California Application Update

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California Application Update

The California Department of Insurance has recently introduced new requirements for Fraud Notice language that must be included on applications submitted in the state of California effective January 1, 2023.

As a result of this change, a new California application will be required for all California EssentialLTC applications dated January 1, 2023 and after.

Form Name: New Form Number: Replaced Form Number:
Application for Individual Nursing Facility and Residential Care Facility Only or Comprehensive Long Term Care Insurance NLTC100A-CA (Rev.2023) NLTC100A-CA

The new application will be available via the EssentialLTC Agent Resource Center on Friday, December 30, 2022, and can be accessed under the New Business tab and selecting the state of California from the State-Specific Applications and Forms dropdown.

For agent inquiries contact your dedicated NGL Agent Services Team at 888.505.2332 or For sales questions contact the NGL Long-Term Care Sales Team at

California Application Update

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