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. 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.