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June 3, 2014 By Julian

Long-Term Care Insurance

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Long-term care (LTC) insurance pays for services to help individuals who are unable to perform certain activities of daily living without assistance or who require supervision due to a cognitive impairment such as Alzheimer’s disease. According to the U.S. Department of Health and Human Services, about 70 percent of individuals over age 65 will require at least some type of LTC services. There were 46.2 million people age 65 and older in 2014, accounting for 14.5 percent of the U.S. population, or about one in every seven Americans, according to the U.S. Census Bureau. By 2030 the Census Bureau projects there will be about 74.1 million older people and about 88.0 million in 2050.

About 4.8 million people were covered by LTC insurance in 2014, according to LIMRA. In 2015 the average premium for a 55-year-old male ranged from $1,066 to $2,075, according to the 2015-2016 Long-Term Care Sourcebook published by the American Association for Long-Term Care Insurance. For a 55-year-old woman, the premium ranged from $1,400 to $2,411. Based on 2014 buyers, 38.6 percent of new LTC insurance policies were purchased by individuals under the age of 55, and 91.9 percent of buyers were under the age of 65, according to the study. The age of new buyers has been dropping slowly. A decade or so ago the age of the average buyer was between 66 and 67 years old, whereas now the average application age for coverage is 56 years old.

INDIVIDUAL LONG-TERM CARE (LTC) INSURANCE, 2014 (1)

Lives Percent change,
2013-2014
Premium
($ millions)
Percent change,
2013-2014
New business 131,140 -24% $316 -22%
In-force (2) 4,800,000 -1 10,000 1

(1) Based on LIMRA’s Individual LTC Sales survey, representing more than 95 percent of the individual LTC market.
(2) Includes estimates for non-participants.

Source: LIMRA.

View Archived Tables

  • The number of Americans purchasing LTC insurance in 2014 fell 24 percent from 2013, and premiums declined by 22 percent, based on new business.

THE AGING U.S. POPULATION

The dependency ratio, or the number of people 65 and older to every 100 people of traditional working ages, is projected to climb rapidly from 22 in 2010 to 35 in 2030, according to the U.S. Census. The expected steep rise in the ratio over the next two decades reflects the projected proportion of people 65 and older climbing from 13 percent to 19 percent of the total population over the period, with the percentage in the 20 to 64 age range falling from 60 percent to 55 percent.

PERCENT OF HOUSEHOLDS WITH ONE OR MORE PEOPLE AGE 65 YEARS OLD AND OVER, 2011

State Percent Rank (1) State Percent Rank (1)
Alabama 26.0% 15 Montana 26.5% 9
Alaska 16.4 51 Nebraska 23.7 41
Arizona 27.0 7 Nevada 24.3 33
Arkansas 26.3 13 New Hampshire 24.9 28
California 24.7 29 New Jersey 26.9 8
Colorado 20.6 48 New Mexico 26.0 15
Connecticut 26.5 9 New York 26.4 12
Delaware 28.0 5 North Carolina 24.2 35
D.C. 20.2 49 North Dakota 23.4 42
Florida 31.9 1 Ohio 25.7 20
Georgia 21.8 46 Oklahoma 25.3 24
Hawaii 31.4 2 Oregon 25.9 18
Idaho 24.5 31 Pennsylvania 28.1 4
Illinois 24.5 31 Rhode Island 26.5 9
Indiana 24.1 37 South Carolina 26.3 13
Iowa 25.5 22 South Dakota 24.6 30
Kansas 24.1 37 Tennessee 25.2 27
Kentucky 25.3 24 Texas 21.4 47
Louisiana 24.0 39 Utah 19.9 50
Maine 27.5 6 Vermont 25.7 20
Maryland 24.2 35 Virginia 23.8 40
Massachusetts 25.8 19 Washington 23.1 44
Michigan 26.0 15 West Virginia 29.1 3
Minnesota 23.2 43 Wisconsin 24.3 33
Mississippi 25.5 22 Wyoming 22.3 45
Missouri 25.3 24 United States 25.2%

(1) States with the same percentages receive the same rank.

Source: U.S. Department of Commerce, Census Bureau; American Community Survey.

View Archived Tables

Source: Insurance Information Institute, “Long-Term Care Insurance” http://www.iii.org website. Accessed November 30, 2015. http://www.iii.org/fact-statistic/long-term-care-insurance

© Copyright 2016. All rights reserved. This content is strictly for informational purposes and although experts have prepared it, the reader should not substitute this information for professional insurance advice. If you have any questions, please consult your insurance professional before acting on any information presented. Read more.

Filed Under: LTC, Personal, Theme 41, Theme 6

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