This article uses the longitudinal aspect of the Health and Retirement Study to explore the characteristics associated with reversals in retirement (referred to here as “unretirement”). Through the use of survival-time analysis with time-variant covariates, this article shows that health insurance status and its source are significant predictors of unretirement decisions. The relationship is important, as the potential impacts of the Affordable Care Act (ACA) are considered. The analysis finds that insurance is equally as predictive of retirement reversals as other financial explanations such as pensions and wealth at retirement. The analysis also shows that health insurance sources play a particularly predictive role for early retirees and those who were previously open to the idea of working in retirement. Rough estimates suggest that the ACA might reduce the number of reversals by between two and four percentage points, which would translate to 80,000 and 170,000 retirees annually.
AbaluckJasonGruberJonathan. 2011. “Choice Inconsistencies among the Elderly: Evidence from Plan Choice in the Medicare Part D Program.” American Economic Review101:1180–210.
2.
AiChunrongNortonEdward C.. 2003. “Interaction Terms in Logit and Probit Models.” Economic Letters80:123–29.
BerkovecJamesSternSteven. 1991. “Job Exit Behavior of Older Men.” Econometrica59:189–210.
5.
ChanSewinStevensAnn Huff. 2008. “What You Don’t Know Can’t Help You: Pension Knowledge and Retirement Decision-making.” The Review of Economics and Statistics90:253–66.
6.
Congdon-HohmanJoshua. 2015. “Love, Toil, and Health Insurance: Why American Husbands Retire When They Do.” Contemporary Economic Policy33:118–40.
7.
Congressional Budget Office. 2005. “The Price Sensitivity of Demand for Nongroup Health Insurance.” Background Paper, Congressional Budget Office, Washington, DC.
8.
DiCenzoJodiFronstinPaul. 2008. “Lessons from the Evolution of 401(k) Retirement Plans for Increased Consumerism in Health Care: An Application of Behavioral Research.” Issue Brief, Employee Benefit Research Institute Issue Brief August, No. 320. Accessed October 5, 2016. https://www.ebri.org/publications/ib/index.cfm?fa=ibDisp&content_id=3960
9.
Government Accountability Office. 1998. “Private Health Insurance: Declining Employer Coverage May Affect Access for 55- to 65-year-olds.” Report to the Chairman, Committee of Labor and Human Resources, U.S. Senate GAO/HEHS-98-133, Washington, DC.
10.
GruberJonathanMadrianBrigitte C.. 1995. “Health Insurance Availability and the Retirement Decision.” American Economic Review85:86–102.
11.
GruberJonathanMadrianBrigitte C.. 1996. “Health Insurance and Early Retirement: Evidence from the Availability of Continuation Coverage.” In Advances in the Economics of Aging, edited by WiseDavid A., 115–46. Chicago, IL: University of Chicago Press.
KarolyLynnRogowskiJeannette. 1994. “The Effect of Access to Post-retirement Health Insurance on the Decision to Retire Early.” Industrial and Labor Relations Review48:103–23.
19.
KlingJeffrey R.MullainathanSendhilShafirEldarVermeulenLee C.WrobelMarian V.. 2012. “Comparison Friction: Experimental Evidence from Medicare Drug Plans.” Quarterly Journal of Economics127:199–235.
20.
MaestasNicole. 2010. “Back to Work: Expectations and Realizations of Work after Retirement.” Journal of Human Resources45:718–48.
21.
MaestasNicoleLiXiaoyan. 2007. “Burnout and the Retirement Decision.” Working Paper WP 2007-166, University of Michigan Retirement Research Center, Ann Arbor, MI.
22.
MartonJamesWoodburyStephen. 2013. “Retiree Health Benefits as Deferred Compensation: Evidence from the Health and Retirement Study.” Public Finance Review41:64–91.
23.
MerlisMark. 2005. “Fundamentals of Underwriting in the Nongroup Health Insurance Market: Access to Coverage and Options for Reform.” Report, National Health Policy Forum, Washington, DC.
24.
MunnellAlicia H.2015. “The Average Retirement Age—An Update.” Center for Retirement Research at Boston College Issues in Brief, March (Number 15-4), Chestnut Hill, MA.
25.
NortonMiraHamelLizBrodieMollyann. 2014. Assessing Americans’ Familiarity with Health Insurance Terms and Concepts. Washington, DC: Kaiser Family Foundation, Nov. 11, 2014.
PollitzKarenSorianRichardThomasKathy. 2001. “How Accessible Is Individual Health Insurance for Consumers in Less-than-perfect Health?” Publication No. 3133, Kaiser Family Foundation, Washington, DC.
RuhmChristopher. 1990. “Bridge Jobs and Partial Retirement.” Journal of Labor Economics8:482–501.
30.
RustJohnPhelanChristopher. 1997. “How Social Security and Medicare Affect Retirement Behavior in a World of Incomplete Markets.” Econometrica65:781–831.
31.
SchurClaudiaBerkMarcWilenskyGailGagnonJean Paul. 2004. “Paying for Health Care in Retirement: Workers’ Knowledge of Benefits and Expenses.” Health Affairs23: 385–95.
32.
SinaikoAnna D.HirthRichard A.. 2011. “Consumers, Health Insurance and Dominated Choices.” Journal of Health Economics30:450–57.
UhrigJenniferBannCarlaMcCormackLaurenRudolphNoemi. 2006. “Beneficiary Knowledge of Original Medicare and Medicare Managed Care.” Medical Care44:1020–29.
38.
WooldridgeJeffrey. 2002. Econometric Analysis of Cross Section and Panel Data. Cambridge, MA: The MIT Press.
