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A Case Study in Long-Term Care Coverage Options


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A New York-based Registered Investment Advisor who specializes in financial planning and investment management, and manages $180 million in assets, asked us to review and evaluate a long-term care (LTC) policy that a client had purchased.

The client, a 65-year-old man, had purchased the policy in 2012.  

  • The basic benefits of the plan were $6,000 a month for long-term care expenses for up to 3 years;
  • The policy began with yearly premiums of $2,800, but these premiums go up every year, in exchange for annual cost of living increases of 3% added to the basic monthly benefits;
  • Due to the these scheduled premium increases, the client would eventually be paying over $16,000 a year in premiums by the time he was 84.

We used financial modeling to analyze the policy within his financial plan and found several warning signs. We evaluated the client’s assets under three assumptions: 1) no LTC claim, 2) a permanent claim in 10 years and 3) a permanent claim in 20 years. Without LTC insurance, the clients assets depleted before age 100 under a claim scenario. However, the existing policy’s premium increases became a financial burden over time to maintain the benefit. The client had enough assets to assume some risk associated with a claim and needed insurance to balance the risk.

We looked to see if we could find a long-term care plan that made more financial sense for this particular client. We were able to provide him a plan that offered the following:

  • $3,500 a month benefits for 10 years
  • A built-in inflation rider to cover cost of living increases without premium adjustments
  • Level premium costs of $4000 a year

The new policy cost over 22 years is $88,000 versus $178,282…a $90,282 savings.

The financial modeling on this plan put the client on very sound footing going forward and ensured that his financial plan will succeed, whether or not he suffers a long-term care situation. This case study just shows how having experts evaluate your clients’ long-term care options can save them a great deal of money, while also ensuring that they are getting a plan that will provide them with the type of solid coverage they may need one day.

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