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Life Health > Long-Term Care Planning

The High Cost of Waiting to Plan for Long-Term Care

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What You Need to Know

  • Some clients may never qualify to buy medically underwritten long-term care products.
  • The odds get worse as they age.
  • Another problem: Clients who buy later pay higher premiums.

The answer: Buy it as young as possible — preferably in your mid-40s to early 50s.

The question: When is the best time for your clients to buy long-term care insurance?

Why? The younger your clients are when purchasing this protection, the less they will pay over the life of the policy.

Here are four reasons why:

  1. The premium is based on your health. Usually, the younger the clients are, the healthier . . . and the lower the premium.
  2. Pricing is calculated based on the client’s current age. The younger the client is, the lower the premium. for both the traditional and hybrid products.
  3. A hybrid policy’s limited-pay structure can save a client thousands of dollars. Paying the entire policy premium, for example with either a single-pay or 10-pay option, usually results in paying considerably less money overall. Otherwise, with the traditional policy, the client continues paying until the client needs care.
  4. The power of compounding means that the longer the client has the policy, the more the benefit will grow every year as a result of the 3% or 5% inflation benefit.

The Details

1. Health

Most traditional carriers offer three or four rate classes, ranging from Preferred to Class 1 and Class 2. Better health means a better rating and a lower premium.

Your client should buy this coverage now, if possible, no matter what the client’s age, if there is a family history of Alzheimer’s, vascular dementia, Parkinson’s or multiple sclerosis.

These diseases can be genetic.

The carriers are very concerned about family history. Two carriers are now refusing to even consider any applicant when both parents had dementia.

Being eligible for a couple’s discount by having both spouses apply will lower the premium. However, that discount will be less if a spouse is ineligible because of poor health.

Your client’s health determines if the client will be able to even buy this coverage.

When I start working with a client, I ask detailed questions about the client’s health. If I think there is a potential problem, I then submit the client’s information to the carriers as a preunderwriting inquiry. I maintain the client’s confidentiality: The client is identified by a number, not a name.

Only when I have received a green light from the carrier will I move forward with submitting an application.

We are seeing an increase in the number of applicants being denied coverage. Here is the most recent data on the Long Term Care Insurance Applicant Denials.

A chart showing denial rates rising from 12% for people in their 40s to almost 50% for people in their 70s. Denial data from the 2022 Milliman Long Term Care Insurance Survey. (Image: American Association for Long-Term Care Insurance)

2: Age-Based Premiums

Here’s a look at how age affects a client’s premiums.

Joe and Mary are married, and both are age 49.

They are considering buying a traditional policy for $5,000 a month, for four years for her and three years for him, both with a 3% inflation benefit and first-day home health care.

What happens if they wait 10 years, until they are age 59, to buy this policy?

.. .. .. .. ..Joe.. ..Mary.. ..Total..
.Age 49, annual premium Based on a $5,000 monthly benefit ..$1,587 ..$3,171 ..$4,758
.Age 59, annual premium Based on a $6,095 monthly benefit, because of the increase in care costs and the new ages. ..$2,602 ..$5,171 ..$7,773
.The High Cost Of Waiting These are the additional amounts Joe and Mary will pay by age 90 if they wait 10 years and live to 90. ..

$15,606

..

$30,283

..

$45,889

Conclusion: If Joe and Mary wait 10 years until they buy a policy, they will pay $45,889 more for their coverage.

3. Hybrid Policy Pay Structures

Janice, age 49, is considering a hybrid policy and paying for it with either a single premium or a 10-payment plan.

This example is based on a client who I recently helped.

I calculated it based on her needing to use the policy at age 90. The benefits are $5,000 a month, for four years, with a 3% inflation benefit and first-day home health care.

Janice is married, but her husband was not eligible to buy coverage due to a health issue.

This hybrid policy offers a residual death benefit — meaning that, if you use all of the benefits, your beneficiaries will still receive this amount as a life insurance benefit.

Policy Type.. Details.. Premium Dollars..
..Hybrid.. .... ....
.... Single-Pay.. ..$82,499..
.... Minus the residual death benefit of $24,000.. ..$58,499..
.... 10-Pay.. ..$99,771..
.... Minus the residual death benefit.. ..$75,771..
Traditional.. ....
.... Annual Premium.. ..$3,765..
.... Annual premium x number of years it will be paid (assuming at age 90, you start to use the policy benefits.).. ..$3,765 x   41 years..
.... Total Amount Paid.. ..$154,365..
..Conclusion.. Amount You Save If Selecting A Hybrid Policy..
.... Single-Pay Policy.. ..$71,866..
.... Factoring in Residual Death Benefit.. ..$95,866..
.... 10-Pay Policy.. ..$54,594..
.... Factoring in Residual Death Benefit.. ..$78,594..

Conclusion: Many clients can save a significant amount by selecting a hybrid policy. If it is affordable, this approach makes sense.

4. Compounding

Janice has now bought her policy.

Based on her selection of a $5,000 monthly benefit, for four years, with 3% inflation protection, how much additional coverage will she receive by buying her policy at age 49 instead of waiting for 10 years?

..Topic.. ..Monthly benefit.. ..Total benefit..
..Year 1: Purchasing the policy ..$5,000 ..$240,000
..Benefits at age 90 .. ..
..Age 49 purchase age ..$16,800 ..$806,400
..Age 59 purchase age ..$12,500 ..$600,000
..Difference ..$4,300 ..$206,000

Conclusion: The power of compounding is huge.

A client’s benefits at age 90 will be much higher if the client buys a policy at age 49 instead of waiting another 10 years.


Margie BarrieMargie Barrie, an agent with ACSIA Partners, has been writing the LTCI Insider column since 2000. She is the author of two books and a frequent conference speaker.

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(Image: Adobe Stock)


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