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Illustration
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On Guideline Premium Test Violation
Premium Specifications
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Month
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End
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End
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Type
Age/Year
Face
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Long Term Care
Long Term Care
LTC Risk Class
Substandard
Illustrate Long Term Care Scenario
HIPAA Per Diem Estimated Growth Rate (%)
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Desired Daily LTC Benefit
Agent License Number
Pay Loan Interest in Cash to Avoid Lapse
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Amount
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Amount
Duration Year/Age
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Units
Birthdate of Youngest Child (mm/dd/yyyy)
Age LAST Birthday
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Disability Waiver of Premium
Disability Waiver of Monthly Deductions
Disability Waiver of Monthly Deductions
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Amount
Additional Insured(s)
Relationship
Substandard
Name
Perm Flat Extra
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Flat Extra
Gender
FEX Years
Risk Class
Face Amount
Duration
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Minimum: $10,000, Maximum: $300,000
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Monthly Disability Income
Units
Units Minimum 3 Maximum 20 ($100 monthly income per unit)
Inflation Fighter
Increases
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Initial Lump Sum
Monthly Payment
Monthly Payment Years
Final Lump Sum
Sum of Payment Amounts
Percent of Base Face
%
Percent of BIR Face
Bene. Name
Init Lump Sum ($ Amount)
Mo. Income for 5 yrs ($Amount)
Final Lump Sum
($ Amount)
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Illustration Options
Variable MDs
Guaranteed Monthly Deductions
Variable Monthly Deductions
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Rate
Allocation
Allocation
Account
Rate
Percent
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Gross Rate of Return
Gross Rate of Return
%
8.80.2024.753