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Thanks, I have emailed question to Company
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I don't have any insight into the specific term, but if this is in a long term care insurance policy, there should be a section of definitions.

I just googled the term and got several hits. You might try that. Or on Monday, you could call the agent who wrote the policy, or the company itself, and ask for a detailed explanation, as well as how it affects you or the policyholder.
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Long term insurance
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What kind of document is this in?
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