2009 Annual Meeting ● Assemblée annuelle 2009 Halifax, Nova Scotia ● Halifax (Nouvelle-Écosse) 2009 Annual Meeting ● Assemblée annuelle 2009 Halifax, Nova Scotia ● Halifax (Nouvelle-Écosse) Canadian Institute of Actuaries Canadian Institute of Actuaries L’Institut canadien des actuaires L’Institut canadien des actuaires

CRITICAL ILLNESS IMPAIRMENT STUDY UPDATE (TS-35 ) CIA Annual Meeting 26 June 2009, 2:15-3:30pm 2009 Annual Meeting Assemblée annuelle Annual Meeting Assemblée annuelle 2009

Purpose and Scope of the Paper Illnesses Covered Data Sources General Approach Agenda 2009 Annual Meeting Assemblée annuelle 2009

Purpose and Scope of the Study To develop a base table from Canadian data which can be used for benchmarking experience and determining appropriate pricing and valuation bases. There is differentiation by age and sex but not by smoking status. There is no adjustment for insured selection and underwriting impact (other than prevalence and first-ever adjustments).

Illnesses Covered Cancer (Life-threatening, Benign Brain Tumour, Malignant Melanoma, Early Stage Prostate, Ductal Carcinoma in situ Heart (Heart Attack (AMI), Coronary Artery Bypass Graft (CABG), Coronary Angioplasty, Heart Valve Surgery, Aortic Surgery Stroke Kidney Failure Major Organ Failure/Transplant Multiple Sclerosis Alzheimer’s Disease Parkinson’s Disease Loss of Independent Existence Minor Conditions (Coma, Occupational HIV, Blindness & Deafness, Paralysis, Severe Burns, Loss of Limbs/Dismemberment, Loss of Speech, Bacterial Meningitis, ALS-Motor Neuron)

Data Sources Most sources cover the general population in Canada. Major Sources Canadian Institute for Health Information (CIHI) Statistics Canada (StatsCan) Canadian Cancer Statistics, Institute for Clinical and Evaluative Studies (ICES)

Development of Incidence Rates Definition Base source Trending First-ever adjustment Sudden death adjustment Overlap Prevalence 31-day mortality Summary