Individual Plans:

As a Producer you are required to interview the applicant and determine if an application should be submitted for underwriting. All applications taken from individuals for non-group business require full underwriting.

Group Plans:

For many employers, from start-ups to Fortune 500 companies, Long-Term Care Insurance (LTCi) is the cornerstone of a solid benefits package. A LTCi program gives employers a competitive advantage that can help attract and retain the best talent.

Group LTCi makes it possible for qualifying businesses to offer an attractive benefit at discounted rates and enjoy tax-deductible premiums for employer-paid participants.

In addition, some group insurance offers premium discounts to not only actively at-work employees but also:
(list is not inclusive)

• Spouses or Domestic Partners – same or opposite sex partners
• Retirees and spouses
• Spouses of deceased employees or retirees
• Adult children and spouses
• Parents, step-parents and in-laws
• Grandparents, step-grandparents and in-laws
• Siblings and spouses

Some discounts may not be available in certain states.

Guaranteed issue (no health questions) is usually offered by insurers to employees actively at work on the effective date of coverage. Some insurers require a minimum participation for the GI offer. The employee completes an enrollment form, not a medical statement application, and is automatically accepted.

Simplified Underwriting is generally offered to employees of small groups and/or spouses or domestic partners. The applicant must answer a handful of insurability questions. If the applicant answers “no” to the insurability questions, the policy will automatically be issued with standard rates. If the applicant answers “yes” to any of the insurability questions for Simplified Underwriting, the applicant may be denied coverage or be offered a Minimum Benefits Offer which is a more limited offer of coverage.

Modified Underwriting is normally for the eligible family members, not the employee or spouse, and includes Evidence of Insurability or medical statement application. Prior to completion of the application there are a few health questions to be answered which will determine if the application should be submitted for underwriting review. If any of these brief health questions are answered “yes” the applicant cannot proceed to apply for coverage. If all of the brief health questions are answered “no” the applicant will proceed to complete the entire application questions and be underwritten. The offer from the underwriter will be an accept or decline, unless a Minimum Benefits Offer is made for reduced coverage.

Full Underwriting may be required on a group plan depending on the demographics of the industry or group. A fully completed application would include a medical statement or Evidence of Insurability and would be fully underwritten with an accept or decline offer.