Carriers under the floor
In practice the floor rarely decides a case, because most carriers writing meaningful volume sit above it. Where the ratings actually come up is policy review, on contracts a client bought years ago from a company that has since moved.
Genworth is the one advisors raise most. Worth being precise about it: Genworth Life Insurance Company stopped accepting new individual long-term care applications through the brokerage channel in 2019, and new Genworth-affiliated long-term care sales now run through a separate subsidiary, CareScout Insurance Company, which launched in October 2025. The legacy entities are closed to new business, so this is not a placement decision anyone still gets to make.
It matters for the block already out there. Genworth Life Insurance Company carries an AM Best financial strength rating of C++ (Marginal) and Genworth Life and Annuity Insurance Company is rated B- (Fair), both as of AM Best's September 2025 affirmation. When an advisor asks what that means for a client holding one, the answer is usually keep it. Long-term care contracts written fifteen years ago frequently carry terms that cannot be bought at any price today, and a rating by itself is not grounds to surrender one.