LONG-TERM CARE

REQUIRED LONG-TERM CARE INSURANCE FORMS & DISCLOSURES FOR active LAPRA members



Please read and print the list of long-term care insurance forms and disclosures below.

 

Review Your Plan Details

Familiarize yourself with the details of your plan.

DOCUMENT 

Plan Highlights

Outline of Coverage

LTC Premium Worksheet and Rates for Active Member/Spouse/RDP*

LTC Insurance Certificate of Coverage for Active Member

* Registered Domestic Partner

Important Information About Your Enrollment

Please visit the site below for state-required informational documents to assist with long-term care insurance decisions.

www.unuminfo.com/lapra

 

Active Member Enrollment

To apply for coverage, complete the forms below and email to benefits@lapra.org.

DOCUMENT

Long Term Care Insurance Application

Member Benefit Election Form

Spouse/Registered Domestic Partner of Member Benefit Election Form

 

 

 

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