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Long-Term Care Companies

Company Name Accepted Forms
Bankers Life & Casualty CompanyGR-N500
GR-N620
GR-N640
GR-N650
Country Life Insurance CompanyLTC-500ID 12/03
LTC-520ID 12/03
LTC-540ID 12/03
Genworth Life Insurance Company7046POL Group
7053POLID
ICC13-8000R1
ICC13-8001R1
John Hancock Life Insurance Company of USALTC-06ID
ICC10-LTC-11
LifeSecure Insurance CompanyICC13-LS-LTC-0004
ICC13-LS-LTC-0005
Massachusetts Mutual Life Insurance CompanyMM400-P-ID
MM401-P-ID
MM500-P-2-ID
MM501-P-2-ID
MedAmerica Insurance CompanyFC-336ID
Mutual of Omaha Insurance CompanyICC13-LTC13
ICC13-LTC13-AG
New York Life Insurance CompanyILTC-5000ID 1001
INH-5000ID 1001
Northwestern Long-Term Care Insurance CompanyTTLTC1010
State Farm Mutual Automobile Insurance CompanyICC1197062CIC
ICC1197062SIC
ICC1197062IC (76+)
Thrivent Financial for LutheransICC13H-HX-LTC
Transamerica Life Insurance CompanyICCIO TLC 3
ICC13 TLC-4

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.