The New Bait & Switch: Long Term Care Insurance


Insurance. Everyone loves the topic. The first thing you need to know about insurance is that the business is modeled on fear that you won’t have the money to fix something, or to live, after a disaster, and the company not paying out. That’s it, pure & simple.  The odds are, your house won’t burn down (as an ‘act of God’, like a hurricane, tornado, or earthquake are not covered unless you specifically pay for that kind of additional coverage).  You may have an accident in your car, like by sliding on ice or being  pushed by another car, but odds are  it won’t happen…but if it does…

In an ideal world, our government would offer the same kind of  insurance for citizens that  all the governments of all developed countries offer: health insurance, a decent old age pension, assistance for the elderly.

This is not the ideal world. This is America, where insurance is not considered a right, but a commodity to be  bought and sold.

I totally understand the need for home owners liability and fire insurance, as I understand the need for car insurance, but for the last several decades, the  insurance industry has been  promoting  long term care insurance.  It had been sold as an annuity:  you pay in  every year for  a certain number or years, until  you are vested, and the fee is the fee…no matter how old you get…and the benefit is locked in with the fee. For me,  It WAS  $1564.91 per year as offered by  Northwestern Mutual Life Insurance, and offered, after a 90 days ‘exclusionary period ‘(where you actually had to pay  for care on your own, at a rate of well over $100 per day..), once you notified Northwestern Mutual that you needed to benefit, it started paying $220 per day for  a nursing home, There were other benefits as well if you didn’t need a nursing home, ‘but assistance’.  However, the cap on benefits— ‘defined benefit’ as they call it, for my plan, is $481,800.  That’s it.

This seemed like a decent value 10 years ago.  How did Northwestern Mutual come up with the cost of the policy? Why…they paid actuaries:  mathematicians not only trained, buy licensed by the state, to  come up with fees, costs, and what the company  would need to  still be profitable if they paid out.  Really.  I-thought—BY LAW—the contract I signed was the deal.

Apparently not.   Apparently, all those actuaries that were employed by all the companies offering  Long Term Care insurance, in a phrase, fucked up royally. They are claiming now, 13 years into my paying the locked in rate for locked in benefits, that “….thanks to medical advances, people are living longer today than ever before.  While this is something we are thankful for, it has increased the anticipated cost of future LTC claims for the industry as a whole….”  So. long story short, they want to raise the rates $380 a year, to  $1942.60 until  2021, and they the rate will be  $2460.60. They claim they don’t anticipate a rate increase after that.  Riiight—-as I have a contract that says the rate is $1564.91  PREMIUM PAYABLE FOR LIFE.  What did I miss?

More bullshit follows.  People are not living appreciably longer than they were 10 years ago when they sold me the policy.  While there is a lot of ‘fake news’ out there, you can Google life expectancy. https://www.ssa.gov/oact/STATS/table4c6.html  or how about: http://www.data360.org/dsg.aspx?Data_Set_Group_Id=195

They are raising rates because they know nobody is going to charge them with fraud.  Or,actually,  after I complained to my state representative that the the foxes watching the henhouse at the Illinois Department of Insurance approved a rate hike of 25% for the next 3 years, and then 50%  I  got a  letter from the president & CEO explaining that they had to justify the increase to the Illinois Dept. of Insurance.  The whole point of buying the policy while I was ‘young’ (in my very late 40s) was to keep premiums low, but alas, you can’t beat the house—ever.  To make this even  crazier….insurance is based on a pyramid scam:   new policies help fund  old policies…but they are not writing any new policies, at all, at any price.  I have  very wealthy friends who would like to preserve wealth for their children in case they have to go into a nursing home, and these parents can’t buy a policy at even $20,000 a year.

What I learned was, not only is Northwestern Mutual raising their rates, but Unum, Allianz, and  several other companies are….same excuse:  “People are living longer”   and interests rates are  down..all the same  per centage. What are the odds?  Also—-very  funny—-this  insurance policy is only good in the USA.  You can’t go to Mexico, India, Viet Nam, etc, where the cost of  care is much cheaper.

Capitalism  relies on  integrity.  It relies on the concept that if  a seller says a product is a  certain price, you pay that price.  Otherwise, there is no trust. That’s what Adam Smith said in so many words.  But if Trump can change the terms of a contact when it is inconvenient for him, why not everyone?  As I said, people are not living longer. What is happening is that  the people who bought this policy are expecting it to pay out and are taking advantage of the benefit they paid for. The actuaries were wrong (and whether you like it or not,  our rates paid their salaries as well).  This is right up there with the GOP  insisting that Social Security is an entitlement after we’ve all paid for it….and they are convincing journalists to call it an entitlement.  But I digress.

So, they’ve given me 3 options:  to accept the rate increase, to continue to pay the same rate at a vastly reduced benefit, or no longer pay anc accept  the benefit of the premiums I have already paid, which are $20, 334.

I am still mulling over pros and cons of keeping this policy in force, but no matter what the law says, i…and many others I know, feel defrauded.

 

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