Sample File = Schema\2021\TEXT\T99LTC.txt String fields are displayed within quotations CRLF=Carriage Return Line Feed (Hex 0D0A)
"Policyholder's street address line 1" "Policyholder's street address line 2" "Policyholder's city" "Policyholder's state" "Foreign address indicator" ¹ "Policyholder's foreign city, province, postal code, etc." Gross long-term care benefits paid Accelerated death benefits paid Type of payment (1 = Per diem, 2 = Reimbursed) "Qualified contract indicator" ¹ "Insured's social security number" (9 digits, no dashes) "Insured's name line 1" "Insured's name line 2" "Insured's street address line 1" "Insured's street address line 2" "Insured's city" "Insured's state" "Insured's Zip code" "Insured's foreign city, province, postal code, etc." ² Status of illness (1 = Chronically ill, 2 = Terminally ill) "Date certified" ³ "E-Mail address" CRLF
¹ "X" if applicable, otherwise, enter a null string "" ² Requires the foreign address indicator to be set to "X" above. ³ Use format MMDDYYYY or MMDDYY (21st century is assumed). |