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Long-Term Care Companies

Company Name Accepted Forms
Allianz Life Insurance Company 10-P-Q
11-P-Q
American General Life Insurance Company 08000ID
Assurity Life Insurance Company AL1200PID
Bankers Life & Casualty Company GN-N520
GR-N540
GRN-550
GR-N500
GRN-620
GRN-640
GRN-650
Berkshire Life Insurance Company of America BG01P(06/04)ID
Country Life Insurance Company LTC-500ID 12/03
LTC-520ID 12/03
LTC-540ID 12/03
Genworth Life Insurance Company 7046POL Group
7042ID Rev
7044ID Rev
7048ID
7050POL Group
7052ID
7053POLID
8000ID
8001D
8010POLID Group
8011POLID Group
Great American Life Insurance Company 4LTCIP0001-ID
John Hancock Life Insurance Company of USA LTC-03ID
LTC-06ID
BSC-03ID
ICC10-LTC-11
LifeSecure Insurance Company LS-0002 ID 07/07
ICC13-LS-LTC-0004
ICC13-LS-LTC-0005
Massachusetts Mutual Life Insurance Company MM500-P-ID
MM400-P-ID
MM401-P-ID
MM500-P-2-ID
MM501-P-2-ID
MedAmerica Insurance Company SPL-336
GRPSPL-341-ID (group)
GRPSPL-342ID (group)
SPL-2-336ID
FC-336ID
Metropolitan Life Insurance Company LTC2-IDEAL ID
LTC2-VAL ID
LTC2-FAC ID
GCLTCAARP-04-MCP (group)
GCLTCAARP-06-FC (group)
LTC2-PREM ID
LTC2007-ID
Minnesota Life Insurance Company ML7500P-ID
Mutual of Omaha Insurance Company LTC04I-AG-2PLTQ-BR-ID (group)
LTC04I7-5D-R-TQ-BR-ID
LTC04I7-5D-TQ-BR-ID
LTC04I7-AG-1PLTQ-BR-ID
LTC04I7-R-TQ-BR-ID
LTC04I7-TQ-BR-ID
LTC04I7-AG5-5D-TQ-BR-ID
LTC04I7-AG15-5D-R-TQ-BR-ID
LTC04I7-AG15-R-TQ-BR-ID
LTC04I7-1PLTQ-BR-ID
LTC04I7-AG10-5D-R-TQ-BR-ID
LTC04I7-AG10-5D-TQ-BR-ID
LTC04I7-AG10-TQ-BR-ID
LTC04I7-AG5-R-TQ-BR-ID
LTC04I7-AG5-TQ-BR-ID
LTC04I7-AG15-TQ-BR-ID
LTC09M-ID
LTC09M-AG-ID
LTC09M-5ML-ID
LTC09M-10ML-ID
ICC13-LTC13
ICC13-LTC13-AG
New York Life Insurance Company ILTC-5000ID 1001
INH-5000ID 1001
Northwestern Long-Term
Care Insurance Company
TTLTC1010
State Farm Mutual Automobile Insurance Company 97061-IDP
97061-IDS
97061-IDC
ICC1197062CIC
ICC1197062SIC

ICC1197062IC (76+)
Sterling Life Insurance Company LTCPOL ID (03/06)
Thrivent Financial for Lutherans ICC13H-HX-LTC
Transamerica Life Insurance Company TLC 1-P ID 408
ICCIO TLC 3
ICC13 TLC-4
UnitedHealthCare Insurance Company LTC POL 1000 ID
United of Omaha Life Insurance Company LTC06UITQBRID
LTC06UIG10TQBID
LTC06UIG5TQBRID
LTC06UIG15TQBRID
LTC09U-ID
LTC09U-AG-ID
LTC09U-5M-ID
LTC09U-10M-ID
Unum Life Insurance Company of America GLTC04
RGLTC04

The above companies have certified that the listed long term care insurance policies and applicable riders are in compliance with all requirements of the Idaho Long-Term Care Partnership Program. The Department of Insurance has accepted these filings based upon the company certifications. Not all of the above forms have been reviewed by the Department to independently confirm that the policies do in fact met the requirements of the Idaho Long-Term Care Partnership Program.

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