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The A-B-C’s of a Long-Term Care Cash Benefit

Adult daughter and her aging mother sharing a warm moment while discussing long-term care planning

Everyone understands what cash can do. That’s why a long-term care policy with a built-in cash benefit is one of the easiest features to explain, and a simple A-B-C framework helps clients see its value.

Key takeaways

  • A is for Assets: a cash benefit helps clients avoid liquidating investments or property to pay for care.
  • B is for Burden: cash can pay for help that keeps adult children from carrying the load alone.
  • C is for Choices: cash can be used however it’s needed, from home care to a plane ticket for a child who comes to help.

With a cash benefit, the money goes where it’s needed most: a caregiver, meal delivery, housekeeping, or a flight home for a daughter who helps.

A is for Assets

When care is first needed, many people worry about paying for it without selling stocks, cashing in CDs, or selling property, sometimes at the wrong time. A cash benefit provides money without touching those assets.

B is for Burden

Families usually step in when a loved one needs care, but adult children have their own jobs and families. Most clients’ biggest fear is becoming a burden. Cash can pay for help that lightens the family’s load. See why family shouldn’t be the long-term care plan.

C is for Choices

A cash benefit can be used however it’s needed: home care, housekeeping, meal delivery, transportation, or a plane ticket so a child can help. It can also help pay a family caregiver, which many reimbursement policies don’t allow; see caregiver contracts and LTC insurance.

Features to look for

Cash benefit designs vary. One of our carriers makes cash available from the first day of benefit eligibility, with no additional waiting period, and lets the insured switch to a traditional reimbursement benefit later if they need a higher level of care. Our LTC team can compare cash, indemnity, and reimbursement options for your client.

Frequently asked questions

What is a cash benefit in long-term care insurance?

A benefit paid in cash once the insured qualifies for care, which can be used for any purpose, rather than reimbursing specific care expenses.

What’s the difference between cash and reimbursement LTC benefits?

Reimbursement pays for documented care expenses from qualified providers. Cash pays a set amount the insured can use however they choose.

Can a cash benefit pay a family caregiver?

Yes. Because the insured controls the cash, it can be used to pay a family member for care.

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Reviewed by Tim Fuller on 2026-09-25

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency), connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners.

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Selling Long-Term Care Insurance to Clients Aged 45–55

Adult daughter and her aging mother sharing a warm moment while discussing long-term care planning

Clients aged 45 to 55 are one of the best long-term care markets you can pursue. They usually understand the need, they’re healthy enough to qualify, and premiums are lower than they’ll ever be again. The challenge is urgency.

Key takeaways

  • Clients in their late 40s and early 50s often know they need LTC coverage but delay because of cost and competing priorities.
  • The strongest argument is timing: age and health drive price and eligibility, and both get worse with time.
  • Coverage isn’t all-or-nothing; a smaller plan with a shorter benefit period can fit most budgets.

Waiting doesn’t just raise the premium. It raises the chance your client won’t qualify at all.

Know this market

People in this age group are often paying for college, saving for retirement, or already caring for aging parents. They understand long-term care risk, sometimes firsthand, but it feels like a problem for later.

Common objections

  • “I’m too young to deal with this right now.”
  • “I have other priorities.”
  • “I can’t afford another bill.”

Acknowledge the concern before responding. Clients who feel heard are more willing to keep talking.

Two responses that work

Why now: “I understand you have a lot competing for your money. Coverage is most affordable while you’re young and healthy, and waiting can make it harder to get later. Let’s look at a few options that take advantage of your age and health today.”

Too expensive: “I hear you on the budget. The most important thing is having some coverage rather than none. Let’s look at designs that still provide strong protection at a premium that fits.”

Design for the budget

A three-year benefit period, a longer elimination period, or a more moderate inflation option can lower the premium significantly while still covering a typical claim. See five ways to make LTC more affordable and the cost of waiting.

Frequently asked questions

Is 50 too young to buy long-term care insurance?

No. Many advisors consider the early 50s an ideal time, when premiums are lower and clients are more likely to qualify.

What if my client says long-term care insurance is too expensive?

Show smaller designs, such as a three-year benefit period or longer elimination period, that still provide meaningful protection.

Why do younger clients delay buying LTC insurance?

Competing priorities like college costs and retirement saving, and a sense that care needs are far off.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-25

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency), connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners.

Connect on LinkedIn →

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Life Insurance With a Long-Term Care Rider: Affordable Protection for Both Needs

Adult daughter and her aging mother sharing a warm moment while discussing long-term care planning

Two objections kill many long-term care sales: “it’s too expensive” and “I may never use it.” A permanent life policy with a long-term care rider answers both.

Key takeaways

  • An LTC rider lets the insured accelerate part of the death benefit each month to pay for qualified long-term care.
  • If care is never needed, the full death benefit passes to the family.
  • In one illustration, adding an LTC rider to a $300,000 universal life policy cost about $15 more a month and provided up to $6,000 a month for care.

For about $15 a month more in one illustration, a $300,000 policy could pay up to $6,000 a month for long-term care — or the full death benefit if care is never needed.

How an LTC rider works

The rider allows the death benefit to be paid out early, typically a set percentage each month, when the insured qualifies for long-term care (usually unable to perform two of six activities of daily living, or cognitively impaired). Whatever isn’t used for care remains as a death benefit for the family.

Example

  • Male, age 45, in good health
  • $300,000 universal life policy for family income replacement: about $182 a month
  • LTC rider: about $15 a month more
  • Benefit: accelerate 2% of the death benefit per month ($6,000) for qualified care

Figures are from an earlier illustration and will differ by carrier, age, and health today.

Why clients like it

One policy protects the family and provides care funding. There’s no “use it or lose it” concern, as long as the policy stays in force. For clients with larger assets to reposition, see when asset-based LTC is a fit.

What to compare

Riders vary: some are true LTC riders under tax code section 7702B, others are chronic illness riders with different triggers and pricing. Compare the monthly benefit percentage, triggers, and whether benefits reduce cash value and death benefit. Our team can help you evaluate options.

Frequently asked questions

What is a long-term care rider on a life insurance policy?

A rider that lets the insured use part of the death benefit while living to pay for qualified long-term care.

What happens to the death benefit if LTC benefits are used?

It’s reduced by the amount accelerated. Whatever remains is paid to beneficiaries at death.

Is an LTC rider the same as a chronic illness rider?

Not always. LTC riders under IRC 7702B and chronic illness riders can differ in triggers, pricing, and benefits.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-25

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency), connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners.

Connect on LinkedIn →

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Care About, Not Care For: Why Long-Term Care Belongs in Every Financial Plan

Adult daughter and her aging mother sharing a warm moment while discussing long-term care planning

Most financial plans assume a long, healthy retirement. The longer clients live, the more likely they’ll need care, and a few years of it can undo decades of saving.

Key takeaways

  • Longer life expectancy means a greater likelihood of needing long-term care.
  • Just a few years of care can threaten a lifetime of savings.
  • Planning lets family members care about their loved one, rather than having to care for them.

Long-term care planning lets families care about each other, instead of having to care for each other.

The financial risk

It can take decades to build a retirement nest egg and only a few years of care to drain it. At 2025 national medians, a private nursing home room costs about $129,600 a year. See current cost of care.

The family risk

Anyone who has been a caregiver knows the physical and emotional toll. Caring for a loved one is an act of love, but placing that burden on a spouse or children is something most clients want to avoid.

What a plan accomplishes

  • Protects retirement assets
  • Reduces the caregiving burden on family
  • Lets clients receive care where they prefer, including at home
  • Lets loved ones spend time together as family, not as caregiver and patient

To start, see eight ways to ease into the talk.

Frequently asked questions

Why is long-term care planning important?

Care costs can drain retirement savings, and without a plan, family members often become unpaid caregivers.

Does living longer increase the chance of needing long-term care?

Yes. The longer people live, the more likely they are to need help with daily activities.

What does long-term care insurance protect?

Retirement assets, family relationships, and the ability to choose where and how care is received.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-25

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency), connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners.

Connect on LinkedIn →

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Myth: Long-Term Care Insurance Only Pays for Nursing Homes

Adult daughter and her aging mother sharing a warm moment while discussing long-term care planning

Long-term care insurance was originally designed to pay for nursing homes, and many clients still think that’s all it does. Today’s policies cover a much wider range of care, and most of it is designed to help people stay at home.

Key takeaways

  • Modern long-term care policies can cover home health care, assisted living, adult day care, and facility care.
  • Many policies also include care coordination, home modifications, and caregiver training.
  • Helping clients stay at home is often the most compelling benefit to discuss.

His policy paid for ramps and grab bars, a home health nurse, and training for his wife — so he could stay home.

What modern LTC policies can cover

  • Home health care and homemaker services
  • Assisted living and memory care
  • Adult day care
  • Nursing home care
  • Care coordination services
  • Home modifications such as ramps and grab bars (policy-dependent)
  • Caregiver training for family members (policy-dependent)

Benefits vary by policy, so review the specific contract with each client.

A real example

Joe had cared for both of his parents for years, so he bought long-term care insurance to spare his family the same burden. Later in life he developed advanced diabetes, which led to blindness and a leg amputation. His policy paid for home renovations, including ramps and grab bars. A care coordinator helped Joe and his wife understand the care he needed and referred local providers. His wife received caregiver training, and a home health nurse visited during the day while she was at work. Joe stayed in his home with the care he needed.

Why this matters in the sale

Most clients say they want to stay at home if they need care. Showing them that a policy is built to make that possible reframes long-term care insurance from “nursing home insurance” to a plan for independence. Start with eight ways to ease into the conversation.

Frequently asked questions

Does long-term care insurance cover care at home?

Yes. Most modern policies cover home health care, and many also cover care coordination, home modifications, and caregiver training.

What does long-term care insurance pay for?

Depending on the policy: home care, assisted living, memory care, adult day care, and nursing home care, plus related services.

Can family members be paid as caregivers under an LTC policy?

Some policies allow it, especially those with a cash benefit or specific family caregiver provisions. Check the individual contract.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-25

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency), connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners.

Connect on LinkedIn →

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4 Ways Long-Term Care Insurance Can Provide Tax Advantages

Adult daughter and her aging mother sharing a warm moment while discussing long-term care planning

Tax benefits may not be the first thing you mention about long-term care insurance, but they should be in your top five. For hesitant clients and business owners, they can tip the decision.

Key takeaways

  • Premiums for tax-qualified LTC policies can count as medical expenses, up to IRS age-based limits.
  • Self-employed clients can often deduct premiums up to those limits; C-corporations can generally deduct premiums paid for employees in full.
  • Many states offer their own deduction or credit, and HSA funds can pay qualified premiums up to the age-based limits.

A C-corporation can generally deduct 100% of long-term care premiums it pays for employees and their spouses.

1. Individuals: medical expense deduction

Premiums for tax-qualified long-term care policies count as medical expenses, up to an age-based “eligible premium” limit the IRS sets each year. Clients who itemize can include them with other medical expenses above the income threshold. Clients can also pay qualified premiums from a health savings account, up to the same limits.

2. Self-employed clients

Self-employed clients can generally deduct qualified premiums, up to the age-based limits, as part of the self-employed health insurance deduction, without needing to itemize.

3. Business owners

When a C-corporation buys tax-qualified policies for employees and their spouses or dependents, it can generally deduct the full premium as a business expense, and the benefit isn’t taxable income to the employee. That makes LTC a strong executive benefit. See controlled executive bonus with LTC benefits.

4. State incentives

Many states offer a deduction or credit for LTC premiums. Rules and amounts vary by state and change over time, so check your client’s state. Existing policyholders often don’t know about these benefits, which makes the annual review a good time to mention them.

Frequently asked questions

Are long-term care insurance premiums tax deductible?

Premiums for tax-qualified policies can be deductible as medical expenses up to IRS age-based limits, and business owners may have additional deductions.

Can I use my HSA to pay long-term care premiums?

Yes, for tax-qualified policies, up to the IRS age-based eligible premium limits.

Can a business deduct long-term care insurance premiums?

A C-corporation can generally deduct 100% of premiums paid for employees. Other business types have different rules, so confirm with a tax advisor.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-25

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency), connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners.

Connect on LinkedIn →

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Handling the Top Long-Term Care Objections: Cost, “It Won’t Happen to Me,” and “My Family Will Help”

Adult daughter and her aging mother sharing a warm moment while discussing long-term care planning

Three objections come up in nearly every long-term care conversation: it’s too expensive, I won’t need it, and my family will take care of me. Each has a thoughtful answer, and the answers work best as questions.

Key takeaways

  • Cost objections usually mean the need wasn’t developed before the illustration was shown.
  • “It won’t happen to me” is best answered by asking what their written plan is.
  • “My family will help” is answered by asking which child would bathe them, and what it would cost that child.

“Which one of your children would you want helping you bathe?” It’s the question that changes most conversations.

Objection 1: “It costs too much”

Many advisors show an illustration too soon, so the premium becomes the problem instead of the solution. Develop the need first. Once clients understand what care would cost them and their family, the premium looks different. Design options are in five ways to make LTC more affordable.

Objection 2: “It won’t happen to me”

Ask: “What is your written plan of care if an extended health need arises?” Most people don’t have one beyond assuming family will help. Close to 70% of people turning 65 will need some form of long-term care.

Objection 3: “My family will take care of me”

Respond warmly: “It’s wonderful to have a family that wants to be there for you. Have you talked with them about it?” Then ask:

  • Are your children working? Which one could cut back or quit to provide care?
  • Which one would you want helping you bathe or use the bathroom?
  • Wouldn’t you rather have a trained professional handle that, so your family can spend quality time with you?

See why family shouldn’t be the long-term care plan.

Why these work

Life insurance is a logical sale; long-term care is an emotional one. A care need arrives as an emergency, not a planned event. When clients understand what caregiving really involves, they see the premium as the solution rather than the problem.

Frequently asked questions

What is the most common objection to long-term care insurance?

Cost. It’s usually best addressed by developing the need before showing an illustration, then adjusting the design to fit the budget.

How do you respond when a client says their family will care for them?

Ask whether they’ve discussed it with their family, which child could cut back work, and whether they’d want family providing personal care.

Why is long-term care an emotional sale?

Because the need is about dignity, independence, and family relationships, not just money.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-25

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency), connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners.

Connect on LinkedIn →

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Joint Life Long-Term Care: One Policy, Coverage for Two

Adult daughter and her aging mother sharing a warm moment while discussing long-term care planning

Some clients aren’t sure they need long-term care coverage, but they know they’d want it for their spouse. A joint-life hybrid policy covers both people with one premium and a shared pool of benefits.

Key takeaways

  • A joint-life hybrid policy provides a shared pool of long-term care benefits for two people from one premium.
  • The second-to-die life structure can create a larger total benefit pool than two single-life policies funded with the same money.
  • Some policies can cover two family members other than spouses, subject to age-gap limits.

In one illustration, $200,000 in a joint policy produced more monthly benefit and a larger death benefit than two separate $100,000 policies.

How a joint-life hybrid works

The policy is built on second-to-die whole life. Either insured can draw from the shared long-term care benefit pool if they need care. If neither needs it, a death benefit is paid after the second death. Because the benefit is shared, a couple can often get more total coverage for the same premium.

Example: Jim and Bonnie, both 65

  • Jim alone, $100,000 single premium: lifetime benefit period, $4,279 monthly LTC benefit, $106,984 death benefit
  • Bonnie alone, $100,000 single premium: lifetime benefit period, $3,927 monthly LTC benefit, $130,908 death benefit
  • Jim and Bonnie jointly, $200,000 single premium: lifetime benefit period, $7,406 monthly LTC benefit, $246,891 death benefit

Illustrative figures from an earlier date; current values will differ.

Other advantages

Joint designs can offer lower cost of insurance charges and some underwriting flexibility. Some carriers allow two related family members, such as a parent and adult child, within an age gap (for example, 25 years). For couples where one spouse can’t qualify, see handling the couple rejection objection.

Frequently asked questions

Can a couple share a long-term care policy?

Yes. Joint-life hybrid policies and shared-care riders let couples draw from a common pool of benefits.

Is a joint LTC policy cheaper than two separate policies?

Often it provides more total benefit for the same premium, though it depends on ages, health, and design.

What happens if neither spouse needs care?

With a joint-life hybrid, a death benefit is paid after the second death.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-25

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency), connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners.

Connect on LinkedIn →

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The Cost of Waiting to Buy Long-Term Care Insurance

Adult daughter and her aging mother sharing a warm moment while discussing long-term care planning

Most clients believe they won’t be among the roughly 70% of people who need long-term care, so they put off buying coverage. Waiting has a real price.

Key takeaways

  • Age and health are the two biggest factors in long-term care pricing and eligibility.
  • Waiting even five years can mean higher premiums, more underwriting, and less chance of qualifying for preferred rates.
  • A health change during the wait can make coverage unavailable at any price.

The best premium your client will ever get for long-term care coverage is the one available today.

Why waiting costs more

Premiums are based largely on age at purchase and health. Every year of delay raises the base rate, and every new diagnosis can reduce the rate class or lead to a decline. Preferred health discounts are much easier to get in a client’s 50s than in their 60s.

Show the numbers

Run two quotes side by side: today, and five years from now at the same benefit. Clients can see the premium difference, and the total paid over time, for themselves. Then remind them that the second quote assumes their health stays the same.

The bigger risk: not qualifying

LTC underwriting focuses on future care risk, so conditions that seem minor, such as joint problems, certain medications, or early memory concerns, can lead to a decline. Buying while healthy locks in insurability. For clients in their 40s and 50s, see selling LTC to clients aged 45–55.

Frequently asked questions

Does long-term care insurance get more expensive with age?

Yes. Premiums are based on age at purchase, and health changes over time can raise rates or lead to a decline.

What is the best age to buy long-term care insurance?

Many advisors suggest the early to mid 50s, when premiums are lower and clients are more likely to qualify for better rates.

Can you be denied long-term care insurance?

Yes. LTC underwriting is strict, and conditions affecting mobility, cognition, or future care needs can lead to a decline.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-25

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency), connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners.

Connect on LinkedIn →

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Hybrid Long-Term Care Annuities: An LTC Solution for Clients Over 70

Adult daughter and her aging mother sharing a warm moment while discussing long-term care planning

Many clients in their 70s and 80s want long-term care protection but can’t qualify for traditional coverage or don’t want to pay premiums they may never use. Many of them also own nonqualified annuities they never plan to annuitize. A hybrid LTC annuity can connect the two.

Key takeaways

  • Hybrid LTC annuities typically have easier underwriting than traditional LTC insurance, making them a fit for clients about 70–85.
  • Under the Pension Protection Act, existing nonqualified annuities can be exchanged tax-free (1035) into qualifying LTC annuities.
  • Qualified LTC benefits from these contracts are generally received income-tax-free; if care is never needed, the value passes to beneficiaries.

Many clients hold an annuity as an emergency fund for “if I ever need help.” A hybrid LTC annuity puts a tax-efficient plan behind that intention.

The long-term care catch-22

Americans 85 and older are among the fastest-growing age groups, yet few are prepared for a care event. Older clients often can’t qualify for traditional LTC coverage, find it too expensive, or don’t want to pay for something they may not use.

Why nonqualified annuity owners are ideal candidates

Most nonqualified deferred annuities are bought for tax-deferred growth and never annuitized. Ask these clients what would cause them to spend the money. Many say it’s an emergency fund in case they need help someday. Using it for care directly, though, can trigger taxes on the gain.

How the Pension Protection Act helps

Since 2010, provisions of the Pension Protection Act of 2006 allow:

  • Tax-free 1035 exchanges from an existing annuity into a qualifying annuity with LTC benefits
  • Qualified LTC benefits from these contracts to be received generally income-tax-free, even when funded by the annuity’s gain
  • Charges for the LTC coverage to reduce the contract’s cost basis rather than being treated as taxable withdrawals

Only qualifying products receive this treatment, so product selection matters. Confirm specifics with a tax advisor.

Easier underwriting

Hybrid LTC annuities usually have simpler underwriting than traditional LTC insurance, which makes coverage available to clients who might otherwise be declined. If care is never needed, the annuity value passes to beneficiaries. For life-based alternatives, see asset-based LTC client profiles.

Frequently asked questions

What is a hybrid long-term care annuity?

An annuity that provides a multiple of its value for qualified long-term care expenses, with any remaining value passing to beneficiaries.

Can I exchange an existing annuity for long-term care coverage?

Yes. The Pension Protection Act allows tax-free 1035 exchanges into qualifying annuities with LTC benefits.

Is it easier to qualify for an LTC annuity than LTC insurance?

Usually. Hybrid LTC annuities often have simplified underwriting, making them an option for older clients.

50+ Years in Business60+ Top-Rated Carriers★★★★★ Rated by Advisors

Reviewed by Tim Fuller on 2026-09-25

Tim Fuller, President of SRS Inc.

Tim Fuller

President, SRS Inc.

Tim leads SRS Inc., a full-service IMO (Independent Marketing Organization) and BGA (Brokerage General Agency), connecting independent financial professionals with life, annuity, disability income, and long-term care solutions from 60+ carrier partners.

Connect on LinkedIn →

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