

Michael Fox — Licensed Insurance Advisor
Michael Fox Insurance
Phone: 856-676-9358
Email: michaelfox133@icloud.com
michaelfoxinsurance.online
Mutual of Omaha Traditional Long-Term Care
Rate history and honest review — Michael Fox Insurance
Printed July 31, 2026
Product Breakdown
Mutual of Omaha traditional long-term care: let's talk about the rate increase letter.
One fear kills more long-term care conversations than price, health, or paperwork combined: "My neighbor's premium went up 90% and she had to drop it." That happened. It happened a lot. So instead of dancing around it, this page puts Mutual of Omaha's actual rate history on the table — every wave, with dates — and lines it up against the carriers that got it catastrophically wrong.
Rate increase waves
About 3
Across 40+ years of selling LTC
Post-2020 block
0 to date
Repriced in the 2020 rate refresh
Carrier since
1909
Policyholder-owned, still selling LTC
Why this product still exists
Nothing else buys this much care for this little money.
Hybrid policies get all the attention because their premiums are locked. But if you measure care dollars per premium dollar, traditional long-term care insurance wins and it isn't close. That's the trade at the center of this whole decision.
The most care per dollar, period
Traditional long-term care insurance buys more monthly benefit per premium dollar than any hybrid policy on the market — often two to three times more. If your goal is maximum coverage for the smallest outlay, nothing else is close. That's the entire reason this product still exists.
Couples get discounts nobody else offers
Mutual of Omaha's spousal and partner discounts can knock a meaningful percentage off both policies — even when only one of you qualifies medically. It's one of the most generous couples structures still being sold.
They never left the room
More than a hundred carriers sold traditional long-term care insurance in the 1990s and 2000s. Fewer than a dozen still write it. Mutual of Omaha has kept selling it continuously — through the pricing disaster that pushed almost everyone else out.
The part nobody wants to say out loud
Exactly how many times Mutual of Omaha has raised rates
The honest answer is roughly three increase waves in more than forty years of selling this product — and all of them landed on policy forms written before the 2020 repricing. Here's the full timeline, in order, including the uncomfortable parts.
1980s–2000
The early blocks
Policies written on the industry's original bad assumptions — that people would drop coverage, that interest rates would stay at 7–8%, that claims would be shorter. Every carrier priced this era wrong. Mutual of Omaha included.
2003
First increase wave
Increases in the 15%–40% range on the oldest policy forms (HCA, LTA, NHA series). Painful, but modest by what the industry would soon do.
2011
Second increase wave
A follow-up round of roughly 7%–24% on those same legacy forms as low interest rates ground on. Two waves in eight years — while some competitors were on their fifth or sixth.
2020
The rate refresh
Rather than keep patching an underpriced block, Mutual of Omaha re-priced new business from the ground up using modern lapse, interest, and claims data. This is the line that separates the old book from what's sold today.
2022–2025
Cleaning up the pre-2020 block
Increases on the older LTC04 and LTC13 pre-refresh forms — including a 2025 nationwide request averaging about 32.8%, with a per-policyholder cap of roughly 38% a year. Real, and worth naming honestly. These actions apply to policies sold before the 2020 refresh, not to the current MutualCare series.
Today
Post-refresh business: no increases to date
As of this writing, the post-2020 repriced MutualCare block has not been hit with an in-force rate increase. That is not a contractual guarantee — no traditional LTC policy carries one — but it's the cleanest record among actively sold traditional carriers.
What that actually means for you
Three waves in four decades is not zero — and I'd never tell you it was. But set it next to a carrier with 429 approved increases in three years and the difference stops being a marketing point and starts being a plan. The policies sold today were priced after the industry learned every one of these lessons the hard way.
Head to head
The traditional LTC rate increase scoreboard
Same product category. Wildly different behavior. This is why "who you buy from" is not a small detail.
| Carrier | How often | How big | Still selling? |
|---|---|---|---|
| Mutual of Omaha | Roughly 3 increase waves across 40+ years | Legacy forms: 7%–40% rounds; 2025 request averaged ~32.8% with a ~38%/yr cap | Still actively selling new policies |
| Genworth | Hundreds of approved actions — 429 approvals between 2021 and 2023 alone | $31.8B in cumulative approved increases through Q3 2025; individual Connecticut policyholders saw 79%, 97%, even 173% | Legacy block closed; re-entered with a new brand in 2025 |
| John Hancock | Repeated multi-state waves over two decades | Increases commonly in the 40%–90% range, with some blocks cumulatively far higher | Exited individual LTC sales |
| Transamerica | Multiple rounds on closed blocks | Frequent double-digit increases; some policyholders faced 50%+ | Exited individual LTC sales |
| MetLife | Increases continued after they stopped selling | Multiple rounds, some exceeding 50% | Exited LTC in 2010 — still raising rates on old policies |
| CalPERS (public plan) | Several increases, including a catastrophic one | An 85% increase that triggered a class action and a nine-figure settlement | Closed to new members |
Figures are drawn from public state insurance department filings, carrier disclosures, and press reporting, and are summarized for education. Rate actions are approved state by state and policy form by policy form — your exact history depends on where you live and which form you own. Past behavior does not guarantee future behavior for any carrier, including Mutual of Omaha.
The backstory
Why the whole industry got it wrong — and why today is different
The rate increases weren't greed. They were four bad assumptions stacked on top of each other, made by an industry that had no claims data to price from. Understanding this is the difference between fearing a 1998 policy and fairly evaluating a 2026 one.
They assumed people would quit
Old pricing assumed 4–5% of policyholders would drop coverage each year. The real number turned out to be under 1%. Nobody walks away from long-term care insurance — which means the carrier pays far more claims than it priced for.
Interest rates collapsed
Premiums are invested for decades before claims arrive. Policies priced when bonds paid 7–8% ran headlong into fifteen years of near-zero rates. That shortfall alone broke the math.
People lived longer, and needed care longer
Medicine got better at keeping people alive with conditions that require care. Alzheimer's claims in particular last far longer than the original tables assumed.
Nobody had real claims data
The first generation of these policies was priced on guesswork because there was no history to price from. Today's policies are priced on thirty years of actual claims experience. That's the single most important difference between a 1998 policy and a 2026 policy.
Interactive
Build your own policy and watch the leverage
Move the sliders. This is the same conversation we'd have at my kitchen table — just faster.
Your age today
57
Monthly benefit you want
$6,000
Benefit period
4 years
Inflation protection
3% compound
Educational estimates only — not a quote. Real pricing depends on your age, gender, health, state, discounts, and the exact riders we select together.
Estimated annual premium
$6,000
Not guaranteed — can be increased
Care pool today
$288,000
$6,000 × 4 years
Care pool at age 85
$658,923
Growing 3% compound
Leverage at 85
3.9x
Benefits vs. total premiums paid
Notice what inflation protection does.
Slide it from 0% to 5% and watch the age-85 pool. That single choice usually matters more to your actual outcome than which carrier's logo is on the policy — and it's the first thing people cut when they're shopping on price alone.
Plan for it now, not later
If a rate increase ever shows up, you have four levers
The people who got hurt by rate increases were the ones who had no plan and simply dropped their coverage after twenty years of payments. Decide today which lever you'd pull, and a rate increase becomes an inconvenience instead of a catastrophe.
Pay the increase
Keep everything intact. Sometimes right — especially if your health has changed and you'd never qualify for replacement coverage.
Shorten the benefit period
Drop from six years to four. Keeps the monthly benefit strong and usually brings the premium back near where it was.
Reduce the inflation rider
Move from 5% compound to 3%, or freeze future growth. The benefit you've already accumulated stays with you.
Take the paid-up option
Stop paying entirely and keep a smaller pool equal to roughly what you've paid in. Carriers are required to offer a nonforfeiture path at increase time. It's the emergency exit that isn't zero.
The honest scorecard
What it's great at — and where it isn't the answer
No product wins every case. If somebody tells you one does, they're selling, not advising.
The strengths
Unmatched leverage on your premium dollar
A couple in their mid-fifties can often build a six-figure pool of care benefits for a few thousand dollars a year. To get the same monthly benefit from a hybrid policy you'd typically move a large lump sum. If cash flow is what you have, this is the efficient answer.
Real inflation protection you can actually afford
3% or 5% compound growth on the benefit pool. Because the base premium is so much lower, buying serious inflation protection is realistic here in a way it often isn't elsewhere. Buy it young and the benefit at 85 dwarfs what you started with.
Generous couples and partner discounts
Discounts apply for married couples and domestic partners, and in many cases still apply even if only one applicant is approved. Two policies almost always cost less per person than one.
Cash benefit option available
Mutual of Omaha offers a cash benefit feature that pays a percentage of your monthly benefit with no receipts — useful for paying a family caregiver, home modifications, or informal help that a strict reimbursement policy won't cover.
Shared care for couples
An optional rider lets one spouse tap the other's unused benefits. If she needs six years and he never files a claim, that pool isn't wasted.
Tax advantages most people miss
These are tax-qualified policies. Premiums can be deductible as a medical expense within age-based IRS limits, and self-employed people and business owners often deduct substantially more. Benefits paid are generally income-tax-free.
Still actively sold — and repriced honestly
The 2020 rate refresh means today's premium reflects modern data rather than 1990s optimism. That's precisely why the current block hasn't needed an increase.
A carrier that stayed
Mutual of Omaha has been in business since 1909, is policyholder-owned rather than shareholder-driven, and is one of the last major names still writing new traditional coverage. Staying in a hard market says something.
The trade-offs
The premium is not guaranteed. Full stop.
This is the honest headline. Traditional LTC is guaranteed renewable, not guaranteed premium. The carrier cannot single you out — but it can raise rates on an entire class of policyholders with state approval. Anyone who tells you otherwise is lying to you.
Use it or lose it
If you pay for thirty years and die in your sleep at 88 having never needed care, the premiums are gone. No death benefit, no refund. Hybrid policies solve exactly this — at a much higher price.
Underwriting is genuinely strict
Cognitive testing, medical records, prescription history, and often a face-to-face or phone interview. Declines are common after about age 70 or with diabetes, mobility issues, or memory concerns. Apply earlier than feels necessary.
It's reimbursement, mostly
Aside from the optional cash benefit, you submit bills for qualified care from licensed providers and get reimbursed up to your daily or monthly maximum. That's paperwork during the hardest stretch of your life.
Payments continue for life
Unlike a single-premium hybrid, you're writing this check into your eighties and nineties — on a fixed income, at exactly the age when a rate increase would hurt most.
A rate increase forces a hard choice
If one arrives, you can pay it, reduce your benefit period, cut your inflation rider, or take a paid-up nonforfeiture benefit. None of those are fun. Everyone buying traditional coverage should decide in advance which lever they'd pull.
The real decision
Traditional LTC vs. a hybrid policy
| What matters | Mutual of Omaha traditional | Hybrid policies |
|---|---|---|
| Care benefit per premium dollar | Highest in the market — by a wide margin | Considerably lower leverage |
| Is the premium guaranteed? | No — guaranteed renewable only | Yes — contractually locked |
| If you never need care | Premiums are gone | Tax-free death benefit to your family |
| Can you get your money back? | Only with a costly return-of-premium rider | Return of premium commonly built in |
| Affordable inflation protection | Yes — 3%/5% compound is realistic | Available but expensive |
| Money required up front | Little — it's a monthly or annual premium | Often a large lump sum |
| Tax deductibility of premiums | Often deductible within IRS limits | Generally not deductible |
| How you get paid at claim | Reimbursement, with a cash option available | Cash indemnity available (Securian, Nationwide) |
General comparison for education. Features vary by state, design, and issue age — we confirm every detail before you apply.
Is this you?
Who traditional coverage is built for
Strong fit
- You want the biggest possible benefit for the smallest annual cost
- You have steady income but not a big lump sum to reposition
- You're a couple and can stack spousal discounts and shared care
- You're in your fifties or early sixties and healthy enough to qualify
- You're self-employed or a business owner who can deduct the premium
- You can absorb a future rate increase without it wrecking your budget
Probably look elsewhere
- A future premium increase would genuinely destabilize your retirement
- The thought of paying for decades and getting nothing back is a dealbreaker
- You have a lump sum sitting in a CD doing nothing (look at hybrids)
- Your health history makes underwriting a long shot
- You want a death benefit for your family as part of the deal
For couples: this is where traditional coverage really separates itself. Stack the spousal discount with a shared-care rider and two people often get covered for close to what one hybrid policy would cost. If you're married and healthy, we should at least price it before ruling it out.
Straight answers
Questions people actually ask me
Let's run your actual numbers — no obligation.
In 20 minutes I'll show you the real premium for your age and health, what your benefit pool looks like at 85 with inflation protection, and an honest side-by-side against the guaranteed-premium hybrids. If traditional coverage isn't right for you, I'll tell you that too.
Or call me directly: (856) 676-9358
Important — educational illustration only
The figures shown are hypothetical and produced by a simplified model for education and discussion only. They are not a quote, projection, recommendation, or guarantee of future results. Actual outcomes vary based on your individual circumstances — including age, health, income, tax filing status, state of residence, time horizon, market performance, product design, carrier underwriting, and changes in tax law. Tax-advantaged strategies referenced (e.g., Roth conversions, cash value loans, qualified plan withdrawals) carry rules and consequences that depend on your specific situation; cash value life insurance assumes the contract is properly structured (non-MEC) and remains in force. Nothing on this page constitutes tax, legal, accounting, or individualized investment advice. Please consult your own licensed tax professional, attorney, and financial advisor before acting on any concept presented here.
Keep exploring
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More long-term care guides worth reading next.
Understanding Long-Term Care
Start here — what care actually costs and how modern policies work.
Read: Understanding Long-Term CareSecurian SecureCare
The guaranteed-premium, cash-benefit hybrid alternative.
Read: Securian SecureCareOneAmerica Asset Care
The hybrid that can be built with lifetime care benefits.
Read: OneAmerica Asset Care10 LTC Objections — Answered
The most common pushbacks, answered honestly.
Read: 10 LTC Objections — Answered