Apply or Waive Coverage by 3/14/2025

Please complete the two simple steps below to confirm your coverage selection by 3/14/2025.

 Step 1  - Calculate Your Monthly Rates

Select your age as of 6/1/2025
Tobacco Status is based on a 12 Month Look Back for use of Cigarettes, Cigars, Smokeless Tobacco, and E-Cigarettes.
Benefit
Option 1
Option 2
Option 3
Life Insurance Benefit
$25,000
$50,000
$100,000
LTC Insurance Benefit
$75,000
$150,000
$300,000
Select age
Select age
Select age
Spouse Monthly Premium
Select age
Select age
Select age
Total Monthly Premium Without Marital Discount
Select age
Select age
Select age
Total Monthly Premium With Marital Discount
Select age
Select age
Select age
Benefit
Option 1
Life Insurance Benefit
$25,000
LTC Insurance Benefit
$75,000
Select age
Spouse Monthly Premium
Select age
Total Monthly Premium Without Marital Discount
Select age
Total Monthly Premium With Marital Discount
Select age
Benefit
Option 2
Life Insurance Benefit
$50,000
LTC Insurance Benefit
$150,000
Select age
Spouse Monthly Premium
Select age
Total Monthly Premium Without Marital Discount
Select age
Total Monthly Premium With Marital Discount
Select age
Benefit
Option 3
Life Insurance Benefit
$100,000
LTC Insurance Benefit
$300,000
Select age
Spouse Monthly Premium
Select age
Total Monthly Premium Without Marital Discount
Select age
Total Monthly Premium With Marital Discount
Select age

*In the event of a discrepancy between the premiums shown here and the carrier rate calculation, carrier's information will prevail.

 Step 2  - Apply or Waive Coverage by 3/14/2025

Please choose to apply or waive coverage. If you elect to waive coverage, you will not be eligible for guarantee issue (no health questions upon application up to certain plan limits).

We're Here to Help

Licensed long-term care specialists are available to assist you in understanding the plan and rates.

Call (877) 286-2852

Apply Now

Take advantage of this benefit and safeguard your future tomorrow.