Thursday, July 14, 2005

Claims History on Benefit Period

These statistics speak to our topic yesterday on the benefit period. For a major carrier in the business, this is their claims history on policies for a 30 year period of time.

The youngest claimant was 37 and the oldest was 105.

The average and longest length of claim for the types of care was:

  • Assisted Living Facility - Average = 1079 days or 2.9 years; Longest = 10 yr and 5 mo
  • Home Health Care - Average = 523 days or 1.43 years; Longest = 10 yr and 7 mo
  • Nursing Home - Average = 721 days or 1.97 years; Longest = 14 yr and 5 mo
  • All Benefits - Average = 690 days or 1.89 years; Longest = 14 yr and 5 mo

Percentage of Total Claims by Benefit Type

  • Assisted Living Facility = 10.6 %
  • Home Health Care = 77.9%
  • Nursing Home = 11.2%
  • Other = .3%

The top 5 Claim Types by Benefit Dollars Paid:

  1. Dementia (Alzheimer's, Senility) = 36.6%
  2. Stroke = 14.6%
  3. Parkinson's Disease = 3.9%
  4. Hip Fracture = 3.7%
  5. Fractures - Other = 3%