News and Announcements

12/13/2013

The FLTCIP Delivers Value
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12/13/2013

The FLTCIP Reflects Your Preference for Home Care
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12/13/2013

Long Term Care Issues That Every Woman Should Consider
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The FLTCIP is offered to Federal and U.S. Postal Service employees and annuitants, active and retired members of the uniformed services, certain other eligible groups, and their qualified relatives.

 

Information Kit and Applications

Information Kit and Applications

All documents are in Adobe Reader PDF format unless otherwise noted. To open these materials, click on the appropriate version. For applications, go to the Apply section of this website.

Information Kit Materials Download
You can download each of the FLTCIP information kit materials independently or download the entire kit as a .zip file. You can also request a FLTCIP information kit and application by mail.  
Book One: Program Details and Rates [Description] icon to download the Adobe Acrobat PDF version.
(1.4 MB)
Book Two: Additional Information [Description] icon to download the Adobe Acrobat PDF version.
(.8 MB)
NAIC: A Shopper's Guide to Long-Term Care Insurance [Description] icon to download the Adobe Acrobat PDF version.
(7 MB)
Full Underwriting Information Kit* [Description] icon to download the Full Underwriting Information Kit zip file
(9 MB)
Abbreviated Underwriting Information Kit* [Description] icon to download the Abbreviated Underwriting Information Kit zip file
(9 MB)

* Note: The entire information kits are saved as .zip files, also known as "compressed folders" on Microsoft Windows systems. If you are unsure which application you need (full underwriting or abbreviated underwriting), click here.

FLTCIP Brochures Download
Program Overview brochure [Description] icon to download the Adobe Acrobat PDF version.
(.8 MB)
Choosing a Medigap Policy: Guide to Health Insurance for People with Medicare [Description] icon to download the Adobe Acrobat PDF version.
(3 MB)
Forms and Worksheets Download
Billing Change Form [Description] icon to download the Adobe Acrobat PDF version.
(.5 MB)
Benefits and Features Comparison Worksheet [Description] icon to download the Adobe Acrobat PDF version.
(.2 MB)
Authorization for Disclosure of Information—Compliance [Description] icon to download the Adobe Acrobat PDF version.
(.1 MB)

Claims Forms

For Enrollees Who Are Beginning the Claims Process Download
Beginning the Claims Process brochure icon to download the Adobe Acrobat PDF version.
(1 MB)
Care Support History icon to download the Adobe Acrobat PDF version.
(.1 MB)
Authorization to Use and Disclose Health Information about Me icon to download the Adobe Acrobat PDF version.
(.6 MB)
Authorization for Disclosure of Information—Claims icon to download the Adobe Acrobat PDF version.
(.6 MB)
IRS Form W-9 icon to download the Adobe Acrobat PDF version.
(.1 MB)
For Existing Claimants Download
Using Your FLTCIP Benefits: FLTCIP 1.0 brochure icon to download the Adobe Acrobat PDF version.
(1.8 MB)
Using Your FLTCIP Benefits: FLTCIP 2.0 brochure icon to download the Adobe Acrobat PDF version.
(2.2 MB)
Informal Caregiver Invoice icon to download the Adobe Acrobat PDF version.
(.1 MB)
Assignment of Benefits Form icon to download the Adobe Acrobat PDF version.
(.1 MB)

Apply today

Apply Today!

Federal family members can apply for coverage anytime—you do not have to wait for the next open season. Premiums are based on your age at the time of application—the younger you are when you apply, the lower your premium will be.

apply now