We forecast annual paid long-term care insurance claims to peak around $45 trillion in the early 2040s, up from around $20 billion in 2026, excluding new sales.

Structured credit is no longer a niche allocation for life insurers — it’s becoming core to SAA strategy.
Since 2020, rising inflation and increasing Treasury rates—now at their highest levels since before the 2008 recession—have prompted insurers to adjust their asset allocations, taking advantage of improved yields from safer private and fixed-income asset classes.

We consider an insurer's $1 billion investment portfolio to show how the mechanics of prepayment behavior manifest under Virtual Manual (VM)-22.
As insurers boost their private credit allocations, we propose a method for projecting cash flows without bespoke modeling.
Long-term care transaction activity is on the rise—understand M&A trends for buyers and sellers and the market outlook for 2026-2027.
On average a 65-year-old would need to set aside $135,000 to cover expected future lifetime costs of long-term care, according to Milliman research.
Average LTC insurance premiums increased steadily over the last decade, but incurred claims rose at a faster rate, according to our analysis.
We highlight key initiatives, research, and upcoming studies from Milliman’s LTC consultants, including enhancements to our LARA platform, the impact of post-pandemic experience on LTC insurance, and the next iteration of our Milliman Long-Term Care Guidelines.