Long-term care insurance can be underwritten like annuties, life insurance, disability insurance, or health insurance. At a minimum, the beneficiary should be changed to the trust. A change of ownership should be considered, but only after review of the policy. With some policies, particularly if it is underwritten like an owner-driven annuity, change of ownership will despoil some of the policy benefits. It is best to consult with an estate planning attorney or qualified insurance adviser.