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Apply Now for Coverage under the
Federal Long Term Care Insurance Program (FLTCIP)
Premiums are based on
your age when we receive your application! Download the
Information Kit and
Application today,
and apply
before your next birthday. The
Information Kit Materials and Application
below are available in Adobe Acrobat
PDF (requires
Acrobat Reader) and Microsoft Word
formats. Click on the word "download" to get
that document version. You can also
right-click on the "download" link and
select "Save Target As..." from the pop-up
menu.
If you would like these
materials mailed to you,
click here.
|
Application |
Acrobat PDF |
MS Word |
|
Full Underwriting
Application Guide |
Download |
Download |
|
Full Underwriting
Application |
Download |
|
Note:
Certain medical conditions, or combinations
of conditions, will prevent some people from
being approved for coverage. You'll need to
apply to find out if you qualify for
coverage under this program.

The Federal Long Term Care Insurance
Program is sponsored by the U.S. Office of Personnel
Management,
administered by Long Term Care Partners, LLC, and offered
by:
John Hancock Life Insurance Company, Boston, MAMA
Metropolitan Life Insurance Company, New York, NY |