Group Long Term Care Insurance - Medicare, Long Term Care & Trusted Insurance Solutions

At American Insurance Counselors, we promise our Employer Group Long Term Care Insurance clients unparalleled service. Our technology-forward support website offers a seamless, paperless experience for plan participants. We also provide comprehensive premium increase support for insureds, ensuring they understand all of the options available to them. With over 35 years of Long Term Care insurance claims experience, we are here to make sure your employees receive the benefits they deserve.

What Is Group Long Term Care Insurance?

Group Long Term Care insurance plans are specifically designed for the workplace, offering employees the opportunity to purchase guaranteed issue coverage. This means employees can secure a certain level of coverage without having to answer medical questions—an invaluable feature since individual long term care insurance policies often have high decline rates.

Benefits of a Group Plan

Portability:
- Policies can continue when employment ends. Employees pay premiums directly to the insurance company instead of through payroll deductions.
Issue Age Premiums:
- Premiums are based on the age when coverage was first purchased, making it advantageous to maintain coverage from a group plan.
Comprehensive Coverage:
- Long Term Care insurance helps pay for care in a variety of settings, including:
  - Your home
  - Assisted living facilities
  - Nursing homes

Eligibility for Benefits

To qualify for benefits, you must require assistance with at least two of six activities of daily living (ADLs) or have a severe cognitive impairment requiring supervision.

Activities of Daily Living:

Bathing: Washing oneself, including entering/exiting the tub or shower.
Dressing: Putting on or taking off clothing, braces, or prosthetics.
Toileting: Getting to/from the toilet and maintaining hygiene.
Transferring: Moving into/out of a bed, chair, or wheelchair with or without assistive devices.
Continence: Maintaining bladder/bowel control or managing related hygiene.
Eating: Feeding oneself or managing feeding devices like feeding tubes.

Benefit Payment Methods

Indemnity Policies:
- Pay the full daily or monthly benefit amount regardless of actual expenses, provided you incur a qualifying expense.
Reimbursement Policies:
- Reimburse you for actual care expenses up to the policy’s daily or monthly benefit limit.

Standard Plan Options

Inflation Protection: Automatically increases benefits annually to keep up with rising care costs.
Professional Home Care: Care provided by licensed professionals (excludes family members or informal caregivers).
Informal Home Care: Care provided by friends, family, or another unlicensed caregiver.
Elimination Period: The waiting period before benefits become payable (e.g., 30, 60, or 90 days).
Return of Premium: Returns premiums (less paid benefits) to your estate or beneficiaries.
Waiver of Premium: Premiums are waived once you qualify for benefits.

Factors to Consider

When designing your Long Term Care insurance policy, consider:

Local costs for care: Cost of Care Map
Family medical history (e.g., longevity, Alzheimer’s, Parkinson’s).
Availability of family or friends to assist with care.
The portion of long-term care costs you wish to insure.

Permanent Life Insurance with Long Term Care Group Insurance Policies

Permanent Life Insurance Policies with Long Term Care combine life insurance with long-term care benefits, providing flexibility and guaranteed value.

Key Features:

Guaranteed Issue: All current employees will be offered Guaranteed Issue coverage regardless of when they were hired if a new plan is installed.
Not “Use It or Lose It”: Always includes a death benefit unless long term care benefits equal the death benefit have been paid out.
Stable Premiums: Guaranteed not to increase in most cases.
Linked Benefits: Life insurance can be accelerated to pay for long term care needs.

Benefit Models:

Traditional Model: Requires assistance with two ADLs or a cognitive impairment.
Flexible Model: Requires a doctor’s confirmation of a chronic condition or need for assistance.

Additional Features:

Return of premium after a set period.
Extension of benefits for additional years of coverage.
Restoration of benefits
Benefits paid on a cash indemnity or reimbursement basis.