Disability & Long-Term CareQuestion 315 of 716

Which statement BEST distinguishes 3% SIMPLE versus 5% COMPOUND inflation-protection riders on a long-term care insurance policy?

a.Both simple and compound inflation riders produce identical benefit amounts after 20 years, because the two designs differ only in the timing of the credit: a simple rider adds the whole annual increase on the policy anniversary while a compound rider spreads that same increase across the twelve months, so a 3% simple and a 5% compound rider converge on the same daily benefit once the policy has been in force for two decades, and the premium difference between the two designs reflects nothing more than that timing
b.A 3% SIMPLE inflation rider increases the daily benefit by 3% of the ORIGINAL benefit each year (linear growth), while a 5% COMPOUND inflation rider increases by 5% of the PRIOR YEAR'S benefit each year (exponential growth); over a 20-30 year horizon, the 5% compound rider produces substantially LARGER benefit growth and is the standard required for California Partnership LTC qualification (under California Insurance Code §10232.9 and Welf. & Inst. Code §22009 et seq.)
c.Simple inflation riders generally produce LARGER long-term benefit growth than compound riders, because a simple rider applies its percentage to the original daily benefit and is never reduced by benefits already paid, while a compound rider recalculates each year from the pool of benefits still remaining; over a twenty- to thirty-year horizon the linear increase therefore overtakes the exponential one and costs less in premium
d.Simple inflation riders are required by California and compound inflation riders are prohibited, because the Insurance Code treats exponential benefit growth as an unsound reserving practice; an insurer that wants to offer more than a flat annual percentage of the original daily benefit must instead file a rider that is repriced periodically, and California Partnership policies may carry no inflation protection at all

Explanation

Inflation-protection riders are critical to long-term care insurance because LTC costs have historically risen 4-5% per year and benefits paid 20+ years after purchase can otherwise become inadequate. A SIMPLE inflation rider applies the percentage to the ORIGINAL daily benefit each year — linear growth: a $200/day benefit with 3% simple becomes $260 after 10 years and $320 after 20. A COMPOUND inflation rider applies the percentage to the PRIOR YEAR's benefit — exponential growth: a $200/day benefit with 5% compound becomes about $326 after 10 years and about $531 after 20. California Insurance Code §10232.9 requires LTC insurers to OFFER 5% compound inflation, and California Partnership for Long-Term Care policies generally REQUIRE 5% compound for buyers under age 70. Options A, D, and C are factually incorrect.

Law Reference: California Insurance Code §10232.9 (LTC inflation protection); §10350 et seq. (DI)

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