It depends. The IRS says: "Any refund given upon cancellation or complete surrender of the policy will be includable in income to the extent that any deduction or exclusion was allowable with respect to the premiums."
See Treatment of qualified long-term care insurance
Tax Champ @MichaelL1 explains "If you took a deduction for your long term care premiums as a medical expense in previous years (Schedule A itemized deductions), you need to report it as a "reimbursed deduction from a prior year". If you did not take the deduction, it is not taxable income."
See the full discussion at If I received a 1099-LTC form for refunded premiums for a surrendered long-term care policy, is the ...
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