Neill and Neill Insurance Agency

662 Riverdale St, West Springfield, MA 01089

413-732-4137, fax 413-731-2269

Long Term Care

Provides a daily benefit to pay for in home care, nursing care, retirement or nursing home for a individual that can not take care of themselves.

Sample rate based as of 8/1/98 for a husband and wife purchasing a policy at the same time. Rate is per person.

Current Age	Daily benefit	Length of Benefit	Waiting Period	Annual Cost
40	100	3 years	60 days	$ 320
50	100	3 years	60 days	$ 480
60	100	3 years	60 days	$ 800
70	100	3 years	60 days	$ 1,742

Please complete the following and send to Neill and Neill, We will provide you with a quote as soon as possible.

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Neill and Neill Insurance Agency

662 Riverdale St, West Springfield, MA 01089

Long Term Care

email: David nn@neillins.com

Last revised: January 11, 1999

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
Fax
E-mail
Web Site