1099-LTC CORRECTION PREPARATION AND APPROVAL

Policy Number / Account ID: _________________________
Original Filing Date: _______________________________
Correction Trigger (e.g., Claim Audit, TIN Match): ________________

PAYEE VERIFICATION:
[ ] Policyholder TIN and Name verified against W-9 or source system.
[ ] Insured TIN and Name verified against source system.
[ ] If TIN error (Type 2), is the void/re-file procedure staged?

AMOUNT AND INDICATOR REVIEW:
[ ] Box 1 (Gross LTC Benefits) original: $_________ corrected: $_________
[ ] Box 2 (Accelerated Death) original: $_________ corrected: $_________
[ ] Box 3 (Payment Basis) original: __________ corrected: __________
[ ] Boxes 4/5 (Optional): Check if populated and accurate based on contract.

AGGREGATION CHECK:
[ ] Does this correction require unbundling previously aggregated contracts?
    If Yes, new separate 1099-LTC generated for the extracted contract: [ ]

FURNISHING AND TRANSMISSION:
[ ] Corrected file formatted for current IRS electronic channel.
[ ] Truncation rules applied correctly to recipient copies.
[ ] Copy B scheduled for policyholder furnishing.
[ ] Copy C scheduled for insured furnishing (if different from policyholder).

Approved by: _________________________ Date: _______________