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Election Package Resources

This sample Election Package is provided without any data specific to a policyholder. 


The sample Election Package contents are listed below. You may view the Election Package contents by clicking on the images.  

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Introduction to the Election Package from SHIP’s Special Deputy Rehabilitator to highlight steps a policyholder should take.

Cover Letter

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Brochure designed to provide helpful information to better understand SHIP’s rehabilitation status and the important decisions policyholders must make under the Approved Rehabilitation Plan.

Important Information for Policyholders Brochure

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Form that each policyholder who receives an Election Package should complete and return to indicate the option that best suits their needs.

Coverage Election Form

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Supplemental information to advise a policyholder of the policy features and coverage included in their current long-term care insurance policy, and additional information related to future phases of the Approved Rehabilitation Plan.

Summary of Current Coverage

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Brochure includes coverage election options and useful information about the options, including a step-by-step guide and terminology to assist policyholders in selecting their option.

Choosing the Right Coverage Option Brochure

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Postage paid envelope a policyholder should use to return their Coverage Election Form.

Business Reply Envelope

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