DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
34 STATE HOUSE STATION
AUGUSTA, MAINE 04333
FINAL LIST OF LONG TERM CARE POLICIES CERTIFIED UNDER INSURANCE CODE
§§ 5054-5 FOR STATE INCOME TAX BENEFITS UNDER 36 MRSA § 5122
(THE CERTIFICATION PROGRAM ENDED 12/31/99)
| COMPANY | FORM NUMBER | CERTIFIED DATE |
|---|---|---|
| AETNA LIFE INS. CO. 151 FARMINGTON AVENUE HARTFORD CT 06156 |
GR-70 (CERTIFICATE) GR-700-W (GROUP POLICY) GR-70-W (CERTIFICATE) |
JUN 9 97 JUN 9 97 JUN 9 97 |
| ALLIANZ LIFE INS. CO. OF N.A. LIFECARE ADMINISTRATIVE OFFICE BOX 4243 WOODLAND HILLS, CA 91365-4263 OR 300 SOUTH HIGHWAY 169 MINNEAPOLIS MN 55426-1191 |
N-2350-P-ME N-2721-P-ME N-2721-P-ME(Q) N-2721-P-ME(NQ) N-3000-P-ME(Q) N-3000-P-ME(NQ) IC-P-Q-A-ME IC-P-N-A-ME |
FEB 16 95 AUG 28 96 MAY 19 97 MAY 19 97 FEB 2 99 FEB 2 99 MAR 11 99 MAR 11 99 |
| AMERICAN FAMILY LIFE ASSUR. CO. 1932 WYNNTON ROAD COLUMBUS GA 31999-0001 |
A-20000-ME A-22000-25 A-25000-14 A-25200-ME A-25300-ME |
NOV 2 90 DEC 11 91 AUG 4 94 JAN 25 99 JUL 15 99 |
| AMERICAN HERITAGE LIFE INS. CO. 1776 AMERICAN HERITAGE LIFE DRIVE JACKSONVILLE FL 32224 |
UL-LTCRIME (LIFE RIDER) | AUG 28 97 |
| AMERICAN INTERNATIONAL LIFE ASSURANCE CO. OF NEW YORK LONG TERM CARE SERVICE CENTER 400 COLUMBUS AVENUE VALHALLA NY 10595 |
64391-ME | FEB 5 97 |
| AMERICAN TRAVELLERS LIFE INS. CO. 3220 TILLMAN DRIVE BENSALEM PA 19020-2088 |
ATL-LTC-ME ATL-LTC-ME(REV.7/91) ATL-LTC-3(ME) ATL-LTC-6-ME ATL-FQ-LTC-ME |
MAY 6 91 NOV 18 91 JUN 8 93 JUL 16 96 SEP 18 97 |
| AMEX LIFE ASSURANCE CO. 1650 LOS GAMOS DRIVE SAN RAFAEL CA 94903-1899 |
50003L 50013C 50023D 7000AS (or 7000N) 7003CA |
JUN 14 90 FEB 26 91 APR 14 92 DEC 13 94 JUL 22 96 |
| BANKERS LIFE & CASUALTY CO. 222 MERCHANDISE MART PLAZA CHICAGO IL 60654 |
GR-N020 GR-N020 (REVISION) GR-N050 GR-N105 GR-N165 |
DEC 6 90 DEC 11 91 SEP 3 92 DEC 14 94 JAN 26 98 |
| BANKERS MULTIPLE LINE INS. CO. 4810 NO. KENNETH AVENUE CHICAGO IL 60630 |
D-N020 D-N020 (REVISION) D-N050 |
DEC 6 90 DEC 11 91 SEP 3 92 |
| BANKERS UNITED LIFE ASSURANCE CO. BOX 93020 HURST TX 76053-9320 |
GCPRO-II-C(ME)794 GCPRO-C(ME)193 GCPRO-III TQ LTC(ME)197 |
JUL 16 96 JUL 17 96 NOV 16 98 |
| BLUE ALLIANCE MUTUAL INS. CO. LONG TERM CARE OPERATIONS 150 EAST MAIN ST ROCHESTER NY 14647 and BLUE ALLIANCE MUTUAL INS. CO. c/o MEDAMERICA INS. CO. 165 COURT STREET ROCHESTER NY 14647 |
LTC-CD9-BC-ME LTQ11-336-ME-998 LTC11-339-ME-998 |
JUL 21 98 SEP 1 99 SEP 1 99 |
| CENTURY LIFE OF AMERICA 2000 HERITAGE WAY WAVERLY IA 50677 |
5701ME | APR 27 94 |
| COMBINED INS. CO. OF AMERICA 123 NORTH WACKER DRIVE CHICAGO IL 60606 |
14515-ME | AUG 24 99 |
| CONTINENTAL CASUALTY CO. CNA PLAZA CHICAGO IL 60685 CNA (cont.) Or |
P1-15203-A P1-16356-A P1-18215-A18 P1-18876-A18 P1-18878-A18 P1-21295-A18 P1-21300-A18 SR-LTCP-18(GROUP) SR-LTCC-18(CERTIFICATE) P1-15203-A09 P1-N0034-A18 P1-N0035-A18 P1-N0022-A18 P1-N0023-A18 P1-N0026-A18 (OR P1-N0026-A20) (OR P1-N0026-A21) P1-N0027-A18 P1-N0080-A18 P1-N0081-A18 P1-N0085-A18 P1-N0086-A18 P1-N0095-A18 P1-N0096-A18 P1-N0100-A18 P1-N0101-A18 |
MAR 9 92 MAR 9 92 JAN 3 94 APR 29 94 APR 29 94 MAR 16 95 MAR 16 95 MAR 19 96 MAR 19 96 SEP 6 96 FEB 4 97 FEB 4 97 FEB 21 97 FEB 21 97 FEB 21 97 FEB 21 97 DEC 11 98 DEC 11 98 DEC 11 98 DEC 11 98 DEC 15 98 DEC 15 98 DEC 15 98 DEC 15 98 |
| CUNA MUTUAL LIFE INS. CO. 2000 HERITAGE WAY WAVERLY IA 50677 |
5701ME 97-TTC-COMP(ME) |
APR 27 94 AUG 16 99 |
| FIRST COLONY LIFE C/o GE FINANCIAL ASSURANCE LTC DIVISION 1650 LOS GAMOS DRIVE SAN RAFAEL CA 94303 |
FCL7050AN | AUG 25 99 |
| FORTIS BENEFITS INS. CO. LTC ADMINISTRATIVE OFFICE 1840 OGDEN DRIVE BURLINGAME CA 94010 |
6062-ME 6063-ME 6072-ME 6073-ME |
JUN 3 98 JUN 3 98 JUN 3 98 JUN 3 98 |
| FORTIS INSURANCE COMPANY 501 WEST MICHIGAN BOX 2986 MILWAUKEE WI 53201-2986 |
4043-ME 4044-ME 4062-ME 4063-ME 4072-ME 4073-ME |
JAN 22 96 MAY 28 96 SEP 9 97 SEP 9 97 SEP 26 97 SEP 26 97 |
| GENERAL ELECTRIC CAPITAL ASSURANCE CO. 1650 LOS GAMOS DRIVE SAN RAFAEL CA 94903-1899 |
50023D 7000AD 7003CA 7031AS 7030AT |
APR 14 92 DEC 13 94 JUL 22 96 MAY 28 98 JUL 13 98 |
| GREAT AMERICAN LIFE INS. CO. LTC ADMINISTRATIVE OFFICES BOX 5714 HOPKINS MN 55343-4796 |
1LTCGP001(ME) (GROUP POLICY) 1LTCGC001(ME) (CERTIFICATE) 1LTCCIP0001(ME) |
AUG 10 99 AUG 10 99 SEP 7 99 |
| HARTFORD LIFE INS. CO. BOX 1459 MINNEAPOLIS MN 55440-1459 and HARTFORD LIFE INS. CO. BOX 2999 HARTFORD CT 06104-2999 |
SRP-1353-CRT-A(ME2) (GROUP CERTIFICATE) SRP-1381-A(ME1) |
NOV 23 98 SEP 3 99 |
| IDS LIFE INSURANCE CO. IDS TOWER 10 MINNEAPOLIS MN 55440 |
30275-ME 30227-ME 30160A-ME |
FEB 27 92 OCT 4 93 DEC 1 97 |
| JOHN ALDEN LIFE INS. CO. BOX 4243 WOODLAND HILLS CA 91365-4243 |
J-1123-P-ME J-1124-P-ME J-5762-P-ME J-5785-P-ME J-5785-P-ME(Q) J-5785-P-ME(NQ) |
DEC 7 92 DEC 7 92 OCT 21 93 OCT 5 95 MAY 19 97 MAY 19 97 |
| JOHN HANCOCK MUTUAL LIFE INS. CO. RETAIL LONG-TERM CARE BOX 111 BOSTON MA 02117 |
LTC-ME-91 (or LTC-91 or LTC-CT-91 or LTC-94 MA2) GDB-CRT-0001.11 NYNEX CORP. GDB-CRT-0001 DOW CHEMICAL GDB-CRT-0001 WESTINGHOUSE ELECTRIC GCB-COV-0002 ED. 5-90 IBM CORPORATION LTC-96 ME 9/96 LTC-96CL ME 9/96 GDB-CRT-0001 LIBERTY MUTUAL INS. CO. |
MAR 3 92 NOV 19 93 DEC 22 95 DEC 22 95 AUG 22 96 DEC 10 96 DEC 10 96 AUG 28 97 |
| LIFE INVESTORS INS. CO. OF AMERICA 2705 BROWN TRAIL, SUITE 400 BEDFORD TX 76021 |
LI-LTCP (ME) 192 GC001 (ME) 796 LTC-1 NATIONAL EDUCATION ASSN. |
AUG 21 97 JAN 1 97 |
| LIFEUSA INSURANCE CO. BOX 59060 MINNEAPOLIS MN 55459-0060 |
1C-P-Q-ME 1C-P-N-ME |
MAR 8 99 MAR 8 99 |
| MASSACHUSETTS CASUALTY INS. CO. 90 AVON MEADOW LANE AVON CT 06001-3774 |
LTCNH(ME) | AUG 24 98 |
| MEDICAL LIFE INSURANCE CO. 1220 HURON ROAD CLEVELAND OH 44115-1700 |
ML7792 LTC-CD8-ME |
MAY 18 93 MAR 18 96 |
| METROPOLITAN LIFE INS. CO. LONG-TERM CARE GROUP BOX 937 WESTPORT CT 06881-0937 and METROPOLITAN LIFE INS. CO.
|
G.LTC3098 AARP 1LTC-97 |
JUN 16 98 SEP 28 99 |
| MONUMENTAL LIFE INS. CO. BOX 93007 HURST TX 76053 |
ML-LTCP(ME)192 | JUN 14 96 |
| MUTUAL OF OMAHA INS. CO. MUTUAL OF OMAHA PLAZA OMAHA NE 68175 |
NH23 SERIES 15627 NH24 SERIES 15628 LTC16 SERIES 17531 LTM16 SERIES 17571 LT50 SERIES 19292 LT50 SERIES 19732 |
JUN 26 89 JUN 26 89 OCT 28 92 OCT 28 92 OCT 2 97 JUL 10 98 |
| MUTUAL PROTECTIVE INS. CO. BOX 3477 OMAHA NE 68103 |
MP-LT695(ME) MP-LT696(ME) |
SEP 9 96 FEB 23 98 |
| NATIONAL LIFE OF VERMONT ONE NATIONAL LIFE DRIVE MONTPELIER VT 05604 |
RIDERS 7801ME(0199) through 7804ME(0199) to LIFE POLICIES 7746(0199) through 7757(0199) |
OCT 6 99 |
| NEW YORK LIFE INS. CO. 51 MADISON AVENUE NEW YORK, NY 10010 and NEW YORK LIFE INS. CO.
|
21073(ME) with RIDER 21074(ME) ILTC-4300(ME) (0197) ILTC-4300(ME) (0197) |
APR 13 94 MAY 28 98 SEP 23 99 |
| PENNSYLVANIA LIFE INS. CO. 3130 WILSHIRE BLVD. SANTA MONICA CA 90403 |
P-1490 ME 12.91 | APR 14 92 |
| PEOPLES BENEFIT LIFE VALLEY FORGE PA 19493 |
P0001-ME | AUG 99 |
| PFL LIFE INSURANCE CO. LONG TERM CARE DIVISION BOX 93005 HURST TX 76053-9305 |
LTC 5 (ME) 196 FLEX 2 HCC (ME) 196 LTC 5 TQ (ME) 1096 LTC 5 TQ (ME) 1097 LTC 5 (ME) 1097 FLEX 2 HCC (ME) 1097 LTC 5 TQ (ME) 1197 FPTQ (ME) 197 |
JUL 14 97 AUG 4 97 AUG 25 97 NOV 21 97 NOV 21 97 NOV 21 97 SEP 9 99 SEP 9 99 |
| PHYSICIANS MUTUAL INS. CO. 2600 DODGE OMAHA NE 68131-2671 |
P122-6 P124ME |
SEP 15 93 MAY 10 94 |
| PROTECTIVE LIFE INS. CO. BOX 2606 BIRMINGHAM AL 35202 |
L575-ME 3-98 VARIABLE LIFE RIDER | NOV 5 98 |
| PROVIDENT LIFE & ACCIDENT INS. CO. 1 FOUNTAIN SQUARE CHATTANOOGA TN 37402 |
F-67841 (CERTIFICATE AMERICAN MEDICAL ASSN) (or SCHEDULE F-68741) |
JUL 14 97 |
| PRUDENTIAL INS. CO. OF AMERICA LONG TERM CARE UNIT 250 GILBRALTER ROAD HORSHAM PA 19044-0931 |
83500 BFW 1030 (CERTIFICATE) GRP 98250 GRP 98251 GRP 98252 |
DEC 31 98 JUN 21 99 JUN 21 99 JUN 21 99 |
| STATE FARM MUTUAL AUTOMOBILE INS. CO. ONE STATE FARM PLAZA BLOOMINGTON IL 61710-0001 |
97045ME.1 | APR 18 97 |
| TEACHERS INSURANCE & ANNUITY ASSOC. 730 THIRD AVENUE NEW YORK NY 10017 |
LTC-ME.02 ED. 11-91 LTC-E-ME.02 ED. 11-91 (or LTC.02 ED. 11-91) LTC-ME.02 ED. 11-96 LTC-E-ME.02 ED. 11-96 LTC.03(ME) |
MAY 10 94 MAY 10 94 AUG 28 97 AUG 28 97 MAR 22 99 |
| TIME INSURANCE CO. 501 WEST MICHIGAN MILWAUKEE WI 53201-2986 |
4043-ME 4044-ME 4062-ME 4063-ME 4072-ME 4073-ME |
JAN 22 96 MAY 28 96 SEP 9 97 SEP 9 97 SEP 26 97 SEP 26 97 |
| TRANSAMERICA OCCIDENTAL LIFE INS. CO. LONG TERM CARE INSURANCE DEPT. BOX 419074 KANSAS CITY MO 64141-6074 |
LTC 104-194-ME LTC 124-197-ME |
AUG 15 95 JUN 10 98 |
| TRAVELERS INS. CO. ONE TOWER SQUARE HARTFORD CT 06183 |
H-569 H-LTC2J (or H-LTC2J-30 or H-LTC2J-34 or H-LTC2J-22 or H-LTC2J-23 or H-LTC2J-3) H-LTC3J-23 (or H-NYLC3J) H-LTC3JP23 (or H-LTC3JP13) H-LTC3JQ H-LTC4JQ |
FEB 9 89 MAY 13 91 SEP 10 93 JUN 27 94 DEC 11 96 MAR 5 98 |
| UNION BANKERS INS. CO. BOX 655433 DALLAS TX 75265-5433 |
LT-HHC LTC-92 |
FEB 27 91 MAY 31 94 |
| UNION LABOR LIFE INS. CO. BOX 9100 CLEARWATER FL 33758-9100 |
UL-LTC-98(ME) | APR 6 99 |
| UNUM LIFE INS. CO. OF AMERICA 2211 CONGRESS STREET PORTLAND ME 04104 |
LTC188 (GROUP POLICY: limited to CCRC and ASSOCIATION GROUPS) DIC188 (GROUP LTC conversion from LTC188) LTC288 (CCRC only) LTC288C (CERTIFICATE) MIC288 (GROUP LTC conversion from LTC288) LTC590 LTC5091HC LTC5191HC LTC5291HC LTC5391HC LTC5491HC LTC5591HC C.LTC (SELECT GROUP INS. TRUST) LTC5092HC LTC5192HC LTC5292HC LTC5392HC LTC5492HC LTC5592HC LTC5092-93 LTC5192-93 LTC5292-93 LTC5392-93 LTC5492-93 LTC5592-93 GLTC95 GLTC95C LTC94 LTC6192 GLTC95.CONV TQGLTC95 TQGLTC95C TQC.LTC GLTC97TQP (CCRCs) GLTC97TQC (CERTIFICATE) LTC94Q GLTC95TQP CCRC GLTC95TQC (CERTIFICATE) LTC99 LTCQ99 |
MAR 2 89 MAR 2 89 MAR 16 89 MAR 16 89 MAR 16 89 APR 9 90 MAR 18 91 MAR 18 91 MAR 18 91 MAR 18 91 MAR 18 91 MAR 18 91 JUL 1 91 MAR 9 92 MAR 9 92 MAR 9 92 MAR 9 92 MAR 9 92 MAR 9 92 OCT 27 93 OCT 27 93 OCT 27 93 OCT 27 93 OCT 27 93 OCT 27 93 JUL 27 95 JUL 27 95 OCT 3 95 SEP 5 96 SEP 9 96 DEC 10 96 DEC 10 96 JAN 1 97 MAR 31 97 MAR 31 97 MAY 27 97 OCT 15 97 OCT 15 97 NOV 2 99 NOV 2 99 |
| WORLD LIFE & HEALTH INS. CO. OF PENNSYLVANIA 215 WEST CHURCH ROAD KING OF PRUSSIA PA 19406-3211 |
WL-LTC-232 | DEC 14 90 |