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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(01/09)-ID
BG01P(06/04)ID
Country Life Insurance Company LTC-500ID 12/03
LTC-520ID 12/03
LTC-540ID 12/03
Equitable Life and Casualty Insurance Company LTC2020 B ID
LTC 8000 ID
Genworth Life Insurance Company

7046POL
7042ID Rev
7044ID Rev
7048ID

Great American Life Insurance Company 4LTCIP0001-ID
John Hancock Life Insurance Company

LTC-06ID
LTC-03ID
BSC-03ID

John Hancock Life Insurance Company of USA LTC-03ID
LTC-06ID
BSC-03ID
LifeSecure Insurance Company LS-0002 ID 07/07
Massachusetts Mutual Life Insurance Company

MM500-P-ID
MM400-P-ID
MM401-P-ID

MedAmerica Insurance Company

SPL-336
GRPSPL-341-ID
GRPSPL-342ID
SPL-2-336ID

Metropolitan Life Insurance Company

LTC2-IDEAL ID
LTC2-VAL ID
LTC2-FAC ID
GCLTCAARP-04-MCP
GCLTCAARP-06-FC
LTC2-PREM ID
LTC2007-ID

Mutual of Omaha Insurance Company

LTC04I-AG-2PLTQ-BR-ID
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-R-TQ-BR-ID
LTC04I7-AG10-TQ-BR-ID
LTC04I7-AG5-R-TQ-BR-ID
LTC04I7-AG5-5D-R-TQ-BR-ID
LTC04I7-AG5-TQ-BR-ID
LTC04I7-AG15-5D-TQ-BR-ID
LTC04I7-AG15-TQ-BR-ID
LTC04I7-1PLTQ-BR-ID
LTC09M-ID
LTC09M-AG-ID
LTC09M-5ML-ID
LTC09M-10ML-ID

New York Life Insurance Company ILTC-5000ID 1001
INH-5000ID 1001
Northwestern Long-Term
Care Insurance Company

RSLTC 1101
RSLTC 0708
RSLTC 0807

Physicians Mutual Insurance Company P146ID
P147ID
P148ID
Prudential Insurance Company of America GRP113096 (Individual Policy)
GRP114345
State Farm Mutual Automobile Insurance Company

97061-IDP
97061-IDS
97061-IDC

Sterling Life Insurance Company LTCPOL ID (03/06)
Transamerica Life Insurance Company TLC 1-P ID 408
United HealthCare Insurance Company LTC POL 1000 ID
United of Omaha 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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