Filing requirements

  1. NAIC Transmittal Form, instructions, and Product Code matrices for completing transmittal forms
  2. Instructions for the Filing Description on the Transmittal (cover letter)
  3. Certificate of Compliance: Word   PDF
  4. Product standards: Word,   PDF
  5. Readability Certification
  6. Long-term Care Partnership Certification: Word,   PDF
  7. If filing Individual include:
  8. Appendix A with Actuarial Memorandum: Word,   PDF

If filing an application with this product please include form 440-2442H with your filing

NOTE: Stand-alone nursing home, assisted living, and home health care type coverage's have different product standards than long-term care. Refer to the separate listed filing requirements for each product.