Skip to main content
Log in

Optimal sickness benefits in a principal–agent model

  • Original Paper
  • Published:
Social Choice and Welfare Aims and scope Submit manuscript

Abstract

This paper studies the optimal design of sickness benefits in a repeated principal–agent model, where the fraudsters are not observed by the principal. Sickness compensation protects workers against the income fluctuations implied by the risk of illness and its provision is limited by the presence of fraudsters using this protection to temporarily adjust their labour supply. We show that the slope of the optimal contract depends on the dynamics of the rate of fraudsters over time. When the duration of temporary shocks on the disutility of work is shorter than the average duration of diseases, the sickness benefits must increase over time. In addition, A tax dependent on the length of the sick leave makes it possible to minimise the cost for a given promise-keeping constraint. Contrary to intuition, this tax must be decreasing because the necessity to penalise the shortest sick leave to deter agents from cheating.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. If a pathology is perfectly observable by the principal, there is no moral hazard and the result is trivial: the replacement ratio is constant over time.

  2. The counterpart of the full wage continuation can be the annualization of the working time, ie the obligation to recover later the hours not made during the days of absence. Another justification is precisely to reduce absenteeism by avoiding the spread of contagious illness within the firm. In Italia, there is no waiting period for tuberculosis (MISSOC).

  3. We make a sensitivity test taking into account precautionary savings. However, this does not modify the result according to which the dynamics of the total consumption depends on the dynamics of the fraud rate.

  4. This is the reason why we can assume that the probability to take a sickness absence \(\pi \) is exogenous.

  5. French Ministry of Labour.

  6. This calls for compensation profiles adapted to the illness declared by the patient: When it is easy for the principal to check ex-post the reality of pathology, the waiting days are no longer necessary.

  7. The principal observes the agents perfectly and can use all the tools (b and \(\theta \)) without constraint.

  8. This is a partial equilibrium enabling an analysis of the effects of wealth on the optimal sickness benefits profile. But, we do not explain the effects of the optimal contract on the distribution of wealth.

  9. In this exercise, the difference in welfare comes from the fact that employment is permanent state after a sick leave. Therefore, the agent has at most one episode of sickness.

  10. For our calibration, the average sick leave duration for type h agents is 2 days.

References

  • Afsa C, Givord P (2009) Le rôle des conditions de travail dans les absences pour maladie: Le cas des horaires irréguliers. Economie et Prévision 187:83–103

    Article  Google Scholar 

  • Allen SG (1981) An empirical model of work attendance. Rev Econ Stat 63:77–87

    Article  Google Scholar 

  • Arai M, Skogman Thourise P (2005) Incentive or selection in cyclical absenteeism. Labour Econ 12:269–280

    Article  Google Scholar 

  • Arrow K (1963) Uncertainty and the welfare economics of medical care. Am Econ Rev 53:941–973

    Google Scholar 

  • Askildsen J, Braterberg E, Nilsen OA (2005) Unemployment, labor force composition and sickness absence: a panel data study. Health Econ 14:1087–1101

    Article  Google Scholar 

  • Barmby T, Larguem M (2009) Coughs and sneezes spread diseases: an empirical study of absenteeism and infectious illness. J Health Econ 28(5):1012–1017

    Article  Google Scholar 

  • Barmby R, Stephan G (2000) Worker absenteeism: why firm size may matter. Manch Sch 68(5):568–577

    Article  Google Scholar 

  • Barmby T, Sessions J, Treble J (1994) Absenteeism efficiency wages and shirking. Scand J Econ 96(4):561–566

    Article  Google Scholar 

  • Barmby T, Orme C, Treble J (1995) Worker absence histories: a panel data study. Labour Econ 2:53–65

    Article  Google Scholar 

  • Barmby T, Ercolani M, Treble J (2002) Sickness absence: an international comparison. Econ J 112:F315–F331

    Article  Google Scholar 

  • Bergström G, Bodin L, Hagberg J, Aronsson G, Josephson M (2009) Sickness presenteeism today, sickness absenteeism tomorrow? A prospective study on sickness presenteeism and future sickness absenteeism. J Occup Environ Med 51(6):629–638

    Article  Google Scholar 

  • Bradley S, Green C, Leeves G (2007) Worker absence and shirking: evidence from matched teacher-school data. Labour Econ 14(3):319–334

    Article  Google Scholar 

  • Bridges S, Mumford K (2001) Absenteeism in the UK: a comparison across genders. Manch Sch 69(3):276–284

    Article  Google Scholar 

  • Brown S, Sessions J (1996) The economics of absence: theory and evidence. J Econ Surv 10(1):23–53

    Article  Google Scholar 

  • Browning M, Dano AM, Heinesen E (2006) Job displacement and stress-related health outcomes. Health Econ 15(10):1061–1075

    Article  Google Scholar 

  • Chatterji M, Tilley C (2002) Sickness, absenteeism, presenteeism, and sick pay. Oxf Econ Pap 54:669–687

    Article  Google Scholar 

  • Chaupain-Guillot S, Guillot O (2007) Les absences au travail : une analyse á partir des données françaises du Panel européen des ménages. Economie et Statistique 408–409:45–75

    Article  Google Scholar 

  • Chaupain-Guillot S, Guillot O (2017) Sickness benefit rules and work absence: an empirical study based on European data. Revue d’Economie Politique 127(6):1109–1137

    Article  Google Scholar 

  • Chugunova M, Pelinovsky D (2009) On the uniform convergence of the Chebyshev interpolants for solitons. Math Comput Simul 80(4):794–803

    Article  Google Scholar 

  • Coles M, Treble J (1996) Calculating the price of worker reliability. Labour Econ 3:169–188

    Article  Google Scholar 

  • Connolly M (2008) Here comes the rain again: weather and inter temporal substitution of leisure. J Labor Econ 26(1):73–100

    Article  Google Scholar 

  • Cooley TF, Hansen GD (1995) Money and the business cycle. In: Cooley TF (ed) Frontiers of business cycle research. Princeton University Press, Princeton

    Chapter  Google Scholar 

  • DARES (2013) Les absences au travail des salariés pour raisons de santé, Direction de l’animation de la recherche, de études et des statistiques

  • De Paola M, Scoppa V, Pupo V (2014) Absenteeism in the Italian public sector: the effects of changes in sick leave policy. J Labour Econ 32:337–360

    Article  Google Scholar 

  • Ehrenberg R (1970) Absenteeism and the overtime decision. Am Econ Rev 60:352–357

    Google Scholar 

  • Elison M, Johansson P, Nilsson M (2019) Forward-looking moral hazard in social insurance. Labour Econ 60:84–98

    Article  Google Scholar 

  • Hemp P (2004) Presenteeism: at work-but out of it. Harv Bus Rev 82(10):49–58

    Google Scholar 

  • Henrekson M, Persson M (2004) The effects of sick leave of changes in the sickness insurance system. J Labor Econ 22:87–113

    Article  Google Scholar 

  • Holmstrom B (1979) Moral hazard and observability. Bell J Econ 10:74–91

    Article  Google Scholar 

  • Hopenhayn H, Nicolini JP (1997) Optimal unemployment insurance. J Political Econ 105(2):412–438

    Article  Google Scholar 

  • Johansson P, Palme M (1996) Do economic incentives affect worker absence? Empirical evidence using Swedish data. J Public Econ 59:195–218

    Article  Google Scholar 

  • Johansson P, Palme M (2005) Moral hazard and sickness insurance. J Public Econ 89(9):1879–1890

    Article  Google Scholar 

  • Johns G (2010) Presenteeism in the workplace: a review and research agenda. J Organ Behav 31:519–542

    Article  Google Scholar 

  • Kuhn A, Lalive R, Zweimuller J (2009) The public health costs of job loss. J Health Econ 28(6):1099–1115

    Article  Google Scholar 

  • Levy E (1996) French economic evaluations of influenza and influenza vaccination. Pharmacoeconomics 9(Suppl. 3):62–66

    Article  Google Scholar 

  • Markussen S, Roed K, Rogeberg OJ, Gaure S (2011) The anatomy of absenteeism. J Health Econ 30(2):277–292

    Article  Google Scholar 

  • Ose S (2005) Working conditions, compensation and absenteeism. J Health Econ 24:161–188

    Article  Google Scholar 

  • Pettersson-Lidbom P, Thoursie P-S (2013) Temporary disability insurance and labor supply: evidence from a natural experiment. Scand J Econ 115(2):485–507

    Article  Google Scholar 

  • Phelan C, Townsend RM (1991) Computing multi-period, information-constrained optima. Rev Econ Stud 58:853–881

    Article  Google Scholar 

  • Puhani P-A, Sonderhof K (2010) The effects of a sick pay reform on absence and on health related outcomes. J Health Econ 29(2):285–302

    Article  Google Scholar 

  • Schon M (2015) Unemployment, Sick Leave and Health, Beiträge zur Jahrestagung des Vereins für Socialpolitik

  • Shapiro C, Stiglitz J (1984) Equilibrium unemployment as a worker discipline device. Am Econ Rev 74(3):433–444

    Google Scholar 

  • Shavell S (1979) On moral hazard and insurance. Q J Econ 93:541–562

    Article  Google Scholar 

  • Shavell S, Weiss L (1979) The optimal payment of unemployment insurance benefits over Time. J Polit Econ 87(6):1347–1362

    Article  Google Scholar 

  • Spear SE, Srivastava S (1987) On repeated moral hazard with discounting. Rev Econ Stud 54:599–617

    Article  Google Scholar 

  • Strauss J, Thomas D (1998) Health, nutrition and Economic development. J Econ Lit 36(2):766–817

    Google Scholar 

  • Szucs T (1999) The socio-economic burden of influenza. J Antimicrob Chemother 44(Topic B):11–15

    Article  Google Scholar 

  • Valssenko E, Willard JC (1984) Absentéisme: le poids des facteurs collectifs. Economie et Statistique 164(1):39–51

    Article  Google Scholar 

  • Ziebarth NR (2013) Long-term absenteeism and moral hazard evidence from natural experiment. Labour Econ 24:277–292

    Article  Google Scholar 

  • Ziebarth N-R, Karlsson M (2014) The effects of expanding the generosity of the statutory sickness insurance system. J Appl Econom 29(2):208–230

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sebastien Menard.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

We thank participants at the CEA, AFSE, JMA and SCSE conferences for useful comments. Any errors are our own.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Menard, S. Optimal sickness benefits in a principal–agent model. Soc Choice Welf 57, 5–33 (2021). https://doi.org/10.1007/s00355-020-01307-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00355-020-01307-6

Navigation