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Published byOsborn O’Brien’ Modified over 8 years ago
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National, voluntary, payroll deduct insurance program – The CLASS Independence Benefit Plan CLASS: Community Living Assistance Services and Support Eligible enrollees include any actively employed individual at least 18 years old. Qualified beneficiaries will receive cash benefit of not less than $50 per day. The CLASS Act
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2011 HHS develops enrollment procedures, benefit eligibility assessment, disenrollment and payroll deduct procedures President appoints 15 member CLASS Advisory Council (likely beneficiaries, caregivers, actuaries, economists, etc.) Development of 3 alternative benefit plans 2012 Jan. 1 – enrollment begins Oct. 1 – Secretary designates CLASS benefit plan 2018 Earliest payout of benefits The CLASS Act Timeline
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CLASS Act details Enrollment Employers are not currently required to participate Employees are auto enrolled by employers, with voluntary opt-out HHS to develop alternative enrollment procedures for: self-employed have multiple employers have non-participating employer
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CLASS Act details Premiums Established yearly based on act. analysis of 75-year cost period Initial premiums estimated to be $124-$240 per month $5 nominal premium established for enrollees <100% pov and full- time actively employed students <22 years of age Benefit Triggers Patterned after HIPAA LTCI triggers: Functional limitation expected to last more than 90 days Inability to perform 2 or 3 ADLs OR Cognitive impairment
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CLASS Act details Cash Benefits $50 per day indemnity benefit / no lifetime limit benefit not contingent on pay-in Not payable until premiums paid in for 5 years May be paid daily or weekly Payments deposited into Life Independence Account rollover option for lump sum payments to be deferred on a month to month basis, but not from year to year Underwriting No underwriting allowed
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CLASS Act details Recalculation of Premiums 10 years from program inception to gauge solvency, based on 20-year look forward Premium increase does NOT apply to: poor students >65, not actively at work, have paid premiums for at least 20 years Premium increase WILL apply to: student status change re-enrollment after 90-day premium lapse
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CLASS Act Supplements? Viable? High cost of participating in CLASS program poses significant barrier to creating marketable supplemental coverage Impossible to supplement / coordinate with fixed indemnity coverage Benefit triggers for private LTCI and CLASS coverage are different – improbable that triggers will be met under both, simultaneously. Proof of claim requirements are significantly different
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