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If the employer is doing it the right way, it should not be taxable. If they were doing it the wrong way, I don't think the 1099-NEC is the proper form. It should be a 1099-R or W-2.
A local city has a plan to pay retirees a fixed amount (about $200 a month) as reimbursement for health insurance and other medical expenses. At retirement, the employee is asked to sign a document acknowledging that all of the payments will be used for health insurance or other medical expenses. I had clients, a married couple, who retired from the same city. One of them received a 1099-R for the monthly payments, and the other didn't. I suggested they find out the reason, and it turned out that one of them had not signed the required paperwork. After doing that, no 1099-R was issued.
Your client should check with the employer about whether a similar situation exists. Or, this may be a defective "Retiree Reimbursement Arrangement." See