What Should I Know About Long-Term Care? – Annapolis and Towson Estate Planning

Long-term care insurance is a specialty type of insurance that helps pay for costs that are typically connected with long-term care. This can include items such as care given in a hospital, nursing home services, medical services provided in your home and treatment for dementia.

WGN’s recent article entitled “10 Crucial Things to Know about Long-Term Care“ looks at these important items.

  1. The Biggest Financial Threat. The most significant threat to your financial nest egg is long-term care. About 70% of people over 65 will need some kind of long-term care during their life. The national average for home health care services is $16,743 per month. However, there are ways to manage this without buying a traditional long-term care insurance policy where “you use it or lose it.”
  2. Long-Term Care Insurance is Really “Lifestyle” Insurance. It’s NOT nursing home insurance.
  3. Reverse Mortgages. These have become a popular and accepted way of paying for expenses, including the cost of long-term care. Reverse mortgages are designed to keep seniors at home longer. A reverse mortgage can pay for in-home care, home repair, home modification and other needs.
  4. Using Medicaid to Pay for Long-Term Care. This should be a last resort to pay for long-term care, but it also may be the only way to protect family assets. Medicaid will pay for long-term care, but certain criteria must be satisfied. Talk to an elder law attorney before applying for Medicaid.
  5. Important Considerations When Selecting a Long-Term Care Plan. Four things to consider: (i) go with a company with an AM BEST rating of A+ or better; (ii) the assets of the insurance company should be in the billions; (iii) some long-term care insurers will allow for group discounts through employers, or “affinity” group discounts through a local organization; and (iv) the tax advantages for tax-qualified long-term care insurance plans. At the federal level, premiums for long-term care insurance fall into the “medical expense” category. On the state level, 26 states offer some form of deduction or tax credit for long-term care insurance premiums.
  6. The Annuity-Based Long-Term Care & The Pension Protection Act. In 2006, this law was enacted to permit those with annuity contracts to have long-term care riders with special tax advantages. The Act allows the cash value of annuity contracts to be used to pay premiums on long-term care contracts.
  7. Asset-Based Long-Term Care Solutions. The best planning approach for those who choose to self-insure is to “invest” some of their legacy assets so the assets can be worth as much as possible whenever they may be needed to pay for care. If unneeded, the money would then pass to the intended heirs, with no “use it or lose it” issues as with conventional long-term care insurance.
  8. Long-Term Care Strategy Using IRA Money. Most people use their IRA to supplement retirement. However, sometimes waiting until age 72 when mandatory required minimum distribution rules apply, some people have instead opted to take a portion of their IRA and fund an IRA-based annuity which then systematically funds a 20-pay life insurance plan with long-term care features. This type of IRA-based long-term care policy is unique in the sense that it starts out as an IRA annuity policy, also known as a tax-qualified annuity, and then over a 20-year period makes equal distribution internally to the insurance carrier and funds the life insurance.
  9. Important Documents for Long-Term Care Planning. Contact us to ask one of our experienced estate planning attorneys about a power of attorney for health care and financial power of attorney, as well as an advance directive or living will.
  10. Using Veterans Benefits to Pay for Long-Term Care. The VA offers a special pension: the Aid and Attendance (A&A) Benefit. This is a “pension benefit” and is not dependent upon service-related injuries for compensation.

Reference: WGN (2022) “10 Crucial Things to Know about Long-Term Care“

Sims & Campbell, LLC – Annapolis and Towson Estate Planning Attorneys

What to Do after a Family Member Dies – Annapolis and Towson Estate Planning

Consumer Reports’ article, titled “What to Do When a Loved One Dies,” outlines some good advice to keep a loved one’s death from becoming even more painful.

Immediately

Here is what you and your family should do right away:

  1. Obtain a legal pronouncement of death. If a doctor is not present, and the individual dies at home under hospice care, call the hospice nurse. He or she can declare the death and help facilitate the transport of the body. If the person dies at home unexpectedly without hospice care, call 911. If the person has a DNR or do-not-resuscitate document, show it to the first responders.
  2. Make the arrangements for transportation of the body. If no autopsy is required, the body can be released to a mortuary or crematorium.
  3. Notify the person’s physician or the county coroner.
  4. Notify family and friends.
  5. Make arrangements for the care of dependents and pets.
  6. Contact the person’s employer (if applicable). Ask for information concerning benefits and any pay due, as well as if there was a life-insurance policy through the company.

Within a Few Days After Death

After some of the dust has settled, and you are able to think clearly and make some bigger decisions, address the following:

  1. Arrange for funeral and burial or cremation. See if the individual had a prepaid burial plan. Take a friend or family member with you to the mortuary. You should also prepare an obituary.
  2. Determine if there are burial benefits. If the person was in the military or was a member of a fraternal or religious group, contact that organization because it may have burial benefits or conduct funeral services. A local VFW or American Legion may provide an honor guard, if requested.
  3. Secure the home. Make sure there is security or someone to keep an eye on the individual’s home. Have the phone forwarded, collect mail, throw food out, water plants and keep minimal heat on to keep pipes from freezing in a colder climate’s winter months.

Up to 10 Days After Death

Here is the next set of items to do in the 10 days after a loved one passes:

  1. Get copies of the death certificate. These are usually obtained from the funeral home. Get multiple copies because you will need them for banks, government agencies and insurance companies.
  2. Present the will to the appropriate government office for probate.
  3. Contact the following:
  • An experienced estate planning attorney;
  • Banks;
  • The life insurance company;
  • The Social Security Administration;
  • Agency providing pension services, to stop monthly checks and get claim forms;
  • Utility companies, to change or stop service;
  • The U.S. Postal Service;
  • The IRS, credit-reporting agencies and the DMV to prevent identity theft; and
  • Social media companies to memorialize or remove an account.

Reference: Consumer Reports (Jan. 5, 2021) “What to Do When a Loved One Dies”

 

Sims & Campbell, LLC – Annapolis and Towson Estate Planning Attorneys

Preparing for the Inevitable: The Loss of a Spouse – Annapolis and Towson Estate Planning

Becoming a widow at a relatively young age, puts many people in a tough financial position, says the article “Preparing for the Unexpected Death of a Spouse” from Next Avenue. At this point in their lives, they are too young to draw Social Security benefits. There is no best time, but this is a hard time to lose the prime breadwinner in the household.

Women are more likely than men to lose a spouse. They are typically left in a worse financial position if their spouse dies before they are old enough to take retirement benefits.

One of the best ways to plan for this event, is for both spouses to have life insurance. This can replace income, and term life insurance, if purchased early in life, can be relatively affordable. The earlier a policy is purchased, the better. This can become a safety net to pay bills and maintain a lifestyle.

Another key component for surviving early widowhood, is being sure that both members of the couple understand the couple’s finances, including how household bills are paid. Usually what happens is that one person takes over the finances, and the other is left hoping that things are being done properly. That also includes knowing the accounts, the log in and password information, and what bills need to be paid at what dates.

Having that conversation with a spouse is not easy, but necessary. There are costs that you may not be aware of, without a thorough knowledge of how the household works. For instance, if the husband has done all of the repairs around the house, maintaining the yard and taking care of the cars, those tasks still need to be done. Either the widow will become proficient or will have to pay others.

Couples should work with an estate planning attorney and a financial advisor, as well as an accountant, to be sure that they are prepared for the unexpected. What survivor’s benefits might the surviving spouse be eligible to receive? If there are children at home age 16 or under, there may be Social Security benefits available for the child’s support.

Discuss what debt, if any, either spouse has taken on without the other’s knowledge. Any outstanding medical bills should also be discussed. The last thing a loved one should have to cope with when a spouse passes, is a tangle of debt. However, this often happens.

If the spouse was a veteran, the surviving spouse might be eligible for benefits from the Veterans Administration. Find out what information will be needed to apply for benefits.

Talk with your estate planning attorney to make sure that all proper documents have been prepared. This includes a last will and testament, power of attorney, health care proxy and any trusts.

Reference: Next Avenue (Dec. 18, 2019) “Preparing for the Unexpected Death of a Spouse”

Sims & Campbell, LLC – Annapolis and Towson Estate Planning Attorneys

What’s the Latest on “Blue Water” Navy Veterans’ Benefits? – Annapolis and Towson Estate Planning

The Justice Department told the U.S. Supreme Court that it will not challenge a landmark lower court ruling that “blue water” Navy veterans, who served during the Vietnam War, are covered by the federal Agent Orange Act.

According to The National Law Journal’s recent article, “Justice Department Will Not Challenge Benefits for Blue Water Navy Vets,” the decision by U.S. Solicitor General Noel Francisco ended months of uncertainty for tens of thousands of former service members or their survivors who may now be eligible for benefits for their exposure to Agent Orange.

In January, these blue water Navy veterans, who served on ships within the 12-mile territorial sea of the Republic of Vietnam, won their case in the U.S. Court of Appeals for the Federal Circuit. The court held that the Agent Orange Act of 1991 includes those veterans. Until that ruling, these vets had been denied the presumption of Agent Orange exposure during the Vietnam War.

The Justice Department, in upholding the Department of Veterans Affairs’ interpretation, argued that the Agent Orange Act covered only those veterans who served on the ground or inland waterways of Vietnam.

The Federal Circuit rejected the Justice Department’s request to put its decision on hold while the government decided whether to appeal to the Supreme Court. Ever since, the Solicitor General has asked for several extensions from the Supreme Court as he decided whether to appeal. A decision to appeal the Federal Circuit ruling would have brought out the Trump administration in a fight with Vietnam veterans and the head of the Veterans Administration.

The Solicitor General, consulting with federal agencies, generally makes decisions on government appeals to the Supreme Court.

Francisco’s decision not to appeal was announced in a motion to dismiss in another case in the U.S. Supreme Court—Gray v. Wilkie. That action also involved a blue water Navy veteran. The Supreme Court had scheduled February arguments in the Gray case but removed it from the docket at the request of the Solicitor General, who said this recent decision, if not appealed, would also give the relief sought by Gray.

Reference: The National Law Journal (June 5, 2019) “Justice Department Will Not Challenge Benefits for Blue Water Navy Vets”

Sims & Campbell, LLC – Annapolis and Towson Estate Planning Attorneys 

End of Life Planning to Care for Loved Ones During Grief – Annapolis and Towson Estate Planning

It’s definitely an uncomfortable thing to do. However, making funeral arrangements for yourself eliminates a lot of stress and anxiety for the family members, who are left to guess what you may have wanted. This, says the Leesville Daily Leader in the article “Planning for the end of your life” lets you make the decisions.

Here are some of the things to consider:

  • Do you want to be buried or cremated?
  • Do you want a funeral or a memorial service?
  • What music do you want played?
  • Do you want flowers, or would you prefer donations to a charity?
  • Do you want people to speak or prefer that only a religious leader speak?
  • What clothing do you want to be buried in?
  • Have you purchased a plot? A gravestone?
  • Who should be notified about your death?
  • Do you want an obituary published in the newspaper?

There are also estate matters that need to be attended to before you pass. Do you have a will, power of attorney, healthcare power of attorney, or a living will? Make sure that your family members or your executor know where these documents can be found.

If you do not have an estate plan in place, now is the time to meet with an estate planning attorney and have a plan created.

Your family will also need to be able to access information about your accounts: investment accounts, credit cards, utility bills, Social Security, pension, retirement funds and other assets and property. A list of the professionals, including your estate planning attorney, CPA and financial advisor, along with the names of your healthcare providers, will be needed.

If you are a veteran, you’ll need to have a copy of your DD-214 in your documents or let family members know where this is located. They will need it, or the funeral home will need it, when applying for burial benefits from the Department of Veterans Affairs and the National Cemetery Administration.

If you wish to be buried in a national cemetery, you’ll need VA Form 40-10007, Application for Pre-Need Determination of Eligibility for Burial in a VA National Cemetery. This must be completed and sent to the National Cemetery Scheduling Office. Include a copy of the DD-214 with the application.

Your family may find discussing these details difficult, but when the time comes, they will appreciate the care that you took, one last time, to take care of them.

Reference: Leesville Daily Leader (May 1, 2019) “Planning for the end of your life”

Sims & Campbell, LLC – Annapolis and Towson Estate Planning Attorneys