The JPMorgan Chase Long-Term Care Insurance Plan is provided through an insurance policy issued by MetLife. It helps pay for home or institutional long-term care that is not usually covered by most other plans. Unlike acute medical care, which treats temporary conditions you're expected to recover from, long-term care focuses on chronic conditions that prevent you from performing two or more of the normal activities of daily living without substantial supervision or assistance or when a covered individual is severely cognitively impaired. "Basic activities" of daily living include activities like eating, dressing, bathing, transferring (moving from a bed to a chair, etc.), toileting, and maintaining continence.

You have five coverage options for a daily benefit amount under the Long-Term Care Insurance Plan:

The daily benefit amount is the maximum amount of money you may receive for covered services each day you're eligible for benefits.

Please Note: Your daily benefit amount may be different from the amounts shown above if you had coverage in a prior plan of a heritage organization replaced by coverage in the JPMorgan Chase Long-Term Care Insurance Plan on January 1, 2002, or if you have elected to increase your coverage through the inflation protection feature.

All of the daily benefit options cover the same kinds of eligible expenses in the same way as shown below. The difference between the options is the maximum amount each option will pay for the cost of covered services you receive for each day that care is needed:

When you first enroll for long-term care coverage, you're allowed to choose (or waive) nonforfeiture coverage. This option, available for an additional cost, allows you to stop paying your premium after three or more years and be entitled to receive some coverage. If you choose nonforfeiture coverage, coverage begins when premiums have been paid for at least 36 months, and coverage ends due to cancellation or nonpayment of premiums.

Nonforfeiture coverage takes effect on the "nonforfeiture date," which is the first day following the end of the period covered by your last paid premium. Once you receive nonforfeiture coverage, you cannot change your benefits. The same benefits will be payable under nonforfeiture coverage except that the total lifetime benefit will be the greater of:

The daily benefit you select will determine your total lifetime benefit. The total lifetime benefit is the total dollars available to you under the Long-Term Care Insurance Plan during your lifetime. The plan is designed to provide benefits for a specific length of time as if the cost of your care were equal to the full daily benefit amount you elect. The JPMorgan Chase Long-Term Care Insurance Plan is designed as a "five-year" plan; therefore, your total lifetime benefit will be equal to the daily benefit amount you elect (for example, $100, $200) times 1,825 days (five years). If the cost of your care is less than the daily benefit amount, your coverage will last longer.

For example, if you choose the $200 daily benefit option and you go into a nursing home that charges you $150 per day, only $150 will be deducted from your total lifetime benefit for each day in the nursing home for which a benefit is paid. The remaining $50 per day stays in the total lifetime benefit for your future use.

The total lifetime benefit amounts are:

Please Note: Your total lifetime benefit amount may be different from the amounts shown above if you had coverage in a prior plan of a heritage organization replaced by coverage in the JPMorgan Chase Long-Term Care Insurance Plan on January 1, 2002, or if you have elected to increase your coverage through the inflation adjustment feature.

Once you reach your total lifetime benefit, you'll no longer be eligible for benefits. In addition, your coverage will end.

If you die before age 65, the Long-Term Care Insurance Plan will pay your estate an amount equal to 100% of the premiums you've paid to date, minus the total of all benefits paid or payable under the plan.

Beginning on your 65th birthday, the returnable percentage decreases by 10% a year from age 65 up to age 75. No portion of your premiums will be returned if you die on or after age 75, nor will premiums be returned at any age if, at the time of your death, your coverage was being provided under the nonforfeiture coverage feature described earlier.

If you're a resident of the state of Washington, you're not eligible for the return of premiums at death provision. Instead, you have an enhanced transition expense benefit. Contact MetLife for more information. Please see the "Plan Administration" section of this Guide for contact information.

At least once every three years, plan participants will be given the option to increase coverage without providing evidence of insurability, if the offer has been accepted at least once every other time that it has been offered. The increase offer is made regardless of your age, claim status, claim history, or length of participation in the plan. The daily benefit increase amount will be at least 5% compounded annually since the effective date of the last offer. Any increase in your daily benefit will also increase your total lifetime benefit. The cost for this incremental increase will be based on your age on the effective date of change.

You can assign your long-term care insurance benefits to be paid directly to the provider of services, except for benefits paid to informal caregivers, providers of alternate plans of services, a nurse or therapist whose services are not provided through a Home Health Care Agency, and providers of transition expense benefits.

A MetLife nurse care manager may authorize benefits for services not specifically covered under the plan. Services must be qualified, cost-effective, and meet the needs of the covered person, but may not be provided by a member of your immediate family (i.e., the covered person's spouse, child, parent, or sibling) or anyone else who normally resides in the covered person's home. How much you are reimbursed will depend on the actual cost of the services provided and your daily benefit amount. Any benefits paid under the alternate plan of service will reduce your total lifetime benefit. For more information, please contact MetLife, the claims administrator. Please see the "Plan Administration" section of this Guide for contact information.

You must call a MetLife nurse care manager to begin the process of certification for benefits. The MetLife nurse care manager will review information received from your doctor and other health care providers and make a decision whether to certify you for benefits.

In some instances, the nurse care manager can make a decision over the phone based on the information provided. In this case, paperwork is typically not required. The nurse care manager can also arrange for a free initial advisory care visit with a local health care professional to evaluate your condition. MetLife will pay for the visit.

Nurse care managers are registered nurses who determine whether you meet the certification requirements and assist you in locating sources of care in your community. They can also recommend the type of facility and level of care that are appropriate for your needs. You do not have to follow the recommendations of your nurse care manager. If you're eligible for benefits, your doctor, you, and your family make the final decision concerning the type of care you should receive.

Once you have been approved for long-term care benefits, you must satisfy a waiting period. The waiting period is 60 calendar days beginning on the date MetLife, the claims administrator, determines that you qualify for benefits. Covered services do not need to be received during the waiting period. Except for the initial care-planning visit, no benefit can be paid until this waiting period is satisfied.

The Long-Term Care Insurance Plan offers a transition expense benefit providing up to five times the daily benefit to be used for long-term care purposes, such as a personal emergency response system, caregiver training, or durable medical equipment. The transition expense benefit is only payable after you have completed the 60-calendar-day waiting period. To receive this benefit, you must submit proof of payment for a covered expense to MetLife, the claims administrator. Any benefits paid under the transition expense benefit will not reduce your total lifetime benefit. The transition expense benefit is not available if you are receiving nonforfeiture coverage.

If you're a resident of the state of Washington, you're eligible for up to 15 times the daily benefit under the transition expense benefit in lieu of the return of premiums at death provision described in "Return of Premiums at Death."

To prevent duplication of benefits, the Long-Term Care Insurance Plan contains a coordination of benefits (COB) provision. Coordination of benefits may reduce or eliminate the benefits otherwise payable under the Long-Term Care Insurance Plan by benefits payable under another plan. The certificate of insurance you receive from MetLife when you're approved for coverage will outline the COB provision. Please contact MetLife for more information on COB.