A sign for the financial ratings agency Fitch ratings Ltd., located within 30 North Colonnade, is seen on a building at the Canary Wharf business and shopping district in London, U.K., on Thursday, March 1, 2012. Moody’s Investors Service said Feb. 14 that Britain may lose its Aaa credit rating. Photographer: Matt Lloyd/Bloomberg (Photo: Jason Alden/Bloomberg)

Analysts at Fitch Ratings have been saying, in public, for more than a year, that U.S. long-term care insurance (LTCI) issuers should post more LTCI performance data.

Harry Markopolos, an accountant who says members of his company might earn a profit if the price General Electric Company’s stock goes down, drew Wall Street investors’ attention to the topic of LTCI issuers’ finances earlier this month, by suggesting that GE’s reports on its LTCI reinsurance business have been weak.

(Related: GE Responds to Markopolos LTCI Reinsurance Reserving Criticisms)

Now, Anthony Beato and other analysts at Fitch have come out with a new report of their own on the financial wellness of the LTCI companies they rate.

The analysts look at GE along with another reinsurer, Wilton Re Ltd., and 14 other companies. The 14 other companies are known primarily as direct writers of LTCI coverage but may also have some LTCI reinsurance business on their books.

A copy of the full report is available, behind a paywall, here.

Here are five highlights from the report, based on a copy Fitch sent to ThinkAdvisor.

1. The 16 companies ended 2018 with $163 billion in gross LTCI reserves.

The raw amount of reserves ranged from $3 billion, at three companies, up to $32 billion, at Genworth Financial Inc.

2. Wilton Re, and 7 of the LTCI issuers, appear to have “better” LTCI reserves.

The direct writers that received the Fitch analysts’ “better” reserve designation are Manulife Financial Corp., MetLife Inc., Thrivent Financial Inc., CNO Financial Group Inc., Northwestern Mutual Life Insurance Co., New York Life Insurance Co. and Massachusetts Mutual Life Insurance Co.

Thrivent, CNO, Northwestern Mutual, New York Life and MassMutual are still writing individual LTCI coverage.

3. Half of the 14 direct writers had claims roughly in line with expectations in 2018.

The direct writers that seem to have had actual claims that were under about 125% of the expected claims were CNO, MetLife, the Senior Health Insurance Company of Pennsylvania (SHIP),  New York Life, MassMutual, Thrivent and Prudential.

The worst performer among the direct writers, Genworth, had actual claims that were about 200% of the expected level.

4. Eight direct writers have included $12.5 billion in anticipated LTCI premium rate increases in their reserves.

For this indicator, Fitch looked at issuers that have assumed that they will get regulator approvals for rate increases that have not yet been approved. In some cases, the requests for the increases have not yet been filed.

GE and CNO have not said that they have included non-approved premium rate increases in their reserves.

The issuers on the Fitch list that have included non-approved premium rate increases in their reserves are Genworth, CNA Financial Group, Ameriprise Financial Inc., Prudential, MetLife, Unum Group, Aegon Americas and Manulife.

The Fitch analysts say they see including non-approved increases in LTCI reserves as a gamble, in part because getting approvals from states like California and New York state can take a long time.

5.  SHIP looks pale.

Regulators gave CNO permission to pass Conseco Senior Health Insurance Company — a unit with a large closed block of LTCI policies — on to an independent trust in 2008. The company is now known as the Senior Health Insurance Company of Pennsylvania.

At the end of 2018, the company had a $467 million surplus deficit, and it was talking to the Pennsylvania Insurance Department about developing a voluntary rehabilitation plan, the Fitch analysts say.

“While we note the company continues to work closely with regulatory bodies, Fitch views SHIP as remaining on-track to becoming the industry’s next insolvent LTC writer requiring guarantee fund assessments from the industry,” the analysts say.

— Read Fitch Wants Insurers to Post More LTCI Performance Data, on ThinkAdvisor.

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