Long term care insurance - Oak Park California

Long Term Care Insurance - Oak Park, California

FREE QUOTE REQUEST
QUOTE SUBMISSION

Name:		Birth Date:
Height:	feet inches	Male Female
Weight:	lbs.	Smoker Non-Smoker
E-Mail:	REQUIRED
Phone:	REQUIRED (including area code)
State:	(Resident State) REQUIRED

What Type of Product are you interested in?

Daily benefit amount

$ ($500 max.)

Elimination Period

0 day 30 day 90 day Longer

Policy maximum

1yr 2yr 3yr 4yr 5yr 6+ Lifetime

Optional riders

Inflation Protection (Choose One Below)
       Compound Inflation Protection
       Simple Inflation Protection
       No Inflation

Return of Premium

Survivorship Waiver of Premium

Non-forfeiture Benefit Option

How would you like home care paid?

Payment Option - Your policy can be paid in full within a certain period of time.

Single Payment 10 Years 20 years

Paid up at age 65

Spouse Name:		Birth Date:
Height:	feet inches	Male Female
Weight:	lbs.	Smoker Non-Smoker

Ann Weisman, CLTC
RPS Insurance Agency
6335 Deerbrook Rd.
Oak Park, CA 91377
818-991-1995 (office)
805-390-1964 (cell)
818-991-1995 (fax)
annw91377@aol.com

Marc Weisman, CLTC
RPS Insurance Agency
6335 Deerbrook Rd.
Oak Park, CA 91377
818-991-1995 (office)
805-728-5553 (cell)
818-991-1995 (fax)
marcw91377@aol.com