Missouri's Partnership Program is publicly active
Missouri's insurance department publishes a page titled “Companies Selling Partnership Policies in Missouri.” It lists companies, contact information, and Missouri Partnership form numbers, which is evidence that the Partnership program is not described by the state as closed or legacy-only (Missouri companies selling Partnership policies).
The Department also maintains Long-Term Care Partnership forms, including a Partnership Exchange Notification, Policy Certification, Disclosure Notice, and Delivery Notice. Those public forms reinforce that a Missouri policy should be confirmed as a qualifying Partnership policy rather than assumed to be one simply because it provides long-term-care coverage (Missouri LTC Partnership forms).
How to use the Partnership question in planning
The public lists show that Missouri has a Partnership framework, but they do not promise that every listed insurer currently offers every form to every applicant or that a particular policy will be accepted for asset-disregard treatment. Before buying, ask the carrier and a licensed Missouri producer for the current Partnership disclosure, form number, rate history, and written confirmation of the policy's status.
Then consider the policy alongside MO HealthNet's actual financial structure. Missouri's current rules list a $6,220.50 individual resource maximum and separately use a spend-down or Vendor Care surplus approach, so the value of a policy depends on the household's resources, income, desired setting, and future eligibility goals (Missouri Eligibility Standards, July 2026; Missouri Spend Down).
Consumer safeguards
Use the Department of Commerce and Insurance as the primary state regulator for a complaint, policy-form, or insurer question. Do not cancel an existing contract, replace it, or rely on a Partnership sales representation without comparing the old and new coverage and retaining the required notices.
For an existing policy, the relevant documents are the schedule, endorsements, claim forms, premium notices, and any Partnership certification or disclosure. For a new policy, current availability and underwriting must be confirmed at the time of sale.
Federal Tax Incentives for LTC Insurance Premiums (2026)
Beyond any state-level benefit, a tax-qualified LTC insurance contract (one meeting IRC § 7702B)
carries several federal tax benefits, and a number of the relevant limits increased for 2026:
- Age-based premium deduction: eligible premiums count as a medical expense on
Schedule A (to the extent total unreimbursed medical expenses exceed 7.5% of AGI), up to 2026 limits
of $500 (age 40 or younger), $930 (41–50), $1,860 (51–60), $4,960 (61–70), and $6,200
(over 70) — all increased from 2025 (IRS Revenue Procedure 2025-32, § 4.27).
- Self-employed and business deductions: self-employed individuals can deduct 100%
of eligible premiums up to the same age-based limits without itemizing, and C-corporations can generally
deduct LTC premiums paid for employees as an ordinary business expense under IRC § 162, uncapped by
the individual age-based limits.
- Tax-free benefits: benefits from a tax-qualified contract are generally excluded
from income under IRC § 7702B(d); per-diem/indemnity contracts are tax-free up to $430/day (about
$13,079/month) for 2026 (IRS Revenue Procedure 2025-32, § 4.62).
- HSA-funded premiums: HSA funds can be withdrawn tax-free to pay eligible LTC
premiums, up to the same age-based limits above.
- New for 2026 — penalty-free retirement withdrawals: SECURE 2.0 Act § 334
lets eligible 401(k), 403(b), and governmental 457(b) participants under 59½ withdraw funds to pay
premiums on a certified LTC contract without the usual 10% early-withdrawal penalty, up to the least of
the actual premium paid, 10% of the vested account balance, or a statutory cap of $2,600 for 2026. The
distribution itself is still fully taxable as ordinary income and is not available from IRAs
(IRS Notice 2026-33).
Missouri state incentive: Missouri allows a deduction for 100% of nonreimbursed premiums, to the extent not itemized — on top of the federal incentives above (
Got LTCi, State Tax Incentives).
State tax rules change frequently and the credit/deduction summary above is not exhaustive —
confirm current eligibility, forms, and amounts with your state department of revenue or a tax
professional before relying on any figure here.
Not mutually exclusive. Most families combine two or three funding pillars — this one rarely stands alone.
The
Journey Assessment ranks all ten pillars against your specific situation and
recommends the top three.
