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Received a refund of FSA funds from 3 years ago, how should I handle this?
I have an FSA that rolls over up to $500 per year. In very early 2016, I used my FSA at a hospital to pay toward the cost of some tests my doctor had ordered. The imaging department was running a couple hours behind the evening of my appointment; eventually, I rescheduled the tests and went home. I ended up not needing the tests and requested a refund. As time passed, I simply forgot about the money that had been used. Then, this weekend, I received a refund check from the hospital for the amount that had been paid toward the testing. I’m not sure why it took the hospital over three years to send a refund check.
What do I need to do? This FSA money is from 2016 – some of the amount could be from 2015. Do I send the check to my plan administrator? Do I cash and report miscellaneous income on my 2019 return? Do I need to amend multiple tax returns? If the check is simply not cashed, would that change anything?