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    IRS Form 1099-LTC

    Form 1099-LTC: Long-Term Care and Accelerated Death Benefits

    Report payments made under long-term care insurance contracts and accelerated death benefits.

    Filing Deadline

    January 31 (to recipient) / February 28 (paper) or March 31 (e-file) to IRS

    Who Files

    Insurance companies, viatical settlement providers

    Purpose

    Reports benefits that may be partially or fully taxable

    Overview

    Form 1099-LTC is used to report payments made under long-term care insurance contracts and accelerated death benefits from life insurance policies. This includes benefits paid to chronically ill or terminally ill individuals.

    Long-term care benefits and accelerated death benefits are generally excludable from income, but there are limits and exceptions that require reporting.

    Who Must File

    Required Filers

    • Insurance companies that pay long-term care benefits
    • Viatical settlement providers who pay accelerated death benefits
    • Any payer of benefits under a life insurance contract for a terminally or chronically ill individual
    • Must file regardless of the amount paid

    Form Structure & Instructions

    Here's what information is required in each section:

    Long-Term Care Benefits

    Payments under long-term care insurance

    Box 1
    Gross LTC Benefits Paid
    Total long-term care benefits paid during the year
    Box 2
    Accelerated Death Benefits
    Benefits paid under life insurance for terminally ill
    Box 3
    Per Diem Status
    Check if benefits paid on per diem or other periodic basis

    Policyholder and Insured Information

    Details about the insured individual

    Box 4
    Reimbursed Amount
    Amount reimbursed for qualified LTC expenses (if applicable)
    Box 5
    Qualified Contract
    Check if contract meets qualified LTC contract requirements
    Box 6
    Chronically Ill
    Check if payee is chronically ill
    Box 7
    Terminally Ill
    Check if payee is terminally ill

    Important Filing Notes

    Qualified vs. Non-Qualified

    Benefits from qualified long-term care contracts are generally tax-free, subject to certain limits. Non-qualified contracts may result in taxable benefits.

    Per Diem Limits

    For per diem contracts in 2024, benefits over $420/day may be taxable unless actual expenses exceed this amount. The limit is indexed annually.

    Terminally Ill Exception

    Accelerated death benefits paid to terminally ill individuals are generally fully excludable from income without dollar limits.

    Chronically Ill Requirements

    To be chronically ill, individual must be certified as unable to perform at least 2 activities of daily living for 90+ days, or require substantial supervision due to cognitive impairment.

    Specialized Long-Term Care Reporting

    Navigate the complex rules for long-term care and accelerated death benefit reporting with expert guidance and accurate Form 1099-LTC filing.

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