1099 Forms › What is Form 1099-LPS? Long-Term Care Premiums Paid Statement Explained
At a Glance
Understanding IRS Form 1099-LPS
Form 1099-LPS reports payments received for long-term care insurance premiums. The filer is the insurance issuer that received the premiums, and the form identifies two people: the recipient (the person who paid the premiums) and the insured (the individual the long-term care coverage applies to). Often they are the same person, but when someone pays premiums on a spouse's policy, the form reports both.
The form exists because of Section 334 of the SECURE 2.0 Act, which created qualified long-term care distributions: retirement plan participants can withdraw money to pay certified long-term care premiums without the 10% additional tax on early distributions, up to an annual limit. The 1099-LPS is how the IRS sees the premium side of that transaction, substantiating what was actually paid to the insurer.
Who Must File Form 1099-LPS?
Form 1099-LPS is filed by:
- Long-term care insurance carriers that issue certified long-term care coverage and receive premium payments
- Other issuers of certified long-term care insurance, including life insurers offering qualifying long-term care riders
A copy is furnished to the premium payer. Insurers reporting for coverage on more than one individual report only the portion of the premium allocable to each insured.
Form 1099-LPS Box Breakdown
| Box | Description |
|---|---|
| 1 | Payments received for long-term care premiums |
| 2 | Checkbox: Self or Spouse (exactly one), indicating whether the insured is the premium payer or the payer's spouse |
| Insured | Name, TIN, and address of the insured individual (always a person, never a business) |
The layout is deliberately simple: one premium amount, one relationship indicator, and the identity of the insured. There are no state withholding boxes on this form.
1099-LPS Is Not the Same as 1099-LTC
Do not confuse this form with Form 1099-LTC. The two forms sit on opposite sides of a long-term care policy:
- 1099-LPS: premiums flowing into the insurer (payments received for coverage)
- 1099-LTC: benefits flowing out of the insurer (long-term care and accelerated death benefits paid)
Many carriers will file both. Our side-by-side comparison, 1099-LPS vs 1099-LTC, breaks down exactly when each applies.
New Form, IRIS-Only Filing
Form 1099-LPS starts with tax year 2026 returns and is e-filed through the IRS Information Returns Intake System (IRIS) exclusively. There is no FIRE transmission path and no Publication 1220 fixed-width layout for it, so legacy flat-file pipelines cannot produce this form. Insurers new to IRIS can start with our FIRE to IRIS migration guide.
E-File Form 1099-LPS with BoomTax
BoomTax generates the IRIS XML for Form 1099-LPS and e-files it with the IRS, including TIN matching for both the premium payer and the insured, then delivers recipient copies.
Import Your Form 1099-LPS Data
You can import your data as Excel, XML, or use files from popular payroll providers like QuickBooks, UKG, ADP, and many more.
Step-By-Step Wizard
We walk you through the process with no complicated jargon. You can also live chat with a real person as you work on your filing for hands-on help.
E-File & Mail Employee Copies
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Filing Deadlines
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February 1, 2027
Recipient Copies
Form 1099-LPS must be furnished to each premium payer on or before February 1, 2027 (January 31 falls on a Sunday).
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March 31, 2027
IRS E-File
Form 1099-LPS must be e-filed with the IRS through IRIS on or before March 31, 2027.
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April 30, 2027
8809 Extension
A Form 8809 extension requested by March 31 moves the IRS e-file deadline to April 30, 2027.
Full details for the first filing season are on our Form 1099-LPS due date page.
Frequently Asked Questions About Form 1099-LPS
The insured is the individual whose long-term care coverage the premiums paid for. Box 2 indicates whether that person is the premium payer (Self) or the payer's spouse (Spouse). The insured is always an individual person, never a business. See our full explainer: who is the insured on Form 1099-LPS?
No. Form 1099-LPS exists only in the IRS IRIS system. It has no FIRE format and no Publication 1220 record layout, so it must be e-filed as IRIS XML (or through a provider like BoomTax that files IRIS XML for you).
No. Benefits paid out under a long-term care policy are reported on Form 1099-LTC. Form 1099-LPS reports only the premiums the insurer received for the coverage.
SECURE 2.0 lets retirement plan participants take penalty-free distributions to pay certified long-term care premiums. The 1099-LPS documents the premiums that were actually paid to the insurer, so the IRS can match those distributions against real coverage. Our reporting guide for insurance issuers covers the mechanics.
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BoomTax and its affiliates do not provide tax, legal, or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal, or accounting advice. You should consult your own tax, legal, and accounting advisors prior to engaging in any transaction.