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New LTCi White Paper and Executive Summary Published!

September 16, 2015 by Honey Leveen Leave a Comment

NAHU Executive SummaryThe National Association of Health Underwriters (NAHU) is the leading professional trade association for health insurance agents, brokers and consultants, and represents more than 100,000 benefit specialists nationally. NAHU is highly regarded and trusted on “The Hill”.

I’m very proud to be involved with NAHU. In July, 2015, I stepped down as chair of NAHU’s LTC Advisory Committee. I continue to serve and be actively involved.

I’m even more proud to announce NAHU has now taken an official stance on long-term care reform with just published, publically available LTC White and Executive Summary papers.

These papers offer good common-sense ideas on how to preserve Medicaid for the truly needy, and how to encourage more Americans to prepare responsibly and properly for their long-term care. They will be included in NAHU’s political advocacy.

I worked on the completion of both papers, but I believe my colleagues Claude Thau, Sally Leimbach, John Parker, Joe Lesson and Linda Thalheimer were tireless and played more essential, critical roles. We also had excellent support from Dan Sampson on NAHU’s staff.

Filed Under: Elephant in the Room, Helpful Information About LTC, Information About LTC, Medicaid Planning Tagged With: Honey Leveen, Long Term Care insurance, LTCi, Medicaid, Medicail, Medicare, NAHU, National Association of Health Underwriters, www.honeyleveen.com

The Magic of LTCi Ownership

August 21, 2015 by Honey Leveen Leave a Comment

The following is a true testimonial, not a paid endorsement. It illustrates the transformative difference long-term care insurance (LTCi) ownership can make:

Magic Of Owning LTCi“Honey, buying LTCi was THE best insurance decision I have ever made. When my spinal cord injury occurred in 2013, I would not have been able to live safely without this policy. I am now in assisted living. It is the best of facilities. There is nothing wrong with my brain. I long for the mental stimulation available to me if I could live independently or even at home with help. I cannot live in such places for one reason: I am a fall risk.  I lost my ability to balance due to Osteoporosis, the cause of my spinal cord injury.

I don’t care how much money one has, paying for aids is expensive and a great way to go broke or not have anything to leave your children or anyone. When my mother came to live with me and she had not even a health insurance policy, I learned quickly what it costs to have home health care workers then later to pay for a long-term care facility. This is when I got your name from a friend.

Many thanks, Honey” ~ Patty Fitzpatrick, LCSW

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: fall risk, Honey Leveen, Long Term Care insurance, long-term care facility, LTCi, www.honeyleveen.com

40 Must Know Statistics About Long-Term Care

August 17, 2015 by Honey Leveen 2 Comments

40 ReasonsThis August 9, 2015 article from Morningstar titled “40 Must Know Statistics About Long-Term Care” is powerful! I recommend this concise article for people willing and unwilling to start conversations about responsible long-term care (LTC) planning. I recommend it for those who have already planned for their LTC. In other words, I recommend it for practically everyone!

Here are just a few facts from the article:

“37 million: Number of Americans age 65 or older in 2005.

81 million: Expected number of Americans age 65 or older in 2050.

9 million: The number of Americans over age 65 who need long-term care in 2012.

12 million: The number of Americans expected to need long-term care in 2020.

78%: Percentage of the elderly in need of long-term care who receive that care from family members and friends.

34 million: Number of caregivers who provide care to someone age 50 or over.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Christine Benz, Honey Leveen, Long Term Care insurance, LTCi, Morningstar, www.honeyleveen.com

New Study Predicts LTC Costs and Odds

August 9, 2015 by Honey Leveen Leave a Comment

Confused WomanA recent Forbes article by Howard Gleckman announced the publication of a new study predicting the odds and costs of needing long-term care. Here’s a link to the new UE-ASPE (Urban Institute – Office of Assistant Secretary for Planning and Evaluation) Study.

Media and non-wonky people like me will find the survey difficult to interpret.  I will share what I feel readers should take away from this study.

The study interprets the incidence of paid care only!

The statistics in the new study predict a lower incidence of long-term care (LTC) need, and less financial exposure than we expected. But it only deals with Long-Term Services and Supports (LTSS), which is paid care, typically funded by savings and government (Medicare and Medicaid). Despite this limited scope and possible bias (I will not comment on that here), it gives compelling reasons to own long-term care insurance (LTCi).

Actuaries should be able to use this new information to more accurately price LTCi policies. Hopefully, this will cause increased competition in the LTCi marketplace.

The study estimates about half (52%) of Americans turning 65 today will require LTSS. Make note: LTSS consists of paid care only!

The study fails to properly acknowledge the extremely high, often catastrophic incidence of non-LTSS (informal, unpaid care, typically provided by family and friends) and the physical, emotional and phychological havoc it creates. Long-term care insurance (LTCi) pays a high percentage of this type of care.

Two out of three (66%) of older people with disabilities who receive LTSS at home get all their care exclusively from their family caregiver, mostly wives and daughters. Another quarter (26%) receives some combination of family care and paid help; only 9% receive paid help alone.

Many people who need LTC do not need LTSS. They have dementia or a chronic need for assistance with their Activities of Daily Living (ADL’s). This is precisely what LTCi pays for. Most of us do not own LTCi. People often make makes excuses and rationalize not purchasing LTCi, often with later regret. Spouses, children, and siblings (most of them women) become caregivers, not by choice, and often at great financial sacrifice.

Lost income and benefits over a caregiver’s lifetime is estimated to range from a total of $283,716 for men to $324,044 for women, or an average of $303,880.

There are additional flaws with the new study. I will not address them here. I just hope academics will use this new information well. I also hope that media will pause and research carefully before writing about this study.

In the LTCi industry we always say you should look through the windshield, not the rearview. This study uses historical information. With the increasing incidence of single adult households, the emergence of increasing numbers of “elder-orphans” (those without, at distance, or estranged from children) plus my anecdotal observations, even the best studies may prove to be inaccurate.

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: ASPE, Honey Leveen, Howard Gleckman, LTSS, Office of the Assistant Secretary for Planning and Evaluation, Ubran Institute, www.forbes.com, www.honeyleveen.com

Long-Term Care Insurance Has a Bright Future

April 17, 2015 by Honey Leveen 2 Comments

LTCi ConferenceI recently returned from a national long-term care insurance conference.

I noted the mood at this year’s conference seemed a lot less pessimistic about the long-term care insurance (LTCi) industry than it was last year.

In 2014 we saw continued poor press coverage of LTCi. Media gave mostly inadequate, usually negatively slanted, and sometimes incorrect explanations of LTCi rate hikes, with little advice on constructive ways to ameliorate them. New sales of traditional LTCi decreased. We saw higher premiums, tighter underwriting, and LTCi carrier withdrawals. 2014 was the worst year I can remember for LTCi in my 25 year-long career.

In short, the LTCi market just couldn’t get any worse than it was in 2014.

At the conference I learned that there were more legitimate reasons than my senses alone, to be hopeful about the future of LTCi. While my observations are based on anecdotal experience, it was very reassuring to learn that actuaries agree with what I think most full-time LTCi marketers observe.

Here is why there’s cause for optimism about LTCi:

The problem of who will provide LTC and how to pay for it is not going away. In fact, it’s like a freight train coming at us.

The LTCi market is now expanding, no longer contracting; two new LTCi carriers are in the process of entering the LTCi market.

In the news you will now find plenty of stories advising people that Medicare cannot and will not pay for LTC. You will also find articles about looming budget shortfalls and cutbacks. You will find stories graphically describing the sacrifices families make to provide care for loved ones who don’t own LTCi. You will find stories about our rapidly aging population, lack of caregivers, and impending Alzheimer’s epidemic. After all these years, most journalists still have scant understanding of how LTCi works; LTCi is seldom mentioned in news stories and still doesn’t get the accolades it deserves. But all other indications look good for the future of LTCi.

In his general session presentation at the ILTCI Conference, Roger Loomis, an actuary with ARC (Actuarial Resources Corporation) explained why I believe my suspicions about LTCi’s brighter future are correct. Mr. Loomis’s presentation was about the actuarial outlook on the stability of current LTCi rates. He made several key points.  Higher LTCi prices are obviously more stable. The industry has now had time to learn and benefit from its experience. The LTCi industry has more data to support pricing assumptions, less risky product designs are being offered, skill at managing LTCi is better now, and there are better modeling tools. Mr. Loomis used reporting from seven large insurers who have been in the LTCi market continuously for at least 15 years to back up his statements. He concluded that LTCi presently sold has a relatively low (approximately 12%) probability of a rate increase, due to near rock-bottom lapse and interest rate assumptions, plus other factors.

Anyone wanting the slides from Roger Loomis’s presentation should email me at honey@honeyleveen.com.

Filed Under: Helpful Information About LTC, Information About LTC Tagged With: Actuarial Resources Corporation, Honey Leveen, Information About LTC, Long Term Care insurance, LTCi, LTCi rate hikes, rate hikes, Roger Loomis, Society of Actuaries, www.honeyleveen.com

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Fax: 281-829-7177

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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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