Description: Stakeholders in a specific state (Minnesota) were interviewed about the potential value -- and obstacles -- of a catastrophic backstop program to handle long term care (LTC) financing needs. The design would entail a payroll deduction which would produce a fund to pay LTC expenses once a deductible period (of 1 to 4 years, depending on income) was reached. This design was believed to encourage enrollees to cover the front end better than done today, whether by private insurance or other means.

Description: Robert Eaton, Principal and Consulting Actuary at Milliman dives into the regulation of long term care. He discusses NAIC the National Association of Insurance commissioners and their part in shaping LTC regulation. Contributors: Robert Eaton, FSA MAAA Danica Turner, FSA, MAAA, CERA, Scott Allen, FSA MAAA Jon Forster, ASA MAAA

Description: At this engaging professionalism webcast, be prepared to reflect on the values of the actuarial profession and in particular the actuarial standards of practice related to long-term care.

Description: Product complexity, the services provided by distributors, their method of obtaining clients, and their relationship to insurers all affect the characteristics of in force membership.

Description: Mortality data and results for care home residents in England and Wales. Looking at numbers of death may indicate that there are fewer rate, but diving deep into various sub segments and looking at death rates, tells a different story.

Description: In this discussion Arun Paul discusses the critical assumption of persistency in Long-Term Care insurance. This is a key driver in LTC pricing and reserve settling. Persistency is categorized into active mortality (for non-disabled policyholders), disabled mortality (for those on claim), and voluntary lapse rates. The conversation explores how active mortality is influenced by aging policyholders and the evolving demographics. It also delves into the patterns of disabled mortality, which tend to have an initial spike in the early claim period. Finally, Arun, discusses the impact of low lapse rates on LTC products, leading to increased costs for carriers and the introduction of options like rate increases and benefit buy-downs for policyholders. Contributors: Arun Paul, FSA MAAA, Juliet Spector FSA MAAA, Jeremy Hamilton FSA MAAA, Matt Morton, FSA MAAA , Jon Forster ASA MAAA

Description: LTC insurers are beginning to implement population health programs to improve the lives of their policyholders before and during a claim. Measuring the financial impact of these programs can be difficult for a variety of reasons and multiple methodologies are used to evaluate treatments or programs. This article proposes two different methods of randomized control trials to evaluate the impact of these programs through a case study approach, along with additional potential considerations when evaluating effectiveness.

Description: The Society of Actuaries Research Institute’s Aging and Retirement Strategic Research Program is pleased to make available a report that explores stakeholder views in Minnesota on the efficacy of a public catastrophic long-term care insurance program at the state level.

Description: Critical factors to consider as we age include where we live, who we interact with, how we get the help and support we need when we need it, and how our health care is organized and delivered. Underlying this is how we finance the cost of specialized housing, care and support. Some communities are age-friendly where we can obtain supportive services, others are not. Some people choose to live in senior housing which integrates support services, others choose to live in the community among people of all ages. Some health care systems are well designed to meet the needs of older people, others are not. The cost of living for older adults, considering all of these factors, varies by community. Explore more about the perspective of older adults, how communities have structured to meet their needs, and how society as a whole is becoming aware of and addressing a growing aging population.

Description: General Session VI