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December 31, 1999

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
34 STATE HOUSE STATION
AUGUSTA, MAINE 04333

FINAL LIST OF
LONG TERM CARE POLICIES CERTIFIED UNDER INSURANCE CODE
§§ 5054-5 FOR STATE INCOME TAX BENEFITS UNDER 36 MRSA § 5122
(THE CERTIFICATION PROGRAM ENDED 12/31/99)

COMPANY FORM NUMBER CERTIFIED DATE
AETNA LIFE INS. CO.
151 FARMINGTON AVENUE
HARTFORD CT 06156
GR-70 (CERTIFICATE)
GR-700-W (GROUP POLICY)
GR-70-W (CERTIFICATE)
JUN 9 97
JUN 9 97
JUN 9 97
ALLIANZ LIFE INS. CO. OF N.A.
LIFECARE ADMINISTRATIVE OFFICE
BOX 4243
WOODLAND HILLS, CA 91365-4263
OR
300 SOUTH HIGHWAY 169
MINNEAPOLIS MN 55426-1191
N-2350-P-ME
N-2721-P-ME
N-2721-P-ME(Q)
N-2721-P-ME(NQ)
N-3000-P-ME(Q)
N-3000-P-ME(NQ)
IC-P-Q-A-ME
IC-P-N-A-ME
FEB 16 95
AUG 28 96
MAY 19 97
MAY 19 97
FEB 2 99
FEB 2 99
MAR 11 99
MAR 11 99
AMERICAN FAMILY LIFE ASSUR. CO.
1932 WYNNTON ROAD
COLUMBUS GA 31999-0001
A-20000-ME
A-22000-25
A-25000-14
A-25200-ME
A-25300-ME
NOV 2 90
DEC 11 91
AUG 4 94
JAN 25 99
JUL 15 99
AMERICAN HERITAGE LIFE INS. CO.
1776 AMERICAN HERITAGE LIFE DRIVE
JACKSONVILLE FL 32224
UL-LTCRIME (LIFE RIDER) AUG 28 97
AMERICAN INTERNATIONAL LIFE
ASSURANCE CO. OF NEW YORK

LONG TERM CARE SERVICE CENTER
400 COLUMBUS AVENUE
VALHALLA NY 10595
64391-ME FEB 5 97
AMERICAN TRAVELLERS LIFE INS. CO.
3220 TILLMAN DRIVE
BENSALEM PA 19020-2088
ATL-LTC-ME
ATL-LTC-ME(REV.7/91)
ATL-LTC-3(ME)
ATL-LTC-6-ME
ATL-FQ-LTC-ME
MAY 6 91
NOV 18 91
JUN 8 93
JUL 16 96
SEP 18 97
AMEX LIFE ASSURANCE CO.
1650 LOS GAMOS DRIVE
SAN RAFAEL CA 94903-1899
50003L
50013C
50023D
7000AS (or 7000N)
7003CA
JUN 14 90
FEB 26 91
APR 14 92
DEC 13 94
JUL 22 96
BANKERS LIFE & CASUALTY CO.
222 MERCHANDISE MART PLAZA
CHICAGO IL 60654
GR-N020
GR-N020 (REVISION)
GR-N050
GR-N105
GR-N165
DEC 6 90
DEC 11 91
SEP 3 92
DEC 14 94
JAN 26 98
BANKERS MULTIPLE LINE INS. CO.
4810 NO. KENNETH AVENUE
CHICAGO IL 60630
D-N020
D-N020 (REVISION)
D-N050
DEC 6 90
DEC 11 91
SEP 3 92
BANKERS UNITED LIFE ASSURANCE CO.
BOX 93020
HURST TX 76053-9320
GCPRO-II-C(ME)794
GCPRO-C(ME)193
GCPRO-III TQ LTC(ME)197
JUL 16 96
JUL 17 96
NOV 16 98
BLUE ALLIANCE MUTUAL INS. CO.
LONG TERM CARE OPERATIONS
150 EAST MAIN ST
ROCHESTER NY 14647 and
BLUE ALLIANCE MUTUAL INS. CO.
c/o MEDAMERICA INS. CO.
165 COURT STREET
ROCHESTER NY 14647
LTC-CD9-BC-ME
LTQ11-336-ME-998
LTC11-339-ME-998
JUL 21 98
SEP 1 99
SEP 1 99
CENTURY LIFE OF AMERICA
2000 HERITAGE WAY
WAVERLY IA 50677
5701ME APR 27 94
COMBINED INS. CO. OF AMERICA
123 NORTH WACKER DRIVE
CHICAGO IL 60606
14515-ME AUG 24 99
CONTINENTAL CASUALTY CO.
CNA PLAZA
CHICAGO IL 60685
CNA (cont.)

Or
BOX 305090
NASHVILLE TN 37230

P1-15203-A
P1-16356-A
P1-18215-A18
P1-18876-A18
P1-18878-A18
P1-21295-A18
P1-21300-A18
SR-LTCP-18(GROUP)
SR-LTCC-18(CERTIFICATE)
P1-15203-A09
P1-N0034-A18
P1-N0035-A18
P1-N0022-A18
P1-N0023-A18
P1-N0026-A18
(OR P1-N0026-A20)
(OR P1-N0026-A21)
P1-N0027-A18
P1-N0080-A18
P1-N0081-A18
P1-N0085-A18
P1-N0086-A18
P1-N0095-A18
P1-N0096-A18
P1-N0100-A18
P1-N0101-A18
MAR 9 92
MAR 9 92
JAN 3 94
APR 29 94
APR 29 94
MAR 16 95
MAR 16 95
MAR 19 96
MAR 19 96
SEP 6 96
FEB 4 97
FEB 4 97
FEB 21 97
FEB 21 97
FEB 21 97
 
 
FEB 21 97
DEC 11 98
DEC 11 98
DEC 11 98
DEC 11 98
DEC 15 98
DEC 15 98
DEC 15 98
DEC 15 98
CUNA MUTUAL LIFE INS. CO.
2000 HERITAGE WAY
WAVERLY IA 50677
5701ME
97-TTC-COMP(ME)
APR 27 94
AUG 16 99
FIRST COLONY LIFE
C/o GE FINANCIAL ASSURANCE
LTC DIVISION
1650 LOS GAMOS DRIVE
SAN RAFAEL CA 94303
FCL7050AN AUG 25 99
FORTIS BENEFITS INS. CO.
LTC ADMINISTRATIVE OFFICE
1840 OGDEN DRIVE
BURLINGAME CA 94010
6062-ME
6063-ME
6072-ME
6073-ME
JUN 3 98
JUN 3 98
JUN 3 98
JUN 3 98
FORTIS INSURANCE COMPANY
501 WEST MICHIGAN
BOX 2986
MILWAUKEE WI 53201-2986
4043-ME
4044-ME
4062-ME
4063-ME
4072-ME
4073-ME
JAN 22 96
MAY 28 96
SEP 9 97
SEP 9 97
SEP 26 97
SEP 26 97
GENERAL ELECTRIC CAPITAL
ASSURANCE CO.

1650 LOS GAMOS DRIVE
SAN RAFAEL CA 94903-1899
50023D
7000AD
7003CA
7031AS
7030AT
APR 14 92
DEC 13 94
JUL 22 96
MAY 28 98
JUL 13 98
GREAT AMERICAN LIFE INS. CO.
LTC ADMINISTRATIVE OFFICES
BOX 5714
HOPKINS MN 55343-4796
1LTCGP001(ME) (GROUP POLICY)
1LTCGC001(ME) (CERTIFICATE)
1LTCCIP0001(ME)
AUG 10 99
AUG 10 99
SEP 7 99
HARTFORD LIFE INS. CO.
BOX 1459
MINNEAPOLIS MN 55440-1459 and
HARTFORD LIFE INS. CO.
BOX 2999
HARTFORD CT 06104-2999
SRP-1353-CRT-A(ME2)
(GROUP CERTIFICATE)
SRP-1381-A(ME1)
NOV 23 98
SEP 3 99
IDS LIFE INSURANCE CO.
IDS TOWER 10
MINNEAPOLIS MN 55440
30275-ME
30227-ME
30160A-ME
FEB 27 92
OCT 4 93
DEC 1 97
JOHN ALDEN LIFE INS. CO.
BOX 4243
WOODLAND HILLS CA 91365-4243
J-1123-P-ME
J-1124-P-ME
J-5762-P-ME
J-5785-P-ME
J-5785-P-ME(Q)
J-5785-P-ME(NQ)
DEC 7 92
DEC 7 92
OCT 21 93
OCT 5 95
MAY 19 97
MAY 19 97
JOHN HANCOCK MUTUAL LIFE INS. CO.
RETAIL LONG-TERM CARE
BOX 111
BOSTON MA 02117
LTC-ME-91 (or LTC-91 or LTC-CT-91 or  LTC-94 MA2)
GDB-CRT-0001.11 NYNEX CORP.
GDB-CRT-0001 DOW CHEMICAL
GDB-CRT-0001 WESTINGHOUSE
ELECTRIC
GCB-COV-0002 ED. 5-90
IBM CORPORATION
LTC-96 ME 9/96
LTC-96CL ME 9/96
GDB-CRT-0001
LIBERTY MUTUAL INS. CO.
MAR 3 92
NOV 19 93
DEC 22 95
DEC 22 95
AUG 22 96
DEC 10 96
DEC 10 96
AUG 28 97
LIFE INVESTORS INS. CO. OF AMERICA
2705 BROWN TRAIL, SUITE 400
BEDFORD TX 76021
LI-LTCP (ME) 192
GC001 (ME) 796 LTC-1
NATIONAL EDUCATION ASSN.
AUG 21 97
JAN 1 97
LIFEUSA INSURANCE CO.
BOX 59060
MINNEAPOLIS MN 55459-0060
1C-P-Q-ME
1C-P-N-ME
MAR 8 99
MAR 8 99
MASSACHUSETTS CASUALTY INS. CO.
90 AVON MEADOW LANE
AVON CT 06001-3774
LTCNH(ME) AUG 24 98
MEDICAL LIFE INSURANCE CO.
1220 HURON ROAD
CLEVELAND OH 44115-1700
ML7792
LTC-CD8-ME
MAY 18 93
MAR 18 96
METROPOLITAN LIFE INS. CO.
LONG-TERM CARE GROUP
BOX 937
WESTPORT CT 06881-0937 and

METROPOLITAN LIFE INS. CO.  
C/o I.B. FINANCIAL MANAGEMENT
501 US HIGHWAY 22
BRIDGEWATER NJ 08807

 

G.LTC3098
AARP
1LTC-97
JUN 16 98
SEP 28 99
MONUMENTAL LIFE INS. CO.
BOX 93007
HURST TX 76053
ML-LTCP(ME)192 JUN 14 96
MUTUAL OF OMAHA INS. CO.
MUTUAL OF OMAHA PLAZA
OMAHA NE 68175
NH23 SERIES 15627
NH24 SERIES 15628
LTC16 SERIES 17531
LTM16 SERIES 17571
LT50 SERIES 19292
LT50 SERIES 19732
JUN 26 89
JUN 26 89
OCT 28 92
OCT 28 92
OCT 2 97
JUL 10 98
MUTUAL PROTECTIVE INS. CO.
BOX 3477
OMAHA NE 68103
MP-LT695(ME)
MP-LT696(ME)
SEP 9 96
FEB 23 98
NATIONAL LIFE OF VERMONT
ONE NATIONAL LIFE DRIVE
MONTPELIER VT 05604
RIDERS 7801ME(0199) through
7804ME(0199) to LIFE POLICIES
7746(0199) through 7757(0199)
OCT 6 99
NEW YORK LIFE INS. CO.
51 MADISON AVENUE
NEW YORK, NY 10010 and

NEW YORK LIFE INS. CO.
98 SAN JACINTO BLVD., SUITE 800
AUSTIN TX 78701

 

21073(ME) with RIDER
21074(ME)
ILTC-4300(ME) (0197)

ILTC-4300(ME) (0197)

APR 13 94
MAY 28 98
SEP 23 99
PENNSYLVANIA LIFE INS. CO.
3130 WILSHIRE BLVD.
SANTA MONICA CA 90403
P-1490 ME 12.91 APR 14 92
PEOPLES BENEFIT LIFE
VALLEY FORGE PA 19493
P0001-ME AUG 99
PFL LIFE INSURANCE CO.
LONG TERM CARE DIVISION
BOX 93005
HURST TX 76053-9305
LTC 5 (ME) 196
FLEX 2 HCC (ME) 196
LTC 5 TQ (ME) 1096
LTC 5 TQ (ME) 1097
LTC 5 (ME) 1097
FLEX 2 HCC (ME) 1097
LTC 5 TQ (ME) 1197
FPTQ (ME) 197
JUL 14 97
AUG 4 97
AUG 25 97
NOV 21 97
NOV 21 97
NOV 21 97
SEP 9 99
SEP 9 99
PHYSICIANS MUTUAL INS. CO.
2600 DODGE
OMAHA NE 68131-2671
P122-6
P124ME
SEP 15 93
MAY 10 94
PROTECTIVE LIFE INS. CO.
BOX 2606
BIRMINGHAM AL 35202
L575-ME 3-98 VARIABLE LIFE RIDER NOV 5 98
PROVIDENT LIFE & ACCIDENT INS. CO.
1 FOUNTAIN SQUARE
CHATTANOOGA TN 37402
F-67841 (CERTIFICATE
AMERICAN MEDICAL ASSN)
(or SCHEDULE F-68741)
JUL 14 97
PRUDENTIAL INS. CO. OF AMERICA
LONG TERM CARE UNIT
250 GILBRALTER ROAD
HORSHAM PA 19044-0931
83500 BFW 1030
(CERTIFICATE)
GRP 98250
GRP 98251
GRP 98252
DEC 31 98
JUN 21 99
JUN 21 99
JUN 21 99
STATE FARM MUTUAL AUTOMOBILE
INS. CO.

ONE STATE FARM PLAZA
BLOOMINGTON IL 61710-0001
97045ME.1 APR 18 97
TEACHERS INSURANCE & ANNUITY ASSOC.
730 THIRD AVENUE
NEW YORK NY 10017
LTC-ME.02 ED. 11-91
LTC-E-ME.02 ED. 11-91
(or LTC.02 ED. 11-91)
LTC-ME.02 ED. 11-96
LTC-E-ME.02 ED. 11-96
LTC.03(ME)
MAY 10 94
MAY 10 94

AUG 28 97
AUG 28 97
MAR 22 99
TIME INSURANCE CO.
501 WEST MICHIGAN
MILWAUKEE WI 53201-2986
4043-ME
4044-ME
4062-ME
4063-ME
4072-ME
4073-ME
JAN 22 96
MAY 28 96
SEP 9 97
SEP 9 97
SEP 26 97
SEP 26 97
TRANSAMERICA OCCIDENTAL LIFE INS. CO.
LONG TERM CARE INSURANCE DEPT.
BOX 419074
KANSAS CITY MO 64141-6074
LTC 104-194-ME
LTC 124-197-ME
AUG 15 95
JUN 10 98
TRAVELERS INS. CO.
ONE TOWER SQUARE
HARTFORD CT 06183
H-569
H-LTC2J (or H-LTC2J-30 or H-LTC2J-34 or
H-LTC2J-22 or H-LTC2J-23 or H-LTC2J-3)
H-LTC3J-23 (or H-NYLC3J)
H-LTC3JP23 (or H-LTC3JP13)
H-LTC3JQ
H-LTC4JQ
FEB 9 89
MAY 13 91
SEP 10 93
JUN 27 94
DEC 11 96
MAR 5 98
UNION BANKERS INS. CO.
BOX 655433
DALLAS TX 75265-5433
LT-HHC
LTC-92
FEB 27 91
MAY 31 94
UNION LABOR LIFE INS. CO.
BOX 9100
CLEARWATER FL 33758-9100
UL-LTC-98(ME) APR 6 99
UNUM LIFE INS. CO. OF AMERICA
2211 CONGRESS STREET
PORTLAND ME 04104
LTC188 (GROUP POLICY: limited to CCRC and ASSOCIATION GROUPS)
DIC188 (GROUP LTC conversion from LTC188)
LTC288 (CCRC only)
LTC288C (CERTIFICATE)
MIC288 (GROUP LTC conversion from LTC288)
LTC590
LTC5091HC
LTC5191HC
LTC5291HC
LTC5391HC
LTC5491HC
LTC5591HC
C.LTC (SELECT GROUP INS. TRUST)
LTC5092HC
LTC5192HC
LTC5292HC
LTC5392HC
LTC5492HC
LTC5592HC
LTC5092-93
LTC5192-93
LTC5292-93
LTC5392-93
LTC5492-93
LTC5592-93
GLTC95
GLTC95C
LTC94
LTC6192
GLTC95.CONV
TQGLTC95
TQGLTC95C
TQC.LTC
GLTC97TQP (CCRCs)
GLTC97TQC (CERTIFICATE)
LTC94Q
GLTC95TQP CCRC
GLTC95TQC (CERTIFICATE)
LTC99
LTCQ99
MAR 2 89
MAR 2 89
MAR 16 89
MAR 16 89
MAR 16 89
APR 9 90
MAR 18 91
MAR 18 91
MAR 18 91
MAR 18 91
MAR 18 91
MAR 18 91
JUL 1 91
MAR 9 92
MAR 9 92
MAR 9 92
MAR 9 92
MAR 9 92
MAR 9 92
OCT 27 93
OCT 27 93
OCT 27 93
OCT 27 93
OCT 27 93
OCT 27 93
JUL 27 95
JUL 27 95
OCT 3 95
SEP 5 96
SEP 9 96
DEC 10 96
DEC 10 96
JAN 1 97
MAR 31 97
MAR 31 97
MAY 27 97
OCT 15 97
OCT 15 97
NOV 2 99
NOV 2 99
WORLD LIFE & HEALTH INS. CO. OF PENNSYLVANIA
215 WEST CHURCH ROAD
KING OF PRUSSIA PA 19406-3211
WL-LTC-232 DEC 14 90

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Last Updated: August 22, 2012