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L&HCaliforniamedium

Before a California producer can sell a long-term care insurance policy, Ins. Code § 10234.95 requires the producer to complete which of the following with the applicant?

AA copy of the applicant's most recent federal income tax return, signed under penalty of perjury by both the applicant and producer
A 'personal worksheet' assessing the applicant's income, assets, and ability to pay the policy's future premiums
CA signed waiver in which the applicant gives up the right to file a complaint with the California Department of Insurance
DA completed Medi-Cal long-term-care benefits application filed with the county social services agency before issuance

Why this is the answer

California's LTC suitability framework requires that the producer and applicant complete a personal worksheet that documents the applicant's income, assets, premium-paying ability, and reasons for buying. If the worksheet shows the applicant cannot reasonably afford the LTC premium (e.g., premium exceeds a stated percentage of income, or assets are below CDI-recommended thresholds), the producer should not sell the policy. Tax returns (b) are not statutorily required. A complaint-rights waiver (c) would itself violate CA public-policy rules. A Medi-Cal application (d) is unrelated.

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