LTC2

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Dot Com Creations Ltd

Last Modified : 12/26/06 05:42 PM Copyright 2001


	Mt. Kisco Tax & Monetary Services Group Inc Sy Schnur CPA, Busn. Valuer, Litigation Support Expert Witness & Ins Agent
	We Do EVERYTHING MONETARY

LTC2

50 Main Street

Mt. Kisco, NY 10549

Tel: 914-244-4400

Fax: 914-244-0088

Branch Office

Somers, NY

10589

Tel: 914-276-7878

We Do

EVERYTHING Monetary

Obviously, the ideal time to purchase a nursing home policy would be the day before you go into the nursing home but, as you know, things aren't that simple. You must apply for this coverage when you are in good health. The younger you
are when you purchase nursing home insurance, the lower your premium will be for the rest of your life.

Remember, also, that you must also qualify for this insurance, that is, give medical evidence to the insurance company that you meet the company's underwriting requirements for Long Term Care insurance. Generally, the younger you are when you apply, the better your chance of acceptance.

To summarize, none of us wants to be forced to accept a lesser standard of living because of a nursing home confinement of a loved one. Nor do we want our loved ones to suffer financial hardship because of our own confinement. If you have
assets that you want to protect, you should consider long-term care nursing home insurance to protect those assets.

Person Requiring Long Term Care:	Client	Spouse
LT1Monthly Income Desired:
LT(2) Monthly Long Term Care Cost:

Notes:

LT(l) Estimate 70% of current income.

L T(2) Default insert guideline 3,000 per month cost.

Monthly Income Services:	Client	Spouse
LT(3) Personal LTC Insurance:
LT(4) Government Benefits:
LT(5) Employer Provided Benefits:
LT( 6) Spouse/Y our Income:
L T(7) Other Monthly Income:
LT(8) Reduction of Expenses:

Notes: LT(4) Enter the monthly amount of benefits from Social Security.

Savings. Investments & Asset Sales:	Client	Spouse
LT(9) Savings & Investments:
LT(10) Asset Sales/Conversions:
Available Retirement Plans:
LT(11) Personal Retirement Plans:
LT(12) Value of Annuities:
Economic Assumptions:
LT(13) Rate of Return:
LT(14) Inflation Rate:
LT(15) Tax Rate:

Notes: Use market value.

LT(10) Enter the sale of assets or conversion of life polices, if applicable.

LT(11) Use market value

LT(12) Use market value

LT(13) Auto insert of the Rate of Return indicated at the Program Default.

LT(14) Auto insert of the Inflation Rate indicated at the Program Default.

LT(15) Auto insert of the Tax Rate indicated at the Program Default.

Comments

I will contact Security Insurance Brokers at 914-244-4400 to discuss my results

I would like Security Insurance Brokers to contact me at the phone number and time indicated below.

Contact Name*

Phone Number

Weekday

Time

* denotes required field

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