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LifeSecure Insurance Company




Multi-life LTC Agent Handbook




California

For Agent Use Only.
Not for Solicitation Purposes.




                                               LS-0385 CA 11/12
Table of Contents


                                                                                    PAGE

         I. THE LIFESECURE OM        ONE-FOR-MANY LTC PLAN                           1-3
                                TM

                     •	   Simplified Issue Eligibility And Underwriting
                     •	   Group Qualification For Simplified Issue Underwriting
                     •	   Rates And Discounts
                     •	   Enrollment Options: Voluntary, Core/Buy-Up or Carve-Out
                     •	   Qualification Guidelines – Illustration


        II. GUIDELINES FOR ASSOCIATIONS AND OTHER NON-EMPLOYER GROUPS                4

        III. EMPLOYER PROSPECTING CONSIDERATIONS                                     5-6

        IV. MULTI-LIFE PROPOSAL TOOL                                                 7

        V. EMPLOYER PRE-QUALIFICATION                                                8

       VI. TAX INCENTIVES                                                            9

       VII. SAMPLE COMMUNICATIONS SCHEDULE                                           10

      VIII. AGENT & CONSUMER MULTI-LIFE MATERIALS                                   11-14




LS-0385 CA 01/12
I.  	        The LifeSecure OM                          TM
                                                             One-for-Many LTC Plan

Simplified Issue Eligibility and Underwriting

            •	   Eligibility:
                      −	    W-2 Employees ages 18 through 68 actively-at-work at least 20 hours per week
                      −	    Spouses/Registered Domestic Partners (RDP) of eligible Employees, ages 18 through 68, ONLY
                            WHEN the employer is contributing toward spouse’s/RDP’s premium
            •	   Coverage Limits:
                      −	    Benefit Bank amounts from $75,000 to $400,000 – allowing a Maximum Monthly Benefit up to
                            $12,000
            •	   Simplified Issue Health Questions:
            	         Note: If applicant answers “Yes” to any part of any question below, coverage will be declined.
            	         Questions may vary by state.

                 1.	 Within the past 12 months, have you resided in or been advised by a healthcare professional to enter:
                       •	    Nursing Home          •	   Residential Care Facility        •	   Other Type of Long Term Care Facility

                 2.	 Within the past 12 months, have you used or been advised by a healthcare professional to use:
                       •	    Home Health Care services
                       •	    Adult Day Care services

                 3.	 Do you currently use the following:
                       •	    Walker                •	   Quad Cane                        •	   Motorized Scooter
                       •	    Hospital Bed          •	   Dialysis                         •	   Oxygen Equipment
                       •	    Wheelchair

                 4.	 Do you currently require human assistance in order to perform any of the following activities:
                     Bathing, Dressing, Eating, Getting in and out of a bed or chair, Walking, Using the toilet, Managing
                     bowel or bladder control

                 5.	 Do you have or have you ever been diagnosed or treated by a healthcare professional as having any
                     of the following:

                       •	    Amyotrophic Lateral Sclerosis (ALS, also called        •	   Type 1 (Juvenile) Diabetes
                             Lou Gehrig’s Disease)                                  •	   Diabetes – treated or controlled with insulin
                       •	    Systemic Lupus Disease                                      for greater than 15 years
                       •	    Alzheimer’s Disease                                    •	   Diabetes – treated or controlled with
                       •	    Dementia                                                    greater than 49 units of insulin per day
                       •	    Senility                                               •	   A Transient Ischemic Attack (TIA) within the
                       •	    Mental Retardation                                          last 2 years
                       •	    Psychosis                                              •	   Multiple Transient Ischemic Attacks (TIA)
                       •	    Stroke (CVA) within the past 5 years                        within the past 5 years
                       •	    Multiple Sclerosis (MS)                                •	   Chronic Kidney Disease
                       •	    Muscular Dystrophy                                     •	   Chronic Renal Disease
                       •	    Parkinson’s Disease                                    •	   Huntington’s Chorea
                       •	    Acquired Immune Deficiency Syndrome (AIDS)             •	   Cirrhosis of the Liver
                       •	    AIDS Related Complex (ARC)                             •	   Organ Transplant
                       •	    Positive HIV Test                                      •	   Amputation due to disease (not accidental)
                       •	    Metastatic Cancer


	                                                               1	                                                LS-0385 CA 11/12
Group Qualification for Simplified Issue Underwriting
    •	   3 Employer-paid Employees; or 10 Employer-paid Employees + Spouses/Registered Domestic Partners
    •	   Voluntary “Employee-Pay-All” available for pre-qualified groups with 75 or more Employees

Rates and Discounts
    •	   All employer groups that qualify for the Multi-life OM (One-for-Many) Program will receive LifeSecure’s Multi-life Rates
         (a single rate class). All applicants will receive Multi-life Rates, regardless of their level of underwriting.
    •	   All individuals receiving an Employer Contribution toward premium will receive a 5% Employer-Contribution
         Discount from the Multi-life Rates.  (Note: The Minimum Employer Contribution = $10 or 10% per member,
         per month.)
    •	   The Multi-life Rates extend to the applicant’s family members; however, such individuals would not qualify for Simpli-
         fied Issue Underwriting.

Enrollment Options
    •	   Voluntary = Employee-pay-all
    •	   Core/Buy-up = Employer pays full premium for a core plan design.  If an employee wishes to apply for and purchase
         a richer plan design, the employer will automatically deduct the additional premium from the employee’s paycheck.
         Note: The “To-Age-65” premium payment option is not available for core/buy-ups.
    •	   Carve-out = Employer pays all or a portion of the premium for employees or executives (or other defined class).




LS-0385 CA 11/12 	                                           2
LifeSecure OM      TM
                                                                                                 – Multi-life Program Qualification Guidelines for Simplified Issue

                                                                                                       Underwriting                Eligibility and Participation
                                                                            Premium Source                                                                                      Rate Class
                                                                                                        Standard                            Requirement
                                    (Employer Contribution Required)



                                                                                                                                ≥ 3 covered Employees
            3 – 74 Employees




                                                                                                                                             OR                          Multi-life Rates with 5%
                                                                                                                                                                         Employer-contribution
                                                                            Employer-paid 1           Simplified Issue 2        For Spouses to also qualify for          Discount (applicable only
                                                                               (required)                (required)             Simplified Issue:                        to individuals receiving
                                                                                                                                ≥ 10 Employer-paid Employees and         Employer contributions)
                                                                                                                                Spouses combined must be covered
                                                                                                                                within initial 90 day offer period


                                                                                    Remaining Employee and Spouse population may also apply, but with Full Underwriting.
                                                                                   Such applicants will qualify for Multi-life Rates without the Employer-contribution Discount.

                                                                             Groups with 3 to 74 eligible employees require Employer contribution for at least 3 employees.


                                                                                                      Underwriting               Eligibility and Participation
                                                                           Premium Source                                                                                       Rate Class
                                                                                                       Standard                           Requirement
                                   (No Employer Contribution Required)
            75 or More Employees




                                                                             Employee-paid            Simplified Issue 2        No required minimum participation 3      Multi-life Rates



                                                                                                                                No required minimum for Employees only
                                                                                                                                                                         Multi-life Rates with 5%
                                                                                                                                For Spouses to also qualify for          Employer-contribution
                                                                              Employer-paid
                                                                                                      Simplified Issue 2        Simplified Issue:                        Discount (applicable only
                                                                             (NOT required)
                                                                                                                                ≥ 10 Employer-paid Employees and         to individuals receiving
                                                                                                                                Spouses combined must be covered         Employer contributions)
                                                                                                                                within initial 90 day offer period

                                                                           Groups with 75 or more employees do not require Employer contribution. A 100% voluntary setup is allowed.

    1
        	                      For groups with fewer than 75 eligible employees, an employer premium contribution is required. The minimum employer
                               premium contribution is ≥ $10 per paid employee per month, or at least 10% of premium per paid employee.
    2
        	                      Simplified Issue underwriting is available to actively-at-work employees (and employer-paid spouses), through age 68,
                               applying for a Lifetime Benefit Amount of ≤ $400,000 during the initial 90 day offer period, or within 90 days of an eligible
                               employee’s date of hire. Applicants who fall outside of these parameters must complete all sections of the Multi-life application
                               (i.e., full underwriting). Actively-at-work is defined as being at one’s usual place of employment for a minimum of 20 hours per
                               week. The actively-at-work requirement does not apply to Spouses; however, the Employee must also apply for the Spouse to
                               be eligible for Simplified Issue underwriting.
    3
        	                      For groups with ≥ 75 eligible employees, a minimum of 10 submitted applications is required during the initial offer period in
                               order for the group to retain Simplified Issue availability. If 10 or more applications are not submitted, the offer of Simplified
                               Issue underwriting will be removed for new hire Employees on an ongoing basis. However, the original applicants will still
                               qualify for Simplified Issue underwriting.
    Note: 	 Spouses, family members, retirees and retirees’ spouses also eligible to apply for coverage within a qualified multi-life case.
            Multi-life Rates will be applicable. These non-employee eligible individuals must complete all sections of the Multi-life applica-
            tion (i.e., full underwriting), with the exception of Employer-paid spouses of employees who may qualify for Simplified Issue
            as outlined above.
    	                          All references to Spouses include Registered Domestic Partners.

	                                                                                                                          3	                                                      LS-0385 CA 11/12
II.	        Guidelines for Associations and Other Non-Employer
            Groups
Associations and other non-employer groups (e.g. credit union members, unions) do NOT qualify for the LifeSecure OM
Multi-life Program.

           •	   These groups default to the LifeSecure ‘Individual’ (non-Multi-life) offering.  The individual application and
                individual rates are used, including availability of all three rate classes (preferred, standard and select).
           •	   A 5% Association Discount is available to qualifying associations or other qualified types of non-employer
                groups. The discount would apply to all three rate classes.
           •	   A qualifying association or other non-employer group must: 1) exist for purposes other than obtaining
                insurance; 2) have an active membership of at least 200 members; and 3) have by-laws in place for its
                organization.
           •	   A commission reduction factor of 0.90 1st year and 0.85 years 2+ will apply to associations and
                non-employer groups which have the 5% Association Discount.


                Note: All Associations and Non-Employer Groups must be reviewed and pre-approved by LifeSecure on a
                case-by-case basis.




LS-0385 CA 11/12 	                                          4
III.	         Employer Prospecting Considerations
 
Certain employer traits can be strong predictors of a successful Long Term Care (LTC) enrollment campaign. Such characteristics,
as outlined below, tend to relate to a higher likelihood for better-than-average participation rates among the employee popu-
lation. However, some of the characteristics become less relevant when the employer agrees to contribute toward the LTC
premium. Use this list as a general guide when prospecting for the most appropriate employer clients.


Average Age

Look for an average age of the employee population of 40 years old or higher.


Average Income
Look for an average salary of the employee population of $45,000 or higher, which is not too skewed by a concentration of
highly compensated executives. You may want to remove the top two or three salaries within the group when calculating the
average salary.



Type of Industry
Generally, the following industry types will experience better than average enrollment participation when LTC insurance is
offered on a voluntary basis:
    	Publishing, Printing
    	Technology
    	Communications (Radio, TV, Cable)
    	Banking
    	Financial Services
    	Securities Brokers, Investment Firms
    	Insurance Companies
    	Insurance Agents, Brokers, Service
    	Advertising
    	Medical (Hospitals, Doctors, Home Care)
    	Legal Services
    	Education – Schools, Colleges
    	Management, Research, Consulting Services

However, many types of businesses can be a great place to offer LTC insurance. The mix of employee demographics,
company culture, as well as the visible level of commitment and endorsement from the employer can also be strong predictors
of success.

Current Benefits Program
A rich program of employee benefits and strong employer contributions to programs such as medical coverage and retire-
ment plans may provide insights into the availability of employee income for voluntary benefits. A rich benefits program also
speaks to the level of employer commitment  to its employees. Additionally, high participation rates in other voluntary benefits
– such as 30% or more participation in voluntary Life, Short Term Disability or Long Term Disability – can be good indicators
of employee willingness to consider and purchase a voluntary benefit. Companies who have experience with other voluntary
benefits often have learned how to implement such programs with more success, are committed to effective communications
and have an employee population more receptive to such a process.




	                                                            5	                                            LS-0385 CA 11/12
Employer-Paid vs. Voluntary
A participating employer may contribute to the LTC premium for its employees; or, the employer may wish to only offer a
voluntary (employee-pay-all) program. Even when the employer is not keen on paying LTC premiums for all employees, an
executive carve-out (or other defined class) may be a good solution for that employer. There are no discrimination guidelines
for LTC insurance within the workplace. LTC insurance can round out a comprehensive executive compensation package and
allow the employer to more effectively recruit, retain and reward its top executives. Refer also to the LTC Tax Incentives section
within this Handbook.



Available Communications Channels
Voluntary benefit plans require effective communications to the employee population. The communications should include
education and awareness, as well as calls to action to learn more or to attend a meeting with a qualified agent. Assess the
most common communications vehicles used by the employer today and determine which are most effective. A few questions
to consider are: Does the employer communicate with its employees via electronic or paper-based media or both? Will some
or all of these communications channels be available to promote the LTC offer? Will the employer allow employees to attend
one-on-one sessions with an agent during business hours?


A communications plan that includes 6–12 touchpoints works best. Commitment and endorsement by the employer is key.




LS-0385 CA 11/12 	                                            6
IV.	         Multi-life Proposal Tool
A straightforward multi-life proposal tool is available for providing various plan design options to your employer prospects and
outlining costs for each employee.
Click on the LTC Tools menu item located under “Multi-life Tools” in your Agent Portal. Then click on the Multi-life Proposal
Tool.
A customized proposal and quotes may be run using the group’s census (if available) or for all ages 18–84. The Multi-life
Proposal Tool allows you to quote up to three LifeSecure LTCi plan designs, side-by-side. You determine the Lifetime Benefit
Amount and Maximum Monthly Benefit, and also elect to include or exclude optional benefits in the rate quote for your client.
Premiums generated by the multi-life proposal tool are for illustrative purposes only.
Note: 	 To run rate quotes for your clients, you must have the latest version of MicroSoft Silverlight installed on your computer.
        Silverlight is a free download which can be easily installed onto your computer in a matter of minutes. You may be
        automatically prompted to install Silverlight the first time you open the Multi-life Proposal Tool.




	                                                             7	                                             LS-0385 CA 11/12
V.	          Employer Pre-Qualification
Prior to accepting applications, you must pre-qualify each multi-life group. A Group Pre-Qualification tool is available on-line
within your Agent Portal at www.YourLifeSecure.com, and must be submitted electronically.
Click on “Multi-life Tools” in the top menu and drag down to “Group Set-up Tool” to provide information for your group.

General Information Requirements for Groups
    •	   Type of industry
    •	   Location(s) of employees
    •	   Employer & billing contacts
    •	   Enrollment period & effective date
    •	   Communications and marketing campaign (for voluntary components)
    •	   Billing format and type and payroll frequency
    •	   Anticipated enrollment



Additional Requirement for Groups with Employer-Contribution

Note: Employer-paid groups have fewer pre-qualification requirements than voluntary groups. 

Type of employer contribution:
    •	   Defined premium amount
    •	   Defined percent of premium
    •	   Defined core benefit




LS-0385 CA 11/12 	                                           8
VI.	          Tax Incentives
It is important to help employers understand the tax incentives related to the purchase of long term care insurance. Incentives
are offered by the federal government, as well as by a growing number of states.*

Your client may enjoy one of the tax advantages listed below when paying for long term care insurance premiums.


C-Corps
C-Corps can benefit from complete (100%) deductibility of the tax-qualified long term care insurance premiums as a business
expense. Long Term Care Insurance (LTCi) can be purchased for employees and owners.
      •	   Premiums are not included as part of the employees gross income
      •	   Coverage can be offered to Spouses/Registered Domestic Partners and retirees
      •	   Payroll taxes are not required for premiums paid
      •	   Executive carve-outs may be established to pay all or a portion of the premium for key employees



S-Corps Partners or More Than 2% Shareholders
      •	   Premiums paid for an owner are included in individual gross income.
      •	   A self-employed health insurance deduction can be taken for tax-qualified LTCi premiums paid. LTCi premiums are
           considered a medical expense and are subject to the IRS age-based limits found in the chart below.


    Attained Age Before Close of 2013        Maximum Amount Per Individual              Maximum Amount Per Couple

                 40 or less                                   $360                                    $720

     More than 40 but not more than 50                        $680                                   $1,360

     More than 50 but not more than 60                        $1,360                                 $2,720

     More than 60 but not more than 70                        $3,640                                 $7,280

               More than 70                                   $4,550                                 $9,100

Source: IRS Revenue Procedure 2012-41 (2013 limits)



Health Savings Accounts (HSA)
LTCi premiums can be reimbursed through an HSA -- tax-free -- up to the amounts listed above.

Cafeteria Plan
LTCi premiums cannot be purchased with pre-tax dollars under an employer-provided cafeteria plan. However, LTCi premiums
may be paid through an HSA that is offered under an employer-provided cafeteria plan.


LifeSecure and its agents do not offer tax or legal advice. You should consult an independent tax or legal advisor to confirm
the tax status of long term care premiums and long term care benefits.

* Check applicable state(s) for current tax incentive information.
	                                                             9	                                          LS-0385 CA 11/12
VII. 	     Sample Communications Schedule


              Schedule                                           Action                               Date Completed
 (based on 90-day Enrollment Period)
                                       Employer announces LTCi program to employees.

               Day 1                   Customize endorsement letter with specific information on
                                       plan design, contribution amount, policy effective date,
                                       on-site LTC informational meeting(s), etc…
                                       Begin employee communication campaign

                                       Hang posters, display table tents throughout office
               Day 7                   and in lunchroom, send e-mail messages to generate
                                       interest and communicate meeting times/dates/locations
                                       for informational meeting(s).      Set-up meeting(s) on
                                       organization’s e-calendar and invite employees.
                                       Continue employee communication campaign

              Day 21                   Send follow-up announcement messages to reinforce
                                       program details, generate interest and remind employees
                                       of informational meeting(s).
                                       Employee communication - Final meeting reminder
              Day 28                   Remind employees of the time/date/location for upcoming
                                       informational meeting(s).
                                       On-site informational meeting(s)

                                       Conduct LTC educational meetings for employees; allow
                                       time for scheduling 1-on-1 enrollment support for individual
            Days 28 - 35               employees, if requested.

                                       Distribute marketing materials, as appropriate.

                                       Family members are welcome to attend meetings.
                                       Employee communication follow-up
            Days 43-70                 Post-meeting instructions

                                       Email reminder to employees of application deadline.
                                       Employee communication
                                       Deadline reminder
              Day 71
                                       Notify employees that deadline to submit application is
                                       approaching quickly.

              Day 90                   Application Submission Deadline




LS-0385 CA 11/12 	                                        10
VIII.	 Agent & Consumer Multi-life Materials
This section provides an overview of the multi-life related sales and marketing materials available from LifeSecure. Each of
these materials can be reviewed, downloaded and/or ordered through our website at www.YourLifeSecure.com. Enter your
Agent Portal.
                     •	                                To order printed copies, click on the “Sales Materials” menu item located under “Resources”.
                     •	                                To download state-specific PDF’s, click on “PDF Library”.
                     •	                                To customize templates for a multi-life group, contact your Multi-life Sales Specialist.


Agent Audience

                                                                                                                                                  Agent Field Underwriting Guide                                                              Producer Compliance Manual
         LIFESECURE INSURANCE COMPANY
                                                                                                                                                  (LS-0600 ST ....)                                                                           (LS-0612 ST ....)
                                                                                                                                                                                          LIFESECURE INSURANCE COMPANY



         AGENT
         FIELD UNDERWRITING
                                                                                                                                                  This guide is designed as a quick       PRODUCER                                            A regulatory compliance guide
         GUIDE                                                                                                                                                                            COMPLIANCE

                                                                                                                                                  reference tool to help Agents           MANUAL                                              for LifeSecure agents.
                                                                                                                                                  understand the underwriting
                                                                                                                                                                                                                                              Download only.
        This guide is designed as a quick reference tool
        to help you answer some of the more common
                                                                                                                                                                                          A Regulatory Compliance Guide




                                                                                                                                                  guidelines related to LifeSecure
        product and underwriting questions related to
        LifeSecure Insurance Company’s long term                                                                                                                                          for LifeSecure Producers.
        care insurance product.

        This Guide is a searchable PDF.
        (See Searchable PDF instructions in Section I.)


        LifeSecure Administrative Office
        3050 Universal Blvd., Suite 150
        Weston, FL 33331                                                                                                                          Insurance Company’s long term care
                                                                                                                                                  insurance product.
        For Agent Use Only.                                                                                                                                                               For Producer Use Only.
        Not for Solicitation Purposes.                                                                                                                                                    Not for Solicitation Purposes.



                                                    PROPRIETARY AND CONFIDENTIAL                           LS-0600 ST 08/09 REV                                                                                            LS-0612 ST 04/11
                                   Information contained in this document is proprietary and confidential.
                   No part may be reproduced or distributed without written consent from LifeSecure Insurance Company.




                                                                                                                                                  Download only.


                                                                                                                                                  LifeSecure OM Multi-life                                                                    Multi-life: Top 10 Reasons to Sell
        One plan. Designed to meet the unique LTC needs of Many individuals.
                                                                                                                                                  Program Overview for Agents                                                                 LifeSecure OM
        A multi-life long term care insurance program from LifeSecure Insurance Company                                                           (LS-17013 ST ....)                                                                          (LS-17024 CA ...)
                                             For Agent Use Only. Not for Solicitation Purposes.                         LS-17013 ST 09/09




                                                                                                                                                  A brochure providing qualification                                                          This flyer provides 10 key value propo-
 LifeSecure OM – Multi-life Program Highlights
                     TM




    •	 Simplified	Issue	Eligibility
       -	 Employees	actively-at-work	≥	20	hrs/wk,	up	to	age	68
       -	 Benefit	Bank	up	to	$400,000;	Monthly	Benefit	up	to	$12,000




                                                                                                                                                  guidelines and program highlights for                                                       sitions for selling LifeSecure OM to
       -	 Employer	Contribution	(carve-out):	3+	employees	OR	10+	employees	&	spouses
       -	 Voluntary:	75+	employees
    •	 Employer	contribution	discount	of	5%
    •	 Quote	Calculator	that	illustrates	Employer’s	contribution	and	individual’s	contribution	amounts
    •	 Split	list-billing	for	breakdown	by	employee	and	spouse	and	Employer	contribution	versus	payroll	deductions




                                                                                                                                                  Agents.                                                                                     your multi-life clients.
    •	 Agent-generated	on-line	or	off-line	Employer	proposals
    •	 Custom	web	portals	for	every	group,	with	on-line	applications	and	quoting	tools
    •	 Call	center	enrollment	support
    •	 No	commission	reductions



 LifeSecure Guidelines for Associations and Other Non-Employer Groups

 Associations and other non-employer groups (e.g. credit union members, realtors, 1099s, unions) do NOT qualify for the
 LifeSecure OM Multi-life Program.
     •	 Members	of	these	groups	use	the	LifeSecure	individual	application	and	individual	rates	for	long	term	care	insurance.
    •	 A	5%	discount	is	available	to	members	of	qualifying	associations	and	other	non-employer	groups.	The	discount	is	applicable	
       to	all	three	rate	classes	(preferred,	standard	and	select).
    •	 A	 qualifying	 association	 or	 other	 group	 must:	 1)	 exist	 for	 purposes	 other	 than	 obtaining	 insurance;	 2)	 have	 an	 active	
       membership	of	at	least	200	members;	and	3)	have	by-laws	in	place	for	its	organization.

 Note: All Associations and Non-Employer Groups must be reviewed and pre-approved by LifeSecure on a case-by-case basis.




	11	                                                                                                                                                                                                                                                              LS-0385 CA 11/12
Employer Audience

                                                                 LifeSecure Insurance Company    Employer Proposals                            Date                                                                                                     Employer Endorsement Letters*
                                                                                                 (LS-0378 CA ...)                                                                                                                                       (LS-0383 CA ...)
  Multi-Life Proposal for
  Long Term Care Insurance                                                                                                                     Salutation


                                                                                                                                               In an effort to encourage you to plan well for the future, Company Name is introducing a




                                                                                                                                                                                                                                                        Template letter for employers to
                                                                                                                                               new benefit: long term care (LTC) insurance through LifeSecure Insurance
                                                                                                                                               Company. This insurance is available to you and your spouse or domestic partner.

                                                                                                                                               LTC insurance is an important financial planning and asset protection tool. It can also be




                                                                                                 Customized proposal for your client.
                                                                                                                                               viewed as an extension of one’s health insurance. LTC insurance pays benefits for
                                                                                                                                               custodial care, as well as skilled care which becomes necessary when individuals are



                                                                                                                                                                                                                                                        promote LTCi benefit. Text may be
                                                                                                                                               no longer able to perform basic activities of daily living on their own – activities such as
  Prepared for: [Employer/Association Name]                                                                                                    bathing or dressing. Most of us become aware of long term care when it is needed by a
                                                                                                                                               parent, grandparent or other close relative. Sometimes, however, the need for long term
  Prepared by: [Agent Name]                                                                                                                    care can happen earlier in life as the result of an illness or accident. Fortunately, LTC



                                                                                                 Presents up to three LifeSecure LTCi
                                                                                                                                               insurance can help at any time that covered services are needed, not just when



                                                                                                                                                                                                                                                        customized to align with your client’s
                [Agent Address]                                                                                                                someone is older.

                                                                                                                                               LTC insurance will pay benefits for care received in a variety of settings: your own home,
                [Agent Phone]                                                                                                                  an assisted living facility, adult day care, hospice, or in a nursing home facility.



                                                                                                 plan designs, side-by-side. Provides
                                                                                                                                               LifeSecure’s policy is designed to also allow for benefit payments for care and
                                                                                                                                               assistance received at home by a spouse, other close family member or a friend.



                                                                                                                                                                                                                                                        offering.
                [Agent CA License #]

                                                                                                                                               This insurance plan requires completion of an individual application. You may or may not
  Date:         [XX/XX/XXXX]
                                                                                                                                               be approved for coverage based on current or past health conditions. The premiums for
                                                                                                                                               LTC insurance are based on your age at time of application. This insurance is an



                                                                                                 premium illustrations -- using group’s
                                                                                                                                               individual plan, which means the coverage continues as long as premiums are paid.

  Rates quoted are for use in the state of California.                                                                                         For more information, you may contact Name at {phone} or via email at {address}.

  Premiums are subject to change.                                                                                                              Sincerely,



                                                                                                 census or showing all ages 18-–84.            Long term care insurance is individually underwritten by LifeSecure Insurance Company, Brighton MI.
                                                                                                                                               Rates are based on applicant’s age; insurability is based on health history and current health
                                                                                                                                               conditions. Availability of benefits, amounts, options and discounts may vary by state. This is an
                                                                                                                                               insurance solicitation. A licensed agent may contact you.

                                    www.YourLifeSecure.com                                                                                     Refer to the Policy for actual coverage amounts, terms, conditions, limitations and exclusions. Policy
                                                                                                                                               Series LS-0002.


  LS-0378B CA 05/10                                                                     1 of 5                                                 LS-0383NC ST 01/10




                                                                                                 Sales Presentation*                                LifeSecure Insurance Company
                                                                                                                                                                                                                                                        Employer Brochure
                                                                                                 (Employer Version)                                 Long Term Care Insurance
                                                                                                                                                    Solutions for the Worksite - California                                                             (LS-13001 CA ...)
                                                                                                 (LS-0316 CA ...)
                                                                                                                                                                                                                                                        Large brochure that includes the
                                     This is an insurance solicitation.                          Slides to help educate clients on                                                                                                                      advantages of offering LTCi and
                                                                                                 the advantages of offering LTCi to                                                                                                                     LifeSecure’s multi-life program
                                                                                                 employees/members.                                                                                                                                     qualification guidelines.

                                                                                                 Customizable. Script included.                     LS-13001-LTC CA 06/11




                                                                                                 Lead Generation Ad/Flyer Targeting
                                                                                                 Small Business Owners
                                                                                                 (LS-13004 ST ...)

                                                                                                 Template for agents to promote
                                                                                                 LifeSecure’s multi-life LTCi program
                                                                                                 to small business owners.




* Approval pending in California.




LS-0385 CA 11/12 	                                                                                                                        12
Consumer Materials

Marketing Materials

                                        LifeSecure Insurance Company
                                        Long Term Care Insurance
                                        Plan-At-A-Glance
                                                                                                                                                          Plan-At-A-Glance                                                                 LifeSecure Insurance Company
                                                                                                                                                                                                                                           Common Myths About
                                                                                                                                                                                                                                           Long Term Care Insurance
                                                                                                                                                                                                                                                                                                                                           Common Myths About LTCi
                                                                                                                                                          (LS-0307 CA ...)                                                                                                                                                                 (LS-0322 CA ...)
                                        California
 Standard Benefits                                                                                                                                                                                  MYTH: I cannot afford long term care insurance.
 Lifetime Benefit               You choose an amount between $75,000 and $1,000,000.                                                                                                                FACT: Without insurance, you may have a harder time affording long term care services. A long term care insurance plan can
 Amount                                                                                                                                                                                                       be designed to fit a range of personal budgets. Let your agent illustrate a range of benefit levels that may work for you.
                                Your Lifetime Benefit Amount represents the lifetime dollar benefit amount available to you. Your
                                Lifetime Benefit Amount balance is reduced by any benefits paid to you or on your behalf.                                                                           MYTH: I don’t need long term care insurance. I have health insurance.
                                                                                                                                                                                                    FACT: Long term care is the assistance, care or services a person needs when they are unable to perform basic activities of
 Maximum Monthly                You choose 1%, 2% or 3%* of your Lifetime Benefit Amount.
                                                                                                                                                                                                              daily living – such as bathing, dressing, eating, toileting, transferring or continence. Most long term care is due to
 Benefit                        Your Maximum Monthly Benefit represents the dollar benefit amount available on a monthly                                                                                      a chronic illness and is progressive in nature with the need for care often growing over time. This type of care is not
                                basis for your long term care needs. The original dollar amount is calculated as a percentage                                                                                 covered by health insurance plans, which are designed to cover the skilled or acute care needed to return someone




                                                                                                                                                          A quick reference overview of                                                                                                                                                    A document that examines
                                of your Lifetime Benefit Amount.                                                                                                                                              to good health.
                                * 3% Maximum Monthly Benefit not available for Lifetime Benefit Amounts over $500,000.                                                                              MYTH: There is a government program that will take care of me.
                                          Lifetime Benefit                                                                 Maximum                                                                  FACT: Medicaid is a government program that will pay for certain long term care services. However, eligibility for Medicaid
                                                                                   Access Limit
                                               Amount                                                                    Monthly Benefit                                                                      requires that you meet state-specific poverty guidelines. Medicare is a senior health insurance plan that covers skilled
                                                                                                                                                                                                              care designed to improve an individual’s health condition. It does not cover custodial care.
                                              $300,000     x                                1%                 =            $3,000




                                                                                                                                                          LifeSecure’s long term care                                                                                                                                                      common misunderstandings
                                                                                                                                                                                                    MYTH: Long term care insurance only covers care in a nursing home.
                                    Your Maximum Monthly Benefit must be $1,550 or greater.
                                                                                                                                                                                                    FACT: Long term care insurance will provide benefits for care in the following settings: your own home, adult day care,
                                Benefit Payout Structure. When you become eligible for benefits, we will reimburse you for                                                                                    hospice care, assisted living facility or a nursing home.
                                covered long term care expenses for facility-based or home and community-based care up to your
                                full Maximum Monthly Benefit each calendar month. These covered expenses include care at home                                                                       MYTH: I can save the money I need for long term care.
                                through a home care agency or independent provider, or in a residential care facility, adult day care                                                               FACT:     The national average annual costs for long term care are: [$19,760] for care at home (based on a 4-hour visit, 5 times
                                center or in a nursing facility. Hospice care is also covered.




                                                                                                                                                          insurance product.                                                                                                                                                               about long term care insurance.
                                                                                                                                                                                                              per week); [$33,900] for care in an assisted living facility; and [$75,190] for care in a nursing home1. For this reason,
                                                                                                                                                                                                              many financial planners now consider long term care insurance an integral part of an individual’s financial plan.

 Supplemental                   This policy also provides for the following supplemental covered expenses:                                                                                          MYTH: We don’t need long term care insurance because we have each other.
 Covered Expenses                                                                                                                                                                                   FACT: Consider the chances that your spouse will be physically capable of providing your care, if and when it is needed?
                                Caregiver Training Benefit
                                Training for an informal caregiver or an immediate family member to perform maintenance                                                                                       According to a study performed by the US Department of Labor/Bureau of Labor Statistics, there are growing
                                and personal care services for you in your home. This training can take place while you are at                                                                                demands on the “Sandwich Generation”, which is defined as individuals (typically women between the ages of 45
                                home, or in a hospital, nursing facility, hospice care facility or residential care facility to make it                                                                       to 56) who must care for their own families (sometimes young children and teenagers) in addition to an older relative
                                possible for you to return home and be cared for by the person who received training.                                                                                         who needs assistance.2 The reality is that the need for long term care does not only affect the individual in need of
                                                                                                                                                                                                              care, but can also impact the entire family -- across multiple generations. Long term care insurance can help support
                                Training expenses are reimbursable up to 1x your Maximum Monthly Benefit over the life of                                                                                     and supplement such informal care.
                                your policy. This Caregiver Training Benefit can be accessed during the Elimination Period.
                                                                                                                                                                                                    MYTH: Long term care insurance is only for old people.
                                Home Modification & Supplemental Products Benefit
                                                                                                                                                                                                    FACT: Accidents and chronic illness can happen at any age and can include the need for extended custodial care.
                                Services or products required pursuant to a plan of care that include: home modifications,
                                                                                                                                                                                                              The availability and cost of long term care insurance are based on your health and age at time of application.
                                emergency response systems, or durable medical equipment required by a chronically ill person
                                                                                                                                                                                                              Planning ahead can pay off.
                                in order to live at home.
                                                                                                                                                                                                    1
                                                                                                                                                                                                        Based on information from the Genworth [2010] Cost of Care Survey – [April 2010]
                                These services and products are reimbursable up to 1X your Maximum Monthly Benefit over the
                                life of your policy.
                                                                                                                                                                                                    2
                                                                                                                                                                                                        US Department of Labor, Bureau of Labor Statistics, Monthly Labor Review. September 2006

 Guaranteed Future              This rider is included in your coverage as a standard feature, unless you elect one of the                                                                          Your future is what you make it. LifeSecure helps you create a future with fewer worries and more security. We offer straight-
 Purchase Offer                 optional inflation riders described under Optional Riders. Under the Guaranteed Future                                                                              forward long term care insurance designed to fit your life and your budget.
 Rider                          Purchase Offer Rider, you will be offered the opportunity to increase your current Lifetime Benefit
                                Amount and Maximum Monthly Benefit by 15% every three years. You may accept each offer                                                                              Face the future with confidence. [Option A or B]
                                without submitting evidence of insurability.

 Waiver of Premium              Your premiums are waived beginning on the first day you start receiving benefits. As long as                                                                        LS-0322 ST 01/10                             LifeSecure Insurance Company – Brighton, MI                      Policy Series LS-0002
                                you continue to receive benefits, additional premiums will not be required. Premium payments
                                will again be required after 30 days of not receiving benefits.                                                                                                                       This is an insurance solicitation. A licensed LifeSecure sales agent may be contacting you.




                                                                                                                   Long Term Care Insurance
                                                                                                                                                          Consumer Brochure – Small                                                        LifeSecure Insurance Company                                                                    Consumer Brochure – Large
                                                                                                                                                          (LS-0301 CA ...)                                                                                                                                                                 (LS-0300 CA ...)
                                                                                                                    Live well. Worry less.

            Hello future. Goodbye worry.


                                                                                                                                                          A brochure providing information on                                                                                                                                              A brochure providing information on
                                                                                                                                                          the importance of LTCi, including a                                                                                                                                              the importance of LTCi, including an
                                                                                                                                                          brief overview of LifeSecure’s plan                     Smile. The future looks good.                                                                                            overview of LifeSecure’s plan design
                                                                                                                                                          design options.                                                          Long Term Care Insurance
                                                                                                                                                                                                                                           California
                                                                                                                                                                                                                                                                                                                                           options and FAQs.




                                                                                                                                                          Education/Enrollment Presentation*                                                                                                                                               Table Tent
 LifeSecure Insurance Company
                                                                                                                                                          (Consumer Version)                                                                                                                                                               (LS-0312 ST...)
                                                                                                                                                          (LS-0316 CA ...)
                                                                                                                                                                                                                                                                                                                                           Worksite table tents may be customized
                                                                                                                                                          Slides to help prospective                                                                                                                                                       with: dates & times for informational
 LS-0316 ST 08/09         A         LifeSecure Insurance Company – Brighton, MI                                                   Policy Series LS-0002

                                                                                                                                                          applicants understand LTC and                                                                                                                                                    session(s); contact for more information.
                                                                                                                                                          identify their potential need for LTCi.
                                                                                                                                                          Customizable. Script included.

             LifeSecure Insurance Company


                                                                                                                                                          Posters/Flyers                                                                                                                                    LifeSecure Insurance Company
                                                                                                                                                                                                                                                                                                                                           Seminar/Webinar Invitation Postcard
                                                                                                                                                          (LS-0341H ST ...)                                                                                                                                                                (LS-0310 CA ...)
            Why Should I Consider Long Term Care Insurance?
            • Help to protect my savings and assets                         • Protect the quality of life for my family




                                                                                                                                                          Worksite posters and/or flyers may                                                                                                                                               A postcard to invite employees/
                                                                              and me
            • Provide access to more care options
                                                                            • Provide peace of mind
                    - At home
                    - In the community
                    - In a facility                                                                                                                                                                 Worry Less About Long Term Care.                                                                                  Long Term Care
                                                                                                                                                                                                                                                                                                                    Franchise Insurance

                    LifeSecure helps you create a future with fewer worries and more security.

                                  For more information contact:                                                                                           be customized with: dates & times for                                                                                                                                            members of a multi-life group to
                                                                                                                                                          informational session(s); contact for                                                                                                                                            attend or participate in an
                                                      Company Name
                                                       Agent Name
                                                         Phone
                                                          Email
                    Learn more by attending a no-obligation
                            informational session:                                                                                                        more information.                                                                                                                                                                informational session.
                                                                  DATE:
                                                                   TIME:
                                                                  PLACE:

            LS-0341G ST 05/10                       LifeSecure Insurance Company – Brighton, MI                          Policy Series LS-0002
                                                            www.YourLifeSecure.com

                                           Long term care insurance policies have exclusions and limitations.
                                 This is an insurance solicitation. A licensed LifeSecure agent may be contacting you.




* Approval pending in California.




	13	                                                                                                                                                                                                                                                                                                                                                           LS-0385 CA 11/12
Consumer Materials (continued)

Applications & Forms


                                                    LifeSecure Insurance Company
                                                                                   Application and Forms Booklet for                                                                                                      Application and Forms Booklet for
                                                                                   Multi-life Employer Groups                                                                                                             Individuals, Associations and Other
   Multi-Life Application for Long Term Care
   Insurance and Regulatory Forms




                                                                                                                                                                                                                          Non-employer Groups
                                                                                   Paper version of the Application and
                                                                                   LTCi Personal Worksheet for consumers,                                                                                                 Paper version of the Application
                                                                                   plus compliance documents to be pre-                                                                                                   for consumers, plus compliance
                                                                                   sented to client at time of application.                                                                                               documents to be presented to client
                                                                                   Includes: Things You Should Know                                                                                                       at time of application.
                                                                                   Before You Buy Long Term Care
   This kit for use in the state of: [state name]



   AFB-ML [ST]

                                                                                                                                                                                                                          Includes: LTCi Personal Worksheet,
                                                                                   Insurance, LTCi Potential Rate                                                                                                         Things You Should Know Before You
                                                                                   Increase Disclosure Form, Outline of                                                                                                   Buy Long Term Care Insurance, LTCi
                                                                                   Coverage, Applicant Authorization                                                                                                      Potential Rate Increase Disclosure
                                                                                   to Obtain and Disclose Information                                                                                                     Form, Outline of Coverage, Applicant
                                                                                   (HIPAA required form), Other Notices                                                                                                   Authorization to Obtain and Disclose
                                                                                   to Applicant, Notice to Applicant                                                                                                      Information (HIPAA required form),
                                                                                   Regarding Replacement.                                                                                                                 Other Notices to Applicant, Notice to
                                                                                                                                                                                                                          Applicant Regarding Replacement,
                                                                                                                                                                                                                          Premium Receipt.

                                                                                   LTC Consumer Guide –                           CENTERS FOR MEDICARE & MEDICAID SERVICES
                                                                                                                                                                                                                          A Guide to Health Insurance for People
                                                                                   Taking Care of Tomorrow
                                                                                   (LS-CDA CA)
                                                                                                                                        2012
                                                                                                                                 Choosing a Medigap Policy:
                                                                                                                                                                                                                          with Medicare
                                                                                                                              A Guide to Health Insurance for People with Medicare



                                                                                   An informative guide, prepared by                                                                                                      This guide was developed jointly by
                                                                                                                                                                    This official government guide has
                                                                                                                                                                    important information about the
                                                                                                                                                                    following:




                                                                                   the California Department of Aging,                                                                                                    the Centers for Medicare & Medicaid
                                                                                                                                                                    •	 What is a Medigap (Medicare
                                                                                                                                                                       Supplement Insurance) policy
                                                                                                                                                                    •	 What Medigap policies cover
                                                                                                                                                                    •	 Your rights to buy a Medigap policy



                                                                                   created with consumers in mind and                                                                                                     Services (CMS) and the National
                                                                                                                                                                    •	 How to buy a Medigap policy

                                                                                                                                                                    This guide can help if you’re thinking about buying
                                                                                                                                                                    a Medigap policy or already have one.




                                                                                   designed to help clarify many ques-                                                                                                    Association of Insurance Commissioners
                                                                                   tions about long term care insurance.                                                                                                  (NAIC). Agents must provide this
                                                                                   Must be provided to client.                                                                                                            guide to California LTCi applicants
                                                                                                                                 Developed jointly by the Centers for Medicare & Medicaid Services (CMS)
                                                                                                                                    and the National Association of Insurance Commissioners (NAIC)




                                                                                                                                                                                                                          who are eligible for Medicare.




LS-0385 CA 11/12 	                                                                                                      14

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LifeSecure Multi life ltc-handbook_ca

  • 1. LifeSecure Insurance Company Multi-life LTC Agent Handbook California For Agent Use Only. Not for Solicitation Purposes. LS-0385 CA 11/12
  • 2. Table of Contents PAGE I. THE LIFESECURE OM ONE-FOR-MANY LTC PLAN 1-3 TM • Simplified Issue Eligibility And Underwriting • Group Qualification For Simplified Issue Underwriting • Rates And Discounts • Enrollment Options: Voluntary, Core/Buy-Up or Carve-Out • Qualification Guidelines – Illustration II. GUIDELINES FOR ASSOCIATIONS AND OTHER NON-EMPLOYER GROUPS 4 III. EMPLOYER PROSPECTING CONSIDERATIONS 5-6 IV. MULTI-LIFE PROPOSAL TOOL 7 V. EMPLOYER PRE-QUALIFICATION 8 VI. TAX INCENTIVES 9 VII. SAMPLE COMMUNICATIONS SCHEDULE 10 VIII. AGENT & CONSUMER MULTI-LIFE MATERIALS 11-14 LS-0385 CA 01/12
  • 3. I.  The LifeSecure OM TM One-for-Many LTC Plan Simplified Issue Eligibility and Underwriting • Eligibility: − W-2 Employees ages 18 through 68 actively-at-work at least 20 hours per week − Spouses/Registered Domestic Partners (RDP) of eligible Employees, ages 18 through 68, ONLY WHEN the employer is contributing toward spouse’s/RDP’s premium • Coverage Limits: − Benefit Bank amounts from $75,000 to $400,000 – allowing a Maximum Monthly Benefit up to $12,000 • Simplified Issue Health Questions: Note: If applicant answers “Yes” to any part of any question below, coverage will be declined. Questions may vary by state. 1. Within the past 12 months, have you resided in or been advised by a healthcare professional to enter: • Nursing Home • Residential Care Facility • Other Type of Long Term Care Facility 2. Within the past 12 months, have you used or been advised by a healthcare professional to use: • Home Health Care services • Adult Day Care services 3. Do you currently use the following: • Walker • Quad Cane • Motorized Scooter • Hospital Bed • Dialysis • Oxygen Equipment • Wheelchair 4. Do you currently require human assistance in order to perform any of the following activities: Bathing, Dressing, Eating, Getting in and out of a bed or chair, Walking, Using the toilet, Managing bowel or bladder control 5. Do you have or have you ever been diagnosed or treated by a healthcare professional as having any of the following: • Amyotrophic Lateral Sclerosis (ALS, also called • Type 1 (Juvenile) Diabetes Lou Gehrig’s Disease) • Diabetes – treated or controlled with insulin • Systemic Lupus Disease for greater than 15 years • Alzheimer’s Disease • Diabetes – treated or controlled with • Dementia greater than 49 units of insulin per day • Senility • A Transient Ischemic Attack (TIA) within the • Mental Retardation last 2 years • Psychosis • Multiple Transient Ischemic Attacks (TIA) • Stroke (CVA) within the past 5 years within the past 5 years • Multiple Sclerosis (MS) • Chronic Kidney Disease • Muscular Dystrophy • Chronic Renal Disease • Parkinson’s Disease • Huntington’s Chorea • Acquired Immune Deficiency Syndrome (AIDS) • Cirrhosis of the Liver • AIDS Related Complex (ARC) • Organ Transplant • Positive HIV Test • Amputation due to disease (not accidental) • Metastatic Cancer 1 LS-0385 CA 11/12
  • 4. Group Qualification for Simplified Issue Underwriting • 3 Employer-paid Employees; or 10 Employer-paid Employees + Spouses/Registered Domestic Partners • Voluntary “Employee-Pay-All” available for pre-qualified groups with 75 or more Employees Rates and Discounts • All employer groups that qualify for the Multi-life OM (One-for-Many) Program will receive LifeSecure’s Multi-life Rates (a single rate class). All applicants will receive Multi-life Rates, regardless of their level of underwriting. • All individuals receiving an Employer Contribution toward premium will receive a 5% Employer-Contribution Discount from the Multi-life Rates.  (Note: The Minimum Employer Contribution = $10 or 10% per member, per month.) • The Multi-life Rates extend to the applicant’s family members; however, such individuals would not qualify for Simpli- fied Issue Underwriting. Enrollment Options • Voluntary = Employee-pay-all • Core/Buy-up = Employer pays full premium for a core plan design.  If an employee wishes to apply for and purchase a richer plan design, the employer will automatically deduct the additional premium from the employee’s paycheck. Note: The “To-Age-65” premium payment option is not available for core/buy-ups. • Carve-out = Employer pays all or a portion of the premium for employees or executives (or other defined class). LS-0385 CA 11/12 2
  • 5. LifeSecure OM TM – Multi-life Program Qualification Guidelines for Simplified Issue Underwriting Eligibility and Participation Premium Source Rate Class Standard Requirement (Employer Contribution Required) ≥ 3 covered Employees 3 – 74 Employees OR Multi-life Rates with 5% Employer-contribution Employer-paid 1 Simplified Issue 2 For Spouses to also qualify for Discount (applicable only (required) (required) Simplified Issue: to individuals receiving ≥ 10 Employer-paid Employees and Employer contributions) Spouses combined must be covered within initial 90 day offer period Remaining Employee and Spouse population may also apply, but with Full Underwriting. Such applicants will qualify for Multi-life Rates without the Employer-contribution Discount. Groups with 3 to 74 eligible employees require Employer contribution for at least 3 employees. Underwriting Eligibility and Participation Premium Source Rate Class Standard Requirement (No Employer Contribution Required) 75 or More Employees Employee-paid Simplified Issue 2 No required minimum participation 3 Multi-life Rates No required minimum for Employees only Multi-life Rates with 5% For Spouses to also qualify for Employer-contribution Employer-paid Simplified Issue 2 Simplified Issue: Discount (applicable only (NOT required) ≥ 10 Employer-paid Employees and to individuals receiving Spouses combined must be covered Employer contributions) within initial 90 day offer period Groups with 75 or more employees do not require Employer contribution. A 100% voluntary setup is allowed. 1 For groups with fewer than 75 eligible employees, an employer premium contribution is required. The minimum employer premium contribution is ≥ $10 per paid employee per month, or at least 10% of premium per paid employee. 2 Simplified Issue underwriting is available to actively-at-work employees (and employer-paid spouses), through age 68, applying for a Lifetime Benefit Amount of ≤ $400,000 during the initial 90 day offer period, or within 90 days of an eligible employee’s date of hire. Applicants who fall outside of these parameters must complete all sections of the Multi-life application (i.e., full underwriting). Actively-at-work is defined as being at one’s usual place of employment for a minimum of 20 hours per week. The actively-at-work requirement does not apply to Spouses; however, the Employee must also apply for the Spouse to be eligible for Simplified Issue underwriting. 3 For groups with ≥ 75 eligible employees, a minimum of 10 submitted applications is required during the initial offer period in order for the group to retain Simplified Issue availability. If 10 or more applications are not submitted, the offer of Simplified Issue underwriting will be removed for new hire Employees on an ongoing basis. However, the original applicants will still qualify for Simplified Issue underwriting. Note: Spouses, family members, retirees and retirees’ spouses also eligible to apply for coverage within a qualified multi-life case. Multi-life Rates will be applicable. These non-employee eligible individuals must complete all sections of the Multi-life applica- tion (i.e., full underwriting), with the exception of Employer-paid spouses of employees who may qualify for Simplified Issue as outlined above. All references to Spouses include Registered Domestic Partners. 3 LS-0385 CA 11/12
  • 6. II. Guidelines for Associations and Other Non-Employer Groups Associations and other non-employer groups (e.g. credit union members, unions) do NOT qualify for the LifeSecure OM Multi-life Program. • These groups default to the LifeSecure ‘Individual’ (non-Multi-life) offering.  The individual application and individual rates are used, including availability of all three rate classes (preferred, standard and select). • A 5% Association Discount is available to qualifying associations or other qualified types of non-employer groups. The discount would apply to all three rate classes. • A qualifying association or other non-employer group must: 1) exist for purposes other than obtaining insurance; 2) have an active membership of at least 200 members; and 3) have by-laws in place for its organization. • A commission reduction factor of 0.90 1st year and 0.85 years 2+ will apply to associations and non-employer groups which have the 5% Association Discount. Note: All Associations and Non-Employer Groups must be reviewed and pre-approved by LifeSecure on a case-by-case basis. LS-0385 CA 11/12 4
  • 7. III. Employer Prospecting Considerations   Certain employer traits can be strong predictors of a successful Long Term Care (LTC) enrollment campaign. Such characteristics, as outlined below, tend to relate to a higher likelihood for better-than-average participation rates among the employee popu- lation. However, some of the characteristics become less relevant when the employer agrees to contribute toward the LTC premium. Use this list as a general guide when prospecting for the most appropriate employer clients. Average Age Look for an average age of the employee population of 40 years old or higher. Average Income Look for an average salary of the employee population of $45,000 or higher, which is not too skewed by a concentration of highly compensated executives. You may want to remove the top two or three salaries within the group when calculating the average salary. Type of Industry Generally, the following industry types will experience better than average enrollment participation when LTC insurance is offered on a voluntary basis:  Publishing, Printing  Technology  Communications (Radio, TV, Cable)  Banking  Financial Services  Securities Brokers, Investment Firms  Insurance Companies  Insurance Agents, Brokers, Service  Advertising  Medical (Hospitals, Doctors, Home Care)  Legal Services  Education – Schools, Colleges  Management, Research, Consulting Services However, many types of businesses can be a great place to offer LTC insurance. The mix of employee demographics, company culture, as well as the visible level of commitment and endorsement from the employer can also be strong predictors of success. Current Benefits Program A rich program of employee benefits and strong employer contributions to programs such as medical coverage and retire- ment plans may provide insights into the availability of employee income for voluntary benefits. A rich benefits program also speaks to the level of employer commitment  to its employees. Additionally, high participation rates in other voluntary benefits – such as 30% or more participation in voluntary Life, Short Term Disability or Long Term Disability – can be good indicators of employee willingness to consider and purchase a voluntary benefit. Companies who have experience with other voluntary benefits often have learned how to implement such programs with more success, are committed to effective communications and have an employee population more receptive to such a process. 5 LS-0385 CA 11/12
  • 8. Employer-Paid vs. Voluntary A participating employer may contribute to the LTC premium for its employees; or, the employer may wish to only offer a voluntary (employee-pay-all) program. Even when the employer is not keen on paying LTC premiums for all employees, an executive carve-out (or other defined class) may be a good solution for that employer. There are no discrimination guidelines for LTC insurance within the workplace. LTC insurance can round out a comprehensive executive compensation package and allow the employer to more effectively recruit, retain and reward its top executives. Refer also to the LTC Tax Incentives section within this Handbook. Available Communications Channels Voluntary benefit plans require effective communications to the employee population. The communications should include education and awareness, as well as calls to action to learn more or to attend a meeting with a qualified agent. Assess the most common communications vehicles used by the employer today and determine which are most effective. A few questions to consider are: Does the employer communicate with its employees via electronic or paper-based media or both? Will some or all of these communications channels be available to promote the LTC offer? Will the employer allow employees to attend one-on-one sessions with an agent during business hours? A communications plan that includes 6–12 touchpoints works best. Commitment and endorsement by the employer is key. LS-0385 CA 11/12 6
  • 9. IV. Multi-life Proposal Tool A straightforward multi-life proposal tool is available for providing various plan design options to your employer prospects and outlining costs for each employee. Click on the LTC Tools menu item located under “Multi-life Tools” in your Agent Portal. Then click on the Multi-life Proposal Tool. A customized proposal and quotes may be run using the group’s census (if available) or for all ages 18–84. The Multi-life Proposal Tool allows you to quote up to three LifeSecure LTCi plan designs, side-by-side. You determine the Lifetime Benefit Amount and Maximum Monthly Benefit, and also elect to include or exclude optional benefits in the rate quote for your client. Premiums generated by the multi-life proposal tool are for illustrative purposes only. Note: To run rate quotes for your clients, you must have the latest version of MicroSoft Silverlight installed on your computer. Silverlight is a free download which can be easily installed onto your computer in a matter of minutes. You may be automatically prompted to install Silverlight the first time you open the Multi-life Proposal Tool. 7 LS-0385 CA 11/12
  • 10. V. Employer Pre-Qualification Prior to accepting applications, you must pre-qualify each multi-life group. A Group Pre-Qualification tool is available on-line within your Agent Portal at www.YourLifeSecure.com, and must be submitted electronically. Click on “Multi-life Tools” in the top menu and drag down to “Group Set-up Tool” to provide information for your group. General Information Requirements for Groups • Type of industry • Location(s) of employees • Employer & billing contacts • Enrollment period & effective date • Communications and marketing campaign (for voluntary components) • Billing format and type and payroll frequency • Anticipated enrollment Additional Requirement for Groups with Employer-Contribution Note: Employer-paid groups have fewer pre-qualification requirements than voluntary groups.  Type of employer contribution: • Defined premium amount • Defined percent of premium • Defined core benefit LS-0385 CA 11/12 8
  • 11. VI. Tax Incentives It is important to help employers understand the tax incentives related to the purchase of long term care insurance. Incentives are offered by the federal government, as well as by a growing number of states.* Your client may enjoy one of the tax advantages listed below when paying for long term care insurance premiums. C-Corps C-Corps can benefit from complete (100%) deductibility of the tax-qualified long term care insurance premiums as a business expense. Long Term Care Insurance (LTCi) can be purchased for employees and owners. • Premiums are not included as part of the employees gross income • Coverage can be offered to Spouses/Registered Domestic Partners and retirees • Payroll taxes are not required for premiums paid • Executive carve-outs may be established to pay all or a portion of the premium for key employees S-Corps Partners or More Than 2% Shareholders • Premiums paid for an owner are included in individual gross income. • A self-employed health insurance deduction can be taken for tax-qualified LTCi premiums paid. LTCi premiums are considered a medical expense and are subject to the IRS age-based limits found in the chart below. Attained Age Before Close of 2013 Maximum Amount Per Individual Maximum Amount Per Couple 40 or less $360 $720 More than 40 but not more than 50 $680 $1,360 More than 50 but not more than 60 $1,360 $2,720 More than 60 but not more than 70 $3,640 $7,280 More than 70 $4,550 $9,100 Source: IRS Revenue Procedure 2012-41 (2013 limits) Health Savings Accounts (HSA) LTCi premiums can be reimbursed through an HSA -- tax-free -- up to the amounts listed above. Cafeteria Plan LTCi premiums cannot be purchased with pre-tax dollars under an employer-provided cafeteria plan. However, LTCi premiums may be paid through an HSA that is offered under an employer-provided cafeteria plan. LifeSecure and its agents do not offer tax or legal advice. You should consult an independent tax or legal advisor to confirm the tax status of long term care premiums and long term care benefits. * Check applicable state(s) for current tax incentive information. 9 LS-0385 CA 11/12
  • 12. VII. Sample Communications Schedule Schedule Action Date Completed (based on 90-day Enrollment Period) Employer announces LTCi program to employees. Day 1 Customize endorsement letter with specific information on plan design, contribution amount, policy effective date, on-site LTC informational meeting(s), etc… Begin employee communication campaign Hang posters, display table tents throughout office Day 7 and in lunchroom, send e-mail messages to generate interest and communicate meeting times/dates/locations for informational meeting(s). Set-up meeting(s) on organization’s e-calendar and invite employees. Continue employee communication campaign Day 21 Send follow-up announcement messages to reinforce program details, generate interest and remind employees of informational meeting(s). Employee communication - Final meeting reminder Day 28 Remind employees of the time/date/location for upcoming informational meeting(s). On-site informational meeting(s) Conduct LTC educational meetings for employees; allow time for scheduling 1-on-1 enrollment support for individual Days 28 - 35 employees, if requested. Distribute marketing materials, as appropriate. Family members are welcome to attend meetings. Employee communication follow-up Days 43-70 Post-meeting instructions Email reminder to employees of application deadline. Employee communication Deadline reminder Day 71 Notify employees that deadline to submit application is approaching quickly. Day 90 Application Submission Deadline LS-0385 CA 11/12 10
  • 13. VIII. Agent & Consumer Multi-life Materials This section provides an overview of the multi-life related sales and marketing materials available from LifeSecure. Each of these materials can be reviewed, downloaded and/or ordered through our website at www.YourLifeSecure.com. Enter your Agent Portal. • To order printed copies, click on the “Sales Materials” menu item located under “Resources”. • To download state-specific PDF’s, click on “PDF Library”. • To customize templates for a multi-life group, contact your Multi-life Sales Specialist. Agent Audience Agent Field Underwriting Guide Producer Compliance Manual LIFESECURE INSURANCE COMPANY (LS-0600 ST ....) (LS-0612 ST ....) LIFESECURE INSURANCE COMPANY AGENT FIELD UNDERWRITING This guide is designed as a quick PRODUCER A regulatory compliance guide GUIDE COMPLIANCE reference tool to help Agents MANUAL for LifeSecure agents. understand the underwriting Download only. This guide is designed as a quick reference tool to help you answer some of the more common A Regulatory Compliance Guide guidelines related to LifeSecure product and underwriting questions related to LifeSecure Insurance Company’s long term for LifeSecure Producers. care insurance product. This Guide is a searchable PDF. (See Searchable PDF instructions in Section I.) LifeSecure Administrative Office 3050 Universal Blvd., Suite 150 Weston, FL 33331 Insurance Company’s long term care insurance product. For Agent Use Only. For Producer Use Only. Not for Solicitation Purposes. Not for Solicitation Purposes. PROPRIETARY AND CONFIDENTIAL LS-0600 ST 08/09 REV LS-0612 ST 04/11 Information contained in this document is proprietary and confidential. No part may be reproduced or distributed without written consent from LifeSecure Insurance Company. Download only. LifeSecure OM Multi-life Multi-life: Top 10 Reasons to Sell One plan. Designed to meet the unique LTC needs of Many individuals. Program Overview for Agents LifeSecure OM A multi-life long term care insurance program from LifeSecure Insurance Company (LS-17013 ST ....) (LS-17024 CA ...) For Agent Use Only. Not for Solicitation Purposes. LS-17013 ST 09/09 A brochure providing qualification This flyer provides 10 key value propo- LifeSecure OM – Multi-life Program Highlights TM • Simplified Issue Eligibility - Employees actively-at-work ≥ 20 hrs/wk, up to age 68 - Benefit Bank up to $400,000; Monthly Benefit up to $12,000 guidelines and program highlights for sitions for selling LifeSecure OM to - Employer Contribution (carve-out): 3+ employees OR 10+ employees & spouses - Voluntary: 75+ employees • Employer contribution discount of 5% • Quote Calculator that illustrates Employer’s contribution and individual’s contribution amounts • Split list-billing for breakdown by employee and spouse and Employer contribution versus payroll deductions Agents. your multi-life clients. • Agent-generated on-line or off-line Employer proposals • Custom web portals for every group, with on-line applications and quoting tools • Call center enrollment support • No commission reductions LifeSecure Guidelines for Associations and Other Non-Employer Groups Associations and other non-employer groups (e.g. credit union members, realtors, 1099s, unions) do NOT qualify for the LifeSecure OM Multi-life Program. • Members of these groups use the LifeSecure individual application and individual rates for long term care insurance. • A 5% discount is available to members of qualifying associations and other non-employer groups. The discount is applicable to all three rate classes (preferred, standard and select). • A qualifying association or other group must: 1) exist for purposes other than obtaining insurance; 2) have an active membership of at least 200 members; and 3) have by-laws in place for its organization. Note: All Associations and Non-Employer Groups must be reviewed and pre-approved by LifeSecure on a case-by-case basis. 11 LS-0385 CA 11/12
  • 14. Employer Audience LifeSecure Insurance Company Employer Proposals Date Employer Endorsement Letters* (LS-0378 CA ...) (LS-0383 CA ...) Multi-Life Proposal for Long Term Care Insurance Salutation In an effort to encourage you to plan well for the future, Company Name is introducing a Template letter for employers to new benefit: long term care (LTC) insurance through LifeSecure Insurance Company. This insurance is available to you and your spouse or domestic partner. LTC insurance is an important financial planning and asset protection tool. It can also be Customized proposal for your client. viewed as an extension of one’s health insurance. LTC insurance pays benefits for custodial care, as well as skilled care which becomes necessary when individuals are promote LTCi benefit. Text may be no longer able to perform basic activities of daily living on their own – activities such as Prepared for: [Employer/Association Name] bathing or dressing. Most of us become aware of long term care when it is needed by a parent, grandparent or other close relative. Sometimes, however, the need for long term Prepared by: [Agent Name] care can happen earlier in life as the result of an illness or accident. Fortunately, LTC Presents up to three LifeSecure LTCi insurance can help at any time that covered services are needed, not just when customized to align with your client’s [Agent Address] someone is older. LTC insurance will pay benefits for care received in a variety of settings: your own home, [Agent Phone] an assisted living facility, adult day care, hospice, or in a nursing home facility. plan designs, side-by-side. Provides LifeSecure’s policy is designed to also allow for benefit payments for care and assistance received at home by a spouse, other close family member or a friend. offering. [Agent CA License #] This insurance plan requires completion of an individual application. You may or may not Date: [XX/XX/XXXX] be approved for coverage based on current or past health conditions. The premiums for LTC insurance are based on your age at time of application. This insurance is an premium illustrations -- using group’s individual plan, which means the coverage continues as long as premiums are paid. Rates quoted are for use in the state of California. For more information, you may contact Name at {phone} or via email at {address}. Premiums are subject to change. Sincerely, census or showing all ages 18-–84. Long term care insurance is individually underwritten by LifeSecure Insurance Company, Brighton MI. Rates are based on applicant’s age; insurability is based on health history and current health conditions. Availability of benefits, amounts, options and discounts may vary by state. This is an insurance solicitation. A licensed agent may contact you. www.YourLifeSecure.com Refer to the Policy for actual coverage amounts, terms, conditions, limitations and exclusions. Policy Series LS-0002. LS-0378B CA 05/10 1 of 5 LS-0383NC ST 01/10 Sales Presentation* LifeSecure Insurance Company Employer Brochure (Employer Version) Long Term Care Insurance Solutions for the Worksite - California (LS-13001 CA ...) (LS-0316 CA ...) Large brochure that includes the This is an insurance solicitation. Slides to help educate clients on advantages of offering LTCi and the advantages of offering LTCi to LifeSecure’s multi-life program employees/members. qualification guidelines. Customizable. Script included. LS-13001-LTC CA 06/11 Lead Generation Ad/Flyer Targeting Small Business Owners (LS-13004 ST ...) Template for agents to promote LifeSecure’s multi-life LTCi program to small business owners. * Approval pending in California. LS-0385 CA 11/12 12
  • 15. Consumer Materials Marketing Materials LifeSecure Insurance Company Long Term Care Insurance Plan-At-A-Glance Plan-At-A-Glance LifeSecure Insurance Company Common Myths About Long Term Care Insurance Common Myths About LTCi (LS-0307 CA ...) (LS-0322 CA ...) California Standard Benefits MYTH: I cannot afford long term care insurance. Lifetime Benefit You choose an amount between $75,000 and $1,000,000. FACT: Without insurance, you may have a harder time affording long term care services. A long term care insurance plan can Amount be designed to fit a range of personal budgets. Let your agent illustrate a range of benefit levels that may work for you. Your Lifetime Benefit Amount represents the lifetime dollar benefit amount available to you. Your Lifetime Benefit Amount balance is reduced by any benefits paid to you or on your behalf. MYTH: I don’t need long term care insurance. I have health insurance. FACT: Long term care is the assistance, care or services a person needs when they are unable to perform basic activities of Maximum Monthly You choose 1%, 2% or 3%* of your Lifetime Benefit Amount. daily living – such as bathing, dressing, eating, toileting, transferring or continence. Most long term care is due to Benefit Your Maximum Monthly Benefit represents the dollar benefit amount available on a monthly a chronic illness and is progressive in nature with the need for care often growing over time. This type of care is not basis for your long term care needs. The original dollar amount is calculated as a percentage covered by health insurance plans, which are designed to cover the skilled or acute care needed to return someone A quick reference overview of A document that examines of your Lifetime Benefit Amount. to good health. * 3% Maximum Monthly Benefit not available for Lifetime Benefit Amounts over $500,000. MYTH: There is a government program that will take care of me. Lifetime Benefit Maximum FACT: Medicaid is a government program that will pay for certain long term care services. However, eligibility for Medicaid Access Limit Amount Monthly Benefit requires that you meet state-specific poverty guidelines. Medicare is a senior health insurance plan that covers skilled care designed to improve an individual’s health condition. It does not cover custodial care. $300,000 x 1% = $3,000 LifeSecure’s long term care common misunderstandings MYTH: Long term care insurance only covers care in a nursing home. Your Maximum Monthly Benefit must be $1,550 or greater. FACT: Long term care insurance will provide benefits for care in the following settings: your own home, adult day care, Benefit Payout Structure. When you become eligible for benefits, we will reimburse you for hospice care, assisted living facility or a nursing home. covered long term care expenses for facility-based or home and community-based care up to your full Maximum Monthly Benefit each calendar month. These covered expenses include care at home MYTH: I can save the money I need for long term care. through a home care agency or independent provider, or in a residential care facility, adult day care FACT: The national average annual costs for long term care are: [$19,760] for care at home (based on a 4-hour visit, 5 times center or in a nursing facility. Hospice care is also covered. insurance product. about long term care insurance. per week); [$33,900] for care in an assisted living facility; and [$75,190] for care in a nursing home1. For this reason, many financial planners now consider long term care insurance an integral part of an individual’s financial plan. Supplemental This policy also provides for the following supplemental covered expenses: MYTH: We don’t need long term care insurance because we have each other. Covered Expenses FACT: Consider the chances that your spouse will be physically capable of providing your care, if and when it is needed? Caregiver Training Benefit Training for an informal caregiver or an immediate family member to perform maintenance According to a study performed by the US Department of Labor/Bureau of Labor Statistics, there are growing and personal care services for you in your home. This training can take place while you are at demands on the “Sandwich Generation”, which is defined as individuals (typically women between the ages of 45 home, or in a hospital, nursing facility, hospice care facility or residential care facility to make it to 56) who must care for their own families (sometimes young children and teenagers) in addition to an older relative possible for you to return home and be cared for by the person who received training. who needs assistance.2 The reality is that the need for long term care does not only affect the individual in need of care, but can also impact the entire family -- across multiple generations. Long term care insurance can help support Training expenses are reimbursable up to 1x your Maximum Monthly Benefit over the life of and supplement such informal care. your policy. This Caregiver Training Benefit can be accessed during the Elimination Period. MYTH: Long term care insurance is only for old people. Home Modification & Supplemental Products Benefit FACT: Accidents and chronic illness can happen at any age and can include the need for extended custodial care. Services or products required pursuant to a plan of care that include: home modifications, The availability and cost of long term care insurance are based on your health and age at time of application. emergency response systems, or durable medical equipment required by a chronically ill person Planning ahead can pay off. in order to live at home. 1 Based on information from the Genworth [2010] Cost of Care Survey – [April 2010] These services and products are reimbursable up to 1X your Maximum Monthly Benefit over the life of your policy. 2 US Department of Labor, Bureau of Labor Statistics, Monthly Labor Review. September 2006 Guaranteed Future This rider is included in your coverage as a standard feature, unless you elect one of the Your future is what you make it. LifeSecure helps you create a future with fewer worries and more security. We offer straight- Purchase Offer optional inflation riders described under Optional Riders. Under the Guaranteed Future forward long term care insurance designed to fit your life and your budget. Rider Purchase Offer Rider, you will be offered the opportunity to increase your current Lifetime Benefit Amount and Maximum Monthly Benefit by 15% every three years. You may accept each offer Face the future with confidence. [Option A or B] without submitting evidence of insurability. Waiver of Premium Your premiums are waived beginning on the first day you start receiving benefits. As long as LS-0322 ST 01/10 LifeSecure Insurance Company – Brighton, MI Policy Series LS-0002 you continue to receive benefits, additional premiums will not be required. Premium payments will again be required after 30 days of not receiving benefits. This is an insurance solicitation. A licensed LifeSecure sales agent may be contacting you. Long Term Care Insurance Consumer Brochure – Small LifeSecure Insurance Company Consumer Brochure – Large (LS-0301 CA ...) (LS-0300 CA ...) Live well. Worry less. Hello future. Goodbye worry. A brochure providing information on A brochure providing information on the importance of LTCi, including a the importance of LTCi, including an brief overview of LifeSecure’s plan Smile. The future looks good. overview of LifeSecure’s plan design design options. Long Term Care Insurance California options and FAQs. Education/Enrollment Presentation* Table Tent LifeSecure Insurance Company (Consumer Version) (LS-0312 ST...) (LS-0316 CA ...) Worksite table tents may be customized Slides to help prospective with: dates & times for informational LS-0316 ST 08/09 A LifeSecure Insurance Company – Brighton, MI Policy Series LS-0002 applicants understand LTC and session(s); contact for more information. identify their potential need for LTCi. Customizable. Script included. LifeSecure Insurance Company Posters/Flyers LifeSecure Insurance Company Seminar/Webinar Invitation Postcard (LS-0341H ST ...) (LS-0310 CA ...) Why Should I Consider Long Term Care Insurance? • Help to protect my savings and assets • Protect the quality of life for my family Worksite posters and/or flyers may A postcard to invite employees/ and me • Provide access to more care options • Provide peace of mind - At home - In the community - In a facility Worry Less About Long Term Care. Long Term Care Franchise Insurance LifeSecure helps you create a future with fewer worries and more security. For more information contact: be customized with: dates & times for members of a multi-life group to informational session(s); contact for attend or participate in an Company Name Agent Name Phone Email Learn more by attending a no-obligation informational session: more information. informational session. DATE: TIME: PLACE: LS-0341G ST 05/10 LifeSecure Insurance Company – Brighton, MI Policy Series LS-0002 www.YourLifeSecure.com Long term care insurance policies have exclusions and limitations. This is an insurance solicitation. A licensed LifeSecure agent may be contacting you. * Approval pending in California. 13 LS-0385 CA 11/12
  • 16. Consumer Materials (continued) Applications & Forms LifeSecure Insurance Company Application and Forms Booklet for Application and Forms Booklet for Multi-life Employer Groups Individuals, Associations and Other Multi-Life Application for Long Term Care Insurance and Regulatory Forms Non-employer Groups Paper version of the Application and LTCi Personal Worksheet for consumers, Paper version of the Application plus compliance documents to be pre- for consumers, plus compliance sented to client at time of application. documents to be presented to client Includes: Things You Should Know at time of application. Before You Buy Long Term Care This kit for use in the state of: [state name] AFB-ML [ST] Includes: LTCi Personal Worksheet, Insurance, LTCi Potential Rate Things You Should Know Before You Increase Disclosure Form, Outline of Buy Long Term Care Insurance, LTCi Coverage, Applicant Authorization Potential Rate Increase Disclosure to Obtain and Disclose Information Form, Outline of Coverage, Applicant (HIPAA required form), Other Notices Authorization to Obtain and Disclose to Applicant, Notice to Applicant Information (HIPAA required form), Regarding Replacement. Other Notices to Applicant, Notice to Applicant Regarding Replacement, Premium Receipt. LTC Consumer Guide – CENTERS FOR MEDICARE & MEDICAID SERVICES A Guide to Health Insurance for People Taking Care of Tomorrow (LS-CDA CA) 2012 Choosing a Medigap Policy: with Medicare A Guide to Health Insurance for People with Medicare An informative guide, prepared by This guide was developed jointly by This official government guide has important information about the following: the California Department of Aging, the Centers for Medicare & Medicaid • What is a Medigap (Medicare Supplement Insurance) policy • What Medigap policies cover • Your rights to buy a Medigap policy created with consumers in mind and Services (CMS) and the National • How to buy a Medigap policy This guide can help if you’re thinking about buying a Medigap policy or already have one. designed to help clarify many ques- Association of Insurance Commissioners tions about long term care insurance. (NAIC). Agents must provide this Must be provided to client. guide to California LTCi applicants Developed jointly by the Centers for Medicare & Medicaid Services (CMS) and the National Association of Insurance Commissioners (NAIC) who are eligible for Medicare. LS-0385 CA 11/12 14