Skip Ribbon Commands

Skip to main content

Turn off Animations

Turn on Animations

An Official Pennsylvania Government Website

Pennsylvania Insurance Department

Pennsylvania Insurance Department

Coverage

Consumers

Companies

Licensees

Regulation

Begin Main Content Area

Continuing Care Provider Admission Requirements

Documents:

Instructions

Continuing Care Provider Application Form Word | PDF

Summary Disclosure Statement Form Word | PDF | Instructions

Disclosure Statement Checklist Word | PDF

Resident's Agreement Checklist Word | PDF

Fees:

Initial fee: $750

Annual Filing Requirements and Fees