1099-LTC 2016

What's New for 2016

Field Name	Size	Type	Description	Notes
See Form Filer Common Fields			Filer fields common to all form types.
See Recipient Common Fields			Recipient fields common to all form types.
Box 1 Amount	12	Amount	Box 1: Gross long-term care benefits paid
Box 2 Amount	12	Amount	Box 2: Accelerated death benefits paid
Box 3 Checkbox 1	1	Checkbox	Box 3: Per diem	X / Y / T / 1 = Checked
Box 3 Checkbox 2	1	Checkbox	Box 3: Reimbursed amount	X / Y / T / 1 = Checked
Box INS SSN	9	Numeric	INSURED'S social security no.
Box INS Name	40	Text	INSURED'S name
Box INS Address	40	Text	Street address (including apt. no)
Box INS City	18	Text	City of Insured
Box INS State	2	Text	State of Insured	Use state abbreviation
Box INS Zip	9	Numeric	ZIP/Postal of Insured
Box 4 Checkbox	1	Checkbox	Box 4: Qualified contract (optional)
Box 5 Checkbox 1	1	Checkbox	Box 5: Chronically ill	X / Y / T / 1 = Checked
Box 5 Checkbox 2	1	Checkbox	Box 5: Terminally ill	X / Y / T / 1 = Checked
Box 5 Date	8	Date	Box 5: Date Certified	MM/DD/YYYY or M/D/YYYY

IRS 1099-LTC Form: 1099-LTC Form