Mutual of Omaha MutualCare Secure Solution: Traditional LTC Review (2026)
Written & reviewed by Hans Goldstein, EA, Independent Licensed Insurance Producer · CA license 4273294 · NPN 20602398Admitted to practice before the IRS
Independently reviewed & last updated 2026-06-08
Last updated: June 8, 2026
Mutual of Omaha MutualCare Secure Solution is one of the few remaining traditional standalone long-term care insurance products with a household-brand A+ carrier. Unlike hybrid life+LTC products (Lincoln MoneyGuard, OneAmerica Asset Care, Nationwide CareMatters), this is use-it-or-lose-it traditional LTC: lower premium, but no death benefit if you never need care.
Also see: EquiTrust Bridge Review
What would long-term care actually cost you out of pocket?
Send your email and I'll send a plain-English read on what the common policies cover, what they don't, and the asset-based options that still pay your heirs if you never claim.
We’ll email it to you. Hans reads every one himself and replies within one business day. Hans Goldstein · NPN 20602398.
Rather talk it through? Or book 15 minutes on Hans’s calendar.
Traditional LTC vs. Hybrid LTC, the structural difference
| Feature | Traditional LTC (Mutual of Omaha) | Hybrid Life+LTC (Lincoln, OneAmerica, etc.) |
|---|---|---|
| Premium model | Annual premium (forever) | Single premium or 10-pay |
| Use-it-or-lose-it? | YES: no death benefit if no care needed | NO: death benefit if LTC unused |
| Premium increases | YES: carriers can raise premium | NO: premium locked at issue |
| Premium cost | Lower at start | Higher at start |
| Death benefit | None | Yes (residual after LTC) |
| Best for | Buyers OK with annual premium + use-it-or-lose-it | Buyers wanting "no waste" structure |
Goldstein Complexity Index
Every annuity I review gets a complexity score from 0 to 100. Higher means harder to understand. Complexity is where buyers get hurt: riders they didn't know they were paying for, surrender charges that surprise them, and income "benefit bases" they took for cash. SPIAs and MYGAs score low. Products that stack a bonus, an income rider, an MVA and several crediting options score high.
This product's score: 11/100, Grade A+ (Transparent)
Easy to understand. Few moving parts. The buyer can fully explain the product to a friend after one read of the contract.
Score breakdown
| Dimension | Score (1-10) | What this measures |
|---|---|---|
| Riders | 4/10 | How many riders, optional or built in (income, death benefit, LTC). Each one adds cost and one more thing to understand. |
| Crediting strategies | 1/10 | How many index options (cap, spread, participation rate, step rate, volatility-controlled indices). More choices are harder to follow. |
| Surrender complexity | 3/10 | Length of the surrender period, plus any MVA and bonus recapture. The longer and more layered it is, the harder it is to know what leaving early costs. |
| Benefit-base separation | 1/10 | Whether there is a separate income base ("PIV") that is not cash but looks like it. This causes more buyer confusion than anything else. |
| Bonus structure | 1/10 | A premium bonus with a recapture schedule. The bonus is real, but you can lose part of it if you leave early. |
How to read this
- A+/A (0-40): Easy to understand. A pure accumulation FIA, a MYGA or a SPIA. Little room for mis-selling.
- B (41-60): Read the contract carefully and get a second opinion before signing. Income riders cause most of the confusion.
- C (61-80): Many owners don't fully understand what they bought. Common mis-sells: a bonus presented as cash, a benefit base presented as account value, surrender charges glossed over.
- D (81-100): Get an independent second opinion before signing. The product may still fit you, but the odds you later say "I didn't know it worked that way" are high.
Why it matters: nobody gets sued for selling a complicated product, but buyers regret them all the time. An annuity that wins your money in year one and confuses you for the next 14 is worse than a simpler one you understood from the start. Simple products are easier to check.
Quick verdict
Goldstein Complexity Index: 35/100, A (Mostly Clear). Traditional LTC is structurally simpler than hybrid (no life base, no §1035 swap considerations). But the use-it-or-lose-it model + premium-increase history makes it less popular than hybrid alternatives.
Mutual of Omaha MutualCare is one of the few remaining traditional LTC carriers still selling in 2026. The traditional LTC market has shrunk dramatically (carriers like Genworth, John Hancock have exited or limited new sales). MOO continues actively selling.
Goldstein Scorecard
| Dimension | Grade | One-line take |
|---|---|---|
| Carrier financial strength | A+ | A+ AM Best; iconic Mutual of Omaha mutual brand. |
| Premium cost | A | Lower at start than hybrid LTC. |
| Premium stability | C | Traditional LTC has history of premium increases. |
| No death benefit | D | Use-it-or-lose-it; no inheritance if no care needed. |
| LTC benefit duration | A | 2-10 year benefit periods available. |
| Inflation protection | A | 3% or 5% compound inflation options. |
| Joint life option | B+ | Shared-care rider available for couples. |
| Goldstein Complexity Index | A (35/100) | Simpler than hybrid LTC. |
| OVERALL | B+ | Strong traditional LTC option; structural use-it-or-lose-it tradeoff. |
Best for: 50-70 buyer who wants lowest LTC premium at start, OK with annual premium + use-it-or-lose-it, doesn't need life insurance death benefit, willing to accept possible premium increases.
Look elsewhere if: want no waste / life insurance combo → hybrid life+LTC (Lincoln MoneyGuard III, OneAmerica Asset Care), want lifetime LTC → OneAmerica Asset Care, want single-premium lock-in → any hybrid LTC.
Strengths
- A+ Mutual of Omaha: household brand
- Lower premium than hybrid LTC at start
- Multiple LTC duration options (2-10 years)
- 3% or 5% compound inflation available
- Shared-care rider for couples
- Still actively selling while many traditional LTC carriers have exited
Weaknesses
- USE-IT-OR-LOSE-IT: if you die without needing care, premium is gone forever
- PREMIUM INCREASES: traditional LTC carriers have raised premiums 20-100%+ on in-force books over the past 15 years
- Annual premium burden: versus single-premium hybrid LTC
- No life insurance death benefit
- Traditional LTC market shrinking: carrier exits make in-force books vulnerable
Real complaints + truth
"My premium increased 40% in year 8: felt deceived"
Truth: Premium increases are a documented history of the traditional LTC industry. Mutual of Omaha has been among the more disciplined carriers (smaller increases than Genworth, John Hancock), but ALL traditional LTC carriers reserve the right to raise premium subject to state insurance commissioner approval. Verdict: real risk; built into the structure.
"I paid for 15 years, never needed care, got nothing back"
Truth: Use-it-or-lose-it is the structural feature of traditional LTC. If you never need care, your premium dollars are gone. Hybrid LTC was created specifically to solve this problem. Verdict: structural feature; hybrid alternatives exist.
"Premium was lower than hybrid initially but added up over decades"
Truth: Traditional LTC at $3,500/year × 20 years = $70K total premium. Hybrid LTC single-premium $100K is locked at issue. The math depends on (a) how long you pay traditional premium before claiming, (b) how much traditional premium increases over time, (c) whether you ever claim. Verdict: case-by-case math; comparison shopping essential.
What the brochure doesn't tell you
- Premium can increase with state approval, and historically has at most traditional carriers
- Use-it-or-lose-it is the trade-off for lower premium
- Traditional LTC carrier exits in past 15 years (Genworth, John Hancock, MetLife) leave fewer alternatives
- State guaranty fund coverage for traditional LTC is typically limited
Quick FAQ
Q: Is this policy right for me?
A: It fits if you can pass medical underwriting and want insurance, not savings, to pay for long-term care. Compare the monthly benefit, the benefit period and the inflation option against what care costs where you live before you buy.
Q: How does this policy pay out?
A: Benefits are paid when you qualify for care, generally when you need help with 2 of 6 activities of daily living or have a severe cognitive impairment, up to the policy’s monthly limit. Hybrid policies also pay a death benefit if care is never needed; traditional LTC policies do not.
Q: What happens if the carrier goes out of business?
A: State guaranty funds protect annuity owners, typically up to $250,000 to $300,000 per owner per carrier (varies by state). Check your state's guaranty association limit. The carrier's AM Best rating signals failure probability; A-rated carriers have very low historical default rates.
Q: Can I lose money on this policy?
A: Long-term care premiums buy coverage, not investment growth. Hybrid policies return value through a death benefit or return-of-premium terms if care is never needed; traditional LTC does not. Surrendering a hybrid policy early can return less than you paid.
Q: How much commission does the agent make?
A: Typically 4% to 8% of premium for fixed indexed annuities, paid by the carrier (not from your money). Higher commission products often have longer surrender periods or smaller caps. The product cost to you is the same whether commission is high or low, but commission size is a useful proxy for product complexity.
Q: Should I roll over my 401(k) into an annuity?
A: Sometimes yes, often no. Yes if: you want guaranteed income, you're risk-averse, you have other liquid assets for emergencies, and you're 55+. No if: you're under 50, you need liquidity, you have plenty of pension/SS income, or you'd be putting all your retirement assets into one product. Get an independent second opinion before rolling over six figures.
Q: Why are caps so different across products?
A: Trade-offs. Higher cap = lower bonus, longer surrender, lower-rated carrier, or different index strategy. There's no free lunch. A 10%+ cap typically means B-rated carrier + 14-year surrender. A 6% cap typically means A+ carrier + shorter surrender.
Q: How are annuity earnings taxed?
A: Inside the contract, growth is tax-deferred (no tax until you withdraw). Withdrawals are taxed as ordinary income (not capital gains). For non-qualified annuities, only the gain portion is taxable. For qualified (IRA) annuities, the entire withdrawal is taxable. There's a 10% IRS penalty on withdrawals before age 59½.
How hybrid LTC works, in plain terms
A hybrid life + LTC insurance policy combines a life insurance base with a long-term care (LTC) rider. If you need long-term care, the policy pays you tax-free LTC benefits. If you DON'T need care, the death benefit passes to your heirs. No "use-it-or-lose-it" like traditional LTC.
The math:
• Pay a single premium of $100,000 at age 65
• LTC benefit pool: ~$250,000-$300,000 (with inflation rider)
• Tax-free LTC benefits if you qualify (2 of 6 ADLs deficient for 90+ days OR cognitive impairment)
• If you never need care: full death benefit to heirs (~$150K-$200K)
The §1035 advantage:
Old whole life or universal life with $50K+ cash value? A §1035 exchange moves it tax-free into hybrid LTC and turns stagnant cash into 2-3× LTC benefit leverage.
The fees are baked into the premium. There is no separate annual fee.
Quick Hybrid LTC FAQ
Q: Why is hybrid LTC better than traditional LTC?
A: Traditional LTC is use-it-or-lose-it (no death benefit if no care needed) PLUS premiums can increase. Hybrid LTC has a death benefit if unused AND premium is locked at issue.
Q: How are LTC benefits taxed?
A: TAX-FREE under IRC §7702B + PPA 2006 §844 when triggered for qualifying LTC needs.
Q: What triggers LTC benefit payment?
A: HIPAA chronic illness certification: 2 of 6 ADLs (Activities of Daily Living) deficient for 90+ days, OR substantial cognitive impairment requiring supervision.
Q: What's the difference between indemnity and reimbursement?
A: Indemnity (Nationwide CareMatters II, OneAmerica) = monthly cash, no receipts needed. Reimbursement (Lincoln MoneyGuard, Securian SecureCare) = submit care bills, get reimbursed. Indemnity has flexibility advantage.
Q: Can I use family members as caregivers?
A: Indemnity hybrid LTC: yes, you can pay family caregivers. Reimbursement model: typically no. You must use licensed providers.
Q: How long do benefits last?
A: Most hybrid LTC: 2-7 year benefit periods (typically 6 years). OneAmerica Asset Care is the ONLY hybrid with lifetime/unlimited duration.
Q: What's the §1035 exchange play?
A: Transfer cash value from existing life insurance or non-qualified annuity tax-free into hybrid LTC. Common 2-3× leverage on LTC benefit pool vs. the cash transferred.
Q: What if I die without needing care?
A: Death benefit (typically equal to or slightly higher than premium paid) passes to heirs. Not a wasted premium.
Who Mutual of Omaha LTC fits
- 50-70 buyer wanting lowest LTC premium at start
- No life insurance need: pure LTC coverage
- Comfortable with annual premium commitment
- Accepts premium-increase risk
- Wants household-brand carrier
Look elsewhere
- Hybrid life+LTC (no waste) → Lincoln MoneyGuard III or Securian SecureCare III
- Lifetime LTC → OneAmerica Asset Care
- Cash indemnity hybrid → Nationwide CareMatters II
- Top-tier mutual hybrid → Pacific Life PremierCare
- Self-insure: if you have $3M+ liquid earmarked for healthcare, may not need any LTC policy
Sources
- Mutual of Omaha MutualCare Secure Solution product materials (2026)
- AM Best Mutual of Omaha Insurance Company rating report
- AAA: American Association for Long-Term Care Insurance industry data on traditional LTC premium history
Get a second opinion before you sign
Talk to Hans Goldstein, a licensed independent insurance producer.
Hybrid LTC is a permanent decision committing six figures. Before you sign, is the benefit duration right for your risk tolerance? Is there a §1035 exchange play from an old policy? Get a second opinion before you commit a six-figure premium.
Send your details. Within one business day you get a written review of your quote, a side-by-side with two alternatives, and a free 15-minute call if you want one.
Rather talk it through? Or book 15 minutes on Hans’s calendar, or call 213-414-2808.
Hans Goldstein · 213-414-2808 · NPN 20602398, independent licensed insurance producer appointed with multiple A-rated carriers
We’ll email it to you. Hans replies within one business day. Privacy Policy.
Disclosure
This review is based on the carrier's public product materials and rates as of the date shown above. Annuity rates, caps, participation rates, payout factors, crediting methods, and long-term care benefit structures change often, sometimes monthly. Confirm current figures in the latest carrier disclosure and the contract before you buy. This is general education, not a personal recommendation or an offer of any product. Hans Goldstein is an independent licensed insurance producer (CA license 4273294, NPN 20602398) appointed with several A-rated carriers. His appointment with the carrier reviewed here may vary, and this review is not an endorsement. No carrier paid for this review. Always read the actual contract and consult a licensed advisor before purchasing any annuity or long-term care insurance product. Past index performance does not predict future credited interest. Annuities and hybrid life+LTC policies are long-term contracts with surrender charges; they are not suitable for funds you may need before the end of the surrender period. AM Best ratings and tax treatment are subject to change. Tax discussion of IRC §7702B, §1035, and the Pension Protection Act of 2006 reflects law as of 2026 and is subject to change.