The History of Long Term Care Insurance

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UPDATED: Jul 16, 2021

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Written By: Jeffrey JohnsonUPDATED: Jul 16, 2021Fact Checked

Long term care insurance provides care for those who need long term care in a nursing home, care at home or adult day care. The concept is fairly straight forward – it provides policyholders peace of mind that they will be able to afford the type of care that fell mainly on family members and friends in years past. Long term care insurance has been around since the late 1970’s. However, it didn’t really catch on until the late 1980’s and early 1990’s and only a handful of insurers offered long term care insurance in the beginning.

Long term care options – then and now

While nursing homes have been around for many years, the concepts of “at home” care and “adult day” care were foreign to most people. However, as longevity rates increased due to new medical technologies and drugs, more and more people were living longer than expected. Those that needed some type of long term care were fairly limited in their options.

During the 1980’s, additional options for long term care started to emerge. Assisted living communities became more popular and many found themselves on long waiting lists because there simply weren’t enough facilities to meet the demand. Eventually, more were created and the concept changed a bit. Facilities started offering graduated care – something that made real sense. A person could live in a facility and receive varied degrees of care. If, and when, that person needed more care, he could simply “add on” additional services for an additional fee. Nursing homes saw the value in that concept and many simply converted a wing of their facility to accommodate those people who only needed occasional services and offered them the option to “move down the hall” when they needed more care.

Unfortunately, traditional health insurance generally didn’t cover these types of expenses and long term care insurance was still in its infancy. The result was that many people had to sell their homes in order to pay for full time care before state aid would kick in. At the same time, home care and adult day care eventually started to became more popular and more and more insurers saw the need for long term care insurance. By the late 1980’s and early 1990’s, long term care insurance was a hot commodity. Everyone had to have it and insurers made a pretty penny on the deal.

Good policies gone bad

Problems began to arise a few years ago as policyholders, who had been making premium payments for years, started seeking their policy benefits. What insurance underwriters didn’t know at the time was how much health care costs would rise over the next 20 years and how much longer Americans would live. Suddenly, insurers realized that they had underestimated their exposure. While some stepped up the plate and made good on claims, more did not. Horror stories of elderly people not being able to get the care they needed started to make the headlines. Insurers were, and still are, being accused of simply ignoring policyholders and hoping they would die before any proceeds would have to be disbursed.

The issue has now become both litigious and political. Policyholders have begun suing their carriers for failing to pay for legitimate claims. The lawsuits have made national headlines and have gotten the attention of politicians, so much so that Congress and the General Accounting Office are investigating certain insurers over their marketing and claims practices.

Long term insurance is still a viable option for many, although the number of insurers selling it has declined. Many insurers have sold off their long term care books of business in favor of other products as the market has become saturated. Before purchasing a policy, consumers should make sure that they understand exactly what’s covered and what isn’t. Avoid purchasing policies from insurers who do not have a solid financial background and check into how many complaints have been filed against them for non-payment. All insurance companies are rated by agencies such as A.M Best, Standard & Poor and Moody’s.

Editorial Guidelines: We are a free online resource for anyone interested in learning more about legal topics and insurance. Our goal is to be an objective, third-party resource for everything legal and insurance related. We update our site regularly, and all content is reviewed by experts.

Jeffrey Johnson is a legal writer with a focus on personal injury. He has worked on personal injury and sovereign immunity litigation in addition to experience in family, estate, and criminal law. He earned a J.D. from the University of Baltimore and has worked in legal offices and non-profits in Maryland, Texas, and North Carolina. He has also earned an MFA in screenwriting from Chapman Univer...

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Written by Jeffrey Johnson
Insurance Lawyer Jeffrey Johnson

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