Description: This report is jointly sponsored by LIMRA International and the Society of Actuaries in collaboration with Ernst & Young. It describes Substandard Annuities and discusses the market opportunity for them, underwriting, the associated risk management issues, and the issues companies need to address when competing in the substandard annuity market. It discusses the single premium immediate annuity, SPIA, in relation to substandard annuities and the differences between the products.