Low cost long term care insurance quotes from Life Quote California.com. Fast and Free longterm care insurance quote for CA residents.

Request Your Online or Phone Quote!

CA online life and health insurance quotes

Our California Online Quote Links:
   ° Term Life Insurance Quote
   ° Individual Health Quote
   ° Group Health Quote
   ° Long Term Care Quote
   ° Disability Insurance Quote
   ° Final Expense Insurance Quote
   ° Whole Life Insurance Quote
   ° Universal Insurance Quote
   ° The Annuity Doctor

° Service Your Account

Actual Client Sample Life Rates:
30 Year Old Female; $500,000 Term Life, ONLY $16.00 PER MONTH!
44 Year Old Male; $500,000 Term Life, ONLY $24.00 PER MONTH!
55 Year Old Male; $250,000 Term Life, ONLY $49.00 PER MONTH!
(Rates based on preferred, non-smoker, 10 Year Level Term. GET YOUR QUOTE NOW!)

Actual Sample Rates of a Long Term Care Client We Recently Sold!
Only $115/month for 54 year old Male - from a highly rated company. You can get LTC insurance for under $90/month based on benefits selected!

We use the nation's top carriers such as Genworth, John Hancock, Mutual Of Omaha, & Met Life! GET A FREE QUOTE BELOW!
On-Line Long Term Care
Insurance Quote Form
One Simple Form - takes only 2-3 Minutes!

Your Personal Data

Your Name:
Street Address:
City:
State: (Must be California)
Zip Code:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):

Marital Status: Single Married	Are You Looking For Spouse Coverage? Yes No

Health Ins. Currently? (If yes, list carrier, and # of years continuous. If none, type N/C)

UNDERWRITING INFORMATION

Insured Name: Birthdate:

Insured Height: Insured Weight:

Insured Occupation: Sex (M/F):

Be as specific as you can on the underwriting questions below so we may find the most competitive product for you!

Do You use tobacco? Yes No Describe usage (cigar, cigarettes, etc.)

Any Pre-existing Health Conditions?
(If yes, descibe in detail, and to which of the insured persons they apply.)

Any Covered Persons Currently Taking Medication of Any Kind?
(If yes, descibe in detail, and to which of the insured persons they apply.)

COVERAGE INFORMATION

How Long Do You Need Coverage For?
(1 Year, 5 Years, Lifetime, etc.)

What Daily Benefit Amount Needed? (In Dollars $)

What Waiting Period Do You Want?
(30 days, 60 days, 90 days, etc.):

Any special coverages needed?
(Such as Home Health Care Cov., Compound Inflation Rider, etc.)

Tell Us What You Want MOST in your Health Plan, or list any other Remarks here:

Send my quotation via: E-Mail Fax
Regular Mail
Call me by Phone!

Thank you for filling out this form COMPLETELY!
We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me My
Long Term Care Quote NOW!

Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!

Why Call Anyone Else? We Shop ALL These Carriers For You, and More!

More About Life Quote California.com - Questions? E-Mail Us At: quotes@lifequotecalifornia.com
Contact us at: 800-378-1248 for an Instant Insurance Quote today! Read Our Privacy Notice
(CA Ins. License#OB85060 & OD25517)

Life Quote California.com has made purchasing California life and health insurance EASY. We have developed a website where anyone can find, compare, and purchase insurance in the state of California. We provide you access to one of the nations strongest insurance carriers to find you the best value on CA life, health, disability, long term care and other insurance. Letting us shop for you allows you to save money on your California insurance through an A+ rated insurance carrier. Get a free quote on your California life or health insurance today.