We recommend you first read QuickQuote which will give you an idea of the cost of long term care insurance. Life/LTC and Annuity/LTC are single premiums.

To receive a personalized quote just complete this short form and we will email you the lowest rates from top insurance companies. The quotes based on current rates from the top companies as of

We represent all the major insurance carriers for long term care insurance, life insurance and annuties with LTC riders. The premiums are the same if you buy your insurance through us, another agent or agency, or directly from a company or organization.

We DO NOT share or sell your information. We are not a "lead" company. You will not be getting multiple phone calls from different agents

An advisor will contact you to make sure you received the information and to answer questions you may have. We can also arrange for a local advisor meet with you.

Fill out this form only if you are interested in insuring through us in the next 60 days because the rates, your age, or your health can change (it happens all the time) and the quote will no longer be accurate.

The more information you provide in the form the more accurate quote we can provide.

We respect your privacy, we do not share this information.

I am interested in : A, B, or C -- (see guide for comparisons) A: Long Term Care Insurance Quote How much have you budgeted for a monthly premium? Select One $100/month $200/month $300/month $400/month $500/month $600/month $700/month $800/month $900/month $1000/month per person How much of a daily benefit do you want to receive? Select One $100/day $150/day $200/day $250/day $300/day $350/day $400/day $450/day $500/day How long do you want the benefits for? Select One 1 year 2 years 3 years 4 years 5 years 6 years 7 years 10 years unlimited B: Universal Life Insurance with LTC Benefits Quote I currently have: (select sources of funding if any) Current Whole Life or Universal Life policy (not Term) Current policy cash $ Other sources for Life/LTC funding (investment/cash) $ Life/LTC policy amount desired: select one 50,000 100,000 150,000 200,000 250,000 300,000 350,000 400,000 450,000 500,000 500,000+ (limit depends on company) C: Fixed Annuity with LTC Benefits Quote Annuity LTC rider desired amount : select one 50,000 100,000 150,000 200,000 250,000 300,000 350,000 400,000 450,000 500,000 500,000+ Non-Qualified: after-tax dollars. Taxes have been paid. Usually stocks, bonds, savings, CD's, money market accounts. Can transfer to annuity with LTC. Annuity CD Money Market Savings Other $ Qualified: employer provided plan or an individual retirement plan. Usually 401ks, IRAs, retirement plans, tax deferred annuities. Consult with plan about any possible early withdraw penalty. 401k IRA Other $