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: PowerPoint slides of presentation given at Gerontological Society of America.

Description: This paper describes the prevalence of the still uninsured long-term care financial risk, and how the at-need annuity/home equity combination can address long term care needs.

Description: This report explores two LTC insurance product concepts. The concepts were developed as part of an effort to create innovative new LTC insurance products.

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: This is the second Intercompany Study of Long–Term Care Insurance. For this report, the committee gathered and refined data that dates back to 1984. This report combines and analyzes data received from 14 insurers that agreed to provide information to further the knowledge of long–term care insurance.

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 article discusses the pending Pension Protection Act and the opportunity it presents for products that combine LTC and Annuities.

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 survey on the impact of COVID-19 on Long-Term Care (LTC) insurance mortality, voluntary lapse, and morbidity experience. The results of this survey, which was conducted from November 2020 through January 2021, are presented in this report.