Long Term Care Program

a service of d.b.a. Burling Insurance Group Long Term Care

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When applying for long-term care insurance, your health history is considered. We suggest you complete the confidential Health Screening Form in order for our LTC Specialists to assist you in finding the appropriate plan and insurance company. We will contact you for a phone consultation once you submit your information.

Health Screening Form (PDF): Print and fill out the health screening form, then return it to us at your convenience via fax, email, or mail.

If you have any questions, you may contact us at:

Direct: 312-977-0024

Toll-free: 877-977-0125

Fax: 312-977-0128