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re: Long term care insurnace policies

Posted on 1/18/24 at 11:43 am to
Posted by tigerbait17
Baton Rouge
Member since Oct 2014
979 posts
Posted on 1/18/24 at 11:43 am to
At the current facility I work at we don't work with Humana, but the last one we did. The amount of times they would attempt to discharge a resident who wasn't ready to be discharged was insane. Humana essentially asks for 7 day packets to determine when a resident needs to be discharged. We would often get notified on a Thursday that the residents last day of payment would be on Saturday. It would leave the family scrambling to find alternate placement.
Posted by NCTigerFan
North Carolina
Member since Nov 2007
354 posts
Posted on 1/18/24 at 7:44 pm to
I bought a Lincoln Moneyguard policy when I was in my early 30s. I'm 50 now. It was a one-time $25K premium. At this time, the death benefit is $90K and total LTC benefits are $570K.
Posted by slackster
Houston
Member since Mar 2009
85036 posts
Posted on 1/18/24 at 9:33 pm to
quote:

I would love the down voters give their reason why this is bad idea.


It’s insurance. It is inherently a bad idea on average if you can afford to self insure. The companies don’t offer you a “good deal” or else they wouldn’t be in business.

Source: someone who sells policies with LTC/terminal illness riders.
Posted by slackster
Houston
Member since Mar 2009
85036 posts
Posted on 1/18/24 at 9:36 pm to
quote:

Prefer a GVUL chassis over a WL w/ a chronic care rider but either is better than a traditional LTC policy.


Couldn’t disagree more (with the traditional LTC policy dig). If you’re worried about LTC, traditional LTC policies are the best bang for your buck as far as premium to LTC coverage is concerned.


Granted, I get the idea of concerns about use it or lose it, but if you’re strictly judging by actuarial costs, traditional LTC is the way to go. There is a reason there are very few traditional LTC policies still available outside of age worth. Companies have gotten out because of the tail risk.
Posted by Shepherd88
Member since Dec 2013
4590 posts
Posted on 1/19/24 at 7:07 am to
Traditional LTC policy will increase in premium and likely get to a point where it’s unaffordable right before the clients needs it. I’ve seen it time and time and time again.

GVUL is more expensive bc it’s combining LTC and life insurance so yes it’s guaranteed to be used one way or the other. The premium is locked in and will not increase. Matter of fact you can even do a 10 pay or 20 pay with it, so for those clients in their 60’s it can likely make sense to take 1-2% of their portfolio and reposition it each year to pay for the premium.
Posted by baldona
Florida
Member since Feb 2016
20487 posts
Posted on 1/19/24 at 11:05 am to
Does GVUL premium not start off MUCH higher than a traditional LTC premium? Sure, maybe with age the traditional premium increases above the GVUL cost but I'm assuming you are front loading GVUL much MUCH more?

ETA: If you can afford to max out your retirement at $50k+ a year, I don't see how these are good policies to then put your money into outside of simple comfort and additional investment? In other words, you'll already most likely have plenty of money to pay for this to where it shouldn't be a major concern.
This post was edited on 1/19/24 at 11:08 am
Posted by Shepherd88
Member since Dec 2013
4590 posts
Posted on 1/19/24 at 12:04 pm to
It’s about leverage and having access to a pile of money before I can accumulate that amount of money. The beauty of the VUL part is that you’re still accessing the markets with your cash value so you’re not missing out on that part. The downside to that is the internal fees will be higher than what it would have been if you invested in just index funds, but you’re getting tax deferred growth inside the policy as well and maintain flexibility of its use so I do believe it makes sense.
Posted by baldona
Florida
Member since Feb 2016
20487 posts
Posted on 1/19/24 at 1:48 pm to
quote:

It’s about leverage and having access to a pile of money before I can accumulate that amount of money.


Ah yes, leverage. The ole I can loan money from myself arguments?

How do you have access to a pile of money before its grown to become a pile of money?

FWIW I'm not against any of these, I just have yet to see one argument where it makes any sort of sense to not self insure. Statistically speaking your chances of a stay in LTC if you are married and/ or have children for over a year is very low. As in, likely not to be expensive.
Posted by Shepherd88
Member since Dec 2013
4590 posts
Posted on 1/19/24 at 2:02 pm to
No dude I’m not talking about cash value loans.. let’s say I have a $500k G-VUL policy with a chronic care rider and my premium is $12k per year.

Say on year 5, I’ve put $60k into the policy in premiums and now I go on claim. I can now access up to 4% of the death benefit of $500k (so $20k/mo) for LTC purposes. That’s a lot to access even in today’s terms but that would last 2.5 years before the policy exhausts itself.

But say I pass away on year 3 having drawn out only 2%/mo or $10k/mo for a total of $300k (this is more realistic terms). There’s still a $200k life insurance death benefit left over.. and I only put $60k into the policy. Again there’s are hypotheticals but you can see how the insurance works.

Edit: on top of that, a lot of these policies, Prudential specifically has their chronic rider as an indemnity rider. Meaning if I go on claim then I can use that money for whatever I want, it doesn’t have to “reimburse” the healthcare provider.
This post was edited on 1/19/24 at 2:12 pm
Posted by baldona
Florida
Member since Feb 2016
20487 posts
Posted on 1/19/24 at 3:11 pm to
Where does a LTC rider come into play? Can you not do this with any sort of Whole life or VUL policy?

ETA: And yes, you are loaning money from yourself.

ETA2: Do you have a realistic average policy cost for someone that is 60+? Not just $12k? I'm assuming this is more like $15-20k? On average?

Lets not forget, that is for each person. So for a couple that's $24-40k a year?
This post was edited on 1/19/24 at 3:19 pm
Posted by Shepherd88
Member since Dec 2013
4590 posts
Posted on 1/19/24 at 3:35 pm to
The rider is added to the policy. You are paying for the rider so no it’s not a loan. You cannot retroactively add this rider to an already inforce policy.

You’re probably accurate assuming age and for a couple’s premium, yet you’re still looking at 15-20 years of premiums to break even assuming 6% growth to eclipse the death benefit and given it’s a VUL chassis, once the cash value exceeds the DB then both will continue to grow above what was originally assumed.

Likely correct for a couples policy yet they would each have their own policy with their own death benefit. I’ll add that these goals and cost (for our sake) are run through moneyguide to assume probability and assumption of risk to insure it makes sense.
Posted by baldona
Florida
Member since Feb 2016
20487 posts
Posted on 1/19/24 at 3:53 pm to
What does the rider do? Its just a "cash value" benefit? What I don't understand, is can you not do this same thing with any cash value benefit on a universal or whole life policy? Does that rider allow you access to more money sooner? That would make sense, assuming that's it?

So basically you get a universal life policy that's a little more expensive that allows you to access the death benefit in the form of a cash value if LTC is needed?

So what if you need LTC but then get out due to recovery? Assuming you just pay it back with interest?
Posted by Shepherd88
Member since Dec 2013
4590 posts
Posted on 1/19/24 at 4:20 pm to
You’re accessing the death benefit, not the cash value for LTC purposes, that’s why it’s considered leverage. If you go off claim you stop drawing from it, there’s nothing owed back you just have a lesser policy now.
This post was edited on 1/19/24 at 4:28 pm
Posted by slackster
Houston
Member since Mar 2009
85036 posts
Posted on 1/19/24 at 8:19 pm to
quote:

What I don't understand, is can you not do this same thing with any cash value benefit on a universal or whole life policy? Does that rider allow you access to more money sooner? That would make sense, assuming that's it?


The latter.

Ignore the cash value. You pay premiums for a specified death benefit. Let’s assume $200k DB. You will get it when you die, but you can also draw up to 2-4% off the DB until it’s exhausted if you’re unable to perform 2 of 6 activities of daily living (or some other qualification). If you die after drawing down 50% of the DB, they pay out $100k. If you recover after drawing 50% of the DB, you’ll get the $100k when you die later.


It’s no longer use it or lose it LTC coverage. For a price, you can guarantee that someone is getting that $200k tax free - either in benefits under the rider or the final death benefit.
Posted by baldona
Florida
Member since Feb 2016
20487 posts
Posted on 1/20/24 at 7:07 am to
But you still have to pay your premiums to get that death benefit…which, could be $20k a year.

Idk. These conversations are always somewhat ridiculous because the actual premiums are rarely discussed and for most people these VUL and WL premiums are extremely high.

To the point of if you can afford $15k in premiums PER SPOUSE per year, I still don’t see how $200k potential impact has any impact on your financial plans.

ETA: the selling point would be the possible ‘investment’ but the insurance company has to make money so the vast majority of the owners of these policy are not making money. My guess is well under 7% make money
This post was edited on 1/20/24 at 7:22 am
Posted by slackster
Houston
Member since Mar 2009
85036 posts
Posted on 1/20/24 at 9:46 am to
Yeah LTC insurance is a tough thing to mitigate. Many people can’t afford it, even though they’re the ones that need it. The ones who can afford it don’t need it.

It’s often a peace of mind decision far more than a financial necessity. Thats the case with alot of decisions though.
Posted by meansonny
ATL
Member since Sep 2012
25664 posts
Posted on 1/20/24 at 6:19 pm to
That sums up my mentality.

I look at insurance for things that are catastrophic. Things that would break me.

If I'm already broken and near death? I don't know.

Insurance companies are not in the business to screw up actuarials. They aren't in the business to go out of business. If they can adjust future payments, odds are that I am not winning in the situation.
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