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Enrollment
LTC Calculator
1. Enter your age as of the effective date:
2.
Plan Options
(Select one)
Basic:
3 year plan (Lifetime Max $144,000)
Monthly Benefit
$4,000 Nursing Facility
$2,800 Residential Care Facility
$2,000 Home and Community-Based Care
Preferred:
4 year plan (Lifetime Max $192,000)
Monthly Benefit
$4,000 Nursing Facility
$2,800 Residential Care Facility
$2,000 Home and Community-Based Care
Enhanced:
6 year plan (Lifetime Max $360,000)
Monthly Benefit
$5,000 Nursing Facility
$3,500 Residential Care Facility
$2,500 Home and Community-Based Care
Optional Feature: (For any plan)
Compound Inflation
Your Monthly Premium:
Your lump sum Premium:
Coverage Premium
Employer Funded
Your Monthly Premium:
Your lump sum Premium:
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For more detailed plan feature descriptions, see the Outline of Coverage on the Enrollment page.
Calculated premium is for illustration purposes only and is based on the age and plan choices selected. Eligibility for, entitlement to, and amount of actual benefits will be determined according to the terms of the long term care insurance policy.
*Requires the Long Term Care Insurance Application for employee coverage. All spouse/family selections require this form.
If you are an employee electing coverage after your guarantee issue enrollment period, Evidence of Insurability is required for any level of coverage.