Section 13, Part B.1 - Life Insurance - Detailed Questions - FOR NEW HOUSEHOLDS ONLYSection 13, Part B.1 collects detailed information about life insurance policies reported in Part A.2.
For definitions Information Booklet »
What is the name of the insurance company for "your (1st, 2nd, 3rd)"
life/disability policy? [enter text] __________________
Briefly describe the policy. [enter text] ______________
Are the policy premiums paid -
Are any premiums paid through payroll deductions?
Since the first of the reference month, what was your or your household total expense for this insurance policy? [enter value] ______________
* Enter the actual amount the household paid. Do not include any expenses paid for the household by others
How much was paid this month? [enter value] ______________
* Enter 'C' for a combined expense
What other type of policy is the "life/disability insurance" combined with?
Which property (ies) does this policy cover? [enter text] ______________
Do you or any members of your household have any or make payments for any other "long term care insurance" policy?
End of Section 13B Life Insurance
Go to CAPI Home Page »
Last Modified Date: April 3, 2013