Submit a LTC Application

Not taking advantage of our Application Partner program? Do you need to send in a paper LTC application?  Here are a couple of options:

  •  Upload the application using the form at the right - the application will be sent directly to our new business team and processing will begin
  • Mail the application to our office - Attn: New Business

LTCI Partners, LLC
100 Field Drive Suite 310
Lake Forest, IL 60045
877-949-4582
 
Questions?  Call us at 877-949-4582, extension 4