De Donder, Philippe and Leroux, Marie-Louise (2021) Long Term Care Insurance with State-Dependent Preferences. Health Economics, vol. 30 (n° 12). pp. 3074-3086.

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Identification Number : 10.1002/hec.4423


We study the demand for actuarially fair Long Term Care (LTC hereafter) insurance in a setting where autonomous agents only care for daily life consumption while dependent agents also care for LTC expenditures. We assume that dependency decreases the marginal utility of daily life consumption. We rst obtain that some agents optimally choose not to insure themselves, while no agent wishes to buy complete insurance. We then show that the comparison of marginal utility of income (as opposed to consumption) across health states depends on (i) whether agents do buy LTC insurance at equilibrium or not, (ii) the comparison of the degree of risk aversion for consumption and for LTC expenditures, and (iii) the income level of agents. Our results then oer testable implications that can explain (i) why few people buy Long Term Care insurance and (ii) the discrepancies between various empirical works when measuring the extent of state-dependent preferences for LTC.

Item Type: Article
Language: English
Date: September 2021
Refereed: Yes
Place of Publication: Chichester
Uncontrolled Keywords: Long Term Care Insurance Puzzle, Actuarially Fair Insurance, Risk Aversion
JEL Classification: D11 - Consumer Economics - Theory
D13 - Household Production and Intrahousehold Allocation
Divisions: TSE-R (Toulouse)
Site: UT1
Date Deposited: 22 Sep 2021 10:48
Last Modified: 06 Mar 2023 14:41
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