2012 Edition

SUMMARY OF CONTENTS

The purpose of this page is to provide consumers with the ability to view the policy comparison forms by coverage and by company. 

A Policy Comparison Form is a listing of the policy benefits and sample premiums for each company. The policy comparison form was developed to provide consumers with a simple way to review the benefits for a specific long-term care policy form, as well as, review the sample premiums provided by the company.

This page presents the policy comparison forms into three sections:  Individual Policy Comparison Forms; Group Policy Comparison Forms; and Partnership Policy Comparison Forms. Within each of these sections, the policy forms are also sorted by: Comprehensive Policies; Nursing and Residential Care Facility Policies; and Home Care Only Policies.

Select the specific Policy Form (Adobe Acrobat pdf files) below to view the desired company policy comparison form, benefit information, and sample rates.

• INDIVIDUAL POLICY COMPARISON FORMS
• GROUP POLICY COMPARISON FORMS
• PARTNERSHIP POLICY COMPARISON FORMS

 

INDIVIDUAL COMPREHENSIVE POLICY FORMS

NAIC #	Company Name	Individual Comprehensive Policy Forms
61263	BANKERS LIFE AND CASUALTY COMPANY	GR-N380
61263	BANKERS LIFE AND CASUALTY COMPANY	GR-N350
70025	GENWORTH LIFE INSURANCE COMPANY	7035AX-REV
65838	JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.)	CA-06 10/11(Individual)
58033	KNIGHTS OF COLUMBUS	LTC01-CA 1-03(TQ)
58033	KNIGHTS OF COLUMBUS	LTC01-CA 1-03(NTQ)
77720	LIFESECURE INSURANCE CO.	LS-0002 CA 07/07 (Monthly Benefits 2.8 yrs)
77720	LIFESECURE INSURANCE CO.	LS-0002 CA 07/07 (Monthly Benefits 4.2 yrs)
77720	LIFESECURE INSURANCE CO.	LS-0002 CA 07/07 (Monthly Benefits 8.3 yrs)
65935	MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY	MM500-P-1-CA
69515	MEDAMERICA INSURANCE COMPANY	SPL-336
69515	MEDAMERICA INSURANCE COMPANY	FC-336-CA
71412	MUTUAL OF OMAHA	LTC04I (TQ)
71412	MUTUAL OF OMAHA	LTC04I (NTQ)
66915	NEW YORK LIFE INSURANCE COMPANY	ILTC-5000 (CA)(1001)
69000	NORTHWESTERN LONG TERM CARE INSURANCE COMPANY	RS.LTC.(0708)
80578	PHYSICIANS MUTUAL INSURANCE COMPANY	145EE
80578	PHYSICIANS MUTUAL INSURANCE COMPANY	146EE
25178	STATE FARM MUTUAL AUTOMOBILE INS CO	97058CA.2
86231	TRANSAMERICA LIFE INSURANCE COMPANY	TLC 1-FP (CA) 0510

INDIVIDUAL NURSING/RESIDENTIAL CARE FACILITY POLICY FORMS 

NAIC #	Company Name	Individual Nursing/Residential Care Facility Policy Forms
61263	BANKERS LIFE AND CASUALTY COMPANY	GR-N340
61263	BANKERS LIFE AND CASUALTY COMPANY	GR-N370
58033	KNIGHTS OF COLUMBUS	NHC01-CA 1-03(NTQ)
58033	KNIGHTS OF COLUMBUS	NHC01-CA 1-03(TQ)
65935	MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY	MM501-P-1-CA
69515	MEDAMERICA INSURANCE COMPANY	FC-337-CA
69515	MEDAMERICA INSURANCE COMPANY	SPL-336-N
66915	NEW YORK LIFE INSURANCE COMPANY	INH-5000 (CA)(1001)
80578	PHYSICIANS MUTUAL INSURANCE COMPANY	148EE

INDIVIDUAL HOME CARE ONLY POLICY FORM 

NAIC #	Company Name	Individual Home Care Only Policy Form
80578	PHYSICIANS MUTUAL INSURANCE COMPANY	147EE

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GROUP COMPREHENSIVE POLICY FORMS 

NAIC #	Company Name	Group Comprehensive Policy Forms
20443	CONTINENTAL CASUALTY COMPANY	GLTC-3-P-CA-01-TQ
70025	GENWORTH LIFE INSURANCE COMPANY	7046POL-CA
68241	PRUDENTIAL INSURANCE COMPANY OF AMERICA (THE)	83500 COV 1018 GRP 99461-5 (with inflation)
68241	PRUDENTIAL INSURANCE COMPANY OF AMERICA (THE)	83500 COV 1018 GRP 99461-5 (without inflation)

 PARTNERSHIP COMPREHENSIVE POLICY FORMS 

NAIC #	Company Name	Partnership Comprehensive Policy Forms
61263	BANKERS LIFE AND CASUALTY COMPANY	Company verified that they are not currently writing new partnership comprehensive policies.
70025	GENWORTH LIFE INSURANCE COMPANY	7037C-REV2
65838	JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.)	CAP-06 10/11(Partnership)
66915	NEW YORK LIFE INSURANCE COMPANY	21156 (0102)

PARTNERSHIP NURSING/RESIDENTIAL CARE FACILITY POLICY FORM 

NAIC #	Company Name	Partnership Nursing/Residential Care Facility Policy Form
66915	NEW YORK LIFE INSURANCE COMPANY	21157 (0102)

 

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