Description: The risk/delivery/protection framework was first presented to participants in the SOA's Long-Term Care Think Tank seminar in a survey. That survey was designed to get participant opinions on how the system might evolve over the next five to 10 years. The results of the survey are summarized in the article.

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: Broaden your understanding of how long-term care (LTC) is provided and brainstorm with other actuaries on ways to help society fund future LTC solutions. How we fund and provide LTC for our loved ones has changed over time and will evolve still by the time we retire. In this session we will explore the variety of ways that we fund LTC services: out of pocket and with informal care, Medicaid, lifeplan communities (Continuing Care Retirement Communities and and the Continuing Care at Home model), private LTC insurance and more. You will leave the session appreciating that providing long-term care is a key feature of our aging society and understand the variety of ways that we fund LTC today and may in the future.

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: Review of non public options to finance care including personal savings, revers mortgages, family care and private insurance.

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 summary and introduction of an SOA research paper that explores valuable insights and recommendations for insurance companies considering entering the market of commercial long-term care insurance (LTCI) in the Asia-Pacific, based on individual health status.

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: Unmet needs and implications for long-term care financing in Singapore.

Description: A Chief Actuary’s responsibilities in managing an LTC block require a strong understanding of the past and the ability to use that and emerging trends and challenges to prognosticate the future. During this session a panel of Chief Actuaries will share their thoughts about the current and future states of the LTC industry and how they are tackling their top challenges, such as COVID, LDTI implementation, regulatory changes, and their work force.