Group LTC Coverage

Group Long-Term Care (LTC) Coverage is a type of insurance that provides coverage for a group of people who require long-term care services, such as nursing home care or home health care. The policy is usually purchased by an employer or organization on behalf of its employees or members, and the premiums are often paid for by the employer or organization. Here are some key features of group LTC coverage:

• Coverage for long-term care services: Group LTC coverage provides coverage for long-term care services, such as nursing home care, home health care, and assisted living services.

• Group coverage: The coverage is offered to a group of people, such as employees of a company or members of an organization. This allows for lower premiums compared to individual policies.

• Premiums paid by employer/organization: The premiums for group LTC coverage are typically paid by the employer or organization on behalf of its employees or members.

• Guaranteed issue: Group LTC coverage is often guaranteed issue, meaning that employees or members can enroll in the policy without having to undergo medical underwriting.

• Portable coverage: Group LTC coverage may be portable, meaning that employees or members can continue their coverage even if they leave the company or organization.

• Limited benefit period: Group LTC coverage typically has a benefit period, which is the amount of time that benefits will be paid out. This can range from a few years to a lifetime, depending on the policy.

• Benefit amount: Group LTC coverage may have a daily benefit amount, which is the amount that will be paid out for each day of care.

• Elimination period: Group LTC coverage may have an elimination period, which is the amount of time that must pass before benefits will be paid out. This can range from a few days to several months.

• Inflation protection: Group LTC coverage may offer inflation protection, which adjusts the benefit amount to keep up with inflation.

Example: A company offers group LTC coverage to its employees as part of their benefits package. The policy provides coverage for nursing home care, home health care, and assisted living services, with a daily benefit amount of $150. The policy has a benefit period of five years and an elimination period of 90 days. The premiums for the policy are paid for by the company. Employees can enroll in the policy without undergoing medical underwriting, and the coverage is portable if they leave the company. The policy also includes inflation protection to keep up with rising costs.

Next Up

Each month, Mployer Advisor breaks down the Bureau of Labor Statistics’ most recent State Employment and Unemployment Summary to highlight some employment trends across various markets. This is an overview of November’s report. 
Now that the 2024 elections are mostly in the books, how will the shifting balance of power affect employer-sponsored healthcare?
Each month, Mployer collects and presents some of the most relevant and most pressing recent changes in law, compliance, and policy in areas related to employee benefits, health care, and human resources.