Long Term Care Insurance Quotes from multiple carriers

Complete the form below to receive quotes from multiple carriers for Long Term Care Insurance.
Long Term Care Insurance can help to pay for expenses that accumulate when someone becomes ill or seriously injured and loses the ability to take care of his or herself.  A Long term care insurance policy can pay a benefit to the insured if they lose the ability to do at least 2 of the 6 activities of daily living.

First Name *

Last Name *

Date of birth *

State of Residence *

Phone Number *

Best time for a call *

Morning

Afternoon

Evening

Other

Note, this is not a call to "sell" you anything. However, in order to deliver meaningful quotes that meet your family's potential needs, a bit of time on the phone is necessary. We promise to make it painless and you will not be asked to buy anything during the call.

Other (time)

Email Address *

How would you prefer to receive quotes and the application?

Mail

Email

Sex *

Male

Female

Marital Status

Single

Married

Divorced

Widowed

Domestic Partner

Other

Other (Details)

Spouse's Date of Birth

Joint policies can sometimes offer discounts and other favorable terms.

Desired Daily Benefit

Not Sure

$100 per day

$101 - $150 per day

$151 - $200 per day

$201 - $250 per day

$251 - $300 per day

$300 + per day

Benefit Period

Not Sure

2 years

3 years

4 years

5 years

5 + years

Elimination Period

Not Sure

0 days

30 days

60 days

90 days

90 + days

Inflation Growth Option

Yes

No

You can purchase a rider that will help the benefit to keep pace with inflation.

General Comments for what you are looking for

Would you also like to receive DISABILITY INSURANCE quotes?

Yes

No

Annual Income

Occupation

Would you also like to receive CRITICAL ILLNESS INSURANCE quotes?

Yes

No

Lump Sum Benefit to be paid at diagnosis of qualifying event ($5,000 - $500,000)

Would you also like to receive LIFE INSURANCE quotes?

Yes

No

Face Amount of Life Insurance

Δ

Work with Insuring Income to receive and review quotes for Long Term Care Insurance.  We work with multiple carriers to prepare quotes for long term care insurance and can help you to understand the options that are available for Long Term Care Insurance in your state.