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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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

CarrierHow oftenHow bigStill selling?
Mutual of OmahaRoughly 3 increase waves across 40+ yearsLegacy forms: 7%–40% rounds; 2025 request averaged ~32.8% with a ~38%/yr capStill actively selling new policies
GenworthHundreds 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 HancockRepeated multi-state waves over two decadesIncreases commonly in the 40%–90% range, with some blocks cumulatively far higherExited individual LTC sales
TransamericaMultiple rounds on closed blocksFrequent double-digit increases; some policyholders faced 50%+Exited individual LTC sales
MetLifeIncreases continued after they stopped sellingMultiple rounds, some exceeding 50%Exited LTC in 2010 — still raising rates on old policies
CalPERS (public plan)Several increases, including a catastrophic oneAn 85% increase that triggered a class action and a nine-figure settlementClosed 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.

1

Pay the increase

Keep everything intact. Sometimes right — especially if your health has changed and you'd never qualify for replacement coverage.

2

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.

3

Reduce the inflation rider

Move from 5% compound to 3%, or freeze future growth. The benefit you've already accumulated stays with you.

4

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 mattersMutual of Omaha traditionalHybrid policies
Care benefit per premium dollarHighest in the market — by a wide marginConsiderably lower leverage
Is the premium guaranteed?No — guaranteed renewable onlyYes — contractually locked
If you never need carePremiums are goneTax-free death benefit to your family
Can you get your money back?Only with a costly return-of-premium riderReturn of premium commonly built in
Affordable inflation protectionYes — 3%/5% compound is realisticAvailable but expensive
Money required up frontLittle — it's a monthly or annual premiumOften a large lump sum
Tax deductibility of premiumsOften deductible within IRS limitsGenerally not deductible
How you get paid at claimReimbursement, with a cash option availableCash 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.