Description: This paper offers basic, economic and actuarial ideas to improve the balance of cost, access to treatment and quality over time.

Description: Research report describing an analysis of experience transition rates between Long Term Care insurance claim settings over the course of a claim. Examples of such transitions are from an assisted care facility to home health care or from home health care to a nursing home.

Description: Full version of Long-Term Care Newsletter, April 2004, Issue No. 11.

Description: This article gives an overview of the key provisions in the new law, and provides an actuarial perspective on the effect the new law could have on long-term care (LTC) insurance and long-tailed health business generally.

Description: The implications of the new long-term care law for individuals, employers, insurers and providers, and the federal government.

Description: A summary of the background, features, and potential pitfalls of the new LTC Experience Reporting Forms, which will soon be required. The new forms are designed to better inform investors, competitors, and regulators about financial performance, reserve adequacy, and relationship between assumptions and experience. Companies are advised to start preparing for the change to the new forms.

Description: Overview and summary of LTC First Principles modeling article series

Description: This article discusses the problems facing long-term care insurance. These include slowing sales, large premium increases and carriers exiting the market. The author suggests that the public needs to be better educated and that insurers need to find innovative ways to design products that are sustainable, yet sufficiently affordable to be attractive to a wide variety of buyers.

Description: This article incorporates the NAIC long-term care insurance model regulation to discuss the appropriateness of rate increases by monitoring emerging experience to manage the risk. This includes experience analysis issues, maximum rate increase calculations, business considerations and valuation issues. From Long-Term Care, December 2003, Issue 10

Description: For establishing the ongoing adequacy of claim reserves for blocks of long-term care insurance, retro testing is a blunt tool, the results of which are not conclusive. Claim reserve retro tests should be reviewed by claim duration, include the impact of interest consistently, and include updated assumptions that can have an impact on claim termination rates or other factors. The new NAIC LTC Experience Reporting Forms estimated to arrive for reporting year 2008 will help modernize LTCI retro tests, providing additional accuracy and standardization. Actuaries should not wait for these forms, but rather ensure that any claim reserve analysis moves beyond a basic calendar year retro test.