Request Your No-Cost Long-Term Care Insurance Information

Request Long-Term Care Insurance Policy Costs

Request Your No-Cost & No-Obligation
Long-Term Care Insurance Information

Complete the form below to receive information from one independent long-term care insurance specialist selected by the American Association for Long-Term Care Insurance (AALTCI).

Long-term care insurance coverage is generally available for individuals between age 45 and 80 (84). Please call the Association at 818-597-3227 if you have questions.

Your Privacy Matters -- The American Association for Long-Term Care Insurance will share your information with one (1) independent long-term care insurance specialist who will contact you regarding long-term care insurance options.

You will NOT be added to mailing lists. Your information will NOT be sold or shared with multiple agents. Please provide both a phone number and email address so that an LTC specialist can respond to your request.

Complete & Submit To Receive No-Cost & No-Obligation Costs & Information

Your Name *
Your State *
Your Current Age *
Age of Spouse or Partner
(Optional)
Do You Currently Have A Long-Term Care Insurance Policy? *       
Phone Number (Required) *
Email Address (Required) *
Preferred Contact Method (Select)
Best Time To Call (Select Preference)

The American Association for Long-Term Care Insurance will share your contact information with one (1) independent long-term care insurance specialist who will call and/or e-mail you. You will NOT be added to any lists or receive further communication from the Association.