Description: This report was prepared for use in the educational curriculum of the Society of Actuaries. It describes the main features of structured settlement annuities in North America and current actuarial practices and issues related to this product. It draws upon a study note on the same topic authored by Roger Harbin, FSA in 1991. Perspective on the Canadian structured settlement market was provided by Robert (Bob) Nigol, B.A., M.A., Managing Partner of EPS Settlements Group of Canada.