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Tom McInerney. Credit: Victor J. Blue/Bloomberg

Life Health > Long-Term Care Planning

Genworth Hopes to Stabilize Long-Term Care Business by 2026

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What You Need to Know

  • Tom McInerney, the CEO, sees long-term care insurance sales resuming by the end of this year.
  • A key capital health indicator at the long-term care insurance business improved.
  • The CareScout long-term care provider network now has relationships with 125 providers.

Genworth Financial executives believe they are close to making the company’s old long-term care insurance business sustainable, and they are still planning a return to the long-term care insurance sales market.

Tom McInerney, the Richmond, Virginia-based company’s chief executive officer, today told securities analysts that Genworth has received state regulator approvals for $28 billion of the $33 billion in LTCI premium increases and LTCI policy benefits reductions needed to make the LTCI business stable.

“It’s been a long-term effort,” McInerney said. “My view is that we’re getting near the end.”

The old Genworth LTCI business could be breaking even by 2026, the company’s new CareScout Services long-term care provider network is doing business in 20 states, and plans are underway for the company to issue new long-term care insurance policies by the end of this year, McInerney said.

What it means: Clients might soon be asking you whether getting long-term care services through CareScout makes sense and what you think of Genworth’s new LTCI policies.

The earnings: Genworth executives talked about their plans during a conference call the company held to go over results for the fourth quarter of 2023.

The company was once a major writer of life insurance, annuities and private mortgage insurance, and it was one of the pillars of the long-term care insurance market.

Genworth suffered from severely inaccurate LTCI pricing assumptions and ended up suspending new sales of life, annuity and LTCI products. It gets most of its new sales from the mortgage insurance business, which is now known as Enact.

Genworth reported a $183 million net loss for the quarter on $1.9 billion in revenue, compared with $408 million in net income on $1.9 billion in revenue for the fourth quarter of 2022.

The LTCI business recorded a $151 million adjusted operating loss on $1.2 billion in revenue, compared with $204 million in adjusted operating income a year earlier.

Net results reflected challenges for the LTCI business and the rest of Genworth.

Enact is performing well but is facing the effects of higher interest rates on home sales and home buyers’ need for mortgage insurance.

Genworth has adjusted life insurance assumptions to reflect a belief that mortality will continue to be higher than it was before 2020, when the COVID-19 pandemic started, and to reflect new research on how likely the holders of universal life policies with secondary guarantees, or ULSG policies, are to keep policies.

Jerome Upton, Genworth’s chief financial officer, noted that the assumption change for ULSG policies is similar to what some other insurers have recorded but smaller, because Genworth’s block of ULSG policies is relatively small.

Challenges for the LTCI business include the effects of changes in the assumptions used to set reserves and the fact that many longtime holders are getting old enough to use their long-term care benefits.

The statutory financial results that insurance regulators use were stronger than the U.S. generally accepted accounting principles results that investors typically use, and the “risk-based capital ratio,” or financial health indicator, at the LTCI business increased to 303%, from 291% at the end of September, Upton said.

The premium increases: Clients, regulators and consumer advocates think of the waves of LTCI premium increases imposed since 2000 as a scourge.

From the perspective of Genworth and many other LTCI issuers, the increases represent a path to save LTCI businesses that turned out to have underpriced their coverage.

Genworth went into 2023 hoping to get insurance regulator approvals for LTCI rate increases with a value of $275 million. It succeeded in obtaining approvals for $354 million in rate increases, executives said.

Executives noted that the LTCI business has to build up reserves and premium revenue because the peak claim filing years are likely to occur about 10 years from now.

The company presented policyholder age data showing that about 600,000 of its 1.1 million LTCI insureds have policies issued in 2001 or later, with the current average ages of the holders of each type of policy ranging from 66 to 77. Use of long-term care services tends to be much higher for people in their mid-80s or older.

The long-term care provider network: Genworth launched the CareScout Services long-term care provider network in Texas in the summer.

The company began by testing the program on the 43,000 Genworth LTCI insureds in the Lone Star state.

The network is now operating in 20 states, has negotiated discounts with 125 providers and expects to have about 600 providers by the end of the year, McInerney said.

“No other long-term care insurers have ever really tried to do that,” he said.

Most of the providers are home care companies, and they are offering CareScout customers discounts of close to 20%.

Genworth spent $30 million on the network in 2023 and expects to spend $35 million on expanding it this year.

The program could help Genworth LTCI insureds use their benefits to pay for more care, and it could save Genworth about $1 billion to $1.5 billion, McInerney said.

Long-term care insurance: Genworth has been talking about efforts to return to the LTCI market since early 2021.

McInerney said the company now intends to begin selling new LTCI policies through its CareScout Insurance business by the end of the year.

“We’ve been focused on product development and pricing and identification of a highly rated reinsurance partner, regulator engagement and operational readiness,” he reported.

Tom McInerney. Credit: Victor J. Blue/Bloomberg


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