PIPAC LIFE Brokerage offers over 50 TOP Life Insurance and Annuity carriers in the financial industry. Our in-house team is ready to provide solutions for your cases with “Positively Outrageous Service.” This allows you to do what you do best - SELL, while the PIPAC LIFE Brokerage team will take care of the rest!

Long Term Care Applications and Forms

Iowa Apps & Forms

American General Life Insurance Company
	American General LTC
Genworth Life Insurance Company
	Priviledge Choice Flex
John Hancock
	Custom Care III Enhanced Core Care
MedAmerica
	Simplicity ii - Community Only Simplicity ii - Comprehensive Simplicity ii - Facility Care Only
Mutual of Omaha
	Mutual Care Plus 3 Mutual Care Plus 5 Mutual Care Plus My Way
Prudential
	no longer available

South Dakota Apps & Forms

American General Life Insurance Company
	American General LTC
Genworth Life Insurance Company
	Priviledged Choice Flex
John Hancock
	Custom Care III Enhanced Core Care Enhanced
MedAmerica
	Simplicity ii - Community Only Simplicity ii - Comprehensive Simplicity ii - Facility Care Only
MetLife
	no longer available
Mutual of Omaha
	Mutual Care Plus 3 Mutual Care Plus 5 Mutual Care Plus My Way
Prudential
	no longer available

Colorado Apps & Forms

Other States

For Applications from other States please contact Kristal at 866.452.3670 or email at kristal@pipaclife.com.