Is the LTCI sky falling?Article added by Peter Gelbwaks on November 17, 2010
Peter Gelbwaks

Peter Gelbwaks

Plantation, FL

Joined: October 13, 2006

Is the LTCI sky falling? No, I think not. Is our world changing? No question. Will there be more LTCI carrier withdrawals, rate increases and plan design changes? No argument there. Will some agents, independent producers and marketers decide this environment is just too challenging and stressful? You bet. Will there be a rethinking of how to address this issue of aging, long term care and how to finance that risk? Yes, yes, yes, and that is going on even as you read this article.

Let’s begin with the basics, including the fact that the aging and graying of America is not going away. Instead, it is escalating before our eyes. I am a perfect example of this, as I just had my 64th birthday and I am part of the very first wave of baby boomers (born in 1946) who are turning 65 beginning in January 2011. This is happening at a pace unmatched in our history. Just think about it: Approximately 10,000 people across America will be turning 65 every day beginning January 1, 2011, and that will continue for the next 20 years.

So, what do we know? We know that the long term care solution for these people will not be solved by hiding from the issue, nor will it be solved by depending on the federal government, with or without the CLASS program in place. We also know the great majority of Americans have not saved or planned properly for a long term care event, and the Medicaid system cannot and will not support their needs going forward. We also know family dynamics are continuing to change, and family caregivers will continue to find less and less time to take over this enormous task as they struggle to work, care for children and face geographical challenges.

Additionally, we know Americans — particularly older boomers — have been very slow to accept the reality of their own aging and what the possible loss of some of their independence really will mean to them. In turn, they also have been very slow to look at the solutions to this potential dilemma.
What conclusions can we then draw from this and how does it all relate to the long term care insurance industry? Pretty shocking answers to those questions seem to be surfacing, and more rapidly than ever before. The carriers must now believe that they have been adversely selected against. The facts are they made incorrect calculations as to how many people would buy long term care coverage (far fewer than they expected); how many would make a claim (considerably more than they thought); and, once on a claim, how the policy benefits would be utilized.

The end result is virtually all the committed LTCI carriers in our marketplace (even the very best ones) have been undercharging and, in many cases, over delivering. Combine that with the fact that the pool of buyers has been too small for the last decade and the selection of buyers continues to consist of those who have the greatest concern for the need — versus a much smaller group who planning properly as part of an overall financial plan — and then figure in interest rates that have continued to stay at record low levels for an extended period of time, and we have the perfect LTCI storm.

LTCI carriers are putting their existing business under a microscope, and they have come to the conclusion that major change needs to take place. In some cases, this means a drastic move completely away from selling any new LTCI business. In other cases, it means dissecting what they have sold and asking for significant rate increases on existing blocks of LTCI business and filing new higher rates for new plans going forward. But enough of the bad news.

OK, news in the category of “what got you here, won’t get you there" has arrived. Times are changing rapidly and we must accept it or move on to a different business. As I said earlier, we have a huge aging issue to address in this country, and that will not be changing for the next two decades. And I, for one, very much believe we can be, at the very least, a good part of the answer.
However, first and foremost, we have to be willing to accept change is upon us and we should welcome it with open arms. We all should know by now true growth and broad opportunity comes with change, and our industry very much needs to embrace the idea that we can be the catalyst to solve the financial risk of aging.

As we move to the next stage of LTCI sales and marketing, we all need to look at the current situation. A good number of viable, well rated and secure carriers are still offering traditional long term care insurance and have learned a great deal from the mistakes of the past. In addition, numerous options are available now to mitigate the clients’ risks of future rate increases, including limited payment contracts all the way down to 10 pay and single pay programs. Many other contract offerings exist that make these plans extremely attractive, and they should be reviewed with your clients. Let’s also not forget these policies are all “guaranteed renewable,” so as long as the client is buying from a stable carrier, they will not be impacted by a possible future decision by that carrier to “withdraw” from a marketplace. That policy will remain in force and claims will be paid as long as premiums are kept up-to-date.

One popular alternative to the traditional LTCI policy is the “combination” or “linked” contracts that combine either life and long term care or annuity and long term care coverages. Wonderful guarantees exist within these contracts, including built-in "free look” periods that, in some cases, can extend for the life of the client. Other innovative plan designs are on the drawing boards and will be introduced in 2011 and 2012.

So, here is my advice: Let’s take a collective deep breath and not overreact to the news you may be hearing. Your clients need your calm, sage advice and counsel (maybe more than ever) and numerous answers do exist that make very good sense for both them and you.
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