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Adopting A Dog is not a Long Term Care Plan!

August 1, 2017 by Honey Leveen Leave a Comment

My dog T Beau and I took a road trip during the 4th of July weekend. We stopped for gas between San Antonio and Houston. T Beau and I went for a walk, where he met another small dog. They did what dogs do to become acquainted.

As is often the case, while our dogs were getting to know each other, the owner of the other dog started pleasantly chatting with me. She was older and appeared to be in good health. She was 79, her husband 84. Imagine my surprise as she chose to tell me about her plan for long term care (LTC), right off the bat!

The surprises continued as she explained that they adopted the dog because, “if one of us dies, the other will have company”. Yes. The dog was their long term care plan.

Be Realistic About Your Needs for the Future

I was silent for a short while. The best I could do was to politely tell her that this didn’t sound like a realistic long term care plan to me. I wished her a safe trip and T Beau & I continued on our way, her words still ringing in my ears.

Of course, having companionship is important and has proven to extend the quality of life, even in later years. However, having a sweet pup around isn’t going to help when you can’t button your blouse or open a can of soup. Or a can of dog food.

Share Your Long Term Care Plan with Friends & Family

Talk about your plans, honestly and explicitly. Make sure your most trusted friends and loved ones have copies or scans of your LTCi Schedule pages. Be proactive. If you own LTCi, the moment you need a little help with your activities of daily living, file a claim. Denying the fact that it’s time for you to get extra help can cause unnecessary fear and undue stress for you and those you love. It can also lead to avoidable accidents and a quicker decline than necessary.

Can you afford Long Term Care Insurance? Click here to receive your free quotation.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Long Term Care insurance, Long-Term Care Planning, ltc planning, LTCi

Genworth’s Rosy Future

December 23, 2016 by Honey Leave a Comment

image of rose

Genworth, a pioneer in the long-term care insurance (LTCi) industry, has sold the largest number of LTCi policies (1.2 million) and paid out more than its competitors.

Through December of 2015, Genworth paid over $13 Billion in claimed LTCi benefits. Genworth pays out an average of $5.6 million dollars in LTC benefits every business day!

Those of us who specialize in LTCi have huge admiration and respect for Genworth’s perseverance. They are in LTCi for the “long game” and have huge commitment to it. They have the experience to sell it profitably, which means they understand LTCi’s slow, but eventual profitability.

Recently, Genworth was purchased by China Oceanwide Holdings. This will make Genworth’s shareholders happy, which will in turn, take much pressure off Genworth’s leadership.

This excellent interview of Genworth CEO Tom McInerney, explains the the “upsides” of the buyout.

Genworth’s website has more information about the buyout. It is easy to navigate and also has abundant information on long-term care costs, as well as how to understand and choose the best LTCi coverage.

 

 

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Genworth, long-term care insurannce, LTCi, Tom McInerney

Medicaid’s Woes Highlighted

October 14, 2016 by Honey Leave a Comment

MedicaidThis past month I’ve come across a few articles describing Medicaid’s woes, and highlighting peoples need to plan for funding their own long-term care, now!

This Washington Post story describes why our system is incentivized to discharge patients when they are still very needy, but their Medicare-paid re-hab benefits are exhausted. Medicaid can then often pick up costs, but it pays facilities poorly. This incentivizes facilities to admit the least needful and costly patients. In addition, “The Medicaid system is overly cumbersome and too slow to provide benefits.”

The true heroines of long-term care, paid home care providers, earn an average of $10.11 an hour, states this September New York Times article. About a third of these caregivers rely on food stamps and 28% rely on Medicaid for health insurance. Annual caregiver job turnover rate is 40-60 percent.

The article continues by stating caregivers at Medicaid-funded facilities got their pay raised to minimum wage: $7.15 per hour last year. Such caregivers are often overwhelmed with the sheer number of patients they must care for. “Ms. Walker left her job at a nearby nursing home because “sometimes you had 12 to 15 people to take care of,” she said. “You’re trying to feed everybody, give them baths, but a lot of people got neglected.”

This testimonial about Medicaid’s flaws on the receiving end of care is heart-wrenching, “When Roy Potter was weakened from postpolio syndrome and his wife, Joan, could no longer help him out of bed, a nursing home was “unthinkable,” said Ms. Potter, 83.

For a year, they paid private aides $14 an hour to come to their home in Mount Kisco, N.Y. When they could no longer afford that, Mr. Potter qualified for Medicaid, which pays the preponderance of home care costs in this country.

Over the next two and a half years, more than a dozen agency aides — some caring and competent; some not; some disappearing without explanation — cycled through their home, as did a number of short-term substitutes.

“A new person would come, and I’d have to walk them through everything all over again,” Ms. Potter said.

She grew increasingly anxious about whether an aide would show up. “Every morning I’d hold my breath until the doorbell rang,” she said. “Several times, I had to get in the car and drive to the agency and say, ‘Who is coming today?’”

Last year, when federal overtime provisions took effect, the agency cut back helpers’ hours.

She and her children succeeded in keeping Mr. Potter at home until he died in April, at 86, but finding and keeping help proved a continual battle.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure Tagged With: home care, Medicaid, Medicare, New York Times, nursing facilities, Nursing Homes, Postpolio Syndrome, Washington Post

Ding Dong the Wicked Witch of LTCi Rate Hikes is Dead

September 9, 2016 by Honey Leave a Comment

The following is a guest blog by my friend and highly respected LTCi colleague, Ron Hagelman, who can be reached at rhagelman@broadtowerinsurance.com, www.BroadtowerInsurance.com.

The article laments the undeserved, unintended ill-will earned by the LTCi industry. Ron’s sentiment matches my own and expresses the widespread confidence of LTCi actuaries that LTCi pricing is now extremely rate stable. Here are blogs I’ve written about rate hikes.

Here is info on the Society of Actuaries study Ron refers to.  Thanks, Ron, for allowing me to re-publish this.

Wicked Witch“There are simply those who, even after repeated exposure to the glare of the truth, are subsequently unable to admit they were wrong. Our industry suffers seriously from this flaw in human behavior. Far too many have conveniently pointed the finger of blame at those responsible for our lifeless interest environment (whoever those people are) and not taken sufficient responsibility for the “mistakes” that were made in our past pricing assumptions. “We” got it way wrong and the damage done to all concerned is much more extensive than many are willing to admit. Stand-alone LTCI sales are a shadow of their former selves. The destruction to new sales caused by repeated rate increases is pervasive and insidious. We have unfortunately created a general public malaise and aversion to all things LTCI both in terms of those who we said were the smart ones for leveraging their risk early and those prospective buyers considering the security of policy ownership. What is of course much worse is that we have successfully decimated the ranks of those willing to help sell the product. The age-old equation is now painfully obvious to all concerned: rising premium creating falling sales culminating in a drastically reduced field force. This artificially created sales spiral is much more than just a self-fulfilling prophecy. We must first admit that it is also a self-inflicted wound.

We must first freely admit and acknowledge our own culpability. Frankly, we over built benefits, underpriced mortality and morbidity, and overestimated potential sales in the initial rush to achieve market share. We completely missed the whole side of the barn in terms of persistency and honestly we were basing our future experience on far too little actual claims data.

That Has All Changed!

“Ding Dong the Wicked (Rate Increase) Witch is Dead!” The Society of Actuaries has recently completed a research project designed specifically to evaluate the historical potential for rate increases.   The research clearly indicates that products priced today are much less likely to have future rate increases. What is absolutely certain over the last 15 years is that the need for long term care services and support, the growth of assets and income needing protection, and the certainty of a need for expensive care is now greater than ever. We have also accumulated a substantial volume of claims information upon which to more accurately base current pricing.

The conclusion of the SOA analysis is that confidence in current pricing “should” be at an all-time high. Claims data is no longer scarce. We have an abundance of claims to evaluate at this time, meaning we have reduced the potential likelihood of future rate actions. According to the SOA, “Premium stability on today’s LTCI prod- ucts is at its highest.” The SOA identified a number of benefits of the new pricing stability as the study found that, “Claim experience nationwide in 2014 was 70 times more credible than in 2000.” The fact that we now have a history to evaluate has laid the groundwork for future carrier optimism concerning this market. Pricing stability contributes to:

  • Greater carrier confidence in assumptions concerning lapse, morbidity and mortality.
  • Less operational administrative risk translating into lower expenses. Constant change is expensive.
  • Less friction on the regulatory level and potential stress on reserves.

Restoration of consumer confidence at this point is a massive undertaking.

The Study also illuminated the validity of what we knew were serious contributing factors:

  • Long term investment return has fallen dramatically from 6.4 percent in 2000 to 4.6 percent in 2014.
  • Commissions have crept up during the same period of time, emphasizing first year compensation, and while administration expenses have declined.
  • Based on experience, allowable margins for error have also increased.

What is important is that we have learned from our experience and that the relative predictability of current premiums has risen from a low of a 40 percent chance of a future need to raise premiums to only 10 percent today. The study also pointed out that the regulatory environment has provided evolving strength by implementing the necessity of providing adequate margins for adverse circumstances under the NAIC Model Regulations beginning in 2000 and subsequently enhanced in 2009 and 2014.

The journey now standing before us must certainly begin by joining hands with those new friends willing to take that first step on the yellow brick road as we must ask the wizard to help us restore the faith of consumers and agents alike. Together we must recognize that we have indeed survived the flying monkeys and that our strength of purpose to find a home for the risk that will not be ignored was always built upon our brains, our heart and our courage.

Other than that I have no opinion on the subject.”

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: LTCi rate hikes, LTCi Rates, Ron Hagelman, Society of Actuaries

You are Not as Financially Smart as You Think You Are

August 9, 2016 by Honey Leave a Comment

Not As SmartThe name of the New York Times article is “What You Think You Know About Money, but Don’t, Can Hurt You”. I prefer to be more blunt: You are not as financially smart as you think you are.

The Finra Investment Foundation does a long-term, ongoing study on the public’s financial literacy. The 2016 study has just been released.

People are far more financially vulnerable than they believe they are. Fewer people got the answers the same five questions correct this year; this is a continued trend. Conversely, 76% of subjects gave themselves a “very high” rating on financial knowledge. This percentage continues to increase.

I have no idea whether these trends correlate to increasing income inequality, decreasing educational levels or overall hard times.

This behavior correlates well with the denial I’ve faced for over 25 years. When I ask people with good jobs and lots to lose, who know me, who like me, who recognize my competence, ethics and sincerity, whether they’ll have a conversation with me about long-term care planning odds and options, my invitation is usually declined.

The Finra study proves to me that we are going to have millions upon millions of people who need long-term care and are woefully unprepared for it. Because of this, many people will suffer unnecessary loss of dignity, family discord and sacrifice, and financial ruin.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: FINRA, Long Term Care insurance, long-term care, ltc planning, LTCi

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Honey Leveen, LUTCF, CLTC, LTCP
“The Queen, by Self-Proclamation, of Long-Term Care Insurance (LTCi)”
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Phone: 713-988-4671
Fax: 281-829-7177

Email: honey@honeyleveen.com

Email: honey@honeyleveen.com

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