Description: Life insurance with LTC features is exciting business to produce, but the complex for a valuation actuary at year-end. This session will discuss setting morbidity and policyholder behavior assumptions for principles-based reserving and cash flow testing more generally. We will review considerations for GAAP reserving for hybrid products. We will highlight the interaction of assumptions whose risks offset (mortality, morbidity, lapse, and more) and how the valuation actuary may think of these in sensitivity testing and setting prudent estimates. Panelists will draw from the 2022 Academy of Actuaries Combination Product Valuation Practice Note.Finally, we will discuss reserve assumption setting in light of public-private LTC legislation (e.g. Washington Cares), which inspired sales of hybrid life and LTC products in the individual and worksite markets.

Description: Come and learn about one of the long-term care (LTC) industry's hottest trends: Wellness programs. Discover key insights from Oliver Wyman's 2022 and 2023 industry surveys on LTC wellness programs, focusing on the evolution and expansion of wellness programs over the last few years. In addition, listen in as a panel of industry representatives share their perspectives on challenges faced, lessons learned and next steps in their wellness journey. Gain impactful insights and takeaways from our panel of experts (with wide-ranging familiarity of LTC and wellness programs), who will pull from their first-hand knowledge.

Description: This report is the fifth in a series of studies conducted jointly by LIMRA and the SOA Long-Term Care Experience Committee. The report presents results for industry long-term care insurance (LTCI) persistency. Persistency is examined based on eighteen participating companies reporting lapse, mortality, and total termination activity for calendar years 2000 through 2016. The report and a supplemental Tableau database with several dashboard views can be accessed in the Materials section.

Description: With current trends in aging and life expectancy, long-term care needs represent a significant burden for many families. This burden falls unevenly based on several factors and inherent challenges. Hear a presentation of two recent Society of Actuaries (SOA) Research Institute reports: One that looked at disparities in the need for long-term services and support by race and ethnicity, among other factors, and another that reviews the cost and burden of informal caregiving. These reports, sponsored by the SOA Research Institute's Aging and Retirement and Diversity, Equity and Inclusion Strategic Research Programs represent the latest thinking in this area. Come learn the results of these efforts and take advantage of the opportunity to help shape further work in this area.

Description: LDTI's roll forward disclosure requirements include line items for the impact of actual variances from expected experience (A/E) for both net premiums and benefits. These aggregate A/E amounts provide some insight into how actual experience is emerging relative to expectations, but they do not provide insight into either the drivers of the deviations or their significance.

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.

Description: Read the April 2019 issue of Long-Term Care News, published by the Long Term Care Section of the Society of Actuaries.

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: Chairperson' column for the October 2019 issue of Long-Term Care News.