A picture of a man representing a Federal Family member The Federal Long Term Care Insurance Program
Home      Who's Eligible?      Plan Details & Cost      Information & Forms     Apply      Help      My Account My Account 
Home > Help > Frequently Asked Questions > The Contract
Print-Friendly Page Version Icon Print-Friendly Page Version

Change Type Sizes Icon Change Type Sizes

Help Main Page
New User Information
Glossary of Terms
Frequently Asked Questions
Technical Website Help
Site Map
References / Sources
Frequently asked Questions Icon Frequently Asked Questions

Important notice for current enrollees:

The special decision period for you to submit a personalized plan change option has ended.

The New Contract Updated as of 03-31-10



FLTCIP Premium Rate Increase
  1. Did premiums increase for current enrollees?
     
  2. How are long term care insurance premiums established in the Federal Long Term Care Insurance Program (FLTCIP)?
     
  3. What happens to the money?
     
  4. Why did the FLTCIP need a rate increase?
     
  5. How do I know it was really necessary?
     
  6. Why did some premium rates go up but not others?
     
  7. What guarantees are there that this won't happen again?
     
  8. Are enrollees in FLTCIP 1.0 more likely to be in the "group of enrollees whose premium is determined to be inadequate" and therefore more likely to be subject to future a rate increase?
     
  9. Could enrollees in the group that was subject to the premium increase have been "grandfathered" so that they were not subject to the premium increase?
     



1. Did premiums increase for current enrollees?

Premiums increased for some enrollees. Enrollees had choices to avoid an increase.

Premiums increased for FLTCIP 1.0 enrollees with the Automatic Compound Inflation Option whose age at purchase was 69 or younger AND who chose to keep the same coverage they had. For that group of enrollees, premiums increased effective March 1, 2010.

The amount of the increase depended on the person’s age when the ACIO insurance was purchased:

Percentage of premium increase depending on age at purchase

This premium increase did not affect FLTCIP 1.0 enrollees with the Future Purchase Option (FPO). The decision deadline for FLTCIP 1.0 FPO enrollees was December 14, 2009, and the effective date was January 1, 2010.

FLTCIP 1.0 enrollees had choices. Enrollees subject to the premium increase could
avoid the premium increase and keep premiums approximately the same as they had been paying if they made certain adjustments to their benefits. They were mailed their choices on their Personalized Options Form in their Personalized Options Package.

Some enrollees received Personalized Options Packages that contained one or more errors. We notified those enrollees by letter dated November 13, 2009. In early December, we mailed Corrected Personalized Options Forms to affected enrollees.

Enrollees could also log in to their personal accounts (or create an account) at www.LTCFEDS.com. An enrollee could view current coverage, and if he was in the group affected by the premium increase, he could view his personalized options (or corrected personalized options for those whose Personalized Options Packages contained one or more errors).

[ Back to FLTCIP Premium Rate Increase FAQs ]
 


2. How are long term care insurance premiums established in the Federal Long Term Care Insurance Program (FLTCIP)?

The goal in establishing the premium rates is to calculate rates that will be sufficient to pay claims plus expenses, now and over the future lifetime of enrollees. Calculating premiums requires using a series of assumptions which quantify the risk that certain things will happen in the FLTCIP over the course of time.

The key risk assumptions relate to claims (how many people will qualify for benefits and begin submitting claims, when, and for how long?), investment results (how much money will be earned by investing the premiums?), lapse results (how many people will voluntarily drop their coverage over the course of time?), and mortality (how many people will die while enrolled in the FLTCIP?). These risks vary for Program enrollees depending on their ages when they enroll, and the risks change as people age while enrolled. Different plan designs require different risk assumptions as well (for example, there are different risk assumptions made for a 3 year benefit period and an unlimited benefit period). There are also expense assumptions—how much it will cost to administer the FLTCIP and pay fees to the insurer(s).

The FLTCIP contract requires that the pricing calculations adhere to the National Association of Insurance Commissioners’ guidelines. This means that, at the time premiums are determined for new enrollees, the insurer must certify that the premiums are expected to be sufficient (expected not to increase) under “moderately adverse” conditions. While the term “moderately adverse” is not defined in the guidelines, it means that a small deviation in experience from original assumptions should not result in a rate increase. It does not guarantee that rates will not need to be increased. John Hancock’s pricing assumptions for the FLTCIP are fully disclosed to OPM, and provisions for handling Program expenses and for determining the insurance carrier’s fees were established during the competitive procurement process.

[ Back to FLTCIP Premium Rate Increase FAQs ]
 


3. What happens to the money?

All of the premiums collected for the FLTCIP go into an account that is held by the insurer just for the FLTCIP. The insurer(s) cannot use this account for anything except the FLTCIP. This account is called an Experience Fund. The only sources of money for the Experience Fund are the premiums that are collected from participants and the Fund’s investment earnings. Money in the Experience Fund can only be used to pay claims and cover expenses and fees for the FLTCIP. The assumptions for projecting future experience and the value of the Experience Fund are monitored by OPM and the insurance carrier(s) to evaluate whether the Fund, along with future premiums and investment income, is adequate to pay expected claims, expenses, and fees over the course of time. If the Fund has enough money to cover the FLTCIP’s expected needs, no corrective action is needed. If the Fund is not adequate, analysis is done to determine which plan designs and age groups may need rate adjustments.

By the same token, if the Fund has more money than might reasonably be needed to cover the FLTCIP’s expected obligations, premiums can be reduced or benefits can be improved for the participants without raising premium rates. The key thing to remember is that all premium collected goes into the Experience Fund, and the Experience Fund can only be used to cover the FLTCIP’s needs and obligations and for the benefit of the FLTCIP participants. If the FLTCIP changes insurer(s), the Fund moves to the new insurer(s).

[ Back to FLTCIP Premium Rate Increase FAQs ]
 


4. Why did the FLTCIP need a rate increase?

Some of the key assumptions that were used in developing premium rates in the first contract period that were intended to be conservative and were consistent with industry practices at the time turned out to be inaccurate for the FLTCIP. In particular, enrollee persistency has been higher than expected. This means that more people than expected are keeping their coverage (rather than voluntarily canceling it) and people are living longer than expected when the initial rates were set. Investment experience has been worse than expected. Even if overall trends improve, experience is unlikely to match the underlying assumptions used in the original pricing. Based on revised assumptions (which were derived from an analysis of actual experience), in order to assure that there will be enough money in the Experience Fund to cover the claims and costs that are now expected to be incurred over the course of time, it was necessary to adjust the premium rates for certain plan designs and age groups.

The FLTCIP is not unique in seeing the need to raise premium rates. As industry experience emerges, and is compared to original good-faith pricing assumptions, many long term care insurers have seen a need to raise premiums, both for new business and for some or all of their existing insureds.

[ Back to FLTCIP Premium Rate Increase FAQs ]
 


5. How do I know it was really necessary?

As part of the competitive procurement process, OPM hired an independent actuarial consultant to review the offers received. The actuarial consultant determined that a rate increase was necessary.

Late in the first contract period, analysis of the Experience Fund indicated a future projected shortfall of monies available to pay claims. The result of this analysis was confirmed by actuaries from John Hancock, MetLife, and OPM, as well as a third party actuarial firm. As a result, the competitive procurement process for the second contract period included this analysis and considered all recommendations about ensuring the future stability of the FLTCIP. OPM awarded the contract for the second 7-year period to John Hancock. That contract included a premium increase.

[ Back to FLTCIP Premium Rate Increase FAQs ]
 


6. Why did some premium rates go up but not others?

The changes to many long term pricing assumptions have a larger impact on plans with automatic inflation increases and on younger issue ages because there is a greater degree of pre-funding for these groups. Changes in assumptions about annual investment returns, mortality rates, and enrollee lapses have the greatest effect when applied over a long period of time.

[ Back to FLTCIP Premium Rate Increase FAQs ]
 


7. What guarantees are there that this won’t happen again?

The revised premium rates are intended to adequately position the Experience Fund to cover all future claims and expenses for FLTCIP enrollees. While we cannot guarantee that the premium rates will always remain the same, we do know that a rate increase is a serious event for all stakeholders: plan enrollees, OPM, and the insurance carrier(s). A future rate increase would only be implemented if deemed necessary to assure the adequacy of the Experience Fund.

[ Back to FLTCIP Premium Rate Increase FAQs ]
 


8. Are enrollees in FLTCIP 1.0 more likely to be in the "group of enrollees whose premium is determined to be inadequate" and therefore more likely to be subject to a future rate increase?

We do not expect enrollees in FLTCIP 1.0 to be more or less likely than enrollees in FLTCIP 2.0 to be in a group whose premium may be determined to be inadequate in the future. The differences between the premium rates for FLTCIP 1.0 and the premium rates for FLTCIP 2.0 are based on plan design differences. There is one Experience Fund that receives all premium and investment income from both FLTCIP 1.0 and FLTCIP 2.0, and from which all claims, fees, and expenses are paid for both plans.

[ Back to FLTCIP Premium Rate Increase FAQs ]
 


9. Could enrollees in the group that was subject to the premium increase have been "grandfathered" so that they were not subject to the premium increase?

That was not possible under the law, which requires that enrollee premiums reasonably and equitably reflect the cost of the benefits. If enrollees in this group were exempted from the premium increase, new enrollees' premiums would have to be artificially raised to make up the projected funding shortfall. Their premiums then would not reflect the cost of their benefits. Additionally, the law does not provide for a government contribution to pay part or all of the premiums.

[ Back to FLTCIP Premium Rate Increase FAQs ]
 



Avoiding the Premium Increase
  1. I was subject to the premium increase. How could I have avoided it?
     



1. I was subject to the premium increase. How could I have avoided it?

FLTCIP 1.0 premiums increased for enrollees with the Automatic Compound Inflation Option (ACIO) whose age at purchase was 69 or younger AND who chose to keep the same coverage they had.

Enrollees were mailed a Personalized Options Form that outlined their choices. Those enrollees subject to the rate increase could also view their options online in their account at
www.LTCFEDS.com.

One of the options for enrollees subject to a premium increase allowed them to keep their premium approximately the same as it was by making an adjustment to their long term care insurance benefits.

Each affected enrollee could have avoided this increase in premium by making a single change to their benefits—downgrading from the 5% to 4% ACIO. Making this change would cause the enrollee’s daily benefit amount (DBA) to increase more slowly—by 4% per year rather than 5%. For an example, please see the graph below.

How a $150 DBA increases over time at 4% and 5% ACI rates

Enrollees who made this change kept the same DBA they already had or received a slightly higher DBA and kept their premiums about the same as they were already paying. Some enrollees were offered a higher DBA because the downgrade to 4% ACIO reduced their premiums below what they were paying. Therefore, their offered selection may have included an increased DBA in order to bring the premium to about what they were paying. Enrollees did not need to choose this option. If they wished, they could request to keep their DBA the same and accept the reduced premiums for downgrading to 4.0% ACIO.

Some examples of the new ACIO premium and how an enrollee could have avoided the increase appear below. For simplicity’s sake, these examples all assume that the enrollee bought comprehensive coverage at a $150 DBA, chose the ACIO, elected a 90 day waiting period, and elected to change to the 4% ACIO exactly 7 years after the original coverage was issued. It is important to note that, while these examples are intended to be representative, the new premium and DBA levels to make this change will vary from these examples for each enrollee, depending on their original plan design and the amount of time they have been insured when this change is made. The mailing included informational graphs that helped enrollees evaluate the differences between a 4% and 5% rate.

Examples are shown for ages at purchase of 35, 45, 55, and 65, and for plans with benefit periods of 3 years, 5 years, and unlimited. Please note that the current DBA includes all of the 5% ACIO increases that have already taken place for that enrollee. For example, someone who elected a $150 DBA in July 2002 would have a $211 DBA in January 2010.

Purchase at age 35

Purchase at age 45

Purchase at age 55

Purchase at age 65

Other options besides the ones shown here were available. For example, enrollees whose DBA would increase in the downgrade to the 4% ACIO could have elected to keep their DBA unchanged (with the 4% ACIO) and pay a slightly lower premium. Or, someone with an unlimited benefit period could have decided to keep the 5% ACIO but reduce to a 5 year benefit period. Such choices were available by calling 1-800-LTC-FEDS (1-800-582-3337) (TTY 1-800-843-3557).

Important Notes to Remember

Enrollees made the choices.

Enrollees’ benefits did not change unless they decided to change them.

Premiums for enrollees in the groups affected by the premium increase who decided not to change their benefits increased effective March 1, 2010 (Note: This was a change—OPM approved moving the effective date for the premium increase from January 1 to March 1, 2010). However, for Future Purchase Option (FPO) enrollees, the decision deadline of December 14, 2009, and effective date of January 1, 2010, did not change.

[ Back to Avoiding The Premium Increase FAQs ]
 



New Contract
  1. To whom did OPM award the next contract?
     
  2. What other companies submitted offers?
     
  3. Why did OPM solicit bids for the Federal Long Term Care Insurance Program (FLTCIP) contract?
     
  4. When did OPM start the procurement process?
     



1. To whom did OPM award the next contract?

The U.S. Office of Personnel Management (OPM) awarded the new contract for the second 7-year period to John Hancock Life & Health Insurance Company as the sole contractor, after a competitive procurement process.

[ Back to New Contract FAQs ]
 


2. What other companies submitted offers?

Due to procurement rules, OPM cannot release the number of and names of other offerors.

[ Back to New Contract FAQs ]
 


3. Why did OPM solicit bids for the Federal Long Term Care Insurance Program (FLTCIP) contract?

By law, the term of the FLTCIP contract is seven years. On May 1, 2009, OPM awarded the second seven-year Federal Long Term Care Insurance Program contract to John Hancock Life & Health Insurance Company.

[ Back to New Contract FAQs ]
 


4. When did OPM start the procurement process?

OPM issued a request for proposals in August 2008 for the next FLTCIP seven-year contract term.

[ Back to New Contract FAQs ]
 



Current Enrollees

  1. When was information about changes sent?
     
  2. How could I have kept premiums approximately the same and avoided the premium increase?
     
  3. If I canceled my coverage during the special decision period, should I have received a refund of all premiums I've paid since I enrolled in the FLTCIP?
     
  4. Was I required to undergo medical underwriting in order to keep my coverage or make changes?
     
  5. What is the Personalized Options Package?
     
  6. Was there a deadline to respond?
     
  7. When did my new coverage become effective?
     
  8. When did my new premium become effective?
     
  9. I chose a personalized option that resulted in a premium decrease. I know it is effective January 1, 2010, but I already paid the higher amount for January and February (and maybe March). When will I get my refund?
     
  10. What happens if I didn’t respond by the deadline?
     
  11. What happens if I missed the deadline for reasons beyond my control?
     
  12. I am subject to the rate increase and did not submit my Personalized Options Form. What happens with my billing?
     
  13. What are some of the new features found in FLTCIP 2.0?
     
  14. Under FLTCIP 1.0, after declining the FPO offer three times, I need to submit evidence of insurability in order to resume the increase offers. Under FLTCIP 2.0, I see that there are unlimited declines. Does that mean that under FLTCIP 2.0 I can decline as many FPO offers as I want and when/if I wish to accept an FPO offer, I do NOT need evidence of insurability?
     
  15. Will I have to go through any underwriting to change from my FLTCIP 1.0 coverage to FLTCIP 2.0?
     
  16. If I changed to the new plan, FLTCIP 2.0, can I change back to FLTCIP 1.0?
     
  17. I have the Automatic Compound Inflation Option. Could I have kept my same coverage?
     
  18. Could I have made changes not indicated on the Personalized Options Form I received?
     
  19. How do I set up a personal online account on www.LTCFEDS.com?
     
  20. What do I do if I forget my password?
     
  21. How can I reach customer service?
     
  22. I lost the envelope to mail the Personalized Options Form back to you. What address should I have mailed it to?
     
  23. I understand that John Hancock now provides the long term care insurance coverage for the Federal Long Term Care Insurance Program effective October 1, 2009. Can I contact them directly to help me?
     
  24. Did my personalized option selection go into effect if I recently filed a claim?
     
  25. I selected (and submitted) an option that changed my FLTCIP premium. Should I have contacted OPM (or my agency) to change my annuity payment (payroll deduction) for the new premium?
     




1. When was information about changes sent?

Starting in mid-October and staggered over a few weeks, Long Term Care Partners sent a mailing to enrollees that contained a letter and an options form with specific information about the premium increase and the opportunity to change to new benefit options on a guaranteed-acceptance basis (meaning you were automatically approved as long as you were not in your waiting period or receiving benefits) during a specific time frame, called the "special decision period."

If you were in the group affected by the premium increase, you were able to view your personalized options in your online account at
www.LTCFEDS.com. You were able to:

  • keep your same coverage, subject to a rate increase if you were in the group affected by the increase; or
  • change to a specified level of benefits in the new plan, FLTCIP 2.0.
If you were affected by the premium increase, you also had another choice:

[ Back to Current Enrollees FAQs ]
 


2. How could I have kept premiums approximately the same and avoided the premium increase?

All enrollees who were subject to a rate increase had the option to keep their premium approximately the same by downgrading from the 5% to 4% Automatic Compound Inflation Option (ACIO). Making this change would cause the enrollee’s daily benefit amount (DBA) to increase more slowly—by 4% per year rather than 5%. For some enrollees, depending on their age, their daily benefit amount would actually increase slightly, as a starting point, in order to keep premiums approximately the same. More information on this and other options was included in the mailings to those affected. If you would like to read a few examples of how this change from 5% to 4% would work, click here.

[ Back to Current Enrollees FAQs ]


3. If I canceled my coverage during the special decision period, should I have received a refund of all premiums I've paid since I enrolled in the FLTCIP?

No. As with other insurance products, you cannot receive a refund of FLTCIP premiums because the premiums you have paid provided insurance coverage for you all along. At any point since your original purchase, if you had been eligible for benefits and had satisfied your waiting period, you would have received benefits.

The
Benefit Booklet that you received when you enrolled is your contractual statement of benefits. It explains when a premium refund is allowed: (1) if you cancel during your "free look" period when first approved for coverage; or (2) if you've already paid premiums for a time period that occurs after the effective date of your cancellation. There are no provisions in the booklet or in the law and regulations governing the FLTCIP for refunds under any other circumstances.

[ Back to Current Enrollees FAQs ]


4. Was I required to undergo medical underwriting in order to keep my coverage or make changes?

You did not need to undergo underwriting (i.e., answer questions about your health) to keep or reduce your current benefits. As noted on the Personalized Options Form in the Personalized Options Package, you had an opportunity to move to new benefit options on a guaranteed-acceptance basis (meaning that you were automatically approved as long as you were not in your waiting period or receiving benefits). However, if you wished to increase the overall value of your benefits, underwriting may have been required.

[ Back to Current Enrollees FAQs ]



5. What is the Personalized Options Package?

The Personalized Options Package is a mailing that Long Term Care Partners and John Hancock sent to enrollees in the Federal Long Term Care Insurance Program in October/November 2009. It contained a letter and an options form with specific information about your coverage and the opportunity to change to new benefit options on a guaranteed-acceptance basis (meaning you were automatically approved as long as you were not in your waiting period or receiving benefits). You were able to:

  • keep your same coverage, subject to a rate increase if you were in the group affected by the increase; or
  • change to a specified level of benefits in the new plan, FLTCIP 2.0.
If you were affected by the premium increase, you also had another choice:
  • downgrade your coverage in FLTCIP 1.0 from the 5% Automatic Compound Inflation Option (ACIO) to the 4% ACIO, which enabled you to keep your premiums about the same and therefore avoid the premium increase. Click here to see how you could have avoided the premium increase.

[ Back to Current Enrollees FAQs ]



6. Was there a deadline to respond?

Yes.

If you had the Future Purchase Option (FPO), the deadline to submit your personalized option selection was December 14, 2009.

If you had the Automatic Compound Inflation Option (ACIO), the deadline to submit your personalized option selection was extended to March 15, 2010. . Selections could not be made online after February 15, 2010.

[ Back to Current Enrollees FAQs ]



7. When did my new coverage become effective?

If you selected an option on your Personalized Options Form, your new coverage is effective January 1, 2010. If you made a change not noted on your Personalized Options Form, and the change required medical underwriting, your coverage effective date may be later, depending how long underwriting takes. Depending on when you submitted your selection, the coverage change may be retroactive. Of course, if you decided to keep your same coverage and made no changes, your coverage simply continues.

[ Back to Current Enrollees FAQs ]



8. When did my new premium become effective?

If you have the Future Purchase Option (FPO), and your selection resulted in a premium increase, your new premium rate is effective January 1, 2010.

If you have the Automatic Compound Inflation Option (ACIO) and your selection resulted in a premium increase, your new premium rate is effective March 1, 2010 (even though your new coverage is effective January 1, 2010).

If you have the Automatic Compound Inflation Option (ACIO) and your selection resulted in a premium decrease, your new premium rate is effective January 1, 2010.

Depending on when you submitted your choice, your premiums may need to be adjusted retroactively.

If you have either the FPO or the ACIO and you made a change not noted on your Personalized Options Form, and
the change required medical underwriting, your premium and coverage effective dates may be later, depending how long underwriting takes. If you have questions about your effective date(s) in this circumstance, please call us at 1-800-LTC-FEDS (1-800-582-3337) (TTY 1-800-843-3557).

[ Back to Current Enrollees FAQs ]



9. I chose a personalized option that resulted in a premium decrease. I know it is effective January 1, 2010, but I already paid the higher amount for January and February (and maybe March). When will I get my refund?

Premium decreases are effective retroactively back to January 1, 2010. We’ve begun mailing refund checks already, but those mailings are spread over a few weeks. Please call us if you haven’t received your refund check by the end of April.

[ Back to Current Enrollees FAQs ]



10. What happens if I didn’t respond by the deadline?

If you did not respond by the deadline, you will receive the default choice.

If you have the Future Purchase Option (FPO), the default is keeping your current coverage under FLTCIP 1.0 and receiving the scheduled FPO benefit increase with a corresponding increase in your premium, effective January 1, 2010.

If you have the Automatic Compound Inflation Option (ACIO), the default is keeping your current coverage under FLTCIP 1.0. Any applicable premium increase is effective March 1, 2010. Premium increases for enrollees in FLTCIP 1.0 with the ACIO are as follows:

Percentage of premium increase depending on age at purchase

[ Back to Current Enrollees FAQs ]



11. What happens if I missed the deadline for reasons beyond my control?

Please notify us immediately if you were unable to meet the deadline. Please call our Customer Service Center at 1-800-LTC-FEDS (1-800-582-3337) (TTY 1-800-843-3557). Or, visit www.LTCFEDS.com/SecureEmail/ to contact us via email.

[ Back to Current Enrollees FAQs ]



12. I am subject to the rate increase and did not submit my Personalized Options Form. What happens with my billing?

Your FLTCIP premium will increase effective retroactively back to March 1, 2010. Please read below for an explanation of how your premium payments will be affected, determined by the billing method you use.

  • OPM ANNUITY DEDUCTION: We will begin deducting the new, higher premium amount starting with your May annuity payment (payment of annuity for the month of April). We will temporarily increase your deduction(s) starting with your June annuity payment (payment of annuity for the month of May) to collect the incremental increase for the month of March. The temporary increase will not be more than $50.00 in one month. We will send you a letter notifying you of the temporary increase before it occurs.

  • PAYROLL/NON-OPM ANNUITY DEDUCTION: We will begin deducting the new, higher premium amount soon, in an upcoming payroll/annuity cycle. Then, in the payroll/annuity cycle after that, we will temporarily increase your deduction(s) to collect the incremental increase for the month of March. The temporary increase will not be more than $50.00. We will send you a letter notifying you of the temporary increase before it occurs.

  • AUTOMATIC BANK WITHDRAWAL: During the week of April 5, 2010, we will begin withdrawing the new, higher premium amount plus an additional amount to collect the incremental increase for the month of March.

  • DIRECT BILLING: You will see two adjustments (for March and April) calculated in your April bill, which is due May 1, 2010.

[ Back to Current Enrollees FAQs ]



13. What are some of the new features found in FLTCIP 2.0?

FLTCIP 2.0, introduced on October 1, 2009, provides some enhanced features and benefits such as:

  • A higher home health care reimbursement: up to 100% of the daily benefit amount
  • A new 2 year benefit period option
  • Higher daily benefit amount options (available from $100 to $450 in $50 increments)
  • Coverage for informal care provided by family members who do not normally live with the insured at the time of claim is increased to 500 days
  • A waiting period based on calendar days
  • Coverage for bed reservations is increased to 60 days
Click here for more information regarding FLTCIP 2.0

Click here to compare FLTCIP 2.0 to FLTCIP 1.0

[ Back to Current Enrollees FAQs ]



14. Under FLTCIP 1.0, after declining the FPO offer three times, I need to submit evidence of insurability in order to resume the increase offers. Under FLTCIP 2.0, I see that there are unlimited declines. Does that mean that under FLTCIP 2.0 I can decline as many FPO offers as I want and when/if I wish to accept an FPO offer, I do NOT need evidence of insurability?

Yes. Under FLTCIP 2.0, there is no limit to how many times you can decline the FPO offer. You do not need to provide evidence of insurability to receive or accept offers. However, under FLTCIP 2.0 if you wish to change to the Automatic Compound Inflation Option, you must provide evidence of insurability.

[ Back to Current Enrollees FAQs ]



15. Will I have to go through any underwriting to change from my FLTCIP 1.0 coverage to FLTCIP 2.0?

For a limited time, we offered you a personalized option to change to a specific benefit level in FLTCIP 2.0 on a guaranteed-acceptance basis (meaning you were automatically approved as long as you were not in your waiting period or receiving benefits). That option was outlined on your Personalized Options Form.

At any time, you may request changes to your coverage, including a change from FLTCIP 1.0 to FLTCIP 2.0. Some changes may require medical underwriting and/or a higher premium. If you wish to make changes, please call our Customer Service Center at 1-800-LTC-FEDS (1-800-582-3337) (TTY 1-800-843-3557). Or, visit
www.LTCFEDS.com/SecureEmail/ to contact us via email.

[ Back to Current Enrollees FAQs ]



16. If I changed to the new plan, FLTCIP 2.0, can I change back to FLTCIP 1.0?

If you are not satisfied with the new coverage, you may return to your prior coverage within 30 days after you receive the FLTCIP 2.0 Benefit Booklet by notifying Long Term Care Partners by mail: Long Term Care Partners, P.O. Box 797, Greenland, NH 03840-0797.

If you do not notify us within 30 days after receiving the FLTCIP 2.0 Benefit Booklet that you want to return to your prior coverage, you will not be able to return to your prior coverage.

[ Back to Current Enrollees FAQs ]



17. I have the Automatic Compound Inflation Option. Could I have kept my same coverage?

Yes. If you wanted to keep the same coverage, you did not need to return your Personalized Options Form to us. However, if you were in the group affected by the premium increase, your premiums increased effective March 1, 2010.

[ Back to Current Enrollees FAQs ]



18. Could I have made changes not indicated on the Personalized Options Form I received?

You may have requested changes not indicated on your Personalized Options Form, but some changes may have required underwriting and/or a higher premium.

[ Back to Current Enrollees FAQs ]



19. How do I set up a personal online account on www.LTCFEDS.com?

Please click on the following link and follow the instructions: www.LTCFEDS.com/RegisterNow/

[ Back to Current Enrollees FAQs ]



20. What do I do if I forget my password?

Please click on the following link and follow the instructions: www.LTCFEDS.com/password/

[ Back to Current Enrollees FAQs ]



21. How can I reach customer service?

You can call our Customer Service Center at 1-800-LTC-FEDS (1-800-582-3337) (TTY 1-800-843-3557). Or, visit www.LTCFEDS.com/SecureEmail/ to contact us via email.

[ Back to Current Enrollees FAQs ]



22. I lost the envelope to mail the Personalized Options Form back to you. What address should I have mailed it to?

Long Term Care Partners, P.O. Box 797, Greenland, NH 03840-0797; fax number 866-921-4513.

[ Back to Current Enrollees FAQs ]



23. I understand that John Hancock now provides the long term care insurance coverage for the Federal Long Term Care Insurance Program effective October 1, 2009. Can I contact them directly to help me?

No. All inquires must go to the FLTCIP administrator, Long Term Care Partners, at 1-800-LTC-FEDS (1-800-582-3337) (TTY 1-800-843-3557). Or, visit www.LTCFEDS.com/SecureEmail/ to contact us via email.

[ Back to Current Enrollees FAQs ]



24. Did my personalized option selection go into effect if I recently filed a claim?

It will depend on our determination of when you were eligible for benefits, so please call our Customer Service Center at 1-800-LTC-FEDS (1-800-582-3337) (TTY 1-800-843-3557). If you are eligible for benefits, you cannot increase your coverage. Any requested increase would not take effect. You can decrease coverage at any time.

[ Back to Current Enrollees FAQs ]



25. I selected (and submitted) an option that changed my FLTCIP premium. Should I have contacted OPM (or my agency) to change my annuity payment (payroll deduction) for the new premium?

No. Your premium payment will change automatically. You didn’t have to take any action to make this happen.

[ Back to Current Enrollees FAQs ]




Product Comparison: FLTCIP 1.0 vs. FLTCIP 2.0
    COVERED SERVICES

  1. I noticed that FLTCIP 2.0 doesn’t offer the Facilities-Only Plan. Why not?

  2. What are bed reservations and when would I need them?

  3. What types of services does the stay-at-home benefit cover?

  4. Under the new stay-at-home benefit, who determines if I am eligible for the items and services described?

  5. DAILY BENEFIT AMOUNT

  6. Why are you offering higher daily benefit amounts under FLTCIP 2.0?

  7. Why are daily benefit amounts now in increments of $50 rather than $25?

  8. Why is the $50 daily benefit amount not available under FLTCIP 2.0?

  9. Why is the home health care reimbursement now up to 100% of the daily benefit amount under FLTCIP 2.0?

  10. Why is the weekly benefit amount option not available under FLTCIP 2.0?

  11. WAITING PERIOD

  12. How does a calendar day waiting period work, and how does it differ from a service day waiting period?

  13. Why are you no longer offering a 30 day waiting period in FLTCIP 2.0?

  14. Does the FLTCIP 2.0 calendar day waiting period mean that I have to wait 90 days before each claim?

  15. INFLATION PROTECTION

  16. 13. If I changed to FLTCIP 2.0 with the Future Purchase Option (FPO) during the special decision period, will I get an FPO increase this year?

  17. GENERAL 2.0 ENROLLMENT/CONVERSION

  18. 14. If I changed to FLTCIP 2.0 during the special decision period, are my premiums based on my age when I submitted the change or when I first enrolled?

  19. 15. I am enrolled in FLTCIP 1.0. Can my family members apply for the same plan I have?

  20. 16. If I didn’t change to FLTCIP 2.0 during the special decision period, will I have the chance to change later on?




COVERED SERVICES

1. I noticed that FLTCIP 2.0 doesn’t offer the Facilities-Only Plan. Why not?

The Facilities-Only Plan offers coverage only for care in a facility such as an assisted living facility or a nursing home. It does not cover home care.

To date, only a small percentage of enrollees have selected the Facilities-Only Plan. FLTCIP experience also indicates that many individuals would prefer to utilize home care at time of claim. For these reasons, OPM requested that all FLTCIP 2.0 plans cover both facility-based care and home care. Enrollees who have the Facilities-Only Plan will keep that plan in FLTCIP 1.0 unless they voluntarily choose to change it.

[ Back to Product Comparison FAQs ]
 

2. What are bed reservations and when would I need them?

If you are in a nursing home, an assisted living facility, or a hospice facility and you leave the facility temporarily (for example, you need acute care in a hospital for a few days), that facility may charge you to hold your bed until you return. The FLTCIP bed reservation feature covers the cost of holding a space in the facility.

Benefits for bed reservations are limited to 60 days per calendar year.

[ Back to Product Comparison FAQs ]
 

3. What types of services does the stay-at-home benefit cover?

The stay-at-home benefit is designed to enable enrollees who are in need of long term care services to stay at home for as long as possible. Benefits paid under the stay-at-home benefit do not reduce your maximum lifetime benefit and are payable up to 30 times your daily benefit amount.

The stay-at-home benefit reimburses expenses for the following:

  • care planning visits
  • home safety checks
  • home modifications
  • emergency medical response systems
  • durable medical equipment
  • caregiver training (payable up to 7 times your daily benefit amount, once per lifetime)

[ Back to Product Comparison FAQs ]
 

4. Under the new stay-at-home benefit, who determines if I am eligible for the items and services described?

Benefits provided under the stay-at-home benefit must be included in your plan of care, which must be approved by your Long Term Care Partners care coordinator.

[ Back to Product Comparison FAQs ]
 

DAILY BENEFIT AMOUNT

5. Why are you offering higher daily benefit amounts under FLTCIP 2.0?

FLTCIP 2.0 offers higher daily benefit amounts to keep pace with the rising costs of long term care. In 2002, the average cost of a semiprivate room in a nursing home was $143/day7. In 2008, that average increased to $183/day3. Additionally, in some states, the costs of care can be very high, so daily benefit amounts that are adequate to support the costs in those states must be available.

[ Back to Product Comparison FAQs ]
 

6. Why are daily benefit amounts now in increments of $50 rather than $25?

Current enrollee elections haven’t shown a preference for $25 increments. $50 increment elections have been the norm. With the addition of a number of higher daily benefit amounts, FLTCIP 2.0 has therefore been designed to offer eight $50 daily benefit amount increments ranging from $100 to $450.

[ Back to Product Comparison FAQs ]
 

7. Why is the $50 daily benefit amount not available under FLTCIP 2.0?

During the initial contract period, very few FLTCIP enrollees chose a $50 daily benefit amount (DBA). Because of this, it was removed from the available choices in FLTCIP 2.0. However, enrollees who currently have a $50 DBA can keep that DBA, unless they voluntarily choose to change it.

For someone looking to complement an existing policy with additional coverage, there are many affordable options. For example, our lowest DBA is now $100, but we now also offer a 2 year benefit period.

[ Back to Product Comparison FAQs ]
 

8. Why is the home health care reimbursement now up to 100% of the daily benefit amount under FLTCIP 2.0?

OPM requested a home health care benefit at up to 100% of the daily benefit amount for FLTCIP 2.0. This had been requested in the past by enrollees and applicants. As many of our current claimants have utilized home health care, offering reimbursement of home health care expenses at up to 100% of the daily benefit amount enhances the value of the FLTCIP, giving claimants more flexibility in the amount of home health care they can receive on any given day.

[ Back to Product Comparison FAQs ]
 

9. Why is the weekly benefit amount option not available under FLTCIP 2.0?

OPM requested this change to help simplify the decision-making process. Relatively few people chose this option under FLTCIP 1.0.

[ Back to Product Comparison FAQs ]
 

WAITING PERIOD

10. How does a calendar day waiting period work, and how does it differ from a service day waiting period?

FLTCIP 2.0 has a 90-day calendar day waiting period while FLTCIP 1.0 offers a choice of either a 30-day or 90-day service day waiting period. FLTCIP benefits are not paid during the waiting period, with a few exceptions.

In a service day waiting period, there is a service requirement, which means that an enrollee must receive long term care services and payment must be made for those services in order for that day to count toward the waiting period.

In a calendar day waiting period, once an enrollee is determined to be eligible for benefits, the day the enrollee is determined to be eligible for benefits and every day thereafter count toward the waiting period. The enrollee does not have to receive long term care services during the waiting period.

Here is an example of how service day and calendar day waiting periods work:

Service Day vs. Calendar Day Waiting Period

Row #1: In a service day waiting period, if the enrollee receives 4 days of care in a week, at the end of the week, those 4 days count toward the enrollee's waiting period. If this enrollee has a 30-day waiting period and receives services 4 days a week every week, the waiting period would be satisfied in 7.5 weeks (30 days ÷ 4 days = 7.5 weeks). If this same enrollee has a 90-day waiting period and receives services 4 days a week every week, it would take nearly 6 months to complete the waiting period (90 days ÷ 4 days = 22.5 weeks).

Row #2: In a calendar day waiting period, if the enrollee receives 4 days of care in a week, at the end of the week, 7 days count toward the enrollee’s waiting period. The waiting period begins the day that the claim is filed and ends exactly 90 days later.

[ Back to Product Comparison FAQs ]
 

11. Why are you no longer offering a 30 day waiting period in FLTCIP 2.0?

OPM requested this change. Program claim experience to date has shown that, for persons receiving care at home, a 90 calendar day waiting period can often be comparable to a shorter service day waiting period because home care is generally not received every day of the week. Additionally, a 90 calendar day waiting period provides for lower premiums than a 30 service day waiting period. However, enrollees who currently have a 30 service day waiting period can keep it under FLTCIP 1.0, unless they voluntarily choose to change it.

[ Back to Product Comparison FAQs ]
 

12. Does the FLTCIP 2.0 calendar day waiting period mean that I have to wait 90 days before each claim?

No. You only need to satisfy the waiting period once. This is also true of the service day waiting period under FLTCIP 1.0.

[ Back to Product Comparison FAQs ]
 

INFLATION PROTECTION

13. If I changed to FLTCIP 2.0 with the Future Purchase Option (FPO) during the special decision period, will I get an FPO increase this year?

No. If you changed to FLTCIP 2.0, you are effectively replacing your existing coverage and you do not receive the FPO increase on January 1, 2010. You are eligible for the next FPO offer in the fall of 2011.

[ Back to Product Comparison FAQs ]
 

GENERAL 2.0 ENROLLMENT/CONVERSION

14. If I changed to FLTCIP 2.0 during the special decision period, are my premiums based on my age when I submitted the change or when I first enrolled?

The rate you pay takes into account the fact that you paid premiums under the original benefit structure. It is lower than the rate based on your age during the special decision period, but higher than the rate based on the age you were when you first applied for coverage.

[ Back to Product Comparison FAQs ]
 

15. I am enrolled in FLTCIP 1.0. Can my family members apply for the same plan I have?

We stopped accepting applications for FLTCIP 1.0 on September 30, 2009. Eligible qualified relatives can apply for coverage under FLTCIP 2.0. It does not matter that you do not have FLTCIP 2.0. Each person applies individually.

[ Back to Product Comparison FAQs ]
 

16. If I didn’t change to FLTCIP 2.0 during the special decision period, will I have the chance to change later on?

You can apply for an increase in coverage at any time, including a change from FLTCIP 1.0 to FLTCIP 2.0. You may be subject to additional underwriting and/or a higher premium.

[ Back to Product Comparison FAQs ]
 



New Applicants
  1. Can eligible individuals still apply for FLTCIP coverage?
     



1. Can eligible individuals still apply for FLTCIP coverage?

Yes, the FLTCIP is accepting applications for the new benefit structure, FLTCIP 2.0. For information on FLTCIP 2.0, click here. To apply for coverage, click here.

[ Back to New Applicants FAQs ]
 


Benefit Changes

  1. When can eligible individuals apply for coverage under the new benefit options?
     
  2. Are premiums higher for the new benefit structure available under the new contract?
     


1. When can eligible individuals apply for coverage under the new benefit options?

The new benefits (called FLTCIP 2.0) became available on October 1, 2009, for new applicants.

Enrollees who were enrolled prior to October 1, 2009, had the opportunity to move to FLTCIP 2.0 when they received their Personalized Options Form. Their coverage did not change unless they chose to change it. At any time, these enrollees may request plan changes, but some changes may require medical underwriting and/or a higher premium.

[ Back to Benefit Changes FAQs ]



2. Are premiums higher for the new benefit structure available under the new contract?

Yes. FLTCIP 2.0 includes a number of benefit enhancements. Consequently, premiums for FLTCIP 2.0 are higher than premiums for FLTCIP 1.0.

[ Back to Benefit Changes FAQs ]



More on the Premium Increase

  1. I enrolled prior to October 1, 2009. Did my premiums change?
     
  2. If enrollees chose to remain with their same benefits, will their premiums change?
     
  3. Did the first contract guarantee rates?
     
  4. Does the second contract guarantee rates?
     
  5. When can rates increase?
     
  6. Do the states have any role in regulating the FLTCIP?
     
  7. Why did premiums for current enrollees increase?
     
  8. The premium increase of up to 25% was for those with the Automatic Compound Inflation Option, but cumulative inflation over the last seven years has been less than 25%. So why didn’t the premium increase correspond with actual inflation?
     
  9. Is a premium increase expected when the new contract ends in 2016?
     
  10. Is the premium increase due solely to the new contract?
     
  11. I thought premiums would be level for life. How can you change them now?
     
  12. Did OPM approve the higher rates in the new contract?
     
  13. I can’t afford to pay a higher premium. What are my options?
     
  14. Why didn't OPM prevent this premium increase?
     
  15. How many enrollees are in the FLTCIP to date?
     
  16. Would more enrollees have helped to avoid a rate adjustment?
     
  17. Why was there no premium increase for Future Purchase Option (FPO) enrollees when there was one for people with the Automatic Compound Inflation Option?
     
  18. Why didn't you tell us back in 2002 that you would be increasing the rates?
     




1. I enrolled prior to October 1, 2009. Did my premiums change?

It depends. Applicable premiums have changed depending on the choice you made (for more information, click here if you have the Future Purchase Option, and click here if you have the Automatic Compound Inflation Option). We mailed you detailed information about your options before any premium changes took effect. Please read all of these questions and answers to understand how premiums have been handled.

[ Back to More on the Premium Increase FAQs ]
 


2. If enrollees chose to remain with their same benefits, did their premiums change?

If they had the Future Purchase Option during the special decision period, there is a premium increase if they accepted the inflation offer. If they declined the inflation offer and made no other changes to their benefits, there is no change to their premium.

If they had the Automatic Compound Inflation Option (ACIO) during the special decision period and their age at purchase was 70 or older and they made no changes to increase their benefits, there is no change to their premium.

If they had the Automatic Compound Inflation Option during the special decision period and their age at purchase was 69 or younger AND they chose to remain with the same benefits, their premiums increase effective March 1, 2010 (Note: This is a change—OPM approved moving the effective date for the premium increase for ACIO enrollees from January 1 to March 1, 2010).

[ Back to More on the Premium Increase FAQs ]
 


3. Did the first contract guarantee rates?

No. Premiums were set with the expectation that the rates would be sufficient over the lifetime of the enrollee, but they were not guaranteed.

[ Back to More on the Premium Increase FAQs ]
 


4. Does the second contract guarantee rates?

No. Premiums are set with the expectation that the rates will be sufficient over the lifetime of the enrollee, but rates are not guaranteed.

[ Back to More on the Premium Increase FAQs ]
 


5. When can rates increase?

Premiums can increase if you are among a group of enrollees whose premium is determined to be inadequate and both OPM and John Hancock agree to the rate change. Premiums can become inadequate if program experience or revised assumptions differ from the assumptions used to establish the premium rates. For example, if actual investment returns or revised projected investment returns are lower than the assumptions used to set the premiums, rates may need to change. Premiums also increase every two years for enrollees who chose the Future Purchase Option and do not decline the offer to increase their benefits.

[ Back to More on the Premium Increase FAQs ]
 


6. Do the states have any role in regulating the FLTCIP?

Because the FLTCIP was established under Federal law, the states play no role in approving rates or otherwise regulating the insurance coverage.

[ Back to More on the Premium Increase FAQs ]
 


7. Why did premiums for current enrollees increase?

We regret that premium increases were necessary. However, certain assumptions used when the original premiums were set are no longer sufficient, including the long term return on Program investments and other factors such as persistency (the number of people who enroll and continue to remain insured). The premium increase was needed so that sufficient funds will be available to pay benefits to enrollees in the future.

This is the first increase in premiums since the FLTCIP began seven years ago, and it is consistent with increases in other public sector long term care insurance programs and the long term care insurance industry as a whole. Most long term care insurance carriers have either implemented or announced premium increases in the last few years.

[ Back to More on the Premium Increase FAQs ]
 


8. The premium increase of up to 25% was for those with the Automatic Compound Inflation Option, but cumulative inflation over the last seven years has been less than 25%. So why didn’t the premium increase correspond with actual inflation?

Inflation experience did not cause the premium increase. In the seven years since the FLTCIP began, benefits for the Automatic Compound Inflation Option (ACIO) policies have increased by as much as 41% to protect against inflation.

The premium increase was necessary because certain assumptions used when the original premiums were set are no longer sufficient for ACIO policies, including the long term return on Program investments and other factors such as persistency (the number of people who enroll and continue to remain insured).

ACIO enrollees receive a fixed 5% compounded increase to their benefits each year, even if the actual inflation rate is lower than 5%. ACIO premiums have been set with the expectation that they will be sufficient to cover future benefits, including all future inflation increases. As explained in other FAQs, however, that is an expectation and not a guarantee.

[ Back to More on the Premium Increase FAQs ]
 


9. Is a premium increase expected when the new contract ends in 2016?

Premiums do not automatically change in 2016 when the contract term ends. There are no plans today to change the current premiums again, either during this contract term or in 2016. The premiums are set with the expectation that the rates will be sufficient over the lifetime of the enrollee.

However, premium rates may change in the future if necessary to reflect the cost of the benefits provided. OPM and John Hancock will continually monitor program experience to ensure premiums are sufficient and will only agree to change them if necessary to make sure sufficient funds will be available to pay benefits to enrollees in the future.

[ Back to More on the Premium Increase FAQs ]
 


10. Is the premium increase due solely to the new contract?

No. The need for a premium increase was not related to the awarding of a new contract. A premium increase would have been needed even if OPM did not award a new FLTCIP contract.

[ Back to More on the Premium Increase FAQs ]
 


11. I thought premiums would be level for life. How could you change them?

The Information Kit and Benefit Booklet state that "We may only increase your premium if you are among a group of enrollees whose premium is determined to be inadequate." OPM and John Hancock agree that the premium adjustment was necessary so that the rates will be sufficient to reflect the cost of the benefits provided, as required by FLTCIP law.

Persons with the ACIO receive an increase in benefits each year with no corresponding increase in premiums. The level ACIO premium is intended to prefund these benefit increases. However, when the underlying rates are inadequate, a premium increase is necessary.

[ Back to More on the Premium Increase FAQs ]
 


12. Did OPM approve the higher rates in the new contract?

Yes.

[ Back to More on the Premium Increase FAQs ]
 


13. I can’t afford to pay a higher premium. What are my options?

You can decrease coverage at any time. Call our Customer Service Center at 1-800-LTC-FEDS (1-800-582-3337) (TTY 1-800-843-3557) to discuss any plan changes you are considering.

More information on this option, and other choices available, is included in the mailings to those affected.

[ Back to More on the Premium Increase FAQs ]
 


14. Why didn’t OPM prevent this premium increase?

OPM has always monitored the overall health and viability of the FLTCIP. The initial premium rates were set using assumptions that were conservative at the time but are no longer sufficient. As a result, certain premiums must be increased to reflect the cost of the expected benefits. OPM and John Hancock believe it would be irresponsible not to increase premiums at this time.

[ Back to More on the Premium Increase FAQs ]
 


15. How many enrollees are in the FLTCIP to date?

About 225,000.

[ Back to More on the Premium Increase FAQs ]
 


16. Would more enrollees have helped to avoid a rate adjustment?

No. The issue of pricing adequacy is not related to the number of enrollees in the FLTCIP.

[ Back to More on the Premium Increase FAQs ]
 


17. Why was there no premium increase for Future Purchase Option (FPO) enrollees, when there was one for people with the Automatic Compound Inflation Option (ACIO)?

Enrollees with the ACIO receive a compounded increase to their benefits each year, but their premiums do not go up because of that benefit increase. Because ACIO enrollees are prefunding their future benefit increases, changes in certain assumptions have a larger effect on the amount of funds needed in advance to support the expected level of future benefits.(Why are premiums for current enrollees increasing?)

FPO premiums are designed to increase every two years along with benefits. Because an FPO benefit does not require the same degree of prefunding, the changes to assumptions did not require an increase for enrollees with FPO.

[ Back to More on the Premium Increase FAQs ]
 


18. Why didn’t you tell us back in 2002 that you would be increasing the rates?

We had no expectation at that time that the rates would increase. The materials in the application packages and the Benefit Booklet have always stated when rates can be increased. (Why are premiums for current enrollees increasing?)

[ Back to More on the Premium Increase FAQs ]



Program Administration

  1. Who administers the new contract?

  2. Who do I contact if I have questions?

  3. What are John Hancock Life & Health Insurance Company's ratings for financial strength and stability?

  4. I noticed that the John Hancock company involved with the Federal Long Term Care Insurance Program has changed. In the first contract period it was John Hancock Life Insurance Company. In the second contract period, the coverage is underwritten by John Hancock Life & Health Insurance Company. Why the change, and what does it mean to my Federal Long Term Care Insurance Program coverage?

  5. What is the FLTCIP's financial structure? How does this affect enrollees?


1. Who administers the new contract?

Long Term Care Partners continues as the FLTCIP administrator.

[ Back to Program Administration FAQs ]
 


2. Who do I contact if I have questions?

Long Term Care Partners. You can reach them at 1-800-582-3337 (TTY 1-800-843-3557), through secure email at www.LTCFEDS.com and through non-secure email at info@ltcpartners.com.

[ Back to Program Administration FAQs ]
 


3. What are John Hancock Life & Health Insurance Company's ratings for financial strength and stability?

As a leader in the long term care (LTC) insurance industry, John Hancock is known for its financial strength, stability, and expertise. Today, John Hancock has over one million LTC insurance clients, not including the FLTCIP. With more than 145 years of insurance experience, John Hancock is one of the most financially sound carriers, maintaining some of the highest independent ratings for financial strength and stability in the industry today.* Please see current ratings below:

A.M. Best Company
A+ (2nd of 15 ratings)
Superior ability to meet ongoing obligations.

Fitch Ratings
AA (3rd of 21 ratings)
Very strong capacity to meet policyholder and contract obligations.

Standard & Poor's
AA+ (2nd of 21 ratings)
Very strong financial security characteristics.

Moody's Investors Service
Aa3 (4th of 21 ratings)
Excellent financial security.

*Financial strength ratings, which are current as of September 30, 2009, and are subject to change, measure the company's ability to honor its financial commitments. The ratings are not an assessment or recommendation of specific policy provisions, premium rates, or practices of the insurance company. For more information about John Hancock, please visit www.johnhancock.com.

About John Hancock

John Hancock Financial Services is a unit of Manulife Financial Corporation (the Company), a leading Canadian-based financial services group serving millions of customers in 22 countries and territories worldwide. Operating as Manulife Financial in Canada and in most of Asia, and primarily through John Hancock in the United States, the Company offers clients a diverse range of financial protection products and wealth management services through its extensive network of employees, agents and distribution partners. Funds under management by Manulife Financial and its subsidiaries were Cdn$436.5 billion (US$407.1 billion) as at September 30, 2009. Manulife Financial Corporation trades as 'MFC' on the TSX, NYSE and PSE, and under '945' on the SEHK. Manulife Financial can be found on the Internet at
www.Manulife.com.

[ Back to Program Administration FAQs ]
 


4. I noticed that the John Hancock company involved with the Federal Long Term Care Insurance Program has changed. In the first contract period it was John Hancock Life Insurance Company. In the second contract period, the coverage is underwritten by John Hancock Life & Health Insurance Company. Why the change, and what does it mean to my Federal Long Term Care Insurance Program coverage?

The John Hancock family of companies is in the process of realigning some of its legal entities. By way of background, John Hancock became part of Manulife Financial Corporation in 2004. As is often the case when combining large organizations, they now have an excess of legal entities and are realigning them to streamline operations and better position the company for future growth. As a result, it is anticipated that John Hancock Life Insurance Company will merge into another John Hancock entity, pending regulatory approval. Therefore, all their new group long term care insurance contracts are being underwritten by John Hancock Life & Health Insurance Company. Please be assured that this change in companies will not affect the value of your long term care insurance coverage under the Federal Long Term Care Insurance Program (FLTCIP) in any way. John Hancock Life & Health Insurance Company maintains the same financial strength and claims paying ability ratings as all other John Hancock insurance companies.


[ Back to Program Administration FAQs ]


5. What is the FLTCIP's financial structure? How does this affect enrollees?

The only sources of funding for the FLTCIP are enrollees' premiums and the investment earnings on those premiums. By law, enrollees pay 100% of all FLTCIP premiums. FLTCIP premiums are held by the FLTCIP's insurer(s) in an Experience Fund, which is separate from their other assets. That means that FLTCIP funds are not available to the insurers for any other purposes except to cover FLTCIP costs.

The FLTCIP's Experience Fund bears all of the FLTCIP's costs. This is an advantage when the plan's income is projected to exceed its costs, since the FLTCIP, not the insurer, benefits from that financial gain. However, if the FLTCIP's projected income is lower than projected costs, premiums may need to be adjusted to address the shortfall.

If the FLTCIP contract moves to a different insurer(s), as it did for the second 7-year contract term, the FLTCIP Experience Fund moves to the new insurer(s).


[ Back to Program Administration FAQs ]



Claims during the Special Decision Period

Note: The following Q&As include information about how claims were handled during the special decision period, which ended on March 15, 2010. If you have a specific question regarding any recent claims you have made, please call your care coordinator at 1-800-796-3463 or our Customer Service Center at 1-800-LTC-FEDS (1-800-582-3337) (TTY 1-800-843-3557).

  1. If I had a claim pending during the special decision period, what happened to my coverage and premium?

  2. If I had a claim pending prior to the special decision period, but it is now closed and was not approved, what happened to my coverage and premium?

  3. If I was eligible for benefits during the special decision period, what happened to my coverage and premium?

  4. If I am eligible for benefits and I recover during the new contract period, what happens to my coverage and premium?

  5. Will I be given the same options for changing my benefits that I would have received if I had not been in a pending claim status or eligible for benefits?

  6. How long will I have to make a decision once I receive the detailed information?

  7. Will I be required to undergo medical underwriting in order to keep my coverage or make changes?

  8. I already met my waiting period and then recovered. Do I have to meet the waiting period again if I move to FLTCIP 2.0?





1. If I had a claim pending during the special decision period, what happened to my coverage and premium?

You will not be affected by this premium rate increase while you have a claim pending. Your coverage remains unchanged. You will not be able to change your coverage while your claim is pending.

[ Back to Claims during the Special Decision Period FAQs ]
 



2. If I had a claim pending prior to the special decision period, but it is now closed and was not approved, what happened to my coverage and premium?

If your claim is closed and you were not approved for benefits, you will receive a Personalized Options Form outlining any increase in your premiums and your options for changing coverage, just as if you never submitted a claim. See Question 1 under FLTCIP Premium Rate Increase for information about which enrollees were affected by the rate increase.

[ Back to Claims during the Special Decision Period FAQs ]
 



3. If I was eligible for benefits during the special decision period, what happened to my coverage and premium?

You will not be affected by this premium rate increase while you are eligible for benefits. Your coverage remains unchanged. You will not be able to change your coverage while you are eligible for benefits.

[ Back to Claims during the Special Decision Period FAQs ]
 



4. If I am eligible for benefits and I recover during the new contract period, what happens to my coverage and premium?

When you recover, we will send you detailed information about any increase to your premiums and your options for changing your coverage. See Question 1 under FLTCIP Premium Rate Increase for information about which enrollees were affected by the rate increase.

[ Back to Claims during the Special Decision Period FAQs ]
 



5. Will I be given the same options for changing my benefits that I would have received if I had not been in a pending claim status or eligible for benefits?

Yes, the offers will be the same. To see some of the new benefit options, see the Product Comparison: FLTCIP 1.0 vs. FLTCIP 2.0 FAQs.

[ Back to Claims during the Special Decision Period FAQs ]
 



6. How long will I have to make a decision once I receive the detailed information?

The letter you receive will contain the deadline for making changes, and the date the increase in your premiums (if any) will take effect. Your benefits will not change unless you choose to make changes.

[ Back to Claims during the Special Decision Period FAQs ]
 



7. Will I be required to undergo medical underwriting in order to keep my coverage or make changes?

You will not need to undergo underwriting (i.e., answer questions about your health) to keep or reduce your current benefits. You will also have a one-time opportunity to move to new benefit options without underwriting. However, if you wish to increase the overall value of your benefits, underwriting may be required.

[ Back to Claims during the Special Decision Period FAQs ]
 


8. I already met my waiting period and then recovered. Do I have to meet the waiting period again if I move to FLTCIP 2.0?

It depends. Any days credited toward your waiting period in FLTCIP 1.0 will be transferred to FLTCIP 2.0. If the number of days transferred is 90, then you would immediately meet the waiting period on FLTCIP 2.0. If the number of days transferred is less than 90, you would still need to meet the remainder of the calendar 90 days on FLTCIP 2.0.

[ Back to Claims during the Special Decision Period FAQs ]
 



1-800-LTC-FEDS (1-800-582-3337)  (TTY: 1-800-843-3557)

Agency Benefits Officers  |  Contact Information  |  About the FLTCIP  |  Site Search 
OPM FLTCIP Website  |  FLTCIP Privacy Notice  |  HIPAA Privacy Notice  |  Link to this Website

The Federal Long Term Care Insurance Program is
sponsored by the U.S. Office of Personnel Management,
offered by John Hancock Life & Health Insurance Company, Boston, MA 02117,
and administered by Long Term Care Partners, LLC