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Long-term care insurance is the private enterprise system’s solution to this serious problem that threatens the financial security of Americans. It is a relatively new form of insurance that provides benefits for all levels of care provided by home health agencies, assisted living facilities, adult day care centers, and nursing homes. Some policies do not require home health care to be provided by a home health agency, and some even provide money to pay for home care provided by friends and family. The policies are age-rated and health underwritten. So, the earlier one purchases a policy, the lower the premiums. Another good reason for getting coverage at an earlier age is once a serious health problem is diagnosed, you may not be able to qualify for coverage. Typical applicants are between ages 30-84, but long-term care insurance policies are available to people ages 18 and up who qualify for coverage.

People should be able to enjoy the assets they have saved when they retire. Too often, the fear of a husband or wife getting sick causes older Americans to abandon their plans and not have the quality of life they anticipated in retirement. Long-term care insurance can give you the financial security to enjoy your retirement to the fullest. Younger people buy it to protect the growth of their savings and to insure themselves in the event of a long-term care need at a younger age.

The purchase of long-term care insurance is not something you do just for yourself. You really do it for your family—your spouse and your kids. The emotional trauma of long-term care is enough to deal with. Giving your family the financial support to deal with long-term care needs is one of the most meaningful things you will ever do for them. Planning for long-term care is not just a good idea—it’s essential for every American so that families may retain INDEPENDENCE and CHOICE when care is needed.


Long-Term Care Insurance
Quote Request

The quote you have requested requires that you complete the following survey as completely and accurately as possible.  Once submitted the information will be e-mailed to our office(s) and we will expedite your request.  This information will be kept confidential and will be used for quote purposes only. 

We look forward to serving you.

Contact Information

Name:

Address:


City:

 State:   Zip:

Phone:

Work:

Home: 
   

 Fax: 

Email Address:

Quote Information

Date of Birth:

/ /

Gender:

Male   Female

Smoker?:

Yes   No

Height & Weight:

(ex: 5' 8")
(ex: 150 lbs)

Daily Benefit ($50 - $500):

Waiting Period (0 - 365):

Benefit Period:

Lifetime
3 years or more
12 to 35 months

Include Home Health Care Coverage?:

No   Yes

Include Compound Inflation Rider Coverage?:

No   Yes

Please describe any and all health conditions that resulted in hospitalization and/or surgery in the past 10 years:

Spouse/Companion Information

Relationship?:

Spouse   Companion

Name:

Gender:

Male   Female

Date of Birth:

/ /

 

Additional Considerations/Requests

Please give any additional comments you feel appropriate for this quotation.


       Please click on the "Submit Request" button to send us your quote request.


 

 

 

 

 

 

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