1 FINANCIAL SBILITY AT ION NEWSLETTER HEALTH AND AGEING No. 33 October 2015 Competition in Private Health Insurance in Germany: Models for Transferable Ageing Provisions by Anke Walendzik,+ Florian Buchner++ and Jürgen Wasem+ Background Premiums paid by the insured have various functions and components in health insurance (Cochrane, 1995). They should cover short-term health costs, but also the risk of worsening health conditions. And they should be embedded in a system which allows switching of insurers to allow for competition.

1 FINANCIAL SBILITY AT ION NEWSLETTER HEALTH AND AGEING U.S. Insurance Exchanges and Senior Consumers by Steve Woods+ and Marcy Updike++ With the passage of the Patient Protection and Affordable Care Act (PPACA) in 2010, Americans were introduced to a relatively new way to purchase health insurance, the online exchange. By “exchange,” for the purpose of this article, we mean a virtual shopping area in which individuals or employees of a company can research and then purchase an insurance product online that best suits their individual needs.

1 FINANCIAL SBILITY AT ION NEWSLETTER HEALTH AND AGEING Editorial by Christophe Courbage It is my pleasure to introduce this new issue of the Health and Ageing newsletter of The Geneva Association. Not only does it bring to readers various contributions linked to the topics of health and ageing as related to insurance, but it also presents some important future activities of the Health and Ageing research programme. Two of them deserve special attention. The first activity is the forthcoming Health and Ageing conference of The Geneva Association, the 12 th in its annual conference series.

Article from Health and Ageing 32. Ines Laüfer considers the institutional factors in the U.S. health insurance system which could make a long-term health insurance unattractive for many individuals

 Article from Health and Ageing 32. Philip Wilson provides some guidance on how to assess the longevity of high-age impaired lives in order to correctly underwrite enhanced annuities. 

Steve Hales and Elisa Pestrin describe the main environmental health risks and investigate their impact on the life and health insurance industry.

 Article from Health and Ageing 32. Florian Boeker reviews lifestyle risk trends and their dynamic and varied impact on life and health re/insurance. 

European Union (2012) Luxembourg: Publications Office of the European Union, p. 10.

The Geneva Association (GA) and the Institute of International Finance (IIF) are pleased to submit our joint response to the FSB’s Consultative Document (CD) on “Developing Effective Resolution Strategies and Plans or Systemically Important Insurers” which was released on 3 November 2015. Our response reflects a joint effort of the members of our organizations.