Description: These are the discussant comments from Session 1A: Data Sources and Analysis from the January 4-6 2017 Living to 100 Symposium in Orlando.

Description: These are the discussant comments for the Concurrent Session 1B: Late Life Mortality Curves from the January 4-6, 2017 Living to 100 Symposium in Orlando.

Description: Estimation of hazard rates at extremely old ages poses serious challenges to researchers: 1 The observed mortality deceleration may be at least partially an artifact of mixing different birth cohorts with different mortality heterogeneity effect 2 Standard assumptions of hazard rate estimates may be invalid when risk of death is extremely high at old ages 3 Ages of very old people may be exaggerated. In this paper we propose an alternative approach, which gives an opportunity to resolve the first two problems by compiling data for more homogeneous single-year birth cohorts with hazard rates measured at narrow monthly age intervals. Possible ways of resolving the third problem of hazard rate estimation were elaborated.

Description: Estimation of hazard rates at extremely old ages poses serious challenges to researchers: 1 The observed mortality deceleration may be at least partially an artifact of mixing different birth cohorts with different mortality heterogeneity effect 2 Standard assumptions of hazard rate estimates may be invalid when risk of death is extremely high at old ages 3 Ages of very old people may be exaggerated. In this paper we propose an alternative approach, which gives an opportunity to resolve the first two problems by compiling data for more homogeneous single-year birth cohorts with hazard rates measured at narrow monthly age intervals. Possible ways of resolving the third problem of hazard rate estimation were elaborated.

Description: Discussion of Session 5B: Papers presented: Data Validation and Measurement of Cohort Mortality among Centenarians in Quebec and Physical and Socioeconomic Characteristics at a Young Age as Predictors of Survival

Description: This paper presents recent trends in obesity prevalence in significant population segments, including overall effects by age, gender and certain racial and ethnic groups, and discusses the ways in which obesity can influence mortality in each of these segments. It provides a synthesis of reported mortality experience relating to these behaviors by risk factors and diseases that will affect any mortality projection.

Description: Demography is a very exciting subject. With a simple mathematical model, students can project a country's population forward 25, 59, 75 even 100 years. This paper will focus on six ideas from demography. They all can be useful to an actuary, yet none of them would be considered at any length if the actuary didn’t study demography.

Description: Discussion of Living to 100 Session 6A: Projection and Statistical Modeling of Mortality at Late Age

Description: Mortality trend risk affects pension plans, life insurers, annuity writers and insurers of workers’ compensation, where the tail claims are mostly annuities. As with many risk sources, mortality risk can be broken down into process risk, parameter risk and model risk. In this paper, process risk, parameter risk and model risk are discussed using the fitted models. Presented at 2010 Enterprise Risk Management Symposium, Society of Actuaries, April 12-15, 2010.

Description: The percentage of the population who are obese has grown dramatically worldwide over the last several decades, although stabilizing recently in the United States. Studies have found the effects on mortality to be inconsistent and controversial because of methodological differences and the complexity of the relationship between obesity and mortality. This paper discusses this relationship and sheds light on the likely effects of this epidemic. Issues associated with the so-called obesity-mortality paradox, where mortality experience is lower for those individuals who are overweight and in some who are obese compared with the mortality of those in the normal weight category, are examined. Although certain recently reported studies of the relationship between mortality and obesity indicate that obesity is related to a reduced percent of additional mortality, this may in part be due to the shorter average time that those currently obese have been exposed to their condition. Nevertheless, the amount of health care costs and rates of disability associated with being obese are significant, contributing to the increase in overall health care costs as they become more numerous and age. Although obesity is being addressed with a great deal of activity and publicity, they will continue to prove challenging for individuals and society to manage and overcome.