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Who Buys Long-Term Care Insurance


The intent of this page is to analyze the characteristics found in sampled buyers and non-buyers of long-term care insurance (LTCI) in relation to the sample's motivation to purchase or to not purchase LTCI. Topics to be mentioned include sociodemographic profiles, opinions about long-term care insurance , attitudes regarding risk, policy design, and reasons for buying and not buying long-term care coverage.


Contents:

Sociodemographic Profile
Opinions on LTCI
Attitudes with Risk and Payment of LTC Services
Policy Design
Reasons Behind the Purchase Decision
Process of Buying LTCI
Reasons Behind Not Buying LTCI


 

Sociodemographic Profile

Both buyers and non-buyers who looked at the product tend to be wealthier and more often college educated than their counterparts. Most are married.

The non-buyers, who had gathered information on LTCI while considering purchasing a policy but decided not to, tend to be older and less wealthy compared to buyers of LTCI. Buyers tend to be employed more frequently than non-buyers. Sixty percent of the buyers are found most often in the age range from 55 to 69, with an average income of $42,500 or more, and having average liquid assets of $100,000 or more. Fifty five percent of these buyers are female and seventy percent are married. 

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Opinions on long-term Care Insurance
 

Attitudinal factors appear to be differentiable when comparing buyers to non-buyers. Most buyers tend to be 'planners' and will usually agree that 'It is important to plan now for the possibility of needing long term care services in the future.' Quite frequently non-buyers will have the belief that the government will help pay for most of their long term care costs in the future, which is not much incentive to purchase an individual policy on their own. Given that the non-buyers have previously met with an agent or received information on LTCI, suggests that there might need to be more education on the subject of government and long-term care insurancefor the clients with the latter belief.

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Attitudes with Risk and Payment of LTC Services 

As expected, buyers tend to believe they will be at a higher risk for needing nursing home or home health care services in the future than do non-buyers. Reasons for this difference of thinking could be experience with a friend or family member in need of long term care, personal or family health history, or a lack of education on long term care. When asked how they would fund LTC costs without the aid of an LTC policy, typically buyers listed income, assets, and family, while non-buyers listed income, assets, family, government, and current insurance plans. The response of the non-buyers suggests that if in need they believe they will be covered for long term care services through the government and their current insurance, even after speaking with an agent or researching LTC by other means. However, comparing surveys from 1990 and 1995, fewer buyers expect help from a government program for covering their long term care costs.

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Policy Design  

In 1990 nursing home policies dominated the long term care insurance market. Since then, the market has consistently seen more demand for comprehensive coverage. Currently, only one in seven long-term care insurance policies sold is nursing home only. Frequently, these nursing home only policies are purchased by older, single female clients with fewer assets, lower incomes, and they are less frequently employed.

There has also been in an increase in inflation benefits being bought with LTCI policies, which is in part a result of the average age of buyers decreasing from 69 to 67 since 1995.

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Reasons Behind the Purchase Decision 

The number one reason found in surveys of buyers for purchasing their LTCI policy was to protect their assets. Other reasons given were to ensure affordability of services, ensure choice in terms of service type and independence, and to protect their family's standard of living.

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Process of Buying LTCI 

Most buyers use agents, spouses, children, relatives, and financial planners to help with the research of long-term care insurance. Two out of three buyers said that their spouses and agents had the most influence on their decision to purchase a LTCI policy. When asked what was important in deciding which insurer to use, more often than not the agent's recommendation and insurers reputation were mentioned most. It was also found that an overwhelming majority of both buyers and non-buyers felt that the agent that they had worked with was knowledgeable, clear at explaining the benefits and options, and that they listened well and recommended a policy best suited to the purchaser's needs.

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Reasons Behind Not Buying

Cost was by far the number one reason behind declining to buy a policy. Other reasons were that the market is still expanding, suspicions about insurance companies were expressed, lack of understanding of the risk of needing long term care was found, and confusion with what the government will or will not pay. In fact, 44 percent of non-buyers said that they did not believe that the insurers would pay benefits as stated in the policy. Lack of knowledge of the product was another reason.

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Source:
All statistical data and information was taken from the HIAA's Who Buys Long-Term Care Insurance in 2000?

 

 

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