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Since you did use the expense as a deduction last year, you do need to report it as income this year. You can look at IRS Pub 502 and IRS Pub 525 for more detail, but basically the refund is reported in full as income UNLESS the refund amount causes what you did claim as itemized deduction to be less than the standard last year. For example, say you itemized 7,000 last year and got a refund of 1,000 of the medical premiums paid this year. Now the adjustment for the refund means you could have only itemized 6,000 BUT the standard deduction was 6,350, so you only (in this situation) report 650 as taxable income.
Report the income on line 21 and describe it as "refund of long term health premiums" (you may need to shorten it)
Enter the amount into the Amount box and click Continue
https://www.irs.gov/publications/p502
https://www.irs.gov/publications/p525 page 23-25
Since you did use the expense as a deduction last year, you do need to report it as income this year. You can look at IRS Pub 502 and IRS Pub 525 for more detail, but basically the refund is reported in full as income UNLESS the refund amount causes what you did claim as itemized deduction to be less than the standard last year. For example, say you itemized 7,000 last year and got a refund of 1,000 of the medical premiums paid this year. Now the adjustment for the refund means you could have only itemized 6,000 BUT the standard deduction was 6,350, so you only (in this situation) report 650 as taxable income.
Report the income on line 21 and describe it as "refund of long term health premiums" (you may need to shorten it)
Enter the amount into the Amount box and click Continue
https://www.irs.gov/publications/p502
https://www.irs.gov/publications/p525 page 23-25
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