Description: A discussion of a gathering in Las Vegas of more than 500 insurance agents who discussed various answers to the question: Will there still be a long-term care insurance (LTCi) industry going forward?

Description: Recommendation to measure the risk for the components of combination Life/LTC products.

Description: As the topic of affordable long-term care (LTC) insurance comes into focus in political conversations, we often find ourselves thinking, “What is going to happen to the private LTC insurance industry going forward?” The need for LTC in the United States is not going away, especially as the population continues to age. With this in mind, this article explores three possible future paths for LTC insurance funding and the associated implications for the private LTC industry.

Description: In this session, morbidity and life expectancy trends are discussed. In addition, a case study in R on how to model the uncertainty associated with incidence of disability, disabled and active deaths and other terminations is presented.

Description: Read the November 2020 issue of Long-Term Care News published by the Long-Term Care Insurance Section. Newsletters provide practical information for the working actuary, articles on trends that impact sections and news about section activities.

Description: This fact sheet provides an overview of the Long-Term Care and Middle Market report.

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: Table constructed from lifetime long-term care cost studies conducted by P.J. Eric Stallard, ASA, FCA, MAAA, Center for Demographic Studies, Duke University.

Description: According to Oliver Wyman's 2023 Asset-Liability Management (ALM) survey, long-term care (LTC), universal life, and whole life insurance products have among the longest liability duration profiles, often with material asset-liability duration mismatches. Deploying an optimal strategic asset allocation (SAA) framework for these products is particularly challenging due to their: - Long-tail profile. Liability cashflows for long-duration insurance products often extend beyond the investment horizon of currently available assets (e.g., 30-year U.S. Treasuries) - Liquidity needs. Depending on the type and age of the insurance product, achieving your desired levels of projected liquidity becomes instrumental Solution: A robust liability-driven SAA framework with an emphasis on minimizing cashflow mismatch while considering a company's risk appetite and investment guidelines aims to reduce interest rate and liquidity risks. Case studies: LTC and life-focused case studies will provide insights into hypothetical SAA frameworks, including ways companies optimize their fixed-income assets. We will also explore techniques used to extend asset duration beyond a typical fixed-income portfolio, using derivatives and alternative assets.

Description: In this session, we will explore recent industry-wide studies focusing on mortality and policyholder behavior patterns across both Life and LTC lines of business. The Life study analyzes extensive data collected over 2018-2022, providing a unique perspective on trends heading into, during, and emerging from the pandemic. The study covers 2.5 million deaths and over 5 million voluntary surrenders and fund lapses across term and permanent life products. The LTC analysis will focus on the components of policyholder termination, with an additional perspective of total termination patterns prior to, during and post-pandemic periods. The analysis will examine cohorts of policyholders to identify the area of largest deviations from expectation and how that translated into short term results as well as where we are today. The aggregation of experience across participating companies provides insights into areas where a particular insurer’s data is not credible on its own, including: older ages, preferred/standard classes and more. At the conclusion, attendees will have an understanding of how experience emerged and considerations for setting assumptions going forward.