The Texas Long-Term Care Insurance Potential Rate Increase Disclosure Form is a document used by insurance companies to inform policyholders of any potential rate increases. It outlines the specifics of the proposed rate increase, including how much the increase will be, when it will take effect, and how long it will last. The form also explains the potential impact of the increase on premiums, benefits, and other factors related to the policy. There are two types of Texas Long-Term Care Insurance Potential Rate Increase Disclosure Forms: one for individuals and one for group policies. The individual form includes information about the individual's current coverage, including the amount of coverage, the type of services, and any optional riders that may be included. The group form includes details about the group's current coverage, including the number of members, the type of services, and any optional riders that may be included. Both forms must be signed by the policyholder in order to take effect.