Description: This survey is intended to share insurance company risk management practices and perspectives, so that these stakeholders may have a common understanding when discussing fraud, waste and abuse in LTC insurance claims.

Description: A fact sheet about the Long-Term Care (LTC) Experience Study Aggregate Database 2000-2011 Report.

Description: Experience reporting forms (ERFs) are submitted by LTC insurers each year tracking their experience by year for earned premium, incurred claims, policy reserves, claim counts and policies in force.

Description: Enabling better care, mood management and even slowing and reversing memory loss for Alzheimer's and dementia care.

Description: Chairperson' column for the October 2019 issue of Long-Term Care News.

Description: Read the April 2019 issue of Long-Term Care News, published by the Long Term Care Section of the Society of Actuaries.

Description: To help agents advise their clients on analyzing their LTCi rate increase options.

Description: Bringing managed care concepts into LTC claims management could benefit insurers, policyholders, and providers. This article outlines the case for doing so, and articulates the benefits to each stakeholder in the LTC claims process.

Description: While tax-qualified products meet an existing demand in the long-term care market, the statutorily required language of Section 7702B can present challenges as claims are presented. Every day, claims professionals grapple with whether the facts of a claim constitute substantial assistance or a severe cognitive impairment. “Close call” claims decisions continue to increase as claims volumes rise across the long-term care insurance sector. This article analyzes the Section 7702B language, identifies potential pitfalls in administering claims made on tax-qualified policies, and illustrates how to avoid such pitfalls through hypothetical scenarios.

Description: This report is the result of the Long-Term Care Medical Symposium and aims to provide the long-term care actuary with environmental context for considering morbidity and other macro factors that may impact LTC experience in the long term.