Tax1099LTC_V100

OFX / Types / Tax1099LTC_V100

Form 1099-LTC - Long-Term Care and Accelerated Death Benefits

#TagDescriptionType
1 SRVRTID ID assigned to document by server ServerIdType
2 TAXYEAR Tax year YearType
3 VOID Voided document BooleanType
4 CORRECTED Corrected document BooleanType
5 POLICYHOLDERADDR Policy holder name and address PolicyholderAddressType
6 INSUREDADDR Insured name and address InsuredAddressType
7 PAYERADDR Payer name and address PayerAddressType
8 PAYERID PAYER’S federal identification number GenericNameType
9 POLICYHOLDERID POLICYHOLDER'S identification number IdType
10 RECACCT Account number GenericNameType
11 LONGTERMBEN Box 1. Gross long-term care benefits paid AmountType
12 DEATHBEN Box 2. Accelerated death benefits paid AmountType
13 PERDIEM Per diem BooleanType
14 REIMB Reimbursed amount BooleanType
15 INSUREDID INSURED'S taxpayer identification no. IdType
16 QUALCONTRACT Qualified contract BooleanType
17 CHRONIC Chronically ill BooleanType
18 TERMINAL Terminally ill BooleanType
19 DATECERT Date certified (MM/DD/YY) DateTimeType
Usages:
  1. Tax1099Response TAX1099LTC_V100
https://storage.googleapis.com/taxdochub-forms-png-trimmed/2026/Tax1099Ltc.recipient.png

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