Request A Custom Quote Premiums are based on: company rates, age, health and benefits. We represent the major companies for long term care insurance with Partnership Asset Protection. We show you quotes side-by-side so you can compare benefits and premiums. We are not a "lead" company. We do not share or sell your information. The information provided helps us determine which companies will provide coverage. Since 1983 we have been providing LTC insurance to clients in all 50 states. We have the experience you need. If a couple fill out both Quote A and B. Quote A - name or initials: Age Weight: Lbs. Height: (ft-in 5-8) Gender: (M, F) Quote B - name or initials: Age Weight: Lbs. Height: (ft-in 5-8) Gender: (M, F) Marital Status select one Married Partner Single Does either take prescription medications? * Y N Enter medications in box below. Must list medications & health history: * (a) Quote A or B (b) Name of medication (c) What taken for (d) Current or past health issues; surgery, cancer, memory, stroke, narcotic use. Any scheduled or recommended treatments, doctor visits or tests that are no yet completed? Do you currently have a policy? Y N If you have policy click to read. Have you received quotes or are you working with someone who sells insurance? Y N If yes click to read. Your State of residence: quotes are state specific E-mail: (required) Phone: (required) * Medication information helps pre-qualify for insurability, so we can provide accurate information about which companies and which products are available. Long Term Care is a family affair. The majority of caregivers are family members.