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Retirement tax questions
The amounts are to be ncluded in box 1- charges or payments for qualified
long-term care insurance contracts under combined
arrangements. Enter Code W in box 7.  It was paid out on you behalf regardless if you received the cash.  This amount is taxable and subject to the 10% penalty. 
Penalty Exceptions. There are very few exceptions to the penalty on Retirement distributions. Allowable exceptions to the 10% early (before age 59-1/2) withdrawal penalty are:
- 1. Rollovers to another IRA (no tax due)
 - 2. Disability
 - 3. Medical costs exceeding 7-1/2% of AGI
 - 4. Separation from service at age 55 or older (pensions & 401K but not IRAs)
 - 5. Substantially equal periodic payments (SEPP)
 - 6. Military reservist called to active duty
 - 7. Public safety employees separated after age 50
 - 8. IRS levy
 - 9. Education expenses (Only IRAs; not available for withdrawals from 401k plans)
 - 10. Court ordered spousal payments
 - 11. First time home buyer (Only IRAs; not available for withdrawals from 401k plans)
 - 12. Beneficiary
 - 13. Unemployed Medical Insurance
 - 14. Age 59-1/2
 
Instructions for this code: Use Code W for charges or payments for purchasing qualified long-term care insurance contracts under combined arrangements which are excludable under section 72(e)(11) against the cash value of an annuity contract or the cash surrender value of a life insurance contract.
As you can see this is not one of the exceptions to the penalty.