Va. Admin. Code tit. 14, agency 5, ch. 200, form FORMS (14VAC5-200)
Rescission Reporting Form, Form A (eff. 2/2002)
Long-Term Care Insurance Personal Worksheet, Form B (rev. 4/2015)
Things You Should Know Before You Buy Long-Term Care Insurance, Form C (rev. 9/2007)
Long-Term Care Insurance Suitability Letter, Form D (rev. 2/2002)
Claims Denial Reporting Form, Form E (rev. 4/2015)
Potential Rate Increase Disclosure Form, Form F (rev. 12/2015)
Replacement and Lapse Reporting Form, Form G (eff. 9/2007)
Partnership Program Notice, Form 200-A (eff. 9/2007)
Partnership Disclosure Notice, Form 200-B (eff. 9/2007)
Long-Term Care Partnership Certification Form, Form 200-C (rev. 4/2015)
Va. Admin. Code tit. 14, agency 5, ch. 200, form FORMS (14VAC5-200)
Statutory Authority: §§ 12.1-13, 38.2-223, and 38.2-5202 of the Code of Virginia.