Information and Forms

All documents are in Microsoft Word (MS Word) and Adobe Acrobat PDF (PDF) formats 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

You can download each of the FLTCIP Information Kit materials independently or download the entire Kit in WinZip format. You can also request an Information Kit by mail.

Name	MS Word	PDF
Book 1 - Program Details and Rates [Description]
Book 2 - Need More Information? [Description]
NAIC Shopper's Guide to Long Term Care Insurance [Description]	N/A
Full Underwriting Application Guide [Description]
Abbreviated Underwriting Application Guide [Description]
Entire Full Underwriting Information Kit ( - Approx. 1MB)*
Entire Abbreviated Underwriting Information Kit ( - Approx 1MB)*

* Note: The entire Information Kits are saved using WinZip Computing, Inc.'s WinZip for Windows. You can download a free evaluation copy of WinZip to open these files. If you are unsure which application you need (Full Underwriting or Abbreviated Underwriting), click here.  

Informational Brochures
 

Name	MS Word	PDF
FLTCIP Benefits Booklet [Description]
Program Overview Brochure [Description]
New Hire Brochure [Description]
Guide to Health Insurance for People with Medicare [Description]	N/A

Forms & Worksheets
 

Name	MS Word	PDF
Billing Change Form [Description]	N/A
Authorization for Disclosure of Information [Description]
Benefits and Features Comparison Worksheet [Description]