LTCP Updated Insurance Information (DHS-5426E)
The LTCP Updated Insurance Information (DHS-5426E) (PDF) is sent to insurance companies to get updated paid benefit information 60 days prior to the client’s annual renewal. A copy of the DHS-5426A (the release) must be sent with this form.
You will need to complete the information on page 1 before sending it.
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LTCP Forms