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

Description: Discussion of a newly released LTC experience study, including description of data and its increased scope compared to the prior report, reporting specifications, and findings.

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.

Description: Pitfalls with long-term care experience studies and tips for dealing with them.

Description: Professional and regulatory considerations in long term care insurance pricing and product features, including items from ASOP No. 18. From Long Term Care Newsletter, September 1999, Issue No. 1.

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: For establishing the ongoing adequacy of claim reserves for blocks of long-term care insurance, retro testing is a blunt tool, the results of which are not conclusive. Claim reserve retro tests should be reviewed by claim duration, include the impact of interest consistently, and include updated assumptions that can have an impact on claim termination rates or other factors. The new NAIC LTC Experience Reporting Forms estimated to arrive for reporting year 2008 will help modernize LTCI retro tests, providing additional accuracy and standardization. Actuaries should not wait for these forms, but rather ensure that any claim reserve analysis moves beyond a basic calendar year retro test.

Description: This article discusses secondary factors that affect pricing and long-term care claims experience gender, marital status, region, product type, distribution, and education.

Description: Insolvency Due to Long Term Care resulting from deficiencies in underwriting, contract language and claim processing. From Long-Term Care Newsletter, August 2001, Issue No. 5.