Apply Markov multiple state models to state-contingent life and long-term health insurance benefits, and Continuing Care Retirement Communities (CCRCs).

Free SOA Exam ALTAM (Advanced Long-Term Actuarial Mathematics) lesson in Survival Models for Contingent Cash Flows. 29 min read, ~4,335 words.

Markov model: states, transition intensities, future depends only on current state and age. Occupancy probability allows any path; sojourn probability requires no exit. Kolmogorov forward equations evolve; Thiele extends reserve recursion to multi-state policies. Annuity-in-state EPV uses; lump-sum-on-transition EPV multiplies by. CCRC states: Independent Living, Assisted Living, Skilled Nursing, Withdrawn...

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