FORM 1099-LTC PREPARATION AND MAPPING REVIEW
Tax Year: 2026
Reviewer Name / Date:
System / Extract ID:

1. BENEFIT CLASSIFICATION (BOX 1 VS BOX 2)
[ ] Verify standard LTC benefits are mapped to Box 1.
[ ] Verify accelerated death benefits / viatical settlements are mapped to Box 2.
[ ] Confirm third-party direct payments are reported under the policyholder's TIN.

2. PAYMENT BASIS INDICATOR (BOX 3)
[ ] Is the benefit paid on a periodic basis without regard to actual expenses? -> Check Per Diem
[ ] Is the benefit paid for actual care expenses incurred? -> Check Reimbursed
[ ] Is the payment an accelerated death benefit for a terminally ill insured? -> Leave Box 3 BLANK
[ ] Confirm system logic does not use payment processing frequency to determine Box 3.

3. OPTIONAL BOXES (BOX 4 & 5)
[ ] Has management approved populating Box 4 (Qualified Contract)? (Yes/No/N/A)
[ ] Has management approved populating Box 5 (Chronically/Terminally Ill)? (Yes/No/N/A)
[ ] If Yes to Box 5, verify latest certification date field is mapped correctly.

4. FURNISHING AND RECIPIENT DATA
[ ] Verify Policyholder Name, Address, and TIN are captured for Copy B.
[ ] Verify Insured Name, Address, and TIN are captured for Copy C.
[ ] Confirm TIN truncation rules are applied to payee statements (B & C) but not IRS file.

5. EXCEPTION HANDLING
[ ] Missing TINs routed to B-Notice / backup withholding review.
[ ] Policyholder is not an individual -> No reporting required (exclude from extract).

Notes / Sign-off: