Abstract
Historically, the greatest single threat to the economic independence of the middle-class elderly has been the catastrophic expense associated with an extended stay in a skilled nursing facility. In an attempt to meet this threat, the first long-term care (LTC) insurance policy was sold in 1974. The insurance industry had been convinced that a legitimate need existed for a private insurance product that would pay benefits for long-term nursing home confinements. A product was developed to provide the following:
a meaningful benefit
a benefit that was promised without qualifications or limitations; otherwise uncertainty about eligibility for benefits would have been created
risk selection criteria and underwriting procedures that would minimize or eliminate altogether the need to use rescission as a defense
efficient claims administration and uncomplicated proof of loss protocol.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Knopman D. A verbal memory test with a high predictive accuracy. Arch Neurol 1989; 46: 141–5.
Pfeiffer E. A short portable mental status questionnaire. J Am Geriatr Soc 1975; 23: 433–41.
Katz S et al. Active life expectancy. N Engl J Med 1983; 309(20): 1218–24.
Katz S. A standardized measure of biological and psychosocial function. JAMA 1963; 185(12): 914–19.
Lawton MP, Brody EM. Self maintaining and instrumental activities of daily living. Gerontology 1969; 9 (1/9).
Branch LG, Jette AM. A prospective study of long term care institutionalization among the aged. Am J Public Health 1983; 72 (12): 1373–9.
Fillenbaum GG. Screening the elderly: a brief instrumental activities of daily living measure. J Am Geriatr Soc 1985; 32 (10): 698–706.
Morris JN, Sherwood S, Gutkin CE. Inst-Risk II: an approach to forecasting relative risk of future institutional placement. Health Serv Res 1988; 23(4): 511–36.
Pannili FC III. A patient-completed screening instrument for functional disability in the elderly. Am J Med 1991; 90: 320–27.
Smith JS, Kiloh LG. The investigation of dementia: results in 200 consecutive admissions. Lancet 1981; 1: 824.
Katzman R. Alzheimer’s disease. N Engl J Med 1986; 314: 964.
Editor information
Editors and Affiliations
Copyright information
© 2006 Dr R. D. C. Brackenridge, Dr Richard S. Croxson, Dr Ross Mackenzie
About this chapter
Cite this chapter
Elliott, D.C., Rubi, E. (2006). Long-Term Care Underwriting. In: Brackenridge, R.D.C., Croxson, R.S., MacKenzie, R. (eds) Brackenridge’s Medical Selection of Life Risks. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-349-72324-9_10
Download citation
DOI: https://doi.org/10.1007/978-1-349-72324-9_10
Publisher Name: Palgrave Macmillan, London
Print ISBN: 978-1-349-72326-3
Online ISBN: 978-1-349-72324-9
eBook Packages: Palgrave History Collection