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Evaluation of Respiratory Muscle Activation Using Respiratory Motor Control Assessment (RMCA) in Individuals with Chronic Spinal Cord Injury
Published on: July 19, 2013
MMLC - ISCS aviation and hazardous sports study
Bradley T Roudebush1, Anthony F Milano, Anna R Hart
1Northwestern Mutual, USA. bradroudebush@northwesternmutual.com
This study found that while aviation and hazardous sports participation can increase mortality risk in insured individuals, life insurance underwriting effectively identifies and classifies these risks. Mortality from hazardous sports persisted longer than from aviation activities.
Area of Science:
- Actuarial science
- Risk management
- Mortality studies
Background:
- Increasingly lower mortality rates in the insurance industry highlight the impact of mortality from high-risk activities.
- This research addresses a 20-year gap in intercompany studies concerning aviation and hazardous sports risks.
Purpose of the Study:
- To investigate the relationship between mortality and participation in aviation or hazardous sports within an insured population.
- To analyze mortality data collected via the Impairment Study Capture System (ISCS).
Main Methods:
- Analysis of 45,206 insurance policies from 1989-2004 coded for aviation or hazardous sports participation.
- Stratification of aviation by hours flown and hazardous sports into categories like motor vehicle racing and underwater sports.
- Calculation of excess death rates per thousand relative to the 2001 Commissioners Standard Ordinary (CSO) table, with stratification by underwriting factors.
Main Results:
- Observed 69 deaths in aviation and 60 in hazardous sports over an average 3.2-year follow-up.
- Extra mortality was noted for aviation in early policy durations, while hazardous sports showed persistent elevated mortality.
- Policies rated for these activities exhibited higher mortality compared to those issued at standard rates.
Conclusions:
- Life insurance underwriting successfully identifies and appropriately classifies the risks associated with aviation and hazardous sports.
- The lack of observed extra mortality in later policy durations may be a genuine finding or a result of the study's design.
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