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Long Term Care (LTC) Insurance Outlines of Coverage

Pursuant to Assembly Bill (AB) 999, each insurance company that will be offering, marketing, or selling long-term care (LTC) insurance products (i.e. policy forms) in California on or after January 1, 2014 will need to provide "a specimen outline of coverage." To view the LTC outline(s) of coverage by company and long-term care policy form, please select the respective policy form number after the policy type description.  

To view and/or print a list of available LTC policy forms by company, please select Policy Summary report. *Acrobat Reader is required.

Note: The LTC outlines of coverage below were submitted by each company to the department.

 

Bankers Life & Cas Co (NAIC 61263)

Individual Nursing Facility/Residential Care/Tax-Qualified LTC Policy Form GR-N340

Individual Nursing Facility/Residential Care/Non-Tax Qualified LTC Policy Form GR-N370

Individual Comprehensive/Tax Qualified LTC Policy Form GR-N350

Individual Comprehensive/Non-Tax Qualified LTC Policy Form GR-N380

 

Continental Casualty Co (NAIC 20443)

Group Comprehensive/Tax Qualified LTC Policy Form GLTC-3-P-CA-01-TQ

 

Genworth Life Ins Co (NAIC 70025)

Individual Comprehensive/Tax Qualified LTC Policy Form 7052CA

Partnership Comprehensive/Tax Qualified LTC Policy Form 7037D

Group Comprehensive/Tax Qualified LTC Policy Form 7046POL-CA

 

 

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John Hancock Life Ins Co (U.S.A.) (NAIC 65838)

Individual Comprehensive/Tax Qualified LTC Policy Form CA-06 10/11

Partnership Comprehensive/Tax Qualified LTC Policy Form CAP-06 10/11

 

Knights of Columbus (NAIC 58033)

Individual Nursing Facility/Residential Care/Tax-Qualified LTC Policy Form NHC01-CA 1-02TQ

Individual Nursing Facility/Residential Care/Non-Tax Qualified LTC Policy Form NHC01-CA 1-02NT

Individual Comprehensive/Tax Qualified LTC Policy Form LTC01-CA 1-02TQ

Individual Comprehensive/Non-Tax Qualified LTC Policy Form LTC01-CA 1-02NT 

 

LifeSecure Insurance Co (NAIC 77720)

Individual Comprehensive/Tax Qualified LTC Policy Form LS 0002 CA 07 07 (NOTE: Available with policy benefits for 2.8 Years, 4.2 Years, and 8.3 Years)

 

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Massachusetts Mutual Life Insurance Co (NAIC 65935)

Individual Nursing Facility/Residential Care/Tax-Qualified LTC Policy Form MM501-P-2-CA

Individual Comprehensive/Tax Qualified LTC Policy Form MM500-P-2-CA

 

MedAmerica Insurance Co (NAIC 69515)

Individual Nursing Facility/Residential Care/Tax-Qualified LTC Policy Form FC-337-CA

Individual Comprehensive/Tax Qualified LTC Policy Form FC-336-CA

 

Mutual of Omaha (NAIC 71412)

Individual Comprehensive/Tax Qualified LTC Policy Form LTC04ITQ

Individual Comprehensive/Non-Tax Qualified LTC Policy Form LTC04INT

 

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New York Life Insurance Co (NAIC 66915)

Individual Nursing Facility/Residential Care/Tax Qualified LTC Policy Form INH-5000(CA)(1001)

Partnership Nursing Facility/Residential Care/Tax Qualified LTC Policy Form 21157(0102)

Individual Comprehensive/Tax Qualified LTC Policy Form ILTC-5000(CA)(1001)

Partnership Comprehensive/Tax Qualified LTC Policy Form 21156(0102) 

 

Northwestern Long Term Care Insurance Co (NAIC 69000)

Individual Comprehensive/Tax Qualified LTC Policy Form TT.LTC.(1010)

 

Transamerica Life Insurance Co (NAIC 86231)

Individual Comprehensive/Tax Qualified LTC Policy Form TLC 2-P  CA 0410 

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