Does the National Health Insurance Program Affect Life Insurance Demand in Indonesia?

Authors

  • Kristio Rapi IPB University
  • Dominicus Savio Priyarsono IPB University
  • Siti Jahroh IPB University
  • Toni Bakhtiar IPB University

DOI:

https://doi.org/10.15408/etk.v25i1.50403

Keywords:

compulsory insurance, consumer purchasing behavior, coordination of benefit, crowd-out effect, universal health coverage

Abstract

Research Originality:  This research pioneers a macro-institutional approach to life insurance demand by empirically proving a definitive crowding-out effect induced by Indonesia's universal healthcare mandate.

Research objectives: To investigate the dynamic impact of the state-mandated JKN program and national income on private LID in Indonesia.

Research methods: This study utilizes a Vector Error Correction Model (VECM) and structural break analysis on annual data from 2002 to 2022 to rigorously capture regime shifts, short-run frictions, and long-run equilibria.

Empirical result: The findings reveal a definitive crowding-out effect: the JKN mandate and rising compulsory insurance penetration significantly depress private LID, whereas income maintains a significant positive elasticity in the long run. Furthermore, structural break tests confirm a fundamental, permanent shift in consumer purchasing behavior post-2014, coinciding with the introduction of the JKN program.

Implications: Policymakers must orchestrate a regulatory environment that protects universal healthcare while actively sustaining the development of the private life insurance market. Insurers must innovate beyond state-overlapping benefits by developing investment-linked products and optimizing Coordination of Benefits (CoB) frameworks.

JEL Classification: D12, G22, G28, I13, I18

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Published

2026-05-19

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How to Cite

Does the National Health Insurance Program Affect Life Insurance Demand in Indonesia?. (2026). ETIKONOMI, 25(1). https://doi.org/10.15408/etk.v25i1.50403