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HR Home >> Benefits >> Long Term Care Insurance

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Long Term Care Insurance

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Need More Information?
Aetna Web Site For more information, please call an Aetna customer service representative at 1(800)287-9145 Monday through Friday - 8 a.m. to 6 p.m.

Aetna is no longer selling group Long Term Care (LTC) insurance and as a result, the Duke group long term care policy closed to new enrollments, effective August 31, 2008. Those members insured with Aetna had a one-time opportunity to transition their coverage to Prudential.

For those who chose to remain with Aetna, Aetna automatically assigned the Duke policy to a Trust. Assignment to a Trust means that the Policyholder designation is changed from Duke University & Health System to BankNewport, the Trustee holding the group Trust policy. The purpose of the Trust is to provide a group insurance vehicle to continue the coverage of insured members. Insured members can continue your current coverage under the Trust group policy until your benefits are exhausted or you stop making premium payments.

You continue to be insured with Aetna and your coverage is not affected as long as you continue to pay your premium. There is no change to your benefits or premium rates as a result of the assignment to a Trust. However, payroll deduction is no longer a payment option and insureds will be directly billed by Aetna. If you were already being billed directly at your home or you pay through electronic funds transfer from a bank account, your billing method will not change. Aetna will continue to service and pay long term care claims for eligible members.

Leaving Duke

You may continue the insurance by paying the premium for the coverage while you are on an unpaid leave of absence, sabbatical, or lay off status. You may also continue the insurance at retirement or termination by paying the premiums directly to Aetna.

When Coverage Ends

Coverage may be lost for failing to pay the premium. Additional circumstances which may result in your ineligibility for benefits or loss of coverage under the plan are outlined in the certificate of insurance issued by Aetna.

Cost of the Plan

Participants pay the entire premium. Employee participants, their spouses/same-sex spousal equivalents, and other insured family members are billed directly by Aetna.

For more information, please see the Long Term Care Insurance Plan Description (PDF).

 

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