Mutual of Omaha: Updated Personal Worksheets for MT and ND

Express » Blog Archive » Updated Personal Worksheets for Montana and North Dakota

Effective January 1st, 2020, the Montana and North Dakota paper and e-app personal worksheets have been updated.

MT LTC13:

  • M119106_MT (Potential Premium Increase form) replaces M28370
  • M28385_MT (MT LTC13 Outline of Coverage form) updated, same form number

ND LTC13:

  • M119106 (Potential Premium Increase form) replaces M28370

Forms recently replaced will no longer be accepted after January 31st, 2020.