What Are the Alternatives? Analyzing the Administration of APOC Claims

This session explored the issues that carriers face when it comes to administering claims under Alternative Plan of Care (APOC) provisions in Long Term Care policies. Using real world examples, the session examined industry best practices in long term care and described the current legal and regulatory environment surrounding APOC administration in order to accurately assess the risks faced by long term care insurers from APOC claims. The litigation history surrounding APOC benefits was also discussed, as well as how this area of the law continues to evolve.