Group long-term care insurance: Decision-making factors and implications for financing long-term care

Marlene S. Stum

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

This study proposes and tests a systemic family decisionmaking framework to understand group long-term care insurance (LTCI) enrollment decisions. A random sample of public employees who were offered group LTCI as a workplace benefit were examined. Findings reveal very good predictive efficacy for the overall conceptual framework with a pseudo R2 value of .687, and reinforced the contributions of factors within the family system. Enrollees were more likely to have discussed the decision with others, used information sources, and had prior experience when compared to non-enrollees. Perceived health status, financial knowledge, attitudes regarding the role of private insurance, risk taking, and coverage features were additional factors related to enrollment decisions. The findings help to inform policymakers about the potential of LTCI as one strategy for financing long-term care.

Original languageEnglish (US)
Pages (from-to)165-181
Number of pages17
JournalJournal of Aging and Social Policy
Volume20
Issue number2
DOIs
StatePublished - 2008

Bibliographical note

Copyright:
Copyright 2009 Elsevier B.V., All rights reserved.

Keywords

  • Benefits
  • Financial security
  • Financing long-term care
  • Long-term care insurance
  • Risk management

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