Long-Term Care (LTC) Insurance

New Enrollment Ending February 1, 2026

Effective Feb. 1, 2026, Unum will stop accepting new LTC enrollments. Members with existing LTC coverage may continue coverage and may modify their plans.

• This is a nationwide decision from Unum. It applies to all customers, including PEBB members.
• There are other LTC coverage options available through major insurers. You can explore individual policy options.
• Review resources related to LTC coverage, including other companies that may offer LTC coverage in Oregon, from the Department of Financial Regulations.
  

What is LTC?

Long-term care (LTC) insurance helps pay for the care you may need if you can’t independently perform at least two basic activities of daily living (ADLs). ADLs are:

• Dressing
• Bathing
• Toileting
• Transferring
• Eating
• Continence

The plan can help pay for living assistance and facilities. Covered facilities include nursing homes, assisted living, hospice, rehabilitation, and Alzheimer’s and residential care.

How LTC works

For members with LTC coverage prior to February 1, 2026, you’re eligible for a monthly benefit after you meet these conditions:

1. You become disabled;
2. You have met your elimination period; and
3. Your provider certifies that you’re unable to perform two or more ADLs for a period of at least 90 days.
4. Your provider will have to certify your eligibility every 12 months.

The amount of your monthly benefit will be based on your plan, and the place of residence used for long term care.

Cost of coverage

Premiums for Unum Plans 3 and 4 will increase starting June 1, 2026. Costs will be more than twice current rates.

• Plans 3 and 4 include a simple inflation feature.
• Plans with simple inflation plans increase your policy's benefits by a fixed dollar amount each year. This increased benefit helps coverage keep up with rising healthcare costs.
• If you’re currently enrolled in plans 3 or 4, you may choose to cancel your coverage. However, wait until June 1, 2026, to avoid losing the Contingent Non-Forfeiture (CNF) benefit opportunity.

Review PEBB’s LTC Unum webinar andslides for complete details and rate information.