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You must go through an IMO.
I would say it is not growing, but getting harder. This will vary by state, IMO.
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In my area clients are much more receptive to speak about LTCI than they were a few years ago. I have even had clients & prospects bring it up multiple times this year.
So while the LTCI products that are out there have reduced. Imo the interest from consumers has increased.
jmo