IRS Release Status: FINAL

Sample Excel Import File: 1099-LTC 2023.xlsx

What's New for 2023

  • No form changes

Field NameSizeType DescriptionNotes
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 Amount12AmountBox 1: Gross long-term care benefits paid
Box 2 Amount12AmountBox 2: Accelerated death benefits paid
Box 3 Checkbox 11CheckboxBox 3: Per diemX / Y / T / 1 = Checked
Box 3 Checkbox 21CheckboxBox 3: Reimbursed amountX / Y / T / 1 = Checked
Box INS SSN9NumericINSURED'S social security no.
Box INS Name40TextINSURED'S name
Box INS Address40TextStreet address (including apt. no)
Box INS City18TextCity of Insured
Box INS State2TextState of InsuredUse state abbreviation
Box INS Zip9NumericZIP/Postal of Insured
Box 4 Checkbox1CheckboxBox 4: Qualified contract (optional)
Box 5 Checkbox 11CheckboxBox 5: Chronically ill (optional)X / Y / T / 1 = Checked
Box 5 Checkbox 21CheckboxBox 5: Terminally ill (optional)X / Y / T / 1 = Checked
Box 5 Date8DateBox 5: Date CertifiedMM/DD/YYYY or M/D/YYYY
See Form Common FieldsForm fields common to all form types.

1099-LTC Form:

IRS 1099-LTC Form:  https://www.irs.gov/pub/irs-pdf/f1099ltc.pdf

IRS 1099-LTC Instructions: https://www.irs.gov/pub/irs-pdf/i1099ltc.pdf


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