
Get the free Long-Term Care Partnership Program Insurer Certification Form
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LHL570(LTC) | 0121Figure: 28 TAC 3.3873(a)(2)(F) LongTerm Care Partnership Program Insurer Certification Form Section 1917(b)(5)(B)(iii) of the Social Security Act (42 U.S.C. 1396p(b)(5)(B)(iii)),
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How to fill out long-term care partnership program

How to fill out long-term care partnership program
01
Contact your state's Long-Term Care Partnership Program to get information on the process.
02
Complete the necessary application forms and provide all required personal and financial information.
03
Submit the application to the appropriate agency for review and approval.
04
If approved, work with the program to select a suitable long-term care insurance policy that meets the program requirements.
05
Purchase the policy and submit proof of coverage to the program.
Who needs long-term care partnership program?
01
Individuals who want to protect their assets and qualify for Medicaid benefits in the future if long-term care is needed.
02
People seeking to purchase long-term care insurance with added benefits and protections provided by the partnership program.
03
Those who want to have more control and options in choosing their long-term care services and providers.
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What is long-term care partnership program?
The Long-Term Care Partnership Program is a program that allows individuals to protect assets by purchasing qualified long-term care insurance policies.
Who is required to file long-term care partnership program?
Individuals who want to protect assets by purchasing qualified long-term care insurance policies are required to file for the Long-Term Care Partnership Program.
How to fill out long-term care partnership program?
To fill out the Long-Term Care Partnership Program, individuals must purchase a qualified long-term care insurance policy and meet the program's requirements.
What is the purpose of long-term care partnership program?
The purpose of the Long-Term Care Partnership Program is to encourage individuals to purchase long-term care insurance to protect their assets and provide for long-term care needs.
What information must be reported on long-term care partnership program?
The Long-Term Care Partnership Program requires individuals to report information about their qualified long-term care insurance policy and assets.
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