米国における介護保険市場

Abstract

Long-term care insurance addresses an important financial concern for individuals: how to fund expensive health care-related services that may quickly exhaust retirement resources. Much of the public does not understand the need for the product; furthermore, it is emotionally difficult for individuals to contemplate a future in which they are no longer self-sufficient.

This report reviews issues in the long-term care industry and provides answers to the following questions:

• How has long-term care insurance performed in recent years in terms of sales? Which companies are the market share leaders?
• What trends can be observed in direct mail for the long-term care insurance product?
• How has recent legislation impacted the industry?
• Which product innovations are gaining rapid acceptance in the marketplace?
• Which consumer segments are most likely to own long-term care insurance? What are consumers' primary reasons for buying-or not buying-it?
• What is the outlook for long-term care insurance?

Table of Contents

• Scope and Themes
• What you need to know
• Scope of this report
• Consumer survey - methodology
• Abbreviations and terms
• Abbreviations
• Terms
• Executive Summary
• LTCi coverage continues to grow, mixed messages for the future
• Individual LTCi continues its decline, hope on the horizon?
• Group LTCi continues to recover from 2004 slump
• Financial planners and employers become more active in promoting LTCi
• Market drivers
• Three leading players still account for less than 30% of market
• The consumer
• Direct mail continues to be the main promotional tool
• Market Size and Forecast
• Key points
  • Figure 1: Long-term care insurance experience reports, 1995-2005
  • Figure 2: Long-term care insurance by type, 2005 reporting year
  • Figure 3: Group versus individual long-term care insurance market based on participants' data, 2006
  • Figure 4: Companies filing long-term care insurance Form B, 2006
• Competitive Context
  • Figure 5: Three-year sales outlook for long-term care insurance market, 2000, 2003, 2006
• Lapse data
  • Figure 6: Voluntary lapse data for long-term care insurance, 2001-04
• Segment Performance: Individual Long-Term Care
• Key points
• Year-over-year change
  • Figure 7: Individual long-term care new business trends, 2003-07
• Competitor rankings
  • Figure 8: Carrier ranking by annualized premium for individual long-term care insurance sales, 2006
• Characteristics of recent individual LTCi policy sales
  • Figure 9: Individual long-term care Insurance sales, by issue age, 2007
  • Figure 10: Individual long-term care Insurance sales, by benefit period, 2007
  • Figure 11: Individual long-term care insurance sales, by benefit increase mode, 2007
  • Figure 12: Claims paid by types of service, individual long-term care insurance, 2007
• Segment Performance: Group Long-Term Care
• Key points
• Year-over-year change
  • Figure 13: Employer-sponsored long-term care insurance new business, 2007
  • Figure 14: Group employer-sponsored long-term care insurance sales trends, 2003-07
• Market share
  • Figure 15: New group long-term care insurance market share, by carrier, 2006
  • Figure 16: In-force group long-term care insurance market share, by carrier, 12/31/2006
• Characteristics of recent group LTCi policy sales
  • Figure 17: Group long-term care Insurance sales, by issue age, 2007
  • Figure 18: Group long-term care Insurance sales, by benefit period, 2007
  • Figure 19: Group long-term care insurance sales, by benefit increase mode, 2007
  • Figure 20: Group long-term care insurance claims paid, by types of service, 2007
• Marketing Channels
• Key points
• Overview
• Direct mail
• Market Drivers
• Key points
• Long-term care needs and costs
  • Figure 21: Length of time nursing-home residents stay in such facilities, February 2008
  • Figure 22: Four-year trend in annual cost of facility-based care, 2004-07
• LTCi legislation
• Deficit Reduction Act of 2005
• Pension Protection Act of 2006/Combination policies
• Expansion of the state partnership program
• 2008 U.S. Presidential campaign
• Public awareness and publicity
• Agent training requirements
• Product innovations
• Cash plans
• Simplification
• Claims
• Major claims report released
  • Figure 23: Top causes of long-term care insurance claims, November 2007
• Companies and Brands
• Leading Companies
• Key points
• Top providers
  • Figure 24: Top long-term care insurance companies by covered lives, 2005-06
• Allianz
• Genworth Financial
• John Hancock
• MetLife
• Penn Treaty Network America Insurance
• Preservation Advantage
• Prudential
• Innovation and Innovators
  • Figure 25: AARP/Metropolitan Life direct mail ad, first seen June 2007
  • Figure 26: Bankers Life and Casualty direct mail ad, first seen May 2007
  • Figure 27: John Hancock direct mail ad, first seen May 2007
  • Figure 28: General Electric Capital Assurance/Genworth Financial Ad, first seen January 2006
  • Figure 29: Genworth Financial print ad, first seen December 2007
  • Figure 30: Genworth Life Insurance Company, August 2008
• Advertising and Promotion
• Overview
  • Figure 31: Prudential Financial direct mail ad, september 2006
  • Figure 32: Great American Life B2B producer direct mail ad, first seen August 2007
  • Figure 33: US Federal Credit Union/CUNA Mutual direct mail ad, first seen May 2007
  • Figure 34: Equitable Life direct mail ad, first seen October 2007
• Familiarity with and Ownership of LTCi
• Key points
• Consumer familiarity with LTCi
  • Figure 35: Familiarity with long-term care insurance, by age, February 2008
  • Figure 36: Familiarity with long-term care insurance, by household income, February 2008
• Current ownership of LTCi coverage
  • Figure 37: Possession of long-term care insurance, by age, February 2008
• Reasons for not having LTCi
• Key points
• Reasons
  • Figure 38: Reasons for not having long-term care insurance, by gender, February 2008
  • Figure 39: Reasons for not having long-term care insurance, by age, February 2008
  • Figure 40: Reasons for not having long-term care insurance, by household income, February 2008
• Attitudes and Opinions Regarding LTCi
• Key points
• Advantages of LTCi
  • Figure 41: Advantages of long-term care insurance, by gender, February 2008
• Actions taken to develop a retirement/estate plan
  • Figure 42: Actions to develop a retirement/estate plan, by gender, February 2008
• Plans to pay for medical expenses during retirement
  • Figure 43: Plans to pay for medical expenses during retirement, by age, February 2008
  • Figure 44: Plans to pay for medical expenses during retirement, by household income, February 2008
• Understanding of what Medicare covers
  • Figure 45: Understanding of Medicare coverage for nursing care, by age, February 2008
• Appendix: Other Consumer Tables
• Familiarity with and ownership of LTCi
  • Figure 57: Familiarity with long-term care insurance, by gender, February 2008
  • Figure 58: Familiarity with long-term care insurance, by children in household, February 2008
  • Figure 59: Familiarity with long-term care insurance, by race/Hispanic origin, February 2008
  • Figure 60: Familiarity with long-term care insurance, by region, February 2008
• Ownership of long-term care insurance
  • Figure 61: Possession of long-term care insurance, by gender, February 2008
  • Figure 62: Possession of long-term care insurance, by children in household, February 2008
  • Figure 63: Possession of long-term care insurance, by household income, February 2008
  • Figure 64: Possession of long-term care insurance, by race/Hispanic origin, February 2008
  • Figure 65: Possession of long-term care insurance, by region, February 2008
• Reasons for not having LTCi
  • Figure 66: Reasons for not having long-term care insurance, by children in household, February 2008
  • Figure 67: Reasons for not having long-term care insurance, by race/Hispanic origin, February 2008
  • Figure 68: Reasons for not having long-term care insurance, by region, February 2008
• Reasons for having long-term care insurance
  • Figure 69: Advantages of long-term care insurance, by age, February 2008
  • Figure 70: Advantages of long-term care insurance, by children in household, February 2008
  • Figure 71: Advantages of long-term care insurance, by household income, February 2008
  • Figure 72: Advantages of long-term care insurance, by race/Hispanic origin, February 2008
  • Figure 73: Advantages of long-term care insurance, by region, February 2008
• Actions taken to develop a retirement/estate plan
  • Figure 74: Actions to develop a retirement/estate plan, by age, February 2008
  • Figure 75: Actions to develop a retirement/estate plan, by children in household, February 2008
  • Figure 76: Actions to develop a retirement/estate plan, by household income, February 2008
  • Figure 77: Actions to develop a retirement/estate plan, by race/Hispanic origin, February 2008
  • Figure 78: Actions to develop a retirement/estate plan, by region, February 2008Plans to pay for medical expenses during retirement
  • Figure 79: Plans to pay for medical expenses during retirement, by gender, February 2008
  • Figure 80: Plans to pay for medical expenses during retirement, by children in household, February 2008
  • Figure 81: Plans to pay for medical expenses during retirement, by race/Hispanic origin, February 2008
  • Figure 82: Plans to pay for medical expenses during retirement, by region, February 2008
• Lack of understanding about Medicare coverage for nursing care
  • Figure 83: Plans to pay for medical expenses during retirement, by gender, February 2008
  • Figure 84: Plans to pay for medical expenses during retirement, by household income, February 2008
  • Figure 85: Plans to pay for medical expenses during retirement, by race/Hispanic origin, February 2008
  • Figure 86: Plans to pay for medical expenses during retirement, by region, February 2008
• Appendix: Trade Associations