Instructions For Form 8853 - Medical Savings Accounts And Long-Term Care Insurance Contracts - 1998 Page 6
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8Filing Requirements for Section B
Go through this chart for each insured person on
account of whom you received payments.
Start Here
Did you (or your spouse, if
married filing jointly) receive
Were any of those
Complete all of
payments during 1998,
payments made
Yes
Yes
made on a per diem or
under a qualified LTC
Section B
other periodic basis, under
insurance policy?
an LTC insurance contract?
No
No
Did you (or your spouse, if
Did you (or your spouse, if
married filing jointly) receive
married filing jointly) receive
any accelerated death
any accelerated death
Complete only lines
benefits during 1998 from a
benefits during 1998 from a
No
12a, 12b, and 15 of
life insurance policy, that
life insurance policy, that were
Section B
were made on a per diem
made on a per diem or other
or other periodic basis?
periodic basis?
Yes
Were any of the payments
Complete only lines 12a,
paid on behalf of a
12b, 13, 14, 15 (if
No
Yes
No
chronically (not terminally) ill
applicable), and 24 of
individual?
Section B
Yes
Do not complete
Complete all of Section B
Section B
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