Description: On May 5, 2016, the Long-Term Care Valuation (B) Work Group of National Association of Insurance Commissioners’ (NAIC’s) Health Actuarial (B) Task Force’s Long-Term Care Actuarial Working Group (LTCAWG) requested recommendations from the American Academy of Actuaries (Academy)1 and the Society of Actuaries Research Institute (SOA)2 to replace the mortality and lapse bases for statutory minimum reserves. A copy of the request is included in Appendix 1 to this report. The Academy and SOA created a Long-Term Care Valuation Work Group (Work Group) to address the request. The Work Group is chaired by Warren Jones, the Mortality Subgroup is led by Bruce Stahl, and the Lapse Subgroup is led by Bob Yee. The Work Group has provided regular updates to the LTCAWG at national meetings and provided opportunities for the LTCAWG members to ask questions regarding the work in progress. This report presents the recommended lapse tables in Appendix 3, and recommended mortality tables in Appendix 4, and describes the methodology and process in developing these tables.

Description: In the United States, individuals needing long-term services and supports (LTSS) access care, utilize services, and pay for their services in various ways. The authors explore how the need for, utilization of and payment for long-term services and supports differ in the U.S. by population cohorts. Their primary focus is disparity by race and ethnicity, but they also consider variations by geography, family structure, age, sex, gender and other socioeconomic factors.

Description: This research report examines functional and cognitive trends among assisted living facility residents using a sample of long-term care policyholders who are making claims on their policies.

Description: The Society of Actuaries (SOA) retained Milliman, Inc. (Milliman) to conduct a research project related to product innovation. This report explores key risks and considerations for product innovation using the long-term care insurance (LTC, LTCI) industry as a case study. We identify how actuaries of all backgrounds can apply the lessons learned, and challenges overcome, by the LTCI industry to improve future innovation, product development and risk management.

Description: Using the Delphi method, this study explores the opinions of various Long-Term Care experts and stakeholders on a wide range of LTC financing issues and potential solutions.

Description: The SOA Research Institute’s Aging and Retirement Strategic Research Program and Canadian Institute of Actuaries are pleased to make available the first of two reports that look at Benefit at Risk (BaR) in lifetime pension pools.

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: This survey is intended to share insurance company risk management practices and perspectives, so that these stakeholders may have a common understanding when discussing fraud, waste and abuse in LTC insurance claims.

Description: This document is a methodology guide for the Long-Term Care Population Research Model developed by the Society of Actuaries Research Institute in November 2024. It explains the model's purpose, framework, data sources, user inputs, calculations, and outputs related to public long-term care benefits.