A maximum of $3,000 combined is permitted to be claimed for insurance premiums, regardless of how much actually went to pay for insurance. A maximum of $3,000 is excludible from income as payments for the insurance. For one of the Forms 1099-R ... probably best that it's the one for 457(b) distribution ... remove the indication that $3,000 went to pay insurance premiums, leaving only $3,000 on line 26d of the 1099-R Summary.
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