Long Term Care for Employer Groups

Publication 525 Taxable & Non Taxable Income 


Employee Compensation
Special Rules for Certain Employees 
Business and Investment Income 
Sickness and Injury Benefits
Miscellaneous Income


Long-Term Care Insurance Contracts

In most cases, long-term care insurance contracts are treated as accident and health insurance contracts. Amounts you receive from them (other than policyholder dividends or premium refunds) are excludable in most cases from income as amounts received for personal injury or sickness. To claim an exclusion for payments made on a per diem or other periodic basis under a long-term care insurance contract, you must file Form 8853 with your return.

A long-term care insurance contract is an insurance contract that only provides coverage for qualified long-term care services. The contract must:

• 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 may be used only to reduce future premiums or increase future benefits; and
• In most cases, 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.

Qualified long-term care services. Qualified long-term care services are:

• Necessary diagnostic, preventive, therapeutic, curing, treating, mitigating, rehabilitative services, and maintenance and personal care services; and
• Required by a chronically ill individual and provided pursuant to a plan of care prescribed by a licensed health care practitioner.

Long Term Care for Employer Groups is a business expense deduction and the benefits are received tax free. bjfim.bordenhamman.com  §7702 B  ♦ §104   

Click here to view our MAIN page on Long Term Care for details on how the coverage will benefit you and your employees.

  Email us [email protected]  for complementary quotes & information.

C-Corps can benefit from complete (100%) deductibility of the tax-qualified long term care insurance premiums as a business expense. Long Term Care Insurance (LTCi) can be purchased for employees and owners.

• Premiums are not included as part of the employees gross income

• Coverage can be offered to spouses/domestic partners and retirees

• Payroll taxes are not required for premiums paid

Executive carve-outs may be established to pay all or a portion of the premium for key employees

S-Corps Partners or More Than 2% Shareholders

• Premiums paid for an owner are included in individual gross income.

• A self-employed health insurance deduction can be taken for tax-qualified LTCi premiums paid. LTCi premiums are considered a medical expense and are subject to the IRS age-based limits found in the first chart on the previous page.

Self employed individuals can deduct tax-qualified LTCi premiums as a trade or business expense similar to traditional health and accident insurance premiums. A tax deduction is allowed for the self employed individual, for his or her spouse and other tax dependents. The annual deductible maximum for each covered individual is subject to the IRS age – based limits found in this chart.   (Agent Manual)

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Technical Links & Resources

26 U.S. Code § 7702 B – Treatment of qualified long-term care insurance

(a) (3) any plan of an employer providing coverage under a qualified long-term care insurance contract shall be treated as an accident and health plan with respect to such coverage [Section 106 tax deductibility of Medical Insurance Premiums]

b (1) The term “qualified long-term care insurance contract” means – click on link above to view full code & definition.

Revenue Procedure 2013 – 35  Maximum Contribution

IRS Publication 502 Medical & Dental Expenses

Bulletin 97-31 Guidance

Tax Facts   requires subscription


Employers Guide to Fringe Benefits # 15 B  

Fringe Benefit Overview

Fringe Benefit Exclusion Rules

Accident and Health Benefits 
Achievement Awards
Adoption Assistance
Athletic Facilities
De Minimis (Minimal) Benefits 
Dependent Care Assistance
Educational Assistance
Employee Discounts 
Employee Stock Options
Employer-Provided Cell Phones 
Group-Term Life Insurance Coverage
Health Savings Accounts
Lodging on Your Business Premises
No-Additional-Cost Services 
Retirement Planning Services
Transportation (Commuting) Benefits 
Tuition Reduction 
Working Condition Benefits

Fringe Benefit Valuation Rules

General Valuation Rule
Cents-Per-Mile Rule
Commuting Rule
Lease Value Rule

Tax Incentives – Maximum Deduction For Individuals – Click to ENLARGE – from Agent Manual

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