Introduction to Non-forfeiture Benefits

In the realm of Long-Term Care (LTC) insurance, a policyholder may pay premiums for decades. If they eventually stop paying—either by choice or due to financial hardship—standard insurance principles suggest the policy would lapse, and the coverage would vanish. To prevent a total loss of the value built over time, non-forfeiture benefits were developed.

A non-forfeiture benefit ensures that if a policyholder terminates their policy after it has been in force for a specific number of years, they retain some level of coverage. While these benefits are often optional riders that require an additional premium, they are a critical component of consumer protection and a frequent topic on the practice Long Term Care questions.

For a deeper understanding of how these provisions fit into the broader landscape of policy design, refer to our complete Long Term Care exam guide.

Reduced Paid-Up (RPU) Option

The Reduced Paid-Up (RPU) option is a non-forfeiture provision where the policy remains in force for the original benefit period (for example, a five-year benefit period), but the daily benefit amount is reduced. Once this option is triggered, no further premium payments are required.

Under RPU, the insurer calculates a new, smaller daily benefit based on the actuarial value of the premiums already paid. Key characteristics include:

  • No Future Premiums: The policy is considered "paid up."
  • Permanent Coverage: The policyholder retains the right to claim benefits until the end of the original benefit period or until the reduced pool is exhausted.
  • Benefit Reduction: If the original policy provided $200 per day, the RPU version might only provide $80 per day, depending on how long the policy was active.

Shortened Benefit Period (SBP)

The Shortened Benefit Period (SBP) is the most common non-forfeiture benefit found in LTC insurance. Unlike RPU, which reduces the daily amount, SBP keeps the original daily benefit amount the same but limits the total pool of money available.

Under SBP, the total lifetime benefit available to the policyholder is typically equal to the sum of all premiums paid to date. For example, if a policyholder paid $20,000 in premiums over ten years before lapsing the policy, their Shortened Benefit Period would provide a total pool of $20,000 for care, paid out at the original daily rate (e.g., $150/day) until that $20,000 is gone.

This ensures the policyholder receives a dollar-for-dollar value for the premiums they contributed, even if they can no longer afford the policy.

Comparison: RPU vs. SBP

FeatureReduced Paid-Up (RPU)Shortened Benefit Period (SBP)
Daily Benefit AmountReduced from originalRemains the same as original
Total Benefit PoolBased on actuarial valueEqual to sum of premiums paid
Benefit DurationMatches original policy durationShortened until pool is exhausted
Future PremiumsNone requiredNone required

Contingent Non-forfeiture

Regulators require insurers to offer a Contingent Non-forfeiture benefit to policyholders who do not purchase a standard non-forfeiture rider. This protection is triggered if the insurance company implements a "substantial" premium increase.

If the premium increase exceeds a certain percentage (based on the policyholder's age at issue), the policyholder must be given the option to:

  • Reduce their benefits to keep the premium the same.
  • Convert the policy to a Shortened Benefit Period, effectively ending premium payments and keeping a benefit pool equal to the premiums already paid.

This prevents insurance companies from effectively forcing policyholders to forfeit their coverage by making it unaffordably expensive late in life.

ℹ️

Exam Tip: The 'Sum of Premiums' Rule

On the LTC exam, when you see a question about the standard non-forfeiture benefit for LTC policies that have lapsed, the answer is almost always the Shortened Benefit Period, and the value is almost always the sum of premiums paid.

Non-forfeiture Regulations

📜
Requires Offer
NAIC Model Act
💰
100% Premiums
SBP Standard
📈
Rate Hike
Contingent Trigger
💳
Additional
Rider Cost

Frequently Asked Questions

Insurers are required to offer the benefit at the time of purchase, but the consumer is generally not required to buy it. However, Contingent Non-forfeiture must be provided automatically if the consumer declines the optional rider.
Most non-forfeiture benefits require the policy to be in force for a minimum period (often three years) before any non-forfeiture value is earned. If a policy lapses within the first few months, the policyholder usually receives nothing.
Generally, if a policyholder converts to SBP, the inflation protection stops. The benefit pool is frozen at the amount of premiums paid, though some specific state variations may apply.
The NAIC provides a table of percentages based on the age of the insured at the time the policy was issued. For younger applicants, the percentage is higher; for older applicants, even a smaller percentage increase may trigger the contingent non-forfeiture option.