Sample long term care policy

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        LTC Insurance Forms
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        Long Term Care Insurance Forms

        Browse Genworth’s collection of long term care insurance forms below. Once you locate the appropriate long term care insurance form, download and complete in full. Once you’ve printed it out, please sign and return it to the address found directly on your long term care insurance form. If you have not already done so, please download Adobe Reader® to view the forms.

        Genworth’s long term care insurance forms will assist you with conducting authorizations, changing your name/address, naming a beneficiary, changing your long term care coverage and conducting other updates to your policy/certificate.

        Manage Your Policy/Contract Online

        Change your address, billing info, automate payments and test.

        California Residents

        To view the California Long Term Care Sample Policy, please click the links below, or to request a paper copy, call Customer Service at 888 GENWORTH (888.436.9678) Monday – Thursday:
        8:30 AM – 6 PM ET,
        Friday:
        9 AM – 6 PM ET
        and a sample policy will be mailed to you within 15 calendar days.