Description: This session discussion legal liability for unfavorable medical outcomes, effect of utilization review on the quality of care and patient/provider acceptance, protocol development and implementation for managed care, and insurance coverage necessary to protect your organization. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

Description: This final report is a SOA Task Force response to a NAIC request to develop valuation recommendations for long-term care insurance. Two basic sets of tables are provided: one for institutional benefits [nursing home] and one for noninstitutional benefits [home health care]. From Transactions of Society of Actuaries 1995, Vol. 47.

Description: Panelists at this session of the SOA 2000 Las Vegas Spring Meeting discuss proposed changes to the NAIC model for Long Term Care Insurance designed to promote initial rate adequacy and decrease the role of rate increases in maintaining profitability.

Description: This session discussion is about nonforfeiture values for long-term care: valuation of different approaches [cash surrender value, return of premium, reduced paid-up, extended term, shortened benefit period], sensitivity testing, implications for marketing and regulatory status. From Record of Society of Actuaries Vol. 19, No. 1A.

Description: Insolvency Due to Long Term Care resulting from deficiencies in underwriting, contract language and claim processing. From Long-Term Care Newsletter, August 2001, Issue No. 5.

Description: The article describes a project between French actuaries and US actuaries. The intent is to study each country practices and identify areas of research and possible reporting to the membership.

Description: Summary of long-term care insurance options available for designing the right policy for your clients.

Description: For a long time the primary focus of private LTC insurance companies has been to educate the public about the need for private LTC insurance and to make the product more acceptable to a wider population. To this end there have been numerous changes to the product design to make this product more acceptable to general population. However, one of the things that may have been overlooked in those product design changes is the need for alignment of policyholder and insurance company’s interests, which is to make coverage more affordable and to reduce adverse selection. Incentivizing good behavior from policyholders can not only make LTC insurance policies less expensive but also help policyholders make better health choices, which can help them stay healthy for a longer time. These incentives may also reduce some of the inherent risks in a long term care policy and may help in increasing the sales of private LTC insurance.

Description: This paper examines the risk associated with long-term care, as well as a variety of insurance-based vehicles that can assist consumers in protecting them from this risk.

Description: This report provides a thorough educational resource that can be used by health actuaries and others to help explain various types of provider payment and risk arrangements.