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We recommend you first read QuickQuote which
will give you an idea of the cost of long term care insurance.
We represent all the major insurance carriers for long term care insurance, life insurance and annuties with LTC riders. We DO NOT share or sell your information. We are not a "lead" company. You will not be getting multiple phone calls from different agents.
The premiums are the same if you buy your insurance through us, another agent or agency, or directly from a company or organization.
The quotes based on current rates from the top companies as of
An advisor will contact you to answer questions you may have. We can also arrange
for a local advisor meet with you.
Fill out this form only if you are interested in insuring through
us in the next 60 days because the rates, your age, or your health
can change (it happens all the time) and the quote will no longer
be accurate.
If you are simply curious about the price you can read the QuickQuote instead of requesting a custom quote.
The information you provide to us with this form will help us determine your insurability and health rating. The more information you provide in the form the more accurate quote we can provide.
We respect your privacy, we do not share this information.
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I am interested in : A,
B, or C
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How much
have you budgeted for a monthly premium?
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per person |
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How much of a daily benefit
do you want to receive?
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 How
long do you want the benefits for?
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Funding Life Insurance or Annuity: Non-Qualified vs Qualified Money |
Non-Qualified: Taxes have been paid. Cash, stocks, bonds, savings, CD's, money market. Not available in NY, CT, NJ, NH. |
Qualified: employer provided or an individual retirement plan. Usually 401ks, IRAs, retirement plans, tax deferred annuities. If over age 59 1/2 can use up to 60% of all qualified money . Not available in NY, CT, NJ, NH. |
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Life/LTC policy amount
desired:
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Select source of funding:
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Current Whole Life or Universal
Life policy
(not Term life insurance) |
Current policy cash value is
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| If using Qualified (IRA/401k)
$
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C: Annuity with LTC Rider
(Annuity/LTC information)
Annuity LTC
rider desired amount :
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Select source of funding:
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Current Annuity
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Current annuity value is
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| If using Qualified (IRA/401k)
$
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