LTC Partners Survey 

This document is considered proprietary and confidential by LTC Partners Life Insurance Company. It shall not be disclosed to any third party without the 

permission of LTC Partners.

FLTCIP SURVEY 

INTRODUCTION 

Long Term Care (LTC) Partners understands that each agency payroll office (APO)/retirement system 

has unique systems and procedures. Because we will be exchanging data in support of the Federal Long 

Term Care Insurance Program (FLTCIP), LTC Partners needs to understand the systems and general 

processing procedures employed by APO and retirement systems. This survey will provide LTC Partners 

with the information it needs to begin planning for payroll and pension deductions of FLTCIP premiums. 

PAYROLL PROVIDER 

ONLY direct payroll providers should answer this survey. If your payroll function is cross-serviced, do 

NOT complete it. 

Payroll Office Number(s) 

Full Agency Name 

Bureau or Other Subdivision 

Street Address 

City, State, Zip Code 

Primary Contact Person 

Phone Number 

Fax Number 

Email Address 
LTC Partners Location Questionnaire Page 2 

This document is considered proprietary and confidential by LTC Partners. It shall not be disclosed to any third party without the permission of LTC 

Partners. 

DEDUCTIONS 

In order to process billing correctly, it is necessary for LTC Partners to know details about how FLTCIP 

deductions will be submitted. This will help to reconcile the amount billed with the amount paid. 

1. The remittance of payroll deductions to LTC Partners will be made via: 

Check 

Wire transfer 

 Wire transfer via Corporate Trade Exchange (CTX) 

 Other (explain) 

2. How frequently are your employees/annuitants paid? [check all that apply]

  Weekly 

  Bi-Weekly (every other week) 

  Semi-Monthly (twice a month) 

  Monthly 

  Every four weeks

  Other (explain)

3. LTC Partners will provide APOs and retirement systems with the amounts due in accordance with the pay period(s) 

supported. For each of the modes, explain how FLTCIP deductions will be withheld. Examples - every check; first 2 

checks in the month; first 4 checks in the month, etc.). 

 Weekly: 

 Bi-Weekly: 

 Semi-Monthly: 

 Monthly: 

 Other: ______________________________________________________ 

4. For each pay cycle, provide the payroll paid date. 

 Weekly: Day of week paid: 

 Bi-Weekly: Day of week paid: 

 Semi-Monthly: Day of month paid: ______________________________________ 

 Monthly: Day of month paid: ______________________________________ 
LTC Partners Location Questionnaire Page 3 

This document is considered proprietary and confidential by LTC Partners. It shall not be disclosed to any third party without the permission of LTC 

Partners. 

BILLING/COLLECTION 

1. Please check the medium in which you would like to have the billing data provided. 

 Email attachment to ___________________________ (please provide Email addresses) 

  Check here for Excel Spreadsheet

  Check here for PKZIP with password protection 

3.5-inch diskette 

 Cartridge 

Paper 

FTP with PGP encryption 

Connect Mailbox 

Connect Direct 

Advantis 

Other ________________________________________ 

2. Please indicate the frequency for which you will need to receive a billing file from LTC Partners. 

 _________________________________________________________________ 

3. Please provide the schedule for which you need to receive each billing file from LTC Partners. 

(Examples - The 26th of the prior month; or every other Tuesday; or an actual schedule of dates for the year.) 

 _________________________________________________________________ 

4. Will remittance be via CTX? 

Yes 

No 

5. If APO/Retirement system cannot use CTX, Non-CTX payment file layout will be used. 

Please check the medium in which you would like to provide payment data. 

 Email attachment to ___________________________ (please provide Email addresses) 

  Check here for Excel Spreadsheet

  Check here for PKZIP with password protection 

3.5-inch diskette 

 Cartridge 

Paper 

FTP with PGP encryption 

Connect Mailbox 

Connect Direct 

Advantis 

Other_________________________________________ 
LTC Partners Location Questionnaire Page 4 

This document is considered proprietary and confidential by LTC Partners. It shall not be disclosed to any third party without the permission of LTC 

Partners. 

6. Would you prefer: 

Full File with Action Codes 

Update File with Action Codes 

PAYROLL PROVIDER CONTACTS 

As the FLTCIP is implemented, there will be frequent contact between APOs/retirement systems and LTC 

Partners. In particular, LTC Partners will need to know who to contact for systems, billing and 

reconciliation issues. Please provide information about your contacts for the FLTCIP. 

NAME/TITLE OF 

CONTACT

PAYROLL 

OFFICE 

NUMBER 

PHONE/FAX 

NUMBER 

EMAIL 

ADDRESS FULL STREET ADDRESS 

 

Systems 

Contact(s) 

 

Billing 

Contact(s) 

 

Reconciliation 

Contact(s)