{"id":3638,"date":"2021-11-05T20:57:06","date_gmt":"2021-11-05T20:57:06","guid":{"rendered":"https:\/\/wecareforwacares.org\/press-releases\/whats-at-stake-in-the-battle-over-the-wa-cares-fund-copy\/"},"modified":"2024-02-29T21:21:42","modified_gmt":"2024-02-29T21:21:42","slug":"investigation-of-consumer-complaints-finds-egregious-practices-by-long-term-care-insurance-companies","status":"publish","type":"press-releases","link":"https:\/\/wecareforwacares.org\/es\/press-releases\/investigation-of-consumer-complaints-finds-egregious-practices-by-long-term-care-insurance-companies\/","title":{"rendered":"Investigation of Consumer Complaints Finds Egregious Practices by Long Term Care Insurance Companies"},"content":{"rendered":"\n<p><strong><strong>WEDNESDAY, NOVEMBER 5, 202<\/strong>1<br>CONTACT:<\/strong> <a href=\"mailto:Contact.Us@wecareforwacares.org\" target=\"_blank\" rel=\"noreferrer noopener\">Contact.Us@wecareforwacares.org<\/a><br><a href=\"https:\/\/wecareforwacares.org\/for-reporters\/\" target=\"_blank\" rel=\"noreferrer noopener\">Media Resources<\/a><\/p>\n\n\n\n<div class=\"wp-block-stackable-divider stk-block-divider stk-block stk-197b779\" data-block-id=\"197b779\"><style>.stk-197b779{margin-top:-20px !important;margin-bottom:20px !important}.stk-197b779 hr.stk-block-divider__hr{background:var(--nv-secondary-accent) !important;height:2px !important;width:100% !important}<\/style><hr class=\"stk-block-divider__hr\"\/><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Investigation of Consumer Complaints Finds Egregious Practices by Long Term Care Insurance Companies<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Advocates Urge \u201cConsumer Beware\u201d Say Practices by Some Private Companies Take Advantage of Vulnerable Washingtonians<\/h3>\n\n\n\n<p><strong>Washington State &#8211; <\/strong>According to an&nbsp;<a href=\"https:\/\/www.google.com\/url?q=https:\/\/walongtermcareoptions.info\/analysis-complaints-long-term-care-insurance-wa\/&amp;sa=D&amp;source=editors&amp;ust=1709235990493583&amp;usg=AOvVaw2kTjrIPz51MBCOH8EwFBHS\">investigation of consumer complaints<\/a>&nbsp;officially filed with the Washington State Office of the Insurance Commissioner (OIC), Washingtonians filed 800 complaints about long term care insurance companies in the last 6 years. Findings are based on an analysis of complaints filed between 2015 and 2021, obtained through public disclosure requests to the OIC.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"663\" src=\"https:\/\/wecareforwacares.org\/wp-content\/uploads\/2024\/02\/LTCI-Complaints.png\" alt=\"\" class=\"wp-image-3642\" style=\"width:403px;height:auto\" srcset=\"https:\/\/wecareforwacares.org\/wp-content\/uploads\/2024\/02\/LTCI-Complaints.png 1024w, https:\/\/wecareforwacares.org\/wp-content\/uploads\/2024\/02\/LTCI-Complaints-300x194.png 300w, https:\/\/wecareforwacares.org\/wp-content\/uploads\/2024\/02\/LTCI-Complaints-768x497.png 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>While complaints were filed against 50 different companies, the complaints shared common themes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>insurers denying or delaying claims<\/li>\n\n\n\n<li>unexpected large rate increases<\/li>\n\n\n\n<li>policy cancellations<\/li>\n\n\n\n<li>refusal of coverage<\/li>\n\n\n\n<li>confusing policy language<\/li>\n\n\n\n<li>inaccurate communication from insurance providers<\/li>\n\n\n\n<li>unsatisfactory refunds<\/li>\n\n\n\n<li>inflexibility when it comes to care settings<\/li>\n\n\n\n<li>overly complicated processes that kept people from receiving the care or benefits they paid for<\/li>\n<\/ul>\n\n\n\n<p>Some of our most vulnerable members of society &#8212; the elderly, disabled, folks out of work to take care of family members &#8212; are the victims of these unjust practices.&nbsp;The report noted that claim resolution was rare. According to the analysis: <em>\u201cThe OIC seems powerless to resolve consumer complaints. Folks are referred to the legal system, and rarely see reimbursements or refunds.\u201d<\/em><\/p>\n\n\n\n<p>Long term insurance companies <em>\u201cput the scare on us, telling us we could go bankrupt. They said I could either reduce the benefits or pay the new astronomically high premium, it was 70% higher than what I signed up for. I don\u2019t understand how they can do that,\u201d <\/em>said Russell Morgan of Poulsbo in Kitsap County.<\/p>\n\n\n\n<p>Cathy Jeffers was led to believe that her uncle\u2019s long term care policy would cover the facility he went into when dementia meant he couldn\u2019t continue to live independently. Jeffers shared: <em>\u201cWe followed all the steps the insurance company said were required. They told us to pay the first month at the home and they would take care of the rest. Well, they ended up denying any benefit claims on the policy my uncle got while he worked for Boeing. He paid a lot of money into that policy for years thinking he was well-protected going into retirement. People don\u2019t realize that when they need it most, these plans just aren\u2019t there for them.\u201d<\/em><\/p>\n\n\n\n<p>The COVID pandemic has exacerbated the challenges too many Washingtonians face &#8212; job security, being able to afford food and housing, child care and healthcare.&nbsp;When someone experiences an injury, disability, or other chronic or sudden health threat like a heart attack, stroke, or major surgery, paying for extra help can be the final straw. Too many people have no choice but to spend all of their savings, or face bankruptcy, in order to cover the costs of care when an insurance company fails them. Long-term care coverage is meant to help when you cannot take care of yourself, not to exacerbate the challenges.<\/p>\n\n\n\n<p>Nina Valerio and her husband Joe are retired professors in Seattle. Joe is very ill (multiple myeloma, sudden right-eye blindness, cognitive impairment with memory loss, prostate cancer). Valerio says, <\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cMetlife has denied or delayed benefits including home care aides, and the insurance company won\u2019t cover anything more than 4 hours a day, less than $150 per day. &nbsp;My husband&#8217;s benefits total over $323,364.00. I am so heart-broken! &nbsp;He automatically paid for his annual ever-increasing premium without lapses. &nbsp;I have the same insurance, as well. &nbsp;METLIFE has broken its mission! We need help, help that we deserve and paid for without fail.\u201d<\/p>\n<\/blockquote>\n\n\n\n<p><em>\u00abWe were surprised to learn how many complaints against long term care insurance companies involved denial or delay of benefits,\u201d<\/em> said&nbsp;Walt Bowen of Senior Lobby, a member group of Washingtonians for a Responsible Future.&nbsp; Bowen added, <\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cWhen you&#8217;re paying high premiums, you expect good coverage. This analysis shows the real problems injured, sick, and elderly folks will face relying on private long term care insurance. Having an insurance policy should be an asset rather than a hazard. This pattern of conduct looks like an attack on people and families who are very vulnerable. This industry needs better oversight and regulation.\u201d<\/p>\n<\/blockquote>\n\n\n\n<p>The analysis was commissioned by Washingtonians for a Responsible Future coalition of organizations who supported formation of the state\u2019s new Washington Cares Fund, which provides an affordable, convenient long term care coverage option. &nbsp;One of the drivers behind the need to create a public benefit for long term care was the poor track record of private insurers to provide for policyholders.<\/p>\n\n\n\n<p>Review the&nbsp;<a href=\"https:\/\/www.google.com\/url?q=https:\/\/walongtermcareoptions.info\/analysis-complaints-long-term-care-insurance-wa\/&amp;sa=D&amp;source=editors&amp;ust=1709235990497224&amp;usg=AOvVaw1WzzS4L2JZqOqjd132B5Fg\">full analysis here.<\/a>&nbsp;<\/p>\n\n\n\n<p class=\"has-text-align-center\">###<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Washington State &#8211; Experts and consumers joined a media briefing today to explain why millions of Washingtonians need the WA Cares Fund, and why some special interests are trying to take it down.<\/p>\n<p>The entire country is facing a long term care crisis.\u00a0According to a\u00a0recent poll\u00a0from the Kaiser Family Foundation, one in five Americans is receiving unpaid care from a family member or close friend. They need professional help at home from a paid nurse or home care aide \u2014 but they can\u2019t afford it.<\/p>\n<p>Washington State was first out of the gate to create a public benefit program to help folks who fall in the gap &#8212; the millions who can\u2019t afford to pay privately for long term care or for high-end private insurance policies, but are not yet at poverty level where they are covered by taxpayer-funded Medicaid benefits.<span class=\"read-more\"><a href=\"https:\/\/wecareforwacares.org\/es\/press-releases\/investigation-of-consumer-complaints-finds-egregious-practices-by-long-term-care-insurance-companies\/\"> Read More &raquo;<\/a><\/span><\/p>\n","protected":false},"author":3,"featured_media":1193,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"inline_featured_image":false,"neve_meta_sidebar":"full-width","neve_meta_container":"contained","neve_meta_enable_content_width":"on","neve_meta_content_width":70,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"[\"content\"]","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","footnotes":""},"categories":[55],"tags":[],"class_list":["post-3638","press-releases","type-press-releases","status-publish","format-standard","has-post-thumbnail","hentry","category-press-release"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Investigation of Consumer Complaints Finds Egregious Practices by Long Term Care 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