Qualified Long-Term Care Insurance Contracts
Be guaranteed renewable,
Not provide for a cash surrender value or other money that can be paid, assigned, pledged, or borrowed,
Provide that refunds, other than refunds on the death of the insured or complete surrender or cancellation of the contract, and dividends under the contract must be used only to reduce future premiums or increase future benefits, and
Generally not pay or reimburse expenses incurred for services or items that would be reimbursed under Medicare, except where Medicare is a secondary payer, or the contract makes per diem or other periodic payments without regard to expenses.
Paying Long-Term Care Insurance Premiums through a Health Savings Account (HSA):
The premiums for long-term care insurance that you can treat as qualified medical expenses and reimburse yourself from an HSA are subject to limits based on age and are adjusted annually. (See above limitations) For example, someone 41-50 years old or younger can reimburse themselves up to $1,690 from the HSA for long-term care insurance paid in 2022. Available even if the HSA is offered through an employer-provided cafeteria plan.
Small Business Owners Get LTCi tax break
- A self-employed individual with a net profit reported on Schedule C, C-EZ, or F.
- A partner with net earnings from self-employment reported on Schedule K-1 (Form 1065), box 14, code A.
- A shareholder owning more than 2% of the outstanding stock of an S corporation with wages from the corporation reported on Form W-2..
However, a self-employed individual may not deduct LTCi premiums during any calendar month in which he/she or his/her spouse is eligible to participate in a subsidized LTCi plan (where the employer pays all or part of the premiums for LTCi).
There are other nuances to the tax issues. Be sure to speak with your CPA.
Last updated August 21, 2022
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