Description: Arun Paul, FSA MAAA Pricing Actuary for Canada Life Re-Insurance discusses morbidity as it relates to Long-Term Care Insurance. Arun is the current President of SANA The South Asian Network of Actuaries and has over a decade worth of actuarial experience. He provides insights into how morbidity is defined in Long-Term Care insurance and explains the process of filing and processing claims in this engaging discussion with Jon Forster, ASA MAAA Professional Development Learning and Content Design Director at the Society of Actuaries. They also touch upon key factors affecting Long-Term Care insurance costs, such as care duration, benefits administration, and the impact of geographic location and prior claim history on claim costs. Contributors: ARun Paul FSA MAAA, Julite Spector, FSA, MAAA Matt Morton FSA MAAA, RAchael Marsiglio FSA MAAA , Jon Forster ASA MAAA

Description: The 2019 Long-Term Care (LTC) Medical Symposium was a one-day conference that extracted the thinking of leading experts on historical and future trends that will influence LTC insurance (LTCI) claim expectations. The symposium focused on the ideas from experts outside of the LTCI industry for the explicit purpose of gathering fresh perspectives on the issues that LTCI companies face, such as expected timing of new claims onset, length of claim, life expectancy and cost of care. The 2019 symposium built on and complemented the first annual symposium held in 2018. The focus in 2019 was on aging of the brain and how technology will impact the future of LTC caregiving. The symposium is not intended to quantify historical or future trends or to be prescriptive or specific about long-term care actuarial assumptions. Rather, the symposium 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.

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: The 2020 Long-Term Care (LTC) Medical Symposium was a two-day conference that extracted the thinking of leading experts on historical and future trends that will influence LTC insurance (LTCI) claim expectations. The symposium focused on the ideas from experts outside of the LTCI industry for the explicit purpose of gathering fresh perspectives on the issues that LTCI companies face, such as expected timing of new claims onset, length of claim, life expectancy and cost of care. The 2020 symposium built on and complemented the first annual symposium held in 2018 and 2019. The focus in 2020 was on aging of the brain and how technology will impact the future of LTC caregiving. The symposium is not intended to quantify historical or future trends or to be prescriptive or specific about long-term care actuarial assumptions. Rather, the symposium 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.

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

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: LTC insurers can proactively identify policyholders more likely to go on claim in the near future, and methods to potentially delay or prevent claims, benefiting company and customer.

Description: The Aging and Retirement Strategic Research Program is pleased to make available a report describing the results of analysis into how the supply of neurology specialists for diagnosis and care of dementia relates to historical LTCI cognitive claims.

Description: The Aging and Retirement Strategic Research Program is pleased to make available a report describing the results of analysis into how the supply of neurology specialists for diagnosis and care of dementia relates to historical LTCI cognitive claims.