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I appreciate the answer but it leaves an ambiguity that I hope the poster will address and it is specifically this: The Genworth LTC Insurance is a “qualified” plan based on the IRS description of “qualified”.  Some of the options for current subscribers include a pay-out of cash (I think up to $10K) which is clearly not a “benefit” of the original plan.  Assuming (and I could be wrong here) that the cash settlement is not a “punitive” award (since the company admitted to no wrong-doing), is it then taxable?  It would seem it would be simply because any premiums paid to date were tax-deductible under IRS rules.

 

My thanks in advance for addressing this ambiguity.