In a new report by Moody's Investors Service, "Long-Term Care Insurance: Sector Profile, poor results in the long-term care insurance sector have led many providers to exit the market.
According to the report, although there is a need for non-medical coverage by an aging population, the future of the Long-Term Care product is in question because of persistent losses and a challenging operating environment.
“Key credit considerations for the sector are the relative newness of long-term care insurance and the long-tailed and complex product structure, which make it difficult to price the product profitably and to reserve for,” says Laura Bazer, Moody’s vice president and author of the report.
Ms. Bazer also cited that the industry’s relatively limited claims experience, along with significant benefit options and long policy horizons have been key challenges for providers since the introduction of the product in the 1980.
Mispriced blocks of older, legacy business have led to recent reserve increases, causing sizable losses for some providers over the past two years. The benefits under early policies were often too generous relative to factors such as actual benefit utilization rates and lapses, according to Moody’s.
“While recent hefty reserve and rate increases could improve the profitability of legacy blocks, or at least stem losses,” Bazer says, “persistent low interest rates and anti-selection could confound the remediation process.”
New, better designed and priced products seek to reduce risks for insurers, with changes including more restricted benefits and payout periods, as well as “combination” policies, which offer long-term care combined with a life insurance policy or an annuity contract.
Nevertheless, Moody’s believes potential buyers may balk at fewer benefits and higher rates, and sales could go down.
Bazer thinks current price hikes will help insurers for the time being, but senior citizens on fixed incomes form a highly sensitive constituency and regulators could therefore reject or limit new rate requests.
Additionally, the exit or retreat of five key firms from the market since 2010 leaves only one dominant player, thus the sustainability of current sales volumes, and indeed the viability of the market overall, is now in question, according to Moody’s.
MetLife and CUNA Mutual stopped selling LTC in 2010. In 2011, CNA and Berkshire pulled out. This year Prudential stopped selling individual to focus on group sales, while Unum stopped selling group but had previously pulled out of individual sales.
According to Broker World magazine, the top 10 LTC insurers wrote 93.6 percent of the business in 2011, with Genworth writing 38 percent of the individual LTCI premium in 2011. Genworth, Northwestern and John Hancock wrote 61 percent of the premium, according to the publication.