TX HHS Form H0055. Verification of Long-Term Care Insurance Policies

The TX HHS Form H0055, Verification of Long-Term Care Insurance Policies, is a crucial document that helps determine eligibility for assistance. This form is typically filled out by an Eligibility Specialist from the Texas Health and Human Services (HHS) to verify the status of a long-term care insurance policy.

The form requires the insurance company representative to confirm the status of the policy, including whether it's a qualified partnership policy, terminated, exhausted, or still paying benefits. If the policy is active, the representative must provide additional information such as premium amounts, payment dates, and coverage details. This information helps HHSC make an informed determination about assistance eligibility.

This form is essential for individuals seeking long-term care services and financial assistance. By verifying the insurance policy's status, the Eligibility Specialist can accurately assess the individual's needs and provide the necessary support. Key points to note include:

• The form is used to verify the status of a long-term care insurance policy.
• It requires the insurance company representative to confirm the policy's status and provide additional information if it's still paying benefits.
• The form helps HHSC determine eligibility for assistance and make informed decisions about individual needs.