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The First Decade. 2002. NARFE National Convention Reno, NV August 30, 2012. 2003. 2004. 2005. 2006. 2007. 2008. 2009. 2010. By Paul E. Forte Chief Executive Officer Long Term Care Partners, LLC. 2011. 2012. Statute: The Long Term Care Security Act of 2000. - PowerPoint PPT Presentation
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By Paul E. ForteChief Executive Officer
Long Term Care Partners, LLC
NARFE National ConventionReno, NV
August 30, 2012
The First Decade
2012
20102009
20082007
20062005
20042003
2002
2011
Statute: The Long Term Care Security Act of 2000
3
Core Eligibles: 8 MillionEnrollees: 270,000+
Annualized Premium: $428 Million Assets under Management: $3 Billion(as of March 31, 2012)
FLTCIP: A Public-Private Partnership
• Director of OPM• Healthcare & Insurance• Office of Inspector General• Office of Communications• Financial/Actuarial
OPM U.S. Congress
Long-Term Care Insurance Industry
Long-Term HealthServices & Supports
Industry
Other U.S. Federal Agencies(GAO, HHS, CBO, OMB, Treasury)
FLTCIP STAKEHOLDERS
UnderwriterAdministrator Non-Profits , Advocates & Unions
FLTCIP’s Evolution and Major Milestones
2008 2010 201220062005 2009 201120072001 2002 2003
2008 Web enhancements: • Online account for
enrollees• Full application
online• Claims info available
online
2008
2001: First FLTCIP contract signed with OPM; implementation begins
2001 2002 2003
2002–2003 FLTCIP 1.0—First Open Season and largest LTC awareness campaign in history
2011 Open Season (45,000 new enrollees)
201120042004
2004Enhanced Communication materials, agency outreach
2012
2009 FLTCIP contract renewed; FLTCIP 2.0 introduced
2009
2006: • New LTCFEDS.com features
added (e.g., interactive cost of care calculators, revamped FAQs and educational sections)
• New, faster claims processing system introduced
2006
FLTCIP: 10-Year Progress Report
• 270,000 current enrollees• Performance standards met or exceeded
every year• Website (LTCFEDS.com) attracts one million
visitors per year. Resources include: Premium Calculator, award-winning Online Consultant Tool, online applications
• Leader in Care Coordination, Family Support, Self-Service, Information Security, and other measures of quality
• FLTCIP expenses consistently under budget, w/gains captured by FLTCIP Experience Fund (US $3 billion)
FLTCIP: 10-Year Progress Report
• 10,000+ claims opened• 8,000 in benefit• 3,000 claims active• 170 new claims, 60 new
information/referral calls per month
FLTCIP claimants receive over $6.5 million monthly
* Projected through October 2012
Claims Activity*:
FLTCIP and NARFE: A Strong Alliance
• NARFE’s legislative efforts 2000 ratification
• NARFE forums (conferences, articles, retirement seminars, etc) provide invaluable forum to educate/raise awareness
• NARFE’s feedback plan upgrades, design changes
Result: a best-in-class long term care plan for current and future federal employees and annuitants
You Asked…We Heard: FLTCIP 2.0
Your Request… Our Response (new 2.0 features)
Improved aging-in-place options
•Stay-at-home benefit• Increased informal caregiver benefit•100% home health care reimbursement•Calendar days
More affordable enrollment
•2-year plan option•4% inflation protection option
Easier enrollment
•Open Season with abbreviated underwriting•More ways to enroll, instant price quotes,
fast response
Result: greater customer satisfaction
Long Term Care Insurance Plans May Look Similar…
…But Yours is Different
“Under the hood”: FLTCIP’s customized features
Assets held in separate account
Informal home health care benefits
Care coordination by experienced RNs
International benefits
Independent 3rd party review of claims
No war or mental health exclusion
FLTCIP’s true value requires looking below the surface
OPM oversight; NARFE input
11The FLTCIP Care Coordination team
Your FLTCIP Care Coordinators
Type of LTC Care Received in 2012 (by % of claims)
How FLTCIP Enrollees Are Using Their Benefit
Informal Caregiver20%
Adult Day Care3%
Assisted Living Facility
31%
Nursing Home16%
Home Health Care30%
Testimonials
“Lisa has been very responsive to my questions and concerns. She has provided a caring attitude and shows real concern for my mother’s condition.” Alexis
“I was very pleasantly surprised at the quality of all the Claim people and the swiftness of the claim payment process. Within 5 days of when I send in my bill, I get my payment. I wish all insurance companies were like that!” Pat
“You don’t need long
term care until your life is
already pretty stressful.
This insurance has provided us with a nurse
who is professional,
caring and answers the
questions we didn’t even
know to ask. Thanks to
Catherine for all her
help.” - Janice
“Nancy is awesome! She is so patient, understanding and informative she has made a difficult time
much easier for my family.” - Kari
“Carolee took great care and concern with my mother's long term care case assignment… it took a lot of
patience on her part but she never let any annoyance show.”- Shoshana
Realities of Long Term Care in 2012
• Aging demographic; millions of retirees unprepared • Increased longevity• High costs of care• Low personal savings
rate, loss of home equity• Inflation risk• Deficit, entitlement
cutbacks
Retirement
The need for a reliable means of financing long-term care services is greater than ever
FLTCIP: A Better Route
• LTCI: a reliable way to handle costs, achieve peace of mind
• FLTCIP program offers outstanding value, choice and independence
• Supports “aging in place”; prevents reliance on Medicaid
FLTCIP: Future Directions
• More claims being paid
• Continued education
• Research on new plan designs (FLTCIP 3.0)
• Ongoing efficiency and service improvements
• Future opportunities, challenges & unknowns: e.g., effects of ACA/health care reform, election results
Thanks Again!