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The Federal Long Term Care Insurance Program Policy 2*
Insurance company information
Company name John Hancock Life & Health Insurance Company
(Sponsored by OPM; administered by Long Term Care Partners, LLC)
Is the company licensed in your state? Yes
** Yes No
Rating by insurance rating services***
John Hancock Life & Health Insurance Company
Please visit www.LTCFEDS.com/JH for the most recent financial ratings.
Coverage
Reimbursement levels and covered services
Comprehensive plan Nursing home care and assisted living
facility covered up to 100% of the daily benefit amount (DBA)
Home care and adult day care covered up to 100% of DBA
Informal care provided by a friend, relative, or private caregiver (as long as that person did not live in your home at the time you became eligible for benefits) is covered up to 100% of DBA. Informal care provided by family members is covered for up to 500 days. When care is provided by non- family members, it’s covered for the benefit period you’ve selected.
Daily benefit amount Choice of: $100 $150 $200 $250 $300 $350 $400 $450 DBA choices are in $50 increments.
For your convenience, we’ve included our Benefits and Features Worksheet to help you make an informed decision if you’re shopping around for long term care insurance coverage. This worksheet lists FLTCIP 2.0 benefits and features with a blank column that you can use to note the benefits of another long term care insurance plan (under the Policy 2 column) for a side-by-side comparison. If you need assistance with the worksheet or want financial ratings or other information on competing long term care insurance plans, please call us at 1-800-LTC-FEDS (1-800-582-3337) TTY 1-800-843-3557 to speak with one of our certified long term care insurance consultants.
You may also visit us at www.LTCFEDS.com for additional information about the FLTCIP or to use our interactive calculators. The Premium Calculator provides premium quotes based on your age and choice of benefits. The Cost of Care Tool provides the average cost of care in the city of your choice.
* Other companies’ policies may have features not included on this worksheet or use different names for their features. ** Individual retail policy options and features may vary by state or may not be available in your state. The Federal Long Term Care
Insurance Program is a group program regulated by the Federal government, and because of this fact, there are no variations in the FLTCIP by states.
*** The rating refers only to the overall financial status of the company and is not a recommendation of the specific policy provisions, rates, or practices of the insurance company.
Benefits and Features Worksheet
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The Federal Long Term Care Insurance Program
Benefits and Features Worksheet
The Federal Long Term Care Insurance Program Policy 2*
Coverage
Alternate plan of care An alternate plan of care can be established if the care coordinator approves alternatives to the current plan that are both appropriate for your care and cost-effective. It may provide benefits for services or treatment not otherwise covered under the plan. Benefits paid reduce the MLB.
Bed reservations 60 days per calendar year
Hospice care Care in a hospice facility or at home covered up to 100% of your DBA No waiting period requirement
Respite care Respite care in a nursing home, assisted living facility, or hospice facility
Respite care by a formal or informal caregiver at home
Respite care at an adult day care center Covered up to 30 times the DBA per calendar year No waiting period requirement
Waiting period 90 calendar days, no incurred expenses required during that time Only needs to be met once during your lifetime
Benefit triggers Dependencies in two or more of the six activities of daily living, including standby or hands-on assistance with bathing, continence, dressing, eating, toileting, and transferring due to a loss of functional capacity that is expected to continue for at least 90 days or separate cognitive impairment trigger.
Waiver of premium You will not have to pay your premium if you are eligible for benefits and have satisfied the waiting period requirement. We will also waive your premium if you are eligible for benefits and receiving hospice care.
Return of premium upon death
No Yes No
Independent third-party claims appeal
Yes Yes No
Nonforfeiture feature A contingent nonforfeiture feature that provides paid-up long term care insurance coverage for a shortened benefit period if coverage lapses after an increase in premiums beyond a certain level as specified by the National Association of Insurance Commissioners.
Portability Yes Yes No
Guaranteed renewable Yes Yes No
www.LTCFEDS.com 1-800-LTC-FEDS (1-800-582-3337) TTY 1-800-843-3557
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Benefits and Features Worksheet
The Federal Long Term Care Insurance Program Policy 2*
Coverage
Benefit period Choice of: 2 years (730 days) 3 years (1,095 days) 5 years (1,825 days) Unlimited
Inflation protection options
Choice of: The automatic compound inflation option 4% or 5% compounded annually On each anniversary date of your original
effective date (or the effective date you change to this option), your DBA and the remaining portion of your MLB will automatically increase at a rate of 4% or 5% depending on your selection.
or The future purchase option Every two years, benefits increase with
a corresponding increase in premium. The increase in benefits is based on the change in the U.S. Department of Labor’s Consumer Price Index for All Urban Consumers. You may decline these biennial offers with a written rejection.
Stay-at-home benefit The stay-at-home benefit is payable up to 30 times the DBA. Stay-at-home services include: caregiver training payable up to
seven times the DBA care planning visits home modifications emergency medical response system durable medical equipment home safety checks
The stay-at-home benefit can be used at any time while you are meeting the benefit eligibility requirements, including during the waiting period. Any benefits paid under this provision will not reduce your MLB.
Care coordination services
Our care coordinators are registered nurses experienced in long term care. Your care coordinator can: help you find high-quality care providers
in your area share the results of state survey reports
about service availability, quality, costs, and licensing
arrange for discounted services monitor the care you are receiving assist with changing your plan of care
as your needs change
The Federal Long Term Care Insurance Program Policy 2*
Coverage
International benefits We will pay benefits for covered services you receive outside the United States. When you receive such services, we will pay benefits up to 80% of the benefit amounts shown on your schedule of benefits. If your schedule of benefits shows that you have a two-, three-, or five-year benefit period, 80% of your MLB can be used for covered services you receive outside the United States; the remaining 20% will be available for covered services you receive in the United States. If your schedule of benefits shows that you have an unlimited benefit period, benefits payable for any covered services you receive outside the United States will be limited to 10 years. For such services, your MLB will be equal to 3,650 days (10 years) times 80% of your DBA. Your MLB for covered services you receive in the United States will remain unlimited.
Benefits payable for preexisting conditions
Once you are enrolled and you become eligible for benefits, benefits are payable even if the need for services results from a preexisting condition. There are, however, requirements about when a preexisting condition must be disclosed during the application process.
Payment options Payroll or annuity/pension deduction Automatic bank withdrawal Direct billing
Premium guarantee Premiums are not guaranteed. Your premium will not change because you get older or your health changes or for any other reason related solely to you. We may only increase your premium if you are among a group of enrollees whose premium is determined to be inadequate. While the group policy is in effect, OPM must approve the change.
Yes No
Tax-qualified Yes Yes No
Spousal benefits A spousal discount is built into the group rates to benefit all enrollees; however, the FLTCIP does not offer a shared care benefit or separate discount for spouses.
Yes No
No war exclusion Coverage under the FLTCIP does not have a war exclusion. As a result, benefits may be payable for conditions due to war or acts of war, declared or undeclared, or service in the armed forces or auxiliary units. There is also no catastrophic coverage limitation.
The Federal Long Term Care Insurance Program is sponsored by the U.S. Office of Personnel Management, offered by John Hancock Life & Health Insurance Company, and administered by Long Term Care Partners, LLC.
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Benefits and Features Worksheet
