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Koning, P., Lindeboom, M. and Godard, M. (2022). Application and Award Responses to Stricter Screening in Disability Insurance Journal of Human Resources, :.

  • Journal
    Journal of Human Resources

We examine the targeting effects of stricter screening in the Dutch Disability Insurance (DI) program induced by a nationwide reform. The drastic “Gatekeeper Protocol” increased application costs and revealed more information about individuals{\textquoteright} ability to work. Discontinuity-in-Time regressions on administrative data show substantial declines in DI application rates (40% in one year) following the reform, particularly among difficult-to-verify impairments and less severe health disorders. Individuals that were deterred from applying had worse health and worked less than never-applicants. Changes in average health conditions of awardees were almost fully driven by selfscreening and work resumption during the DI sick-pay period.