Approved After January 1, 2000

LONG TERM CARE POLICIES CERTIFIED FOR INCOME TAX INCENTIVESIN TAX YEARS BEGINNING JAN. 1, 2002
APPLICABLE TO FORMS APPROVED BY BUREAU OF INSURANCE AFTER JANUARY 1, 2000 (24-A MRSA § 5075-A)

COMPANY FORM NUMBER CERTIFIED DATE
Bankers Life and Casualty Co.
222 Merchandise Mart Plaza
Chicago IL 60654-9988
GR-N270
GR-N280 (REVISION)
GR-N410
GR-N370
GR-N380
GR-N430
10/5/2000
10/5/2000
2/12/2001
6/17/2002
6/17/2002
9/24/2003
Golden Rule Insurance Co.
7440 Woodland Drive
Indianapolis, IN 46278-1719
GRI-L-70-18 6/4/2003
Great American Life Insurance Co.
Box 26580
Austin TX 78755
2LTCIP0001(ME) 7/26/2004
Guarantee Trust Life Insurance Co.
1275 Milwaukee Avenue
Glenview IL 60025
G0101-ME
G0171-ME
G0181-ME
3/9/2004
3/9/2004
3/9/2004
Mutual of Omaha Insurance Co.
Mutual of Omaha Plaza
Omaha NE 68175
LTC04G and LTC04I
LTC09M-ME
2/11/2004
1/21/2009
Mutual Protective Ins. Co.
Box 3477
Omaha NE 68103
MP-LT201(ME) 3/12/2002
Penn Treaty Life Insurance Co.
3440 Lehigh Street
Allentown PA 18105-7006
PF3-A(ME)
FPF3-A(ME)
11/6/2003
11/6/2003
United of Omaha Life Insurance Co.
Mutual of Omaha Plaza
Omaha NE 68175
LTC06UI
LTC09U-ME
8/3/2005
1/21/09
Valley Forge Life Insurance Co.
CNA Plaza
Chicago IL 60685
PO-N0202-A18 8/28/2002