Here's the issue with any type of variable universal life policy - the agent's premium and company fees can be set up different ways. Surprise, surprise - the default on running a customer quote is set to the agent/company advantage, NOT the consumer. You can get them to change this - BUT you have to ASK. The agent should be willing to do this, but very few of them will volunteer (not surprisingly). This is a hybrid policy currently very "hot" in insurance circles because so many people think they might be "wasting" their premium dollars. Needless to say, you will pay more for such a hybrid policy, than you would if you just bought level term life insurance and a standard LTC policy. Unless you seriously need life insurance for estate reasons - I have it, but for a very specific reason - I can't see why anyone would buy these types of policies. You pay for auto insurance and homeowners insurance for years, with most people never making any serious claims. Is that money wasted? No - it is intended to mitigate risk in an emergency. LTC insurance is no different. If your life expectancy factors are good, you want to age "in place", and you can't afford to self-insure, then buying an LTC policy can help mitigate the risk of running out of money and being forced into only Medicaid facilities, rather than having a variety of choices open to you. LTC insurance is not for everyone, and there are many policy details needing prudent and careful review. It may indeed be true that a hybrid policy would work well for you...but I would carefully compare it with the standard policy and a level term life quote before making any decision. Good luck to you and others going forward. This is not an easy or simple decision to make. You will need the help of an ethical insurance salesman, and that's something you will need to find on your own. They do exist, so start searching and asking lots of questions.

I looked into it for my parents twice, but the first time my mother's financial advisor convinced her that it was not worth the money, and because of that she didn't take me seriously the second time. The second time I looked into a program open to federal employees and their relatives, and it looked like the coverage was good (but the premium for my mom would have been $400 a month). Premiums increased substantially with age, so I suspect the key is figuring out a good age at which to sign up (not so young that you're paying premiums for such a long time that it cancels out the benefit, but not so old that premiums are beyond reach). I wish that my mom hadn't listened to her financial advisor, and that she'd been open to a LTC policy, because I know that I am the one who would end up filing the financial gap if one or both of them needed long term care at a level and length of time that would deplete their savings and investments. For the peace of mind, it would have been worth the high premiums, which I offered to pay myself. At her current age, 69, I doubt she'd qualify for anything that we could afford, and my dad wouldn't qualify at all because he has cancer. A LTC policy for my parents would ease my mind because I know how illnesses that require full time care over a long time period can eviscerate savings. My grandfather had alzheimers for 15 years, and spent the last 10 of them in an assisted living facility. My grandmother kept him at home as long as possible (longer than made sense, to be perfectly frank), but the reality is, given his strength, his diminished mental capacity, and later health complications, he needed the kind of care that only a LTC facility or a full time live-in nurse could provide. This was in the 80s and 90s but it cost thousands a month. Despite being hardworking, a saver, living a frugal lifestyle (to the point of growing their own produce in the summer and freezing and canning it for winter), and having a pension, paying for care for that many years took all of my grandmother's retirement savings. So once the money, inevitably, ran out, they had to go on medicaid and my mom helped with living expenses. I am very worried about facing a similar situation with my parents, particularly since costs are higher now, and I live in an area with an extremely high cost of living. Just think about stories you read about people who have a major illness with medical costs that cause bankruptcy, then multiply that financial impact across multiple years. Planning for an emergency, or even setting aside money for a comfortable retirement, is not going to cover full time care for years. As I understand the costs, it would be like sending a child to an elite private college --- and few people can afford that for more than 4 years even if they have been putting money aside since the child's infancy. Paying that annually, indefinitely, can make a mockery of even the best laid financial plans. The odds are that most people will not need that kind of care, but if you do the financial costs are devastating.

>>The CFP designation is not something that impresses me, does it mean something to you? The test is reputed to be easy and their standards are not too high. >> Just curious - you know this...how? I worked for an independent CFP and people sweated bullets to pass the exam. On average 50% or more fail every year. Even if you pass it, you can't call yourself a CFP until you have three years of approved financial industry experience. >>I did jump to a conclusion because I've seen so very many instances of what I suggested, "experts" recommending something that they receive a commission for selling. That was really my point. Are you saying that that isn't so?>> Yes, and you were wrong. It's clear to all you jumped the gun and didn't bother to look at the link. I am perfectly willing to applaud you for being a CPA, but no one should be discouraging others who may desperately need this kind of basic planning info. I'm sure you'd agree with that premise, at least. Many people are at a loss when faced with the issue of LTC for elderly relatives. They have no idea where to turn, who to turn to, or what kinds of questions they should be asking. As sushipup points out Medicaid never pays for Asst. Living, only for full-service nursing care. So many people - here and on other forums - don't even know the difference between Medicaid and Medicare. Planning for LTC means being aware of all the scenarios possible and mitigating personal/financial risk by whatever combination of resources available to you. Everyone's situation is individual, so there is no one-size-fits-all solution, especially with the US hodge-podge of eldercare services, mostly unregulated. Knowledge is not just everyone's friend, it's also our responsibility. We're lucky, we only have to worry about one elder parent as the other three have passed away already. As I stated above, we've already done our eldercare planning: not easy or cheap, but as necessary as having our legal docs done.

chisue, insurance companies don't make money strictly off policy premiums. AIG's current headline news is a perfect example of this. When I worked at CIGNA (formerly Connecticut General, then they bought INA and changed their name), each of their 5 separate divisions was given an annual profit margin target to hit. This was called a "zero margin plus xx%". Note this was not a sales number, it was a "quick and dirty" percentage of how much revenue minus division expenses they made annually. My boss (one of the regional VPs with a shot at the division presidency) got interested in exactly where this target number came from. He learned that what CIGNA called "zero margin" was actually a base 15% profit margin. CIGNA could earn 15% off its money, through investments and such things as real estate development (for instance they bankrolled Foster City, a landfill development in the SF Bay Area that was considered risky at the time, but is now a desirable mixed-use suburb, selling it after a few years for a hefty profit), without ever writing another insurance policy. Therefore, their divisions had to earn OVER that 15% profit margin, to be worth expending corporate funds for. This is why insurance companies go in and out of market niches - they tend to keep a fairly conservative eye on what their profit margins are on each line of business. When people are discussing the stock market, the majority of money in it is institutional. Insurance companies are a very large part of that. They are even better than banks at leveraging their money. We used to make jokes about actuaries, but insurance companies realistically suvive on the number-crunching abilities of their actuaries. Like developers in a software company, they are what actually drives the financial corporate engines.