| Purchasing | Amounts | What Now? | Screening | Underwriting | Checklist |
Long Term Care Insurance Checklist
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Instructions: Print and fill out for each policy that you consider. | |
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Company Name |
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Policy Name or ID Number |
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Issue Ages |
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Benefit Period |
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Daily Benefit |
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Elimination Period |
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Home Care |
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Total Nursing Home Benefit |
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Elimination One-time |
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% for Assisted Living Facility |
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HHC Daily Benefit % of NH |
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HHC (daily, weekly, monthly) |
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Adult Day Care |
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Home Health Aide |
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Homemaker Services |
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Respite Care |
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Hospice Care |
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Equipment |
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Caregiver Training |
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Care Management |
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Waiver of Premium |
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Survivorship Benefit |
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Guaranteed Purchase Option |
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Alternate Plan of Care |
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Policyholder Premium Increase |
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Inflation Protection |
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Restoration of Benefits |
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Nonforfeiture |
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Discounted Premium Classes |
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Affinity Discount |
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Spousal Discount |
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Rate Classes |
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Basic Payment Mode |
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