Paper Driven Application Process

(signature via fax)

Long Term Care Insurance

For Agent Use Only. Not For Solicitation Purposes

Paper Application Process Overview

Fax Entire Application

866-556-3393

Fax Entire Application

866-556-3393

Print CompleteApplication & Forms Kit

Print CompleteApplication & Forms Kit

Data Enter ApplicationData Enter Application

Access the Applicationwww.YourLifeSecure.com

‘Resource Center’

Access the Applicationwww.YourLifeSecure.com

‘Resource Center’

Client AppointmentConsultation & Signature

Client AppointmentConsultation & Signature

Visit your agent portal

Enter the “Resource Center”

Paper Application Process Overview

Fax Entire Application

866-556-3393

Fax Entire Application

866-556-3393

Data Enter ApplicationData Enter Application

Client AppointmentConsultation & Signature

Client AppointmentConsultation & Signature

Helpful Pop-ups (not errors)

Enter “Your Business”

Variances: On-Line vs. PaperThe Online Application The Paper Application

Personal Worksheet:

Section ‘L’

The Personal Worksheet:

Separate document

Agent’s Report:

Section ‘M’

Agent’s Report:

Section ‘N’

Applicant Authorization:

Section ‘N’

Applicant Authorization:

Section ‘M’

HIPAA Form:

Section ‘O’

HIPAA Form:

Section ‘L’

Final Checklist:

Section “P”

Final Checklist:

Section “P”

Other Helpful Presentations

Page by Page on-line Application

Policy Decisions: Issued or Adverse

Amendment Process

Monitoring your Business

Changes to Coverage