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SUMMARY: This act expands disclosure requirements for individual and group long-term care (LTC) insurance policies. AN ACT REQUIRING CERTAIN DISCLOSURES FOR LONG-TERM CARE INSURANCE POLICIES.An insurer shall use the forms in Appendices B (Personal Worksheet) and F (Potential​. Appendix C. Disclosure Form. Appendix D. Response Letter. Insurer may not complete sale without the information. Er your chance of needing some form of long-term care. Please attach this completed checklist as a PDF to your electronic filing. (9) Appendix E, Claims Denial Reporting Form Long-Term Care. Insurance. Policies to be combined.