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Enter your age as of the effective date
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How long would you like to receive monthly benefit payments?
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How much will each monthly benefit payment be?
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| Long Term Care Facility |
| 100% Professional Home and Community Care |
| 50% Total Choice Home Care |
| Compound Inflation |
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$0.00!! |
× |
$0.00 |
÷ |
$1,000 |
= |
$0.00 |
(A) |
rate for plan chosen |
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monthly benefit amount |
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your lump sum premium |
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$0.00!! |
× |
$0.00 |
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= |
$0.00 |
(B) |
rate for funded plan |
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based on funded amount |
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funded premium |
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A MINUS B |
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$0.00 |
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FINAL COST |
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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.
All spouse/family selections require the Long Term Care Insurance Application.
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