Long-Term Care

LTC Economic Impact Planning ModelTM

Revolutionary Holistic LTC Financial Planning Tool
Patent No. 7,328,183

 

Welcome ... to a powerful new way to calculate the economic impact on estate values with and without insurance.

    New insights for financial planners and their clients are provided in an easily presented package! If you are an attorney, CPA, financial planner, financial planning firm, or involved with LTC financial planning in any form, we hope this site is educational. We believe this software will be invaluable to your practice and your firm.

    The entire purpose of the LTC Economic Impact Planning Model is to improve the ability of Planning Professionals and others in trusted advisor positions to help their clients and society at large make more informed, thoughtful decisions about the economic impact of long term care with and without the use of insurance.

The model takes a number of key variables into account:

Model Focus

    The LTC Economic Impact Planning Model is designed to assist with the initial and primary decisions a client should address.

  1. What will the future cost of care be when needed, and what effect will that have on family wealth?

  2. How much of the risk, if any, does the client want to share with an insurance company, and what benefit design produces the best ratio between spending personal assets versus insurance benefits?

  The LTC Economic Impact Planning Model helps you and your clients with the primary and most important decisions.

Model Features

Multiple Client Scenarios ... in an instant!

    If you want to see the effect of simple inflation rather than compound inflation, make one change and a new scenario for the same client is created instantly. Do this with any variable to create as many scenarios as you want to analyze.

Client Specific Reports

Reports include annual and cumulative cost for the entire plan period.
Includes pre-programmed Summary, Line Graph, Bar Chart, Cost of Care, Insurance Benefits & Cost, and detailed Spreadsheet.
Each page notes client ID # and advisor information.
Reports for each planning scenario can be generated with client name, case number and scenario identification.
Reports can include only basic LTC cost of care, insurance benefits and insurance premium factors or include one or more advanced planning variables.

Advisor Information

Advisor name, designations, company, phone, fax and e-mail automatically added to each report.

Planning Assumptions and Options

Client Profile

  • Cares about financial and family issues.
  • Concerned about potential erosion of family wealth due to long term care & other manageable situations.
  • May have opportunity to use corporate or other federal and state tax deductions to reduce premium. 

Insurance Assumptions - Standard Benefit Design - Automatic Premium Calculation

All benefit dollars will be available for care at home, assisted living, or nursing facilities.
Premiums calculated by the model are samples but are adequate for this analysis. If specific carrier quotes are preferred, the user can override the automatic calculation as desired or use the "Custom Benefit" option.
Premium mode is lifetime.
"Waiver of Premium" is applicable for all types of care and starts when benefits start.

Custom Benefit Design Options

  • The custom benefit design option allows the user to input an almost unlimited choice of design ranges. 
  • Example; elimination period can be any number from 0 to 365 and similar ranges for benefit years, dollars and inflation options.
  • Premium pay years can be all years, one year, limited years or a specific age, with our without survivor benefit.

Advanced Planning Options 

    The advanced planning section gives the planner the option to include or exclude any of the variables in any of the client scenarios.  The advanced planning scenarios include: 

  • Loss of Investment Opportunity

    Rate of return that would have been available on the assets consumed to pay LTC cost and insurance premiums may be included in your projections.

  • Asset Liquidation Expenses

    Depending on individual circumstances, illiquid or other highly appreciated assets in down markets may have substantial liquidation costs. Adequate insurance may prevent the need to liquidate investment and other assets.

  • Tax Factors on Premium and Cost of Care

    Tax deductions on premium and care costs will decrease the economic impact while taxes on appreciated taxable investments and liquidated qualified retirement funds will be fully or partially taxed.  The model  accommodates inclusion or exclusion of one or more of the tax items.

  • Premium Rate Changes or Discounts

    The model also allows you to include actual or estimated rate changes or premium discounts that would influence premium cost  projections.                 

Planning Variables

Client Data

  • Age
  • Health risk
  • Life expectancy or plan period
  • Joint or single client
  • Client Social Security # (or other ID# )

Cost of Care Data

  • Current daily cost of care
  • Rate of inflation 
  • Year care begins
  • Care duration

Insurance Data

  • Deductible days before benefits begin
  • Daily benefit dollars
  • Annual inflation rate applied to benefit dollars starting with first anniversary of policy issue date
  • Maximum duration of benefit payments
  • Premium pay periods options (custom design)
  • Survivor benefit (custom design)
  • Dual Waiver of Premium (custom design)

Insurance Premium Calculation

  • Automatic premium calculation using generic policy rates
  • Premium override option if user is working with a specific policy
  • Specific carrier quotes (custom design-planner input)

Scenario Input

    Planner and/or client input creates one or more scenarios using any of the range of variable choices .  Planner may establish defaults for all variables for individual or two insured clients.

Default Example

Range

Care Costs
1. One spouse will need care for 5 years 1 to 15 years
2. The need of care will start at the beginning of the 16th policy year. 1 to 50 years
3. Surviving spouse will live for the entire plan period of 30 years. 5 to 60 years
4. The surviving spouse will never need care. Never only
5. Current cost of care is $180 per day. $80 to $800
6. 5% compound inflation increases the cost annually. 0% to 10%
Standard (generic) Benefit Design
7. Daily insurance benefit during the first policy year is $180. $50 to $300
8. Insurance benefits should start after a 90 day deductible period. 0/30/60/90/180/360
9. Insurance benefits increase 5% compound annually. None/Simple/Compound
10. Benefit period unlimited. 3/4/5/unlimited years
Custom Benefit Design
11. Daily insurance benefit during the first policy year is $ ___ Any dollar amount
12. Insurance benefits should start after a ___ day deductible period. Any number to 365days
13. Insurance benefits increase     % compound or simple annually. 0% to 10%
14. Benefit period _____ years   Any number to 100
15. Premium pay periods_______ Annual, single premium, limited years, to age__
16. Survivor benefit (effective at 1st death)  2nd premium ends
Advanced Planning Options
17. Dual waiver (effective during care events) Both premiums suspended
18. Investment return assumption: 6% 0% to 12%
19. Premium tax deduction or credits:  0% to 80%
20. Premium rate increase or decrease Any number
21. Asset liquidation costs 0% to 50%
22. Care cost tax deduction or increase -50% to + 50%

Although these parameters are for an insured couple, the model also accommodates calculations for a single insured.

Total Cost Calculations - Key Projections

  • Total Cost of Care

    The data used in the scenario created by the advisor and the client drives  the projected cost of care without insurance. It starts with the current cost of care inflated to the period of time the care is needed.  The adjustment to the cost of care, if included in data input, either increases or decreases the projected cost of care due to asset liquidation costs and either tax deductions or tax increases.  If the loss of investment opportunity is included in the planning variables, the cost of care is increased to reflect the loss of investment for each year and cumulatively throughout the plan period.

  • Insurance Benefits     

    Similar to the cost of care projections, the total benefit value calculation works from the annual dollar claims paid that are based on the insurance benefit design. For example, it the policy has a 90-day elimination period, the first year benefits reflect the delay and the annual benefit paid the first year is based on 275 claim days (365-90). If the policy design covers fewer years than care years the 90 days would carryover so the full dollar amount of benefit available is reflected in the projected value of the insurance plan. In other words, the model assumption is that the policy is a "pool of money" product. The insurance benefit is adjusted to reflect the same "Advanced Planning" assumptions used in the cost of care assumptions. 

 

  • Total Premium Expenses

      The total premium expense, if advanced planning variable are not included, reflects the accumulation of all annual premiums. If the "Custom Insurance Design" is used, the total would reflect the limited pay premium, single premium and survivor benefit option if included.  If "Advanced Planning" variables are used the total premium will include those adjustments. Projected premium changes and tax deductions or increases can be included among the adjustments to total premium expense.

  • Total Self Paid Care Cost

    Self paid care costs are those insurable costs not covered by the policy design. Examples include: deductible periods, inflation on care cost greater than the inflation option selected in the insurance plan, care years greater than benefit years, and other insurable but self funded care costs.

  • Total Estate Consumed With Insurance

   This is the policyholder's "out of pocket" for insurable self paid care cost not covered by insurance in this scenario, plus the economic impact of insurance premium.

   

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