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The “Pre-Authorized Check (PAC) Premium Payment Service forms used to request ongoing PAC premium payments for the EssentialLTC Product have been revised effective October 1, 2021. There are two versions of this PAC form, which vary by state.
 

The updated PAC forms will be available on the EssentialLTC Agent Resource Center under each state specific application documents on September 24, 2021. This can be accessed by selecting the “New Business” tab and selecting the appropriate state from the “State-Specific Applications and Forms” dropdown. 

The new Pre-Authorized Check forms must be utilized for applications and new PAC form requests signed and dated October 1, 2021 and after.

For agent inquiries contact your dedicated Agent Services Team at 888.505.2332 or status@ngl-essentialltc.com. For sales questions contact the Long Term Care Sales Team at LTC@nglic.com.

Thank you.