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Idaho Filing Submission Documentation Form

Long Term Care Minimum Standards (Attachments to IDAPA 18.04.11)

State of Idaho Issuer Certification Form for the Long-Term Care Insurance Partnership Program

The Idaho Long-Term Care Partnership Program is a program that involves state government and private insurers. Its purpose is to encourage people to prepare for their future care needs by purchasing insurance that pays when a person must be moved into a long term care facility like a nursing home.

Under the Partnership Program, the state will disregard the policyholder’s personal assets equal to amounts paid out under a qualifying insurance policy when it determines the person’s eligibility for Medicaid assistance. For example, if a qualifying insurance policy pays out $50,000 in benefits to cover a person’s long-term care needs, Medicaid would not count up to $50,000 of the person’s assets when it determines whether the person is eligible for Medicaid assistance with long-term care costs. This means the person would be able to qualify for long-term care assistance through Medicaid without first having to spend all their personal assets on care.

It is important to remember that only certain types of long-term care policies qualify for the Partnership Program and the state and federal laws governing the program are subject to change. If you are considering purchasing long-term care insurance, you should talk with your agent about whether a Partnership Policy is appropriate for your needs.

Company NameAccepted Forms
Bankers Life & Casualty CompanyGR-N500
GR-N620
GR-N640
GR-N650
Country Life Insurance CompanyLTC-500ID 12/03
LTC-520ID 12/03
LTC-540ID 12/03
Genworth Life Insurance Company7046POL Group
7053POLID
ICC13-8000R1
ICC13-8001R1
ICC18-1100
LifeSecure Insurance CompanyICC13-LS-LTC-0004
ICC13-LS-LTC-0005
ICC17-LS-LTC-0006
Massachusetts Mutual Life Insurance CompanyMM400-P-ID
MM401-P-ID
MM500-P-2-ID
MM501-P-2-ID
ICC17MM600P
Mutual of Omaha Insurance CompanyICC13-LTC13
ICC13-LTC13-AG
ICC17-LTC17W
National Guardian Life Insurance CompanyICC16-NLTC100P
New York Life Insurance CompanyILTC-5000ID 1001
INH-5000ID 1001
ICC14-LTC6
Northwestern Long-Term Care Insurance CompanyUULTC1014
State Farm Mutual Automobile Insurance CompanyICC1597063IC
ICC1597063SIC
ICC1597063C3IC
ICC1597063C5IC
Thrivent Financial for LutheransICC13H-HX-LTC

The above companies have certified that the listed long term care insurance policies and applicable riders are in compliance with all requirements of the Idaho Long-Term Care Partnership Program. The Department of Insurance has accepted these filings based upon the company certifications. Not all of the above forms have been reviewed by the Department to independently confirm that the policies do in fact meet the requirements of the Idaho Long-Term Care Partnership Program.

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