1. The odds: The odds of your needing long term care are overwhelming: The odds of requiring long term care in your lifetime have now risen to 70 percent. That means that seven out of 10 Americans will use their policies - This is a far greater risk than an auto accident or a house fire. Most people wouldn't even consider being without homeowners and auto insurance, but there are far too many people who are not yet protected with long term care insurance.
2. Longevity: Folks are living longer. There are now more people over the age of 100 than any other time in history. Yet, we still have no cure for Alzheimer's, Parkinson's disease, Multiple Sclerosis or many other illnesses that can cause a need for long term care.
3. Independence: No parent wants to ever be a burden on their kids, especially if their kids are raising their own children. Baby boomers are called the sandwich generation because many are caring for an elderly parent with medical needs while putting a child or children through college. But most retirees want to remain independent as long as they can, even when it comes to such simple things such as driving themselves to doctor appointments and to the store.
4. Spend down: You run the risk of having to spend down your entire life savings for long term care needs before you die, leaving nothing to your heirs or worse yet, to your surviving spouse.
The most common governmental benefit is provided by Medicaid, and a married couple can have approximately $100,000 in savings while still qualifing for nursing home benefits through Medicaid. But a single person has to spend his savings down to $2,000 before he is eligible for those same benefits.
Even so, most parents would like to leave something to their family, even if it is just the value of their home for their survivors to sell and split the proceeds. Every generation feels that leaving a legacy is important, even if their children are already successful.
5. New statistics: Even though long term care is associated with seniors and retirees, Unum, a major LTC insurance carrier, reports that in 2006 almost 58 percent of LTCi claims were for people under the age of 65. The average claim for this age group lasted a year or longer. Unum's analysis showed that 30 percent were cancer claims, and more than 10 percent were claims resulting from strokes. Other leading sources for claims included neurological disease, dementia and multiple sclerosis. These data underline the fact that the younger someone is when they apply for LTCi coverage, the better.
6. Underwriting changes: Over the last forty years, insurance companies have found that many policyholders who purchased LTC coverage have kept these policies in force longer than insurers anticipated. In the past, many insurers priced their plans anticipating that a certain amount of policies would lapse, which would lead to extra profit for the company. But when the number of lapsed policies was less than expected, claims increased, forcing them to re-evaluate their underwriting guidelines.
7. Government encouragement: Federal and state governments are now pushing hard for people to purchase their own long term care policies. Obviously, if more people purchase long term care insurance, fewer people will tap into the Medicaid and welfare programs that are jointly funded by the federal and state governments.
Their strategy is three-fold: First, they have made it tougher to qualify for Medicaid. Strategies that elder law attorneys and certified estate planners were able to recommend in the past are now against the law. Second, some states promote co-op programs to encourage citizens to purchase long term care policies. In most cases, whatever the value that the policy would pay would be matched by the state in free, future, LTC benefits. Most states have a cap on benefits, but needless to say, it is a good value for the resident. Last but not least, tax-qualified long term care policies are tax deductible.
8. Legal changes: Again, the federal government and some states have now changed the rules on what Medicaid applicants can legally do to qualify for benefits. One of the major changes on February 2, 2006 was the enactment of the DRA (Deficit Reduction Act) of 2005. This extended "look-back periods" for gifting to five years from three years. Also on gifting, whether money or property - the penalty calculation would be figured from the date of application for Medicaid instead of from the date of the gift. Another difference pertains to the usage of life estate survivorship deeds. The law now treats these as if the gift never took place for Medicaid eligibility.
9. Estate recovery: If one needs Medicaid for their long term care needs, 49 out of 50 states now have laws to place a lien against the equity in one's home, so that when the Medicaid patient and their spouse, if applicable, pass away, the state will require repayment for the money they contributed toward their health care. And there goes any anticipated inheritance.
10. Health care flexibility: Home health care is by far one of the most popular settings for care. If at all possible, folks want to stay within the confines of their own home where they are comfortable versus living in an an institutional setting. With good home health care benefits available in most long term care policies, this choice can become a reality. We have seen folks use the home health care benefit of their policy to get a sitter or a home health aid to help them with their activities of daily living. Some of the more common illnesses were Alzheimer's disease, cancer, strokes, and stability and mobility issues.
With these reasons alone, you can easily justify long term care insurance for your future financial freedom and independence. It's prudent to gather as much information on statistics, laws and insurance in order to truly be prepared.
What do I look for in a good company? You know that you should buy long term care insurance, but where should you look and which company should you consider? A lot of advisers either sell one company's policy, or they only sell a few policies a year, or truthfully, they really don't know. So what do you look for in a good company?
We've all heard that any insurance policy is only as good as the company standing behind it, but what does that mean? It means that the company must meet the standards of an excellent and superior rating. In order to achieve a rating like this a company must meet certain requirements. Look for:
Financially sound companies Committed companies with a large client base Claims paying history Length of time selling LTC insurance History of rate increases
They all sort of blend into one another, but let's look at them in detail:
Financially Sound Companies Check their ratings with the companies that rate the strength of insurance companies. Generally you can get a good flavor of the company's financial strength by looking at their A.M. Best rating. If you want to back up your findings, you can by looking at Standard & Poor, Moody's, Fitch, Duff & Phelps or Weiss Research, A.M. Best usually gives a very good overview of the companies strength and the companies don't have to join the rating service in order to be rated.
Where do I get this? Updates are published monthly, quarterly and annually and can be found in any public library. In addition, you can usually find the ratings on each company's web site. Do this first and then ask your agent.
Committed Companies With A Large Client Base "The theory of large numbers" works here. The larger the client base the better buffer you have against rate increases. As claims come in the companies need to financially spread these over their client base. If larger claims come in than forecasted then the company has to decide whether to absorb this into its projected cost of business or to pass this along to policy holders in the form of a premium rate increase. Companies who have made a commitment to this line of business normally do not raise premiums. A smaller, uncommitted company may be more inclined to do this.
Where do I get this? The company web site should have their policyholder information readily available. Also the agent representing the company should have their marketing materials, approved by the state where you live, that give policyholder information. In addition, you can get more information from the rating agencies, A.M. Best etc.
Claims Paying History Sometimes a good financial rating may not tell the whole story. Some companies with good ratings have been known to deny or delay paying claims in health insurance. If they use that same practice in other areas, then there is a good chance it will do so for long term care insurance claims. Also, it is important to ask how many claims have been paid since they started selling LTC insurance.
Where do I get this? Call your state insurance department for information on the complaints filed about specific companies. If this isn't available then sometimes you need to use your own judgment based on size and reputation of the company. A well-known company is less likely to risk bad publicity for this type of action.
Length Of Time Selling LTC Insurance The Company that you choose should have been selling long term care insurance since the early 1990's. If they haven't then they probably have not been in the business long enough to have experienced enough claims. Without good claims experience then a company can't tell if they have set their premium rates correctly. You do not want a company to find out that they set them wrong to begin with and you are the recipient of a "rate adjustment".
Where do I get this? Once again if you look at the same sources from the above items you will find this information. The state approved company marketing materials will have this information as well as an informed LTC insurance agent. History Of Rate Increases Any company that has ever had a rate increase to its existing clients should not be a company for primary consideration. There are always exceptions to this especially when it comes to health issues and the need for coverage from a company that specializes in these problems.
Where do I get this? You can always contact your state department of insurance and ask them, or ask your agent. However, a sure fire way to do it is to ask your agent for the first page of the long-term care insurance personal worksheet for that particular company. This is a part of their application and will always show their rate increase history.
Finally! Now we know what to look for in a good company. The ideal company will be very large and financially sound. It will have a lot of long term care insurance clients and will have sold these policies since the early 1990's. In addition it will not have any complaints with your state insurance department concerning the payment of claims. And finally, the ideal company will have a good reputation and will not have ever raised rates to their existing clients in any state.
Both Clay Cotton & Robert Mcclure are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Clay Cotton has sinced written about articles on various topics from Insurance, Parental Care and Health. Long term care insurance activist, Clay Cotton, writes for - The Online Baby Boomers Decisi. Clay Cotton's top article generates over 6600 views. to your Favourites.
Robert Mcclure has sinced written about articles on various topics from Finances. Before you go out and buy a policy go to and read. Robert Mcclure's top article generates over 4400 views. to your Favourites.