Families that have a child with Down syndrome (DS) are facing financial challenges due to the increased life expectancy and daily life dependencies that he or she experiences. This paper is using pediatric findings to supplement child mortality impairment assumptions and proposes a combination annuity pricing model to explore an annuity solution for families that have a child with DS. A Markov Chain – Monte Carlo simulation model is constructed with features such as a fixed death benefit, return of premium, different premium payment patterns and the widowhood effect factor. The results indicate that such a product is generally affordable for families that have a child with DS to cover their child’s longevity risk and increased dependency needs. Key word: annuity, Down syndrome, financial planning, impairment factor, simulation, widowhood effect

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