On January 2nd the following forms will be updated on the Thrivent Producer Website to comply with state regulations for Ohio and Illinois. Please use the following forms for any new applications dated after January 1st, 2015. All other states will not see any changes in the application materials. Please contact the NewmanLTC office with any questions.
|
Form |
Title |
State Used |
Notes |
|
27993OH |
Maintenance of Solvency Disclosure |
OH |
Now being used with LTC |
|
ICC13 27154 |
Application for Individual Long-Term Care Insurance |
AL+AK+AR+CO+GA+ID+IL+IA+KS+KY+LA+ME+MD+MA+MI+MN+MS+MO+NE+NV+ NH+NM+NC+OH+OK+OR+PA+RI+SC+TN+TX+UT+VT+VA+WA+WV+WI+WY |
Statement of variability has been added for the state of Illinois |