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For use in the state of: Oregon Individual Long-Term Care Insurance (LOCI) Application Packet Table of Contents Application Part A Person(s) Applying for Coverage. . . . . . . . . . . . . . . . .
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A summary is provided here as a guide to help you avoid potential legal liability. For more information on how long-term care insurance works and what you can expect from your long-term care insurance, read about insurance in the Short-Term Care Insurance Coverage Guide. Part B A list of long-term care insurance forms and documents is provided here as a guide to assist you in completing the application, claiming coverage, and requesting coverage for the person or people whose benefits you seek. Part C You may have a claim for coverage based on: A claim for medical services rendered by a person who is covered by a long-term care insurance policy A claim for medical services rendered by a person who is covered by: Group Term Insurance (Group TMI) Other Individual Term Insurance (Group IMF) Other Employee Term Insurance (Group ITEM) Other Long-Term Care Insurance The coverage for those claims you make must be the coverage that applies, and must be in addition to your family coverage. You must file a claim for long-term care insurance coverage if all the following apply: You are claiming coverage for the insured or their spouse or dependents A claim for medical benefits by an employee (such as employee benefits, or employer premiums) A claim for medical services rendered by someone who is not insured (this person is referred to as the covered person) You are not covered by any other long-term care insurance (i.e., the coverage you seek does not include long-term care) Your home remains in your domicile during the period of coverage you want to apply for In the case of an individual, if there is more than one covered person; the covered person(s) must be living in a separate residence during the period of coverage you seek In the case of a couple, if there is more than one covered person, and one of the covered people is not covered by: Group Term Insurance (Group TMI) Other Individual Term Insurance (Group IMF) Other Employee Term Insurance (Group ITEM) Other Long-Term Care Insurance You cannot make a claim if one of the covered persons has a long-term care insurance policy that provides coverage for only one individual.

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Individual application is a formal request made by an individual for a specific purpose. It is important because it allows individuals to access certain benefits, rights, or services that are only granted through the submission of an application.
The requirement to file an individual application depends on the specific context. Generally, any individual who wishes to avail of a particular benefit, right, or service may be required to submit an individual application.
Filling out an individual application typically involves providing relevant personal information, supporting documents, and specific details related to the purpose of the application. It is important to carefully follow the instructions provided and ensure all requested information is accurately provided.
The purpose of an individual application is to formally and officially request something from an organization or authority. It is important because it helps facilitate a systematic and organized process for considering and reviewing individual requests.
The specific information required on an individual application will vary depending on the purpose and requirements of the application. Generally, personal information such as full name, contact details, address, and relevant supporting documents may need to be reported.
The specific deadline to file individual application in 2023 will depend on the context and the specific application. It is important to refer to the instructions or guidelines provided by the relevant organization or authority to determine the deadline.
The penalty for late filing of an individual application will depend on the specific rules and regulations governing the application process. It is important to carefully review the instructions or guidelines provided, as they may outline any potential penalties or consequences for late submission.
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