Description: A discussion of insurance claims processing and payment systems, and how to achieve the minimum possible number of errors.

Description: Medical management programs have traditionally addressed more acute and short-term issues with chronic disease. As LTC becomes an important product in the insurance industry, including disease management is likely to be valuable for reducing costs and prolonging the healthy, premium-paying portion of a claimant's life.

Description: The basics and importance of the utilization assumption for long-term care insurance.

Description: For policies with and without the resotoration of benefits feature, compares incurred claims and statutory ALR for various benefit periods.

Description: Restoration of Benefits ROB: the provision of a long-term care policy that allows policyholders to restore their maximum benefit period after they have used some or nearly all of their policy benefits to pay for a covered claim event. This is a provision that should be managed closely.

Description: Third article in a series on how to use predictive analytics to improve the development of long-term care projection assumptions.

Description: Today, a plethora of tools and approaches exist to develop lifetime projections of long-term care (LTC) business. Within these tools lie two distinct approaches to project mortality; namely, by using assumptions that are applied: (1) to an all-lives exposure base, or (2) separately for disabled- versus active-lives exposure bases. Using disabled versus active mortality allows for more granular modeling of the two different cohorts that exhibit dramatically different mortality. And so, when using an all-lives mortality assumption, is the projection missing important details about the appropriate mortality level? This article seeks to not only answer this question, but also answer how a “traditional” all-lives mortality assumption can be impacted when you introduce a combination of the two modeling techniques into the development of a mortality assumption. To answer these questions, we examined the experience and results developed from one c ompany as an illustrative case study.

Description: Runoff LTC blocks present a wide range of business risks. Outsourcing certain tasks to third parties can help mitigate these risks.

Description: State regulators' review of predominant LTC Risks after review of year-end AG51 reports.

Description: The AAA Practice Note in Practice – Part One A case study on an initial rate filing for a revised long-term care insurance product. by James M. Robinson from Long-Term Care Newsletter, April 2003, Issue No. 8.