Long Term Care Group

What Long Term Care Group does

Long Term Care Group, doing business as illumifin, is a US-based insurance third-party administration (TPA) and insurtech firm founded in 1990 and headquartered in Eden Prairie, Minnesota. The company serves more than 100 North American insurance carriers offering long-term care (standalone and hybrid), life, annuity, and supplemental health (including Medicare Supplement) products. Its services span policy administration, underwriting, claims processing, assessment and clinical services, provider solutions (including care coordination, fraud detection, and electronic visit verification), actuarial consulting, and customer service center operations.

The technology portfolio combines managed services platforms, underwriting and claims software, and actuarial consulting tools, including proprietary data products such as the Cost of Care Survey. The firm has assembled this stack through multiple acquisitions over time, including LifePlans (2017) and Nation's CareLink (2005), and more recently Administrative Partners of America acquired from AmeriLife, with acquired entities consolidated under the unified illumifin brand. Leadership includes President and CEO Peter Goldstein, CFO Bradley Schumacher, and COO Rob Frederick.

The business model operates on multi-year enterprise contracts with insurance carriers, generating revenue through a combination of managed services (per-policy and per-transaction fees for administration, underwriting, and claims), recurring software subscriptions, and professional services for actuarial and consulting engagements. The workforce of more than 2,500 insurance professionals is deployed across US operations to deliver these services under regulatory frameworks spanning HIPAA and state-by-state insurance compliance.

Name

Long Term Care Group

Legal name

illumifin

Website

https://ltcg.com

Company type

Private

Founded year

1990

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Long Term Care Group, operating as illumifin, is a US insurance third-party administrator serving more than 100 North American carriers offering long-term care, life, annuity, and supplemental health products through policy administration, underwriting, claims, actuarial consulting, and provider solutions technology.

Ownership category

akta.pro rank

Product category

Insurance Third-Party Administration & Insurtech Software

NAICS

Other Insurance Related Activities (52429), Agencies, Brokerages, and Other Insurance Related Activities (5242)

SIC

Insurance Agents, Brokers & Service (6411), Services-Computer Programming Services (7371), Services-Engineering, Accounting, Research, Management (8700)

akta.pro primary industry

Policy Administration, Underwriting & Rating Platforms (Core Insurance SaaS) (FSAGAGAB)

akta.pro secondary industries

Document, Workflow & Policy Servicing Automation (RPA/No-Code) (FSAGAGAK), Data, Analytics & AI for Insurance (Risk, Pricing, Personalization) (FSAGAGAE), Insurance Program Administration & MGA/MGU Services (FSAEADAK), Individual Health Insurance Administration (TPA/ASO) (FSAIAEAK)

Keywords

• Insurance third-party administration
• Long-term care insurance services
• Insurance policy administration software
• Insurance claims processing services
• Actuarial consulting services

Headquarters

HQ city

Eden Prairie

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Third-Party Administration Services: Provides ongoing administrative services to insurance carriers including policy administration, claims processing, and underwriting support. Operates on a service fee model typically contracted on a per-policy or per-transaction basis with long-term client relationships.
2. Insurance Software Licensing: Licenses digital insurance operations platforms including policy administration systems, portal software, and data analytics platforms to insurance carriers.
3. Actuarial Consulting Services: Provides traditional actuarial consulting services for the long-term care insurance industry and beyond through in-house consulting team.
4. Provider Solutions: Digital insurance solutions including Fraud Detection, Cost of Care Survey, Electronic Visit Verification, and Unified Provider Database sold to carriers.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

illumifin delivers third-party administration services, underwriting/assessment/claims services, and insurtech software platforms to North American insurance carriers offering long-term care, life, hybrid, annuity, and Medicare Supplement products. The company supplements these offerings with digital Provider Solutions (Fraud Detection, Cost of Care Survey, Electronic Visit Verification, Unified Provider Database) and actuarial consulting services.

Product overview

illumifin provides third-party administration and insurtech solutions to North American insurers offering life, annuity, supplemental health (including Medicare Supplement) and long term care (standalone and hybrid) products. The company's portfolio comprises six integrated solution areas: Insurance Third-Party Administration services for LTC, life, hybrid, annuity and Medicare Supplement products; Underwriting, Assessment and Claims Services covering the full insurance lifecycle; Provider Solutions (including Fraud Detection and Investigation, Cost of Care Survey, Electronic Visit Verification, and Unified Provider Database); Life, Annuity, and Health Software (encompassing Policy Administration System, Portal Software, and Data Analytics Platform); and Actuarial Consulting Services. Trusted by more than 100 carriers and backed by over 2,500 insurance professionals.

Differentiator

Problem solved

Functional benefit

Products and services

• Insurance Third-Party Administration Third-party administration services for long-term care, life, hybrid, annuity and Medicare Supplement insurance products across individual, group and voluntary markets, delivered to insurance carriers.
• Underwriting, Assessment and Claims Services Support for insurance carriers across the full insurance lifecycle from initial risk assessment through underwriting to claims decisioning, with clinical, operational and technology expertise.
• Provider Solutions Digital insurance solutions that automate repetitive, time-consuming processes and improve communication between carriers, policyholders, and providers, including Fraud Detection, Cost of Care Survey, Electronic Visit Verification, and Unified Provider Database.
• Life, Annuity, and Health Software Digital insurance operations platforms that address complexity in the administration of life, health, annuities, and disability products across individual, group, and voluntary markets, including Policy Administration System, Portal Software, and Data Analytics Platform.
• Actuarial Consulting Services Actuarial consulting services for the long-term care insurance industry and beyond, delivered by an in-house consulting team, including insurance data and analytics and risk assessments for mergers and acquisitions.

Quantifiable outcome

• Accelerated time to market for insurance products
• +2 more outcomes

Named customers1 record

Segments1 record

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature7 records

Partnerships

One partnership is on record.

• AmeriLife (Administrative Partners of America)coreStrategic or Co-development Partnerillumifin acquired AmeriLife's Administrative Partners of America, expanding its third-party administration capabilities and carrier client base in the insurance market.

Scale indicators3 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• Sedgwick: A large third-party administrator providing claims management, leave management, and insurance administration services to carriers and employers. Comparable to illumifin as a TPA serving insurance carriers with end-to-end lifecycle support and a similarly large professional workforce.
• EXL Service: Operations management and analytics company with a dedicated Insurance vertical providing TPA, underwriting, and claims services to life and health carriers. Highly comparable business model, customer base, and life/health insurance focus.
• Majesco: Provider of cloud-native insurance core software including policy administration, billing, and claims platforms for life, health, annuity, and group carriers. Comparable as a technology vendor targeting the same insurance carrier customers, though Majesco is more software-centric.
• Insurity: Insurance software and services provider offering policy administration, claims, and analytics for property/casualty and specialty carriers. Comparable vendor position serving insurance operations teams, though with stronger P&C tilt.

Broad incumbents

• Conduent: Large business process services company serving multiple industries including insurance with claims administration, customer care, and payment integrity solutions. Comparable as a BPO serving insurance carriers at scale, though broader in industry exposure.
• Cognizant: Global IT and business process services provider with a sizable insurance practice covering life, annuities, and health administration. Comparable insurance-domain BPO capabilities, though Cognizant operates across many verticals and is much larger.
• Genpact: Global professional services and operations company with significant insurance industry focus, delivering claims, underwriting, and policy administration services to carriers. Comparable insurance outsourcing and digital operations capabilities at scale.
• Capgemini Financial Services: Global consulting and technology services firm with insurance industry practice covering core systems modernization, underwriting, and claims operations. Comparable insurance domain capability, though as part of a much broader IT services portfolio.
• Infosys BPM: Business process management arm of Infosys providing insurance operations, claims processing, and policy administration services to global insurers. Comparable insurance BPO delivery model and carrier customer base.

Emerging players

• One Call Care Management: Care management and provider coordination services company working with insurance carriers on care delivery, which overlaps with illumifin's Provider Solutions (EVV, Unified Provider Database, Cost of Care Survey) offerings in the care delivery ecosystem.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/long-term-care-group

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Subsidiaries1 record

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A2 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Long Term Care Group