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Securing one of the best long-term care insurance coverage (LTC) is a basic a part of future healthcare planning. In accordance with authorities statistics, nearly all of folks over the age of 65 would require some type of ongoing care and help later in life, and the price of such providers can add up quick.
An LTC coverage might help cowl bills related along with your care as you grow old. This consists of help with on a regular basis actions or specialised care associated to Alzheimer’s illness, Parkinson’s and dementia.
In the event you’re contemplating any such insurance coverage coverage, our picks for one of the best long-term care insurance coverage might help you get began. Learn extra beneath.
Our Prime Picks for the Finest Lengthy-Time period Care Insurance coverage Firms
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Finest Lengthy-Time period Care Insurance coverage Critiques
Affords common and variable common life insurance coverage insurance policies with LTC rider
Inflation safety accessible on their CareMatters insurance policies
Casual caregivers permitted
No on-line chat accessible presently
No standalone long-term care insurance policies
LTC rider is not accessible in Montana or U.S. territories
Why we selected it: Nationwide ranks among the many finest insurers for buyer satisfaction for its low NAIC criticism index and excessive rank in buyer satisfaction surveys. As a well known nationwide insurer, Nationwide’s reputability provides an additional layer of assurance for patrons seeking to spend money on financially safe merchandise.
Nationwide is among the largest insurers in the USA, and was ranked among the many finest for buyer satisfaction in J.D. Energy’s 2022 U.S. Life Insurance coverage Research. Moreover, the Nationwide Affiliation of Insurance coverage Commissioners (NAIC), a regulatory group, reviews a low criticism index from Nationwide in comparison with different insurance coverage corporations available in the market.
Nationwide sells common life insurance coverage insurance policies with two long-term care choices:
LTC as an add-on (or rider) to a different coverage
Care Issues, a hybrid coverage that features each life insurance coverage and LTC advantages
Nationwide insurance policies have some fairly handy perks. For one, below its CareMatters program, you’re not required to submit receipts and payments month-to-month as a way to obtain your advantages. After the elimination interval, CareMatters additionally pays the primary three months’ LTC profit retroactively together with the primary profit fee. Lastly, policyholders can use their advantages to pay for care from casual caretakers, similar to members of the family.
HIGHLIGHTS
AM BEST RATING
A+ (Superior)
J.D. Energy Score
791/1000
Pool of Cash/Profit Interval
LTC rider: 25, 33.3, or 50 months. CareMatters: 2-7 years
Most Each day/Month-to-month Profit
Varies
Elimination Interval
90 calendar days
Three forms of reductions for policyholders
15% {couples} low cost
15% low cost for people in good well being
Coverage features a care coordinator
Select your most popular profit fee technique from month to month (money or reimbursement)
{Couples} low cost is barely accessible if married or if residing collectively for 3 years
Just one LTC plan accessible
Why we selected it: Mutual of Omaha made it to our prime picks for its low cost program. The corporate awards 15% off to companions who buy the identical coverage, 15% for being in good well being and 5% for married prospects (and whose companions aren’t below the identical coverage).
Mutual of Omaha presents stackable reductions, with premium reductions utilized to the full premium quantity and extra reductions utilized to the rest.
The corporate sells long-term care insurance coverage protection solely as a stand-alone product. Out there coverage choices embody the MutualCare® Customized Answer and the MutualCare® Safe Answer, which embody:
Month-to-month advantages from $1,500 to $10,000
Elimination intervals between 0 and 365 calendar days
Coverage restrict of $50,000 to $500,000
Waiver of premium profit
Elective inflation safety profit
Mutual of Omaha additionally earns a shout-out for buyer satisfaction. The corporate ranked third place within the J.D. Energy’s 2022 U.S. Life Insurance coverage Research and has a stable monetary energy score of A+ from AM Finest.
HIGHLIGHTS
AM Finest Score
A+ (Superior)
J.D. Energy Score
801/1000
Pool of Cash/Profit Interval
2–5 years. Pool of Cash: $50,000–$500,000
Most Each day/Month-to-month Profit
$1,500–10,000 per thirty days
Elimination Interval
0, 30, 60, 90, 180 or 365 calendar days
Store and evaluate a number of long-term care suppliers
Makes a speciality of essential care, life and long-term care hybrid insurance policies, life insurance coverage and annuities
Companions with a number of LTC suppliers
No on-line quotes or matching instrument
The corporate is an insurance coverage dealer, not a supplier
Why we selected it: GoldenCare companions with insurance coverage suppliers to assist match prospects with insurers inside its community. You will get a number of quotes in a single place, and a Golden Care agent is on the market to information you thru the method.
As a web-based insurance coverage dealer, GoldenCare companions with among the most outstanding corporations available in the market to assist prospects discover one of the best choices for his or her long-term care wants.
GoldenCare at present companions with 18 insurance coverage suppliers (a few of that are a part of our prime picks) together with Mutual of Omaha, Transamerica, Aetna, Thrivent, Securian Monetary, OneAmerica and Nationwide Guardian Life Insurance coverage Firm.
The corporate matches purchasers with a long-term care specialist that may work with them on their care plan and suggest them towards the insurer that finest aligns with their state of affairs. Along with long-term care insurance coverage, prospects can evaluate different insurance policy similar to essential care insurance policies and Medicare insurance coverage merchandise. For extra info, please check with our detailed assessment.
HIGHLIGHTS
AM Finest Score
N/A
J.D. Energy Rating
N/A
Pool of Cash/Profit Interval
Varies by firm
Most Each day/Month-to-month Profit
Varies by firm
Elimination Interval
Varies by firm
Insurance policies can cowl 100% of care prices
Premiums are assured to not enhance on hybrid (life/LTC) insurance policies
Affords a money-back assure for hybrid insurance policies if the insured does not use the coverage
Profit interval choices and lined advantages might fluctuate by state
No on-line quotes accessible presently
Why we selected it: Policyholders enrolled with New York Life don’t have to fret concerning the firm’s means to pay. New York Life has sturdy monetary rankings not simply from AM Finest, which charges it A++, however from different monetary rankings corporations like Fitch (AAA), Moody’s (Aaaa) and Commonplace & Poor’s (AA+).
New York Life is our choose for one of the best long-term care insurer for monetary stability. It has superior monetary rankings — the third-highest of any insurance coverage firm on our checklist, no matter sort — and is among the nation’s oldest mutual insurance coverage suppliers. The corporate additionally ranks above trade common in J.D Energy’s 2022 U.S. Particular person Life Insurance coverage Research.
New York Life presents two forms of long-term care insurance coverage choices: conventional stand-alone insurance policies and mixture long-term care and life insurance coverage insurance policies. Most day by day advantages vary from $50 to $400 per day and ready intervals between 90 and 180 days. You may select a profit interval of two, three, 5, or seven years.
HIGHLIGHTS
AM Finest Score
A++ (Superior)
J.D. Energy Rating
775/1000
Pool of Cash/Profit Interval
2, 3, 4, 5, 6, or 7 years
Most Each day/Month-to-month Profit
$50–685 per day
Elimination Interval
0 and 180 days for in-home care and between 90 and 180 for facility
Premium Fee choice waives premium when you meet the necessity for care, even in the event you’re not but receiving advantages
Lengthy-term care insurance policies are “taking part” insurance policies, eligible for dividends
As much as 20% of the utmost month-to-month restrict can be utilized for caregiver schooling and coaching
No on-line quotes accessible presently
Solely two profit intervals: three or six years of safety
Solely covers care providers from suppliers permitted by the plan
Why we selected it: Three out of 4 score companies award Northwestern Mutual prime marks for monetary stability whereas the fourth one charges it only a step beneath its highest grade. Such stability alerts to policyholders that their cash is secure and that Northwestern Mutual will be capable of make future payouts.
Northwestern Mutual makes our checklist due to its superior monetary energy and above-average customer support rankings. The insurer additionally has a remarkably low criticism index for long-term care insurance policies, based on the NAIC’s Nationwide Grievance Index Report and ranks fourth in J.D Energy’s 2022 U.S. Particular person Life Insurance coverage Research.
Northwestern’s QuietCare conventional long-term care coverage lets you choose a most month-to-month profit from $1,500 to $12,000 in $100 increments. It additionally enables you to select 4 elimination interval options: six, 12, 25 or 52 weeks. (An elimination interval is the size of time between whenever you first want care and when the coverage will begin paying advantages.)
One main disadvantage of this coverage is that it’ll solely cowl providers provided by suppliers permitted by the plan, and never all permitted care suppliers are licensed in each state.
HIGHLIGHTS
AM Finest Score
A++ (Superior)
J.D. Energy Rating
794/1000
Pool of Cash/Profit Interval
3 or 6 years
Most Each day/Month-to-month Profit
$1,500 – $12,000 per thirty days in $100 increments
Elimination Interval
6, 12, 25 or 52 weeks
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Different long-term care insurance coverage corporations we thought of
The next corporations didn’t make our checklist of prime insurers, however they provide LTC protection and options, like assured lifetime advantages, some customers would possibly discover enticing.
Assured loss of life profit and terminal sickness profit
Skill to hyperlink the coverage to an index and develop LTC advantages
Money indemnity plan pays out base profit whatever the precise expense quantity
No stand-alone LTC insurance policies can be found
Brighthouse Monetary is an insurance coverage firm that focuses on annuities and life insurance coverage insurance policies. Sadly, its below-average buyer satisfaction rating, comparatively low AM Finest score and excessive NAIC criticism ratio disqualified it from our principal checklist.
Sells hybrid life insurance coverage and annuity plans with LTC advantages
Insurance policies underwritten by State Life Insurance coverage Firm
Get LTC advantages for a restricted interval or go for assured lifetime advantages
No stand-alone LTC insurance policies can be found
OneAmerica is a monetary providers and mutual insurance coverage firm that focuses on life insurance coverage and annuity merchandise. It presents hybrid life insurance coverage insurance policies and annuity plans, each of which embody LTC advantages. Its comparatively excessive NAIC criticism ratio and low monetary energy score saved it out of our principal checklist.
Revenue tax-free reimbursements can be found for permitted long-term care prices
Advantages can be found internationally
Two inflation safety choices: easy (3%) or compound (3% or 5%)
Product options and advantages might fluctuate by state
Though Lincoln Monetary has enticing product choices and an excellent monetary stability score, its extraordinarily excessive NAIC criticism ratio (16.31) disqualified it from our principal checklist.
Affords a rider to change from day by day advantages to month-to-month advantages
Insurance policies are extremely customizable and eligible for reductions
Pool of cash varies by state
Transamerica permits policyholders to customise their long-term care insurance coverage protection based mostly on the value vary they will afford. Nonetheless, its low J.D. Energy rating and excessive NAIC criticism ratio saved it out of our principal checklist.
Affords essential sickness insurance coverage, annuities and life insurance coverage with LTC riders
Plan info on the location is missing
California Lengthy Time period Care Insurance coverage Providers, also called CLTC Insurance coverage Providers, is an impartial insurance coverage brokerage that focuses on promoting long-term care insurance coverage and associated merchandise within the state of California. Since CLTC’s providers are restricted to 1 state, it didn’t make our principal checklist.
Lengthy-Time period Care Insurance coverage Information
In accordance with the Administration of Neighborhood Dwelling, a department of the U.S Division of Well being and Human Providers, most individuals over 65 would require long-term care someday of their lives, with ladies needing care longer than males and having to pay extra as a consequence.
Regardless of this, long-term care insurance coverage isn’t as broadly often known as different forms of insurance coverage.
Preserve studying to know how long-term care insurance coverage works, how a lot it prices and what providers are eligible for protection.
What’s long-term care insurance coverage?
Lengthy-term care insurance coverage offers protection for dwelling well being care or facility care when you have a persistent well being situation, cognitive impairment and/or can not carry out at the very least two of the six primary actions of day by day residing: private hygiene, dressing, grooming, utilizing the lavatory, strolling or consuming.
Many individuals erroneously imagine that Medicare will cowl these bills when the time comes. Nonetheless, Medicare won’t cowl most prices related to long-term care, and plenty of sufferers find yourself paying for these prices out of pocket.
How does long-term care insurance coverage work?
Lengthy-term care protection pays for prices that common medical insurance doesn’t, similar to:
personalised care in your house by a member of the family or a healthcare skilled
a nursing facility
an assisted residing facility
an grownup day care middle
It really works very similar to different forms of insurance coverage insurance policies — you’ll pay a month-to-month premium and the coverage can pay to your bills when you file a declare.
The coverage will solely go into impact after the elimination interval (the time between whenever you first want care and the purpose when the coverage begins paying advantages). This elimination interval is also called the deductible or ready interval and it may be between 30 and 90 days, relying in your coverage.
The profit interval — the variety of years the insurance coverage firm will payout — begins as soon as the elimination interval ends and ranges from 5 to seven years, relying on the supplier. Previously, the profit interval is also limitless (lifetime long-term care protection) however insurers hardly ever supply it now.
There are particular occasions that may activate your advantages. These usually embody having a cognitive impairment or not with the ability to carry out two to 6 actions of day by day residing.
How do long-term care insurance coverage state partnership plans work?
Most states’ Medicaid applications have partnership applications with long-term care insurance coverage suppliers. These applications intention to advertise the acquisition of all these insurance policies.
As a needs-based program, Medicaid has strict monetary pointers — in different phrases, as a way to qualify, the revenue and belongings of potential recipients should not exceed a certain quantity.
Members in these state partnership applications, nevertheless, can maintain belongings past these limits set by Medicaid. These partnerships may defend individuals’ belongings from Medicaid’s property restoration program.
State partnerships use the “greenback for greenback” mannequin — for each greenback that the participant’s coverage pays out, yet another greenback in private belongings is exempt when calculating eligibility. So, in the event you or the one you love’s coverage pays $100,000 for long-term care bills, Medicaid would disregard an extra $100,000 in private belongings when calculating eligibility.
What does long-term insurance coverage cowl?
Lengthy-term care advantages cowl the next providers:
Custodial care – Refers to help with day by day residing actions similar to bathing, dressing and consuming. The caregiver doesn’t have to be licensed
Expert nursing – Outlined as care that’s offered by a licensed medical skilled
Such medical and non-medical providers could also be offered in quite a lot of settings similar to:
Assisted residing services
Lastly, the coverage may cowl the next extra specialised providers:
Alzheimer’s and dementia care
Member of the family coaching, tools and residential modifications
Kinds of long-term care insurance coverage
There are two principal sorts of LTC insurance coverage insurance policies: stand-alone and hybrid. Understanding which kind of LTC coverage is best for you and your family members might help you make the fitting choices and offer you peace of thoughts.
Stand-alone long-term care insurance coverage insurance policies
A conventional long-term care insurance coverage coverage can reimburse you for among the prices of the care you obtain at dwelling, at a nursing dwelling or in a residential care facility.
The sort of coverage often presents some flexibility in the case of the form of care you obtain, when and the place you obtain it and for the way lengthy.
Stand-alone long-term care insurance coverage insurance policies present a month-to-month profit quantity that’s paid out throughout a profit interval. Profit intervals usually vary from two to 5 years, and advantages are disbursed after an elimination interval, which usually ranges between 30 days to 90 days.
It’s possible you’ll add riders to your LTC coverage that enhance or modify protection, similar to one which provides inflation safety to stop your profit from shedding worth as the price of residing will increase.
Hybrid long-term care insurance coverage insurance policies
Hybrid long-term care insurance policies usually mix two forms of protection: a life insurance coverage coverage or qualifying annuity and a long-term care rider.
Some great benefits of a hybrid life/long-term care insurance coverage coverage embody:
The coverage can pay out a loss of life profit to your beneficiaries if the policyholder does not use the long-term care insurance coverage advantages.
Premium funds are assured to not enhance over the lifetime of the coverage.
Premiums could be far greater than these for stand-alone long-term care insurance coverage.
Shopping for life insurance coverage late in life is far more costly than shopping for when youthful
Finally, the selection to buy a stand-alone coverage or a hybrid one will rely in your private and monetary targets. An insurance coverage agent can information you in direction of the best choice for you.
In the event you’re available in the market for a life insurance coverage coverage, click on right here to see our rating of the finest life insurance coverage corporations.
Nonetheless, it’s vital to check this to the prices of long-term care itself, as these are rising exponentially.
Between 2020 and 2021, the typical value of assisted residing services elevated by 4.65%, homemaker providers by 10.64% and residential well being aide providers by 12.50%.
Lengthy-term care prices can fluctuate relying on the providers offered and the place they’re rendered, whether or not in-home, at an assisted residing facility or at a nursing dwelling facility.
In accordance with Genworth’s 2021 Value of Care Survey, the day by day median value for homemaker providers is $163, whereas a house well being aide prices $169. Assisted residing prices are decrease, with a day by day common of $78 for grownup day care and $148 for assisted residing services.
The common annual value of varied care choices are as follows:
Homemaker providers: $59,488
Residence well being aide: $61,766
Grownup day well being care: $20,280
Assisted residing facility: $54,000
Semi-private room in nursing dwelling: $94,000
Personal room in a nursing dwelling: $108,405
Lengthy-term care insurance coverage value components
The next are among the many components that decide your LTC insurance coverage premiums:
Age and well being
Planning forward pays off — the youthful you’re, the cheaper your premium will probably be. In accordance with a examine by the AALTCI, a lot of the candidates who have been denied protection have been within the 60 to 79 age bracket. It’s possible you’ll have to bear a medical examination to obtain protection.
Gender
In accordance with information from the Administration on Growing older, on common, ladies outlive males by about 5 years. For the reason that odds of a lady making a declare are greater than these of a person, premiums for ladies are typically costlier.
Marital standing
The price of long-term care insurance coverage tends to be decrease for married {couples} than for single folks.
Insurance coverage firm
Costs fluctuate relying on how the insurer costs threat and the advantages the coverage presents. It is vital to check at the very least three quotes from totally different carriers to make sure you’re getting one of the best worth.
Chosen protection
The price of long-term care insurance coverage additionally is determined by the coverage’s time period size, the quantity of protection you choose and whether or not or not you buy extra coverage riders similar to inflation safety or return of premium loss of life profit.
What can disqualify you from long-term care insurance coverage?
Insurance coverage corporations worth threat in a different way, which implies some could also be extra lenient than others in the case of sure threat components. Typically, long-term care insurers can pay particular consideration to your medical historical past and any household historical past of debilitating sickness.
Being unwell or needing assist with day by day residing actions may make it more durable to get permitted for protection or to qualify for decrease premiums.
Options to long-term care insurance coverage
If non-public insurance coverage isn’t the fitting answer to your long-term care insurance coverage wants, there are just a few options accessible.
Medicare and Medicaid
As a joint federal and state public insurance coverage program for low-income People, Medicaid is the biggest public payer for long-term care providers, however not all nursing properties settle for it.
Eligibility for Medicaid is strictly needs-based. Nonetheless, in the event you haven’t certified for this system up to now, chances are you’ll qualify now (or sooner or later) in the event you spend a good portion of your belongings paying for care. For extra info on the protection in your state, contact your state’s Medicaid workplace.
Medicare, however, doesn’t cowl most long-term care bills, providing protection for short-term expert nursing care solely — relevant in case of sickness or damage and in the event you meet sure situations, primarily in the event you want expert providers or rehabilitative care.
Veterans Well being Administration
The Veterans Well being Administration and different state-run help applications supply assist to cowl long-term care bills to qualifying veterans.
The profit is tax-free and can be utilized for in-home care, assisted residing or in paying for a non-public nursing dwelling facility.
To qualify, the veteran should meet obtain a VA pension, meet sure monetary standards and meet at the very least one of many following necessities:
Wants assist in performing day by day residing actions
Has to remain in mattress (or spend a lot of the day in mattress) as a consequence of an sickness
Is a affected person in a nursing dwelling as a consequence of a incapacity
Has restricted eyesight even with glasses or contact lenses
Financial savings
Individuals who have loads of cash saved for retirement can seemingly bear the prices of long-term care with out assist.
That is very true in the event you personal the home you reside in, are keen to promote it to cowl any long-term care prices (and have somebody who might help facilitate the sale and enable you transfer into an assisted residing facility.)
The most effective instruments to construct a retirement nest are long-term funding plans similar to a 401(ok) or an IRA, however a financial savings account might turn out to be useful in the event you want an extra security web to withdraw from at will. Take a look at our evaluations for finest financial savings accounts and finest high-yield financial savings accounts to see which supply one of the best advantages.
Moreover, when you have a well being financial savings account (HSA), you could possibly declare a big portion of medical bills related to long-term care, thus permitting you to faucet into the pre-tax advantages related to HSA accounts. In actual fact, those that are 55 and older are allowed an extra $1,000 for “catch-up” contributions above the 2023 particular person contribution restrict of $3,850.
Clearly, self-funding is not an choice for many who lack such sources, or preferring to not threat depleting financial savings to pay for long-term care, maybe as a result of it is a precedence for them to go alongside their wealth to heirs.
Newest Information About Lengthy-Time period Care Insurance coverage
Working People are saving much less for retirement within the present financial local weather, based on a latest Constancy report. That stated, the financial savings charge varies between generations — millennials and boomers decreased their financial savings charge whereas members of Gen X elevated it by 1.4%.
The Social Safety fund will probably be bancrupt by 2034 until Congress takes motion. The trigger? Hovering inflation, a shrinking workforce and a rising variety of retirees. To keep away from insolvency, Congress has three choices: enhance payroll taxes throughout the board, cut back retirees’ advantages or raise the Social Safety “tax cap” so that individuals in greater revenue brackets contribute extra.
A latest examine has revealed that people typically underestimate their annual Social Safety revenue by almost $2,000, which may have a major consequence for retirement planning. In brief, the examine means that retirees might obtain extra Social Safety advantages than they initially anticipate.
In the event you undergo from a long-term sickness or damage that stops you from working, long-term incapacity insurance coverage can present monetary help. To study extra concerning the finest long-term incapacity insurance coverage corporations accessible, try our roundup of the highest 5 choices.
Lengthy-Time period Care Insurance coverage FAQ
Is long-term care insurance coverage price it?
Many individuals do not like to consider the prospect of needing care later in life, however the chance of needing care is excessive. Analysis reveals that 70% of individuals aged 65 and older will want some type of long-term care, with ladies needing 1.5 extra years of care than males.
In accordance with monetary knowledgeable Greg Klingler, “Buying insurance coverage is about managing your threat. In the event you ask somebody who has been confined to a long-term care facility whether it is price it, the reply will probably be a powerful sure. However in the event you ask somebody who by no means had the necessity, the reply will probably be no.”
What occurs to unused long-term care insurance coverage?
A typical long-term care insurance coverage coverage is usually referred to as a “use it or lose it” coverage. The advantages will go unused in the event you die earlier than making a declare and you will not get any a refund in the event you cancel the coverage, both.
One strategy to recoup the worth of long-term care protection is to get a coverage with shared spousal advantages. This fashion, the protection advantages are transferred to the surviving partner. One other various is to get a return of premium profit. Your heirs would obtain all of the premium funds you remodeled the lifetime of the coverage, minus any advantages you would possibly’ve claimed whereas nonetheless residing.
The third choice is a hybrid coverage that provides two belongings distinctive to life insurance coverage: a loss of life profit and money worth. Your beneficiaries can declare the loss of life profit in the event you die prematurely. And in the event you’re strapped for money, you may borrow towards the coverage’s money worth to cowl bills unrelated to long-term care.
When ought to I purchase long-term care insurance coverage?
Most individuals will want some type of long-term care, however not everyone seems to be a main candidate for an LTC coverage. Shopping for long-term care insurance coverage is really useful for wholesome folks between the ages of 55 and 65.
You may discover that premiums are decrease for youthful folks; nevertheless, get the insurance coverage too quickly, and you will be paying premiums a very long time earlier than you acquire the advantages. That being stated, you should not wait too lengthy to make a long-term care plan – virtually half of the functions for insurance coverage have been declined for these aged 70 or older.
What’s long-term acute care?
Lengthy-term acute care (LTAC) services present specialised, intensive take care of sufferers with severe well being situations. Most sufferers in these services have been transferred from Intensive Care Models (ICUs) and nonetheless want 24-hour care, typically with specialised tools.
How a lot does Medicare pay for long-term nursing dwelling care?
Authentic Medicare doesn’t cowl long-term nursing dwelling care; nevertheless, it may cowl short-term expert care at a nursing dwelling or in your personal dwelling, offered you meet sure standards. In the event you or the one you love is enrolled in a Medicare Benefit Plan (Half C) or different Medicare well being plan, you need to ask the plan instantly whether or not they’ll cowl nursing dwelling prices.
How We Selected The Finest Lengthy-term Care Insurance coverage Firms
To pick one of the best long-term care insurance coverage corporations of 2023, we appeared into the corporate’s monetary energy as evidenced by AM Finest’s rankings.