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LTCI Multistate Rate Review
LONG-TERM CARE INSURANCE MULTISTATE RATE REVIEW

LTCI MSA Framework

The Long-Term Care Insurance Multistate Rate Review Framework (LTCI MSA Framework) was adopted by the NAIC Executive Committee and Plenary on April 8, 2022. The LTCI MSA Framework outlines a consistent national approach for reviewing current long-term care insurance (LTCI) rates. The LTCI MSA Framework communicates to NAIC members, state insurance department staff, and external stakeholders how the MSA Review works to the benefit of state insurance departments and how insurers might engage in the MSA Review. This MSA framework is intended to communicate the governance, policies, procedures, and actuarial methodologies supporting the MSA Review.

INSURER RESOURCES FOR SUBMITTING AN MSA PROPOSAL

MSA Insurer Pre-Filing Communication Form

Filers wishing to discuss questions and issues regarding a potential premium rate proposal under the Long-Term Care Insurance Multistate Rate Review Framework should fully complete this Pre-Filing Communication Form and provide detailed information and questions to aid in the discussion.

MSA Insurer Instructions for Requesting an MSA Review

This MSA Insurer Instructions document provides directions for an insurer to submit an MSA rate proposal.

MSA Insurer Information Checklist

The MSA Insurer Information Checklist is outlined within Appendix B of the LTCI MSA Framework and contains a list of information necessary for a complete the MSA Review. An insurer submitting an MSA rate proposal for an MSA Review should include the information in the checklist with its submission.

MSA Participating Insurer Certification

The LTCI MSA Framework outlines the requirement for a Certification from the participating insurer. This certification should be submitted with an MSA rate proposal.

MSA Insurer Best Practices Checklist

This MSA Insurer Best Practice Checklist has been designed as a tool for submitting a cleaner SERFF filing for MSA premium rate proposals. This checklist is optional and not required.

Role of Compact Staff and Use of SERFF

The review process is supported by NAIC staff and Interstate Insurance Product Regulation Commission (Compact) staff, who will provide technical administrative assistance to insurers in making requests to utilize the MSA process and facilitate communication during the MSA review process. The NAIC’s electronic infrastructure, System for Electronic Rates and Forms Filing (SERFF), will be used to streamline the rate proposal and review process. Please note that MSA rate proposals are not Compact filings, and Compact staff will not have any role in determining the substantive content of the MSA Advisory Reports.

CONTACTS

NAIC SUPPORT STAFF

Jane Koenigsman
Sr. Manager II, L/H Financial Analysis
816.783.8145 

Eric King
Health Actuary
816.783.8234

FOR TECHNICAL ASSISTANCE WITH THE MSA RATE PROPOSAL SUBMISSION:

Interstate Insurance Product Regulation Commission (Compact) Staff  

SERFF

RELATED NAIC COMMITTEE INFORMATION

Long-Term Care Insurance (EX) Task Force

Long-Term Care Insurance Multistate Rate Review (EX) Subgroup