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Qualified Long
Term Care Insurance (LTC)
2000 Federal Income Tax Information
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General Treatment
of Qualified LTC
General Rules ~
-
Benefits are treated like accident and health insurance
reimbursement for medical care and are generally excluded from income..
- Benefits received on reimbursement basis are excluded from income
without limit.
- Benefits received on per diem, other periodic basis, or lump sum
are excluded from income, subject to a maximum equal to the greater
of $190/day or actual expenses incurred. Excess benefits are taxable
income.
- The maximum on per diem, periodic and lump sum benefits will be
adjusted annually based on the medical cost component of the Consumer
Price Index.
- The rules apply whether premiums are paid by an individual, self-employed
individual, or employer paid. If employer paid, the rules apply to
employees, partners, S-corporation 2% or more shareholders, and LLC
members.
| Example 1 - High Benefit Level |
| Benefits Received: |
$6,000 / 30 days / Per Diem Basis |
| Per Diem Maximum: |
$5,700 ($190 x 30 days) |
| Actual LTC Expenses: |
Scenario 1 = $4,500 |
|
Scenario 2 = $5,500 |
|
Scenario 3 = $6,500 |
Benefits
Received |
Actual
Expenses |
Per Diem
Maximum |
Benefits Excluded
from Taxable Income |
Benefits Included in
Taxable Income |
| $6,000 |
$4,500 |
$5,700 |
$5,700 |
$300 |
| $6,000 |
$5,500 |
$5,700 |
$5,700 |
$300 |
| $6,000 |
$6,500 |
$5,700 |
$6,000 |
$0 |
| Example 2 - Moderate Benefit Level |
| Benefits Received: |
$3,000 / 30 days / Per Diem Basis |
| Per Diem Maximum: |
$5,700 ($190 x 30 days) |
| Actual LTC Expenses: |
Scenario 1 = $2,500 |
|
Scenario 2 = $3,500 |
|
Scenario 3 = $4,500 |
Benefits
Received |
Actual
Expenses |
Per Diem
Maximum |
Benefits Excluded
from Taxable Income |
Benefits Included in
Taxable Income |
| $3,000 |
$2,500 |
$5,700 |
$3,000 |
$0 |
| $3,000 |
$3,500 |
$5,700 |
$3,000 |
$0 |
| $3,000 |
$4,500 |
$5,700 |
$3,000 |
$0 |
Treatment of Qualified LTC - Individual
General Rules ~
- LTC is considered accident and health insurance and premiums are
treated as un-reimbursed medical expense (UME) for taxpayers that
itemize deductions
- LTC Premiums itemized as UME included premiums for an individual,
their spouse, and their dependents.
- LTC premiums itemized as UME are subject to the age-based Limitations
below.
- Age Based Limitations apply separately to each covered person
(individual, spouse, and dependents).
- Age Based Limitations will be adjusted annually based on the medical
expense component of the Consumer Price Index.
- The Individual may deduct the portion of total UME (including age
based LTC premiums) exceeding 7.5% if Adjusted Gross Income (AGI).
Table 3
| Age 40 or less |
$220 |
| 41-50 |
$410 |
| 51-60 |
$820 |
| 61-70 |
$2,200 |
| 71 or older |
$2,750 |
Please note: Limitations may increase annually,
based on the medical care component of the Consumer Price Index.
Example 1 - Joint Coverage
|
Assumptions
|
|
|
| |
|
|
| Ages: |
(A) |
64/58 |
| LTC Premiums: |
(B) |
$2,400/$1,200 |
| Other UME: |
(C) |
$5,100 |
| AGI: |
(D) |
$72,000 |
| UME Threshold: |
(E) |
$5,400 ($72,000 x 7.5%) = (D) x
7.5% |
| LTC Premium Itemized in UME |
(F) |
$3,020 ($2,200 + $820) = See table
3 for (A) |
| Total Itemized UME: |
(G) |
$8,120 ($3,020 + $5,100) = (F) + (C) |
| Deductible UME: |
(H) |
$2,720 ($8,120 - $5,400) = (G) - (E) |
|
Without LTC, there would be no deductible UME because other
UME of $5,100 does not exceed 7.5% AGI of $5,400
|
Treatment of Qualified
LTC - Self-employed Individual
General Rules ~
- Option 1 - Premium is deductible based on the rules for individual
purchase.
- Option 2 - Special Self-employed Rules
- Self-employed can deduct, without regard to the 7.5% UME threshold,
an amount equal to the age based LT premiums time the self-employed
allowable percentage below.
- Remaining age bsed LTC premium is deductible based on the rules
for individual purchase.
Table 4
| Year |
% Deduction Allowable |
| 1999-2001 |
60% |
| 2002 |
70% |
| 2003 |
100% |
Example 1 - Joint Coverage
|
Assumptions
|
|
|
| |
|
|
| Ages: |
(A) |
64/58 |
| LTC Premiums: |
(B) |
$2,400/$1,200 |
| Other UME: |
(C) |
$5,100 |
| AGI: |
(D) |
$72,000 |
| UME Threshold: |
(E) |
$5,400 ($72,000 x 7.5%) - (D)
x 7.5% |
| |
|
Option 1 (Rules
for Individual Purchase)
|
| LTC Premium Itemized in UME |
(F) |
$3,020 ($2,200 + $820) = See table
3 above for (A) |
| Total Itemized UME: |
(G) |
$8,120 ($3,020 + $5,100) = (F) + (C) |
| Deductible UME: |
(H) |
$2,720 ($8,120 - $5,400) = (G) - (E) |
|
|
|
| Option
2 (Special Rules for Self-employed) |
| Deductible LTC Premium: |
(I) |
$1,812 ($2,200 + $820) x 60%) = See
table 3 and 4 |
| Revised AGI: |
(J) |
$70,188 ($72,000 - $1,812) = (D) - (I) |
| Revised UME Threshold: |
(K) |
$5,264 ($70,188 x 7.5%) = (J) x UME Threshold of
7.5% |
| LTC Premium Itemized in UME: |
(L) |
$1,208 ($3,020 - $1,812) = (F) - (I) |
| Total Itemized UME: |
(M) |
$6,308 ($1,208 + $5,100) = (L) + (C) |
| Deductible UME: |
(N) |
$1,044 ($6,308 - $5,264) = (M) - (K) |
| Total Deduction: |
(O) |
$2,856 ($1,812 + $1,044) = (I) + (N) |
|
Without LTC, there would be no deductible UME because other
UME of $5,100 does not exceed 7.5% AGI of $5,264
|
Treatment of Qualified
LTC - Self-employed Individual
General Rules ~
- Employer
- LTC is considered accident and health insurance.
- The employer paid portion of LTC premiums is deductible as a
general business expense:
- Including premiums for employees, their spouses and dependents.
- Even if the premiums exceeds the age based limitations.
- Even if coverage exceeds the per diem/periodic basis/lump
sum limitation.
- Whether provided under a group plan, or individual policies.
- With no requirement to be provided on a non-discriminatory
basis.
- With no maximum limit on the amount that may be deducted.
- The employer paid portion of LTC premiums is not deductible
if the coverage is provided though cafeteria plan or flexible
spending account.
- Employee
- The employer paid portion of the LTC premium is excluded from
the employee's taxable income.
- The employee paid portion of the premium is deductible based
on the rules for individual purchase.
Example 1 - Joint Coverage
|
Assumptions
|
|
|
| |
|
|
| Ages: |
(A) |
64/58 |
| LTC Premiums: |
(B) |
$2,400/$1,200 |
| Other UME: |
(C) |
$5,100 |
| AGI: |
(D) |
$72,000 |
| UME Threshold: |
(E) |
$5,400 ($72,000 x 7.5%) - (D) x
7.5% |
| Employer Paid Premium
(50%) |
(F) |
$1,800 - (B) x 50% |
| |
|
Employer
|
| Deductible Premium: |
(G) |
$1,800 - (F) |
| |
| Employee |
| LTC Itemized in UME: |
(H) |
$1,800 ($1,200 + $600) = (B) x 50% |
| Total Itemized UME: |
(I) |
$6,900 ($1,800 + $5,100) = (H) + (C) |
| Deductible UME: |
(J) |
$1,500 ($6,900 - $5,400) = (I) - (E) |
|
Without LTC, there would be no deductible UME because other
UME of $5,100 does not exceed 7.5% AGI of $5,400
|
Treatment of Qualified
LTC -
Partnership, S-Corporation, Limited Liability Corporation (LLC)
General Rules ~
- Employer
- LTC is considered accident and health insurance.
- The employer paid portion of LTC premiums is deductible as a
general business expense:
- Including premiums for partners, S-corporation shareholders
of 2% or more, LLC members (owners), and spouses and dependents
of the foregoing. Premium payment must be for services rendered
and not based on the income of the organization.
- Including premiums for employees, their spouses and dependents.
- Even if the premiums exceeds the age based limitations.
- Even if coverage exceeds the per diem/periodic basis/lump
sum limitation.
- Whether provided under a group plan, or individual policies.
- With no requirement to be provided on a non-discriminatory
basis.
- With no maximum limit on the amount that may be deducted.
- The employer paid portion of LTC premiums is not deductible
if the coverage is provided though cafeteria plan or flexible
spending account.
- Employee
- The employer paid portion of the LTC premium is excluded from
the employee's taxable income.
- The employee paid portion of the premium is deductible based
on the rules for individual purchase.
- Partners, S-corporation Shareholders, and LLC Members
- Partners, S-corporation shareholders, and LLC members are treated
as self-employed and the income exclusion for employer provided
LTC does not apply.
- Premiums attributable to them and their spouses and dependents
are included in their income and reported on their K-1.
- The two options for self-employed individuals apply.
Example 1 - Joint Coverage
|
Assumptions
|
|
|
| |
|
|
| Ages: |
(A) |
64/58 |
| LTC Premiums: |
(B) |
$2,400/$1,200 |
| Other
UME: |
(C) |
$5,100 |
| AGI: |
(D) |
$72,000 |
| UME Threshold: |
(E) |
$5,400 ($72,000 x 7.5%)
- (D) x 7.5% |
| Employer
Paid Premium (50%) |
(F) |
$1,800 - (B) x 50% |
| |
|
Employer
|
| Deductible Premium: |
(G) |
$1,800 - (F) |
|
| Employee |
| LTC Premium Itemized in
UME: |
(H) |
$1,800 ($1,200 + $600) = (B) x 50% |
| Total Itemized UME: |
(I) |
$6,900 ($1,800 + $5,100) = (H) + (C) |
| Deductible UME: |
(J) |
$1,500 ($6,900 - $5,400) = (I) - (E) |
| |
|
Partner, S-corporation
Shareholders, and LLC Members
|
| Option
1 (Rules for Individual Purchase applies) |
| Revised AGI: |
(K) |
$73,800 ($72,000 + $1,800) =
(D) + (F) |
| Revised UME Threshold: |
(L) |
$5,535 ($73,800 x 7.5%) = (K) x 7.5% |
| LTC Premium Itemized in
UME: |
(M) |
$1,800 = (H) |
| Total Itemized UME: |
(N) |
$6,900 ($1,800 + $5,100) = (M) + (C) |
| Deductible UME: |
(O) |
$1,365 ($6,900 - $5,535) = (N) - (L) |
| |
|
|
| Option
2 (Special Rules for Self-employed applies) |
| Deductible LTC Premium: |
(P) |
$1,080 ($1,800 x 60%) = (H) x 60% (See
table 4) |
| Revised AGI: |
(Q) |
$72,720 ($72,000 + ($1,800 - $1,080))
= (D) + ((H) - (P)) |
| Revised UME Threshold: |
(R) |
$5,454 ($72,720 x 7.5%) = (Q) x 7.5% |
| LTC Premium Itemized in
UME: |
(S) |
$720 ($1,800 - $1,080) = (H) - (P) |
| Total Itemized UME: |
(T) |
$5,820 ($720 + $5,100) = (S) + (C) |
| Deductible UME: |
(U) |
$366 ($5,820 - $5,454) = (T) - (R) |
| Total Deduction: |
(V) |
$1,446 ($1,080 + $366) = (P) + (U) |
|
Without LTC, there would be no deductible UME because other
UME of $5,100 does not exceed 7.5% AGI of $5,454
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