Except as provided in §C of this regulation, at the request of the insured or a representative of the Department on behalf of an insured, a carrier shall provide a completed Long-Term Care Partnership Program Policy Summary in the form set forth in §D of this regulation. The completed Long-Term Care Partnership Program Policy Summary required by §A of this regulation shall be: Provided within 14 days after the date the carrier receives the request from the insured or the representative of the Department on behalf of the insured; and Given to: The insured, if the request for the Long-Term Care Partnership Program Policy Summary was received from the insured; or The insured and the representative of the Department, if the request for the Long-Term Care Partnership Program Policy Summary was received from a representative of the Department on behalf of the insured. A carrier may develop its own partnership policy summary to provide the information found in the Long-Term Care Partnership Program Policy Summary form in §D of this regulation, if the carrier's policy summary includes all of the information and content found in the Long-Term Care Partnership Program Policy Summary form in §D of this regulation. The format and required text of the Long-Term Care Partnership Program Policy Summary referred to in §A of this regulation shall read as follows: Name of insured __________________________ Insured's Social Security # ______________ Insured's Date of Birth __________________ Policy/certificate number _______________ Effective date of coverage ______________ The policy/certificate was issued in the state of: _______________ Issue age of the insured at the time the coverage was issued _______________ The policy/certificate was issued ? With ? Without inflation coverage The inflation coverage is: The inflation coverage is currently in effect [ ] Yes [ ] No If the answer to item 10 is no, the date inflation coverage ceased:__________ The policy meets the standards of a tax qualified long-term care insurance policy [ ] Yes [ ] No The cumulative dollar amount of long-term care insurance benefits paid: $__________ The total dollar amount of long-term care insurance benefits remaining available under the policy $ __________ as of the date this form was completed __________. The name, phone number, and email address of the person completing this form A carrier shall provide to the Department within 45 days after issuance of a partnership policy, the following information: Name of the insured; Insured's Social Security number; Insured's date of birth; and Policy or certificate number. A carrier shall provide reports to the Centers for Medicare and Medicaid Services in accordance with federal regulations developed, including any information that is deemed appropriate according to federal requirements.