Healthy life expectancy in China: Modelling and implications for public and private insurance

Han Li*, Katja Hanewald, Shang Wu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Already home to 23% of the global elderly population, China will experience further demographic change in the coming decades. To address the consequences of population ageing, the Chinese government is implementing major social insurance reforms and promotes the development of private insurance markets. We aim to inform these initiatives by developing a new method to project healthy life expectancy (HLE) in different regions. HLE is an important population health measure which is increasingly used in the actuarial literature. Our new approach relies on publicly available data from the Global Burden of Disease Study for life expectancy and HLE for 139 countries. We use the model to estimate HLE at birth in 2015 for 31 province-level regions in China for both males and females. We discuss the implications of our results for planned increases in the retirement age in China and for long-term care insurance pricing.
Original languageEnglish
Pages (from-to)40-56
Number of pages17
JournalAnnals of Actuarial Science
Issue number1
Early online dateMay 2020
Publication statusPublished - Mar 2021


  • China
  • Health inequality
  • Healthy life expectancy
  • Predictive regression modelling


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