The GAO reviewed the federal long term care (LTC) program at the request of members of Congress who have concerns about the program, which started up in 2002.

The program offers LTC insurance to federal workers and their relatives on a voluntary, employee-paid basis. Active workers and spouses who apply during open enrollment face little underwriting; other applicants face underwriting similar to what they would face in the individual market, John Dicken, a GAO director, writes in a report summarizing the GAO's findings.

The federal Office of Personnel Management (OPM) held one LTC program bidding process when the program started and a second one in 2009. John Hancock Life Insurance Company, Boston, a unit of Manulife Financial Corp., Toronto (TSX:MFC), started out sharing responsibility for the program with another company.

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Allison Bell

Allison Bell, ThinkAdvisor's insurance editor, previously was LifeHealthPro's health insurance editor. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached at [email protected] or on Twitter at @Think_Allison.