Description: The article summarizes 2013 survey results of company assumptions for term products in the post-level period. The focus is on product design, shock lapse assumptions, and mortality deterioration assumptions. This article features highlights from the larger SOA-sponsored research project on this topic published in 2013 that compiled end-of-2012 assumption data from 41 companies. This content may prove useful to product development actuaries as they consider their current post-level term assumptions.

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: On average, contracts receiving their first star rating receive 3.20 stars, compared to existing or established contracts receiving 3.90 stars on average. This 0.70 disparity in quality ratings creates significant hardship on new contracts when this lower star rating decreases their payments in the following calendar year. This article explores the disparity in Medicare Advantage Star Ratings between contracts receiving their first star ratings (“New” contracts) and existing contracts, including: 1. Understanding what happens to Medicare Advantage Payments when contracts receive lower star ratings? – What is the Star Rating cliff and why does it matter to new contracts? 2. Explaining when a contract receives their first star rating and how much enrollment this requires – When does the Star Rating cliff occur? 3. Noting which specific star measures “New” contracts struggle with, including those contracts under large parent organizations, contracts with rapid growth, and all other new contracts. – How can my contract avoid the Star Rating cliff?

Description: Long-term guarantees place unanticipated burdens on companies because of the degree to which the environment can change. These risks are compounded when combined with estimation of policyholder behavior, especially when solid experience data is not available. When risks are properly reflected, long-term guarantees do not always provide value to the customer in excess of the manufacturing cost. The product development actuary is challenged to compare customer value to company cost and use that measurement to identify novel ways to design products to better serve customers.

Description: Recent and pending changes in financial reporting standards and regulations such as IFRS 17 and US GAAP Targeted Improvements are ramping up the performance pressures on actuarial models. New infrastructure technology in the cloud is driving modeling options that may well help actuaries successfully and economically meet these challenges and unlock even greater transformational change.

Description: This article summarizes findings from a recently published peer-reviewed study in the Journal of Risk and Insurance (Hanewald et al., 2025),[1], which examined how access to housing wealth affects stated demand for LTC insurance in China. We conducted a survey of homeowners aged 45-–64 across 49 cities in China and found that offering reverse mortgages or home reversion products significantly increased stated demand for LTC insurance. This article highlights the study’s key results and implications for insurers, actuaries, and policymakers.

Description: This article attempts to make a modest contribution to the dialogue on the potential and risks associated with novel treatments such as cell & gene therapies. With a fast-expanding roster of what are believed to be one-time treatments at ever increasing price points aimed at curing a wider swatch of the population, they are as much a source of relief for patients stuck in medical limbo, as they are a source of anxiety for payers.