Home > Financial Resource Center Home > Insurance > Tax Issues to Consider When Looking at Long-term Insurance

Long-term insurance is an investment that provides financial protection for individuals who cannot perform everyday tasks due to illness, disability, or old age. However, it is important to understand the associated tax implications to make informed decisions and potentially maximize tax benefits. 

  • Premiums: Generally, premiums paid for long-term insurance are not tax-deductible. However, if you are self-employed or a small business owner, you may be able to deduct a portion of your premiums as a business expense. The amount depends on your age and the type of policy you have. It is recommended to consult with a tax professional to determine if you qualify for any deductibility.
     
  • Benefits Received: Long-term insurance policies provide various benefits, such as daily care in a nursing home, assisted living facility, or home health care services. The tax treatment of these benefits depends on whether the policy is considered a qualified or non-qualified policy.
     
    • Qualified policies: If your policy meets specific criteria set by the government, benefits received are generally tax-free. These policies typically require that the insured person is unable to perform at least two out of six activities of daily living (ADLs), such as bathing, dressing, eating, transferring, toileting, or continence. The tax-free nature of benefits allows policyholders to utilize the funds received for their intended purpose without worrying about tax obligations.
       
    • Non-qualified policies: Benefits received from non-qualified long-term insurance policies are subject to tax unless they are considered reimbursement for qualified long-term care expenses. The taxable amount is calculated based on a specific formula provided by the Internal Revenue Service (IRS), taking into account factors like age and the benefit amount received.
       
  • Accelerated Death Benefits: Some long-term insurance policies offer accelerated death benefits, allowing policyholders to access a portion of their death benefit in the event of a terminal illness. The tax treatment of these benefits varies depending on the circumstances. If the policy is a qualified long-term care insurance contract, the accelerated death benefits will generally be tax-free. However, if the policy is not qualified, any benefits received will be subject to taxation.
     
  • Combination Policies: There are certain insurance policies known as hybrid or combination policies that combine long-term care coverage with life insurance or annuities. A portion of the premiums paid may be tax-deductible, and benefits received for long-term care purposes may be tax-free. It is important to review the policy details and consult with a tax professional to understand the specific tax implications of combination policies.
     
  • State-Specific Tax Considerations: While federal tax laws govern the tax treatment of long-term insurance, it is essential to consider state-specific tax regulations. For example, some states offer tax credits or deductions for premium payments made towards qualified long-term care insurance policies. Be sure to research and understand your state's tax laws to fully grasp the tax implications of long-term care insurance.

Long-term insurance is a prudent investment to safeguard against future health-related expenses. As always, consulting a qualified tax professional or financial advisor is highly recommended to navigate the complexities of long-term insurance and ensure compliance with current tax laws and regulations.



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