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The Return of Premium Long Term Care Analysis Request

ROPLTC Special ReportWelcome to the Return of Premium Long Term Care Analysis Request page. By now you have read the Special Report and by completing the attached form you will be well on your way to securing the absolute best solution to today’s LTC Crisis.

In actuality the next few steps are really quite easy:

  1. Complete your personal information, including the best time to contact you.
  2. Answer the brief medical questions. If you have been confined to a medical facility within the past year, please provide the details.
  3. Should you qualify, what deposit option and amount will you select? Please note, if you are 71 – 75 your only option is a single deposit.
  4. The source of funds that you would be using to secure your ROP LTC plan?

Once your form is complete, you can click the send button and it will go directly to me or, print it out and fax (480-899-6723) or mail it to David Phillips, 2200 E. Williams Field Road, Suite 200, Gilbert, Arizona 85295

Once we receive your completed Analysis Request Form, my office will contact you to schedule a time to REVIEW, over the phone, your options and answer any questions you may have.

This is NOT an application for coverage. The Analysis Request Form is simply a way in which you can be assured that the ROP LTC is right for you and meets you goals and objectives. There is absolutely no cost or obligation on your part.

Thanks for allowing Estate Planning Specialists, the privilege of helping you secure the absolute best solution to Today’s LTC Crisis.

The Return of Premium LTC Plan

Free, No-Obligation Analysis Request Form

Request your ROP LTC Analysis


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Your Email (*) Please let us know your email address.    
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Medical:

Within the past five years, have either of you been confined to a hospital, clinic, or medical facility? (*)

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If yes, please give details below:
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Have either of you been advised by a physician that you have: (Check all that apply)




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Illustration Data:

What premium deposit option do you want us to illustrate?



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What deposit amount would you like us to use for your proposal?

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Source of funds i.e. IRAs, Cash, CDs, Annuities?

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*CONFIDENTIALITY GUARANTEE:  We do not share your personal information with anyone.



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