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IMPORTANT - Please read!
Effective -, the cost for coverage under your employer's group long term care plan will increase.
The calculator below provides an illustration of your cost both before and after this change in pricing.
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Enter your ageage as of the effective date.
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If your funded coverage uses a different age, enter it here.
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How long would you like to receive monthly benefit payments?
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How much will each monthly benefit payment be?
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Add Total Home Care?
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Add Simple Inflation?
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 Plan A1:
- Long Term Care Facility
- Non-Forfeiture
| |  Plan B1:
- Long Term Care Facility
- Non-Forfeiture
- Professional Home Care
| | Plan C1:
- Long Term Care Facility
- Non-Forfeiture
- Professional Home Care
- Total Home Care
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Plan A2 w/ Inflation:
- Long Term Care Facility
- Non-Forfeiture
- Compound Inflation
| | Plan B2 w/ Inflation:
- Long Term Care Facility
- Non-Forfeiture
- Professional Home Care
- Compound Inflation
| | Plan C2 w/ Inflation:
- Long Term Care Facility
- Non-Forfeiture
- Professional Home Care
- Total Home Care
- Compound Inflation
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| $0.00!! |
× |
$0.00 |
÷ |
$1,000 |
= |
$0.00 |
$0.00 |
(A) |
| rate for plan chosen |
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monthly benefit amount |
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your lump sum premium |
your premium
beginning - |
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| $0.00!! |
× |
$0.00 |
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= |
$0.00 |
$0.00 |
(B) |
| rate for funded plan |
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based on funded amount |
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funded premium |
funded premium
beginning - |
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A MINUS B |
= |
$0.00 |
$0.00 |
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EMPLOYEE COST |
EMPLOYEE COST
beginning - |
For more detailed plan feature descriptions, see the Outline of Coverage on the Enrollment page.
Calculated premium is for illustration purposes only and is based on the age and plan choices selected. Eligibility for, entitlement to, and amount of actual benefits will be determined according to the terms of the long term care insurance policy.
*Requires the Long Term Care Insurance Application for employee coverage. All spouse/family selections require this form.
If you are an employee electing coverage after your guarantee issue enrollment period, Evidence of Insurability is required for any level of coverage.
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