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Mutual of Omaha Insurance Company APPLICATION for LONG-TERM CARE LOUISIANA Mutual of Omaha Insurance Company Mutual of Omaha Plaza Omaha, NE 68175 mutualofomaha.com MAP238 LA 0705 LONG-TERM CARE Application
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Submissions not in compliance with the state's requirements WILL require a retest, which is anticipated to take several months. A fee is payable on application for this service in accordance with the fees described below. Fees in US dollars (applicant must show acceptable source of funds). Long-Term Care Insurance (LLC) — Initial. Policy Period: one year Policy Type: Medical (1) Long-term Care Facility (2) Family Long-term Care Facility (3) Extended Care Facility (4) Total Length of Term: one month Premium: 0.20 (annual deductible), 1.37 (coverage) Annual Premium Dose: 0.20 (annual deductible), 1.37 (coverage) Initial Premium: 600.00 per month, payable annually. Initial Insurance: Annual coverage, up to full coverage. Total Coverage: 2,400.00 per month, payable annually. Premium Dose: 0.12 (annual deductible), 0.42 (coverage) Initial Coverage: 1,000.00 per month, payable annually. Replacement Cost: 600.00 per month, payable annually. Premium Dose:0.12 (annual deductible), 0 (coverage), 600.00 for a two-month period. 800.00 for a three-month period. 2,400.00 for a four-month period. 5,200.00 for a six-month period. Replacement Cost: 1,400.00 per month, payable annually. Maintenance: 500.00 per month. Maintenance Deductible: none Maintenance: 100.00 per month Replacement Cost: 500.00 per month. Replacement Cost Deductible: none Replacement Cost: 100.00 per month Replacement Cost Deductible: none Replacement Cost: 300 in maintenance and 500 in deductibles. Monthly Premium: 2,000.00 per month, payable annually. Payment Options: (1) Check the completed items and return the packet. If there are items not completed, they will be mailed to and returned to you. (2) Complete all relevant application items, check the complete item and return the packet. If there are missing items, they will be mailed to and returned to you. (3) No payment is required at renewal.

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An application for long-term care is a document that individuals need to fill out in order to apply for long-term care services, such as nursing home care or home health care.
Any individual who is in need of long-term care services, such as nursing home care or home health care, is required to file an application for long-term care.
To fill out an application for long-term care, individuals need to provide personal information, such as name, address, and social security number, as well as details about their medical condition and the type of long-term care services they need.
The purpose of an application for long-term care is to assess an individual's eligibility for long-term care services and to determine the appropriate level of care they require.
The information that must be reported on an application for long-term care includes personal details, medical history, current medical condition, and any supporting documents, such as doctor's reports or medical records.
The deadline to file an application for long-term care in 2023 may vary depending on the specific program or agency that provides the long-term care services. It is recommended to contact the relevant program or agency for the specific deadline.
The penalty for the late filing of an application for long-term care may vary depending on the specific program or agency. It is recommended to contact the relevant program or agency for information on any penalties for late filing.
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