Hearing Finds Federal Standards for Long-Term Care Insurance Needed
Witnesses at a House Energy and Commerce Oversight and Investigations Subcommittee hearing called on federal lawmakers to require minimum standards for private long-term care insurance policies.
Bonnie Burns, a training and policy specialist at California Health Advocates, said that because states regulate such policies, the standards offered differ based on where policyholders live. She said, "It should not depend on the state a person lives in whether they have a quality product," adding, "there's a disconnect between those services available in a community and the way they are described in an insurance policy, and no two companies have the same definitions."
Burns recommended the National Association of Insurance Commissioners create a working group to develop standards for all states to follow for greater consumer protection. She also advocated for free counseling by the federally funded State Health Insurance Assistance Program (SHIP) to help consumers who have inquiries.
Some witnesses also raised concerns about large premium increases for long-term care insurance policies. Washington State Insurance Commissioner Mike Kreidler in written testimony said, "The majority of consumer complaints my office receives about long-term care insurance are about the doubledigit rate increase they received on products they purchased in the late '80s and early to mid '90s."
In addition, witnesses discussed the inconsistencies in denials of claims submitted under long-term care insurance policies. Burns said that such denials often appear "completely unpredictable." However, according to Marc Cohen, president of the long-term care research and consulting firm Life Plans, a recent survey conducted by the company found that, among 1,500 policyholders who filed claims under long-term care insurance policies, 94 percent reported no unresolved disagreements with their insurers and that insurers denied only 4 percent of those claims.
The entire transcript of the hearing can be read online at http://energycommerce.house.gov/cmte_mtgs/ 110-oi-hrg.072408.LongTermCare.shtml .