Description: This is a paper from the session on Mortality Modeling and Forecasting at the January 15-18, 2023, 2023 Living to 100 Symposium in Orlando, Florida.

Description: The National Association of Insurance Commissioners (NAIC) is moving forward to implement a new regulatory requirement that requires U.S. insurers to perform an Own Risk and Solvency Assessment (ORSA). Before developing a response to the ORSA requirement, insurers will want to understand its genesis and the underlying rationale for it, as well as its implications. This essay provides an overview of the evolution and rationale for ORSA, as well as practical implications for insurers as they begin to design an ORSA process. Part of the essay collection "Risk Metrics for Decision Making and ORSA"

Description: The American Academy of Actuaries and the Society of Actuaries (SOA) have joined resources to manage the economic scenario generators used in regulatory reserve and capital calculations.

Description: This paper examines demographic characteristics of people over the age of 100 in Spain and how this has changed over time.

Description: In this paper we present a large-scale study of the Medicare Part B mortality experience over the entire decade of the 1990's based on the Social Security Administration's Master Beneficiary Record, and featuring an extensive effort to edit the microdata, particularly by comparison with other data files.

Description: Graphs mortality experience over the prior 15 years, show possible trends over the prior 80 years, discusses the impact on liabilities and funding of the New York public retirement system based on projections of life expectancy, and discusses the possible factors that have affected mortality.

Description: Discussion of three papers presented at Living to 100 and Beyond symposium. Papers discussed: ' The Roles of Aging, Longevity Determination and Pathology on Human Life Span and Life Expectation' by Hayflick, 'Plastic Omega' by Held, and 'Underlying and Multiple Cause Mortality at Advanced Ages: United State 1980 - 1998' by Stallard. The first paper is an overview on aging, the second paper is a survey of aging research and the third paper discusses underlying and multiple cause mortality.

Description: Presented at the Living to 100 Symposium, January 2011. Long-term care LTC insurance is frequently not covered by national social insurance programs. When costs are expressed as a percentage of gross domestic product, the future burden of financing LTC would not lead to unbearable tax levels and is not particularly large in comparison to the projected costs for pensions and health care. After identifying the breadth of definitions of LTC needs, it is argued that LTC is an insurable risk. The paper concludes that LTC social insurance is affordable in developed countries.

Description: Presented at Living to 100 Symposium, January 2011. This article estimates the impact of obesity and diabetes on disability and mortality for those older than 65 using the 2004 National Long Term Care Survey with disability based on the Health Insurance Accountability and Portability Act's Activities of Daily Living and Cognitive Impairment triggers.

Description: Presented at Living to 100 symposium, January 2011. This paper adapts New Zealand Maori and non-Maori population mortality data to reflect differences in socio-economic status. This adapted data is used as a basis to explore the implications of differential mortality in assessing the equity of increase in the pension age of eligibility.