequency
Baseline aging/mortality improvements derived based on historical population
and industry trends
Segmentation of MI assumptions
Age/gender
Socioeconomic drivers – industry, salary, average face amount
Geographical location
Active/Spouse/Retiree
Traditional vs. Voluntary – consider impact of anti-selection
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Considerations for using Past Experience to set Future
Aging and Mortality Improvement Assumptions
Medical advances
Potential for new diseases/pandemics
Impact of health care reform, lower overall spend but smaller gap by income
Lifestyle trends such as obesity, smoking, alcohol consumption and driving
habits
Consideration of potential human lifespan – will expected lifetime converge to
certain limit?
Shifts in makeup of insured population
Changes in employers offering Group Life and mix of employees covered
Changes in Medical UW practices including simplified/automated UW over GI
limit
New distribution channels such as health care exchanges
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