The Problems with Long Term Care Insurance Wednesday, Sep 30 2009 

Much emphasis has been put on long-term care insurance as the primary vehicle for funding future care needs. It is indeed an elegant solution but there are also some issues that have to be considered. Many long-term care needs at home are not covered by long-term care insurance especially in the initial phases of the need for care. For example a person might do just fine on her own in the home but may need supervision with taking medications, help with providing meals, shopping, housecleaning and transportation to doctors’ appointments. These needs alone would not trigger benefits from a long-term care policy. Long-term care insurance usually comes into play further along the progression curve for long term care services. Surprisingly for a few care situations the policy may never pay. Funds must be available to pay for early stages of long-term care needs if a caregiver is unable to provide adequate care on her own. This is becoming a more frequent case because caregivers are often employed full-time in the workforce and simply can’t provide the amount of support needed to help a loved one remain in the home. Long-term care insurance will come into play at a later time and families must have other funding in place to provide for early stages of care needs. Sometimes the amount of non-insurance funds needed could be substantial. As insurance companies tighten up their standards, it is becoming more difficult for people with common medical problems to qualify. Group insurance, which appears to be inexpensive alternative to individual policies, is not well understood by employees and the actual premium costs for adequate coverage in the future are never disclosed up front. As a result many people buying group plans will have woefully inadequate coverage when they need it in the future. If they try to buy additional coverage in their group plan to keep up with inflation, they may be paying $8,000 to $10,000 a year to keep the plan when they are in their 80’s. In fact, a group plan that is honest in its approach will be more expensive than an equivalent individual policy. Current group plans only work for people who are uninsurable with individual plans. Someone cannot simply buy insurance and think the problem is solved. Much more is involved. First of all, pricing for various care options must be considered when planning for future care. In addition the length of time that care might be needed should also go into the planning process. And finally, inflation must be considered because costs in some care settings are going up every year at a rate greater than the underlying inflation rate. Not keeping up with an underlying inflation rate of about 3% could be disastrous as costs at this historic rate will have doubled 20 years from now. Other issues to consider are alternative forms of providing money for long term care that families are not aware of or do not fully understand. Such options as reverse mortgages, buyback plans, health savings plans, family arrangements, life settlements, life insurance arrangements and business insurance carve outs are some ideas to consider. Another benefit from the Department of Veterans Affairs that might be available to war veterans or their surviving spouses could provide up to an additional $1,843 a month in income to pay the cost of care. The National Care Planning Council estimates that at least one third of all seniors could qualify for this veterans benefit under certain circumstances. Finally, as part of the planning process, funding and planning for end-of-life should also be considered.

Wayne B. Ball is an estate planning attorney serving families and businesses in Arkansas for more than 25 years. Wayne B. Ball can be reached at:

Wayne B. Ball
415 N. McKinley, Suite 310
Little Rock, AR 72205
501-687-9000
Fax 501-687-9003
Wayne.ball@ball-stuart.com
www.ball-stuart.com

Back to School: Protecting Your Children in an Emergency Saturday, Aug 8 2009 

It’s August or September, and your children or grandchildren are heading back to school.  They may be down the street at a local school, at boarding school, or at college a bit further away.

Regardless, you want to be sure that your children will be protected in an emergency if they are not with you.  Our office can help.  Here are some reminders and suggestions:

For Minor Children (under 18)

  1. In addition to your child’s school, make sure that all of the people who take care of your children — including grandparents, babysitters, older siblings, neighbors – have your up-to-date contact information, including changes in your cell or pager numbers.  And don’t forget to update that emergency contact list on your fridge or bulletin board!
  2. Contact our office about the documents that you need to ensure that the appropriate people in your life have the ability to make decisions about your child (e.g. in a medical emergency) if you can’t be reached or are out of town.  
  3. Enroll your child in the DocuBank Family Care Card, so that your child’s caregivers (babysitters, grandparents, etc.) as well as doctors and hospitals can have immediate access to the information they need to care for your child in an emergency.  And, you get an alert if the card is used.  

For “Young Adult” Children (18 and over) 

  1. Make sure that your 18-year old signs, at the very least, a healthcare power of attorney and a HIPAA release, even if they are in college.  They are now legal “adults,” and these documents can ensure that the hospital will still give you medical information about them in an emergency.  
  2. Ensure that these documents will be available immediately at the hospital when needed by enrolling your child in DocuBank I.C.E. (In Case of Emergency) for college-age children.  You’ll receive an alert from DocuBank if your child’s I.C.E. card is used by emergency staff.  (And note: I.C.E. and an “adult child” planning package can also make a great gift for grandkids.) 

These documents and services can make a critical difference to the treatment your child receives in an emergency, and also to the information you will be able to receive as a parent if something happens to your child when you are unavailable.  Call us today if you would like to discuss what makes sense for you and your family.

Wayne B. Ball is an estate planning attorney serving families and businesses in Arkansas for more than 25 years. Wayne B. Ball can be reached at:

Wayne B. Ball
415 N. McKinley, Suite 310
Little Rock, AR 72205
501-687-9000
Fax 501-687-9003
Wayne.ball@ball-stuart.com
www.ball-stuart.com

The $40,000 Funeral Friday, May 22 2009 

     Sam was a successful businessman accumulating an enviable estate. Realizing he could not take it with him, he planned a magnificent funeral. Having been a bit of a scrooge all his life, Sam could not make himself pay for estate planning. He wrote his own will designating $40,000 for his elaborate funeral.

     Sam died.

      As the last guests departed the affair, Sam’s wife Sharon turned to her oldest and dearest friend. “Well, I guess Sam would be pleased,” she said.

     “I’m sure you’re right,” replied Brenda, who lowered her voice and leaned in close. “Okay, how much did this really cost?”

     “All of it,” said Sharon . “Forty thousand.”

      “No!,” Brenda exclaimed. “I mean, it was okay, but $40,000. No way.”

     “Oh, the funeral was only $6,500,” Sharon answered. “I donated $500 to church. The whiskey, wine and snacks were another $500. The rest went for the memorial stone.”

      Brenda computed quickly. “$32,500 for a memorial stone. How big is it?”

 

 

 

 

Memorial Stone

Memorial Stone

Defective Documentation Dooms Deduction Thursday, Feb 12 2009 

Daniel and Ruth Gomez wrote numerous checks, several of which exceeded $250, to satisfy their tithe to a church in 2005. The couple claimed a charitable deduction of $6,885 that year. The IRS disallowed the deduction.

Acknowledging that the payments were actually made to the church, the Tax Court found that the donors lacked adequate substantiation.

 

Code §170(f)(8)(A) provides that no income tax charitable deduction is allowed for contributions of $250 or more without a contemporaneous written acknowledgment from the charitable donee. A letter from the charily must be obtained by the earlier of the date on which the donor files the income tax return or the due date (with extensions) for filing the return [Code §170( f)(8)(C)].

A letter from their church dated in early 2008 was not contemporaneous according to the court.  The letter also did not indicate whether any goods or services were received in exchange for the contributions. The charitable deduction was limited to checks of less than $250. Gomez v. Comm’r., T.C. Summ. Op. 2008-93.

 

Avoid loss of charitable deductions by obtaining proper acknowledgement now.

Estate Planning Tips Monday, Jan 26 2009 

Dan was a shy single guy living at home with his father, and working in the family business. When he found out he was going to inherit a fortune when his sickly father died, he decided he needed a wife with whom to share his fortune.

 

One evening at an investment meeting, he spotted the most beautiful woman he had ever seen. Her natural beauty took his breath away.

 

“I may look like just an ordinary man,” he said to her, “but in a short time my father will die, and I’ll inherit $20 million dollars.”

 

Impressed, the woman obtained his business card and three days later, she married his father.

 

Women are so much better at estate planning than men.

Estranged father receives estate of son whom he had not seen for 42 years Tuesday, Jan 20 2009 

Even though it’s unfair for a father to reap a financial windfall from the death of a son he not only never supported but whom he never saw for the 42 years the son lived, a probate court may not disinherit a natural parent who abandons a child later dying without a will. 

 

 

Estate of Shellenbarger, 2008 Cal. App. LEXIS 2468 (December 29, 2008 )

Full case: http://www.courtinfo.ca.gov/opinions/documents/B202854.PDF

 

 

Medical Directives Made Years In Advance May Go Missing Thursday, Jan 15 2009 

 

Advance directives for medical treatment ordinarily involve the five following written documents.

 

·      Living will

·      Health care treatment plan

·      Health care power of attorney

·      HIPAA Authorization

·      Do not resuscitate at-home (for states that allow a legal procedure for this action)

 

Many, if not all, healthcare organizations have standard forms for living wills. Some may also allow for signing a do-not-resuscitate order. A health care treatment plan is usually created between a patient’s physician, the patient and an attorney. A health-care power of attorney is a legal document that would not usually be available as a standard form from a health care provider.  HIPAA Authorizations are required to insure medical providers can disclose and discuss medial issues.

 

The do not resuscitate at-home arrangement is a very complicated procedure where a person needing emergency medical treatment in the home and not desiring resuscitation makes that wish known to emergency medical personnel. This involves an identification bracelet, a complicated verification procedure and an OK from a central clearinghouse not to perform any life-saving actions.

 

All too often a patient or his or her spouse or a family member will call 911 in the event of a life-threatening emergency. Almost never will the living will, the health care treatment plan or the health-care power of attorney end up with anyone in the emergency room. Without specific instructions, the emergency room will typically have the family sign a living will. Other health treatment wishes of the patient may be at home in the desk drawer. Without appropriate documents, any treatment plans for a loved one who is incapacitated will be made on the spot by family members. The actual medical treatment wishes of the loved one may never be known.

 

These may be important issues to the loved one and therefore it is extremely important to remember to take these documents to the emergency room whenever a crisis arises. Or, if the patient has a do-not-resuscitate at-home legal arrangement — for those states that allow such an arrangement — and is not wearing his or her bracelet to identify this to emergency medical technicians, then it will be ignored and the EMTs will attempt resuscitation because that is what they are legally required to do.

 

Without the advance directives in hand for an emergency room or for a standard hospital admission, many patients and family will be given the opportunity to sign a standard form from the health care provider.  Some hospitals, nursing homes and home health agencies have confusing forms that allow or disallow a number of treatments. 

 

It is extremely important for the patient or the family to read these institutional advance directives thoroughly before they sign them. We have seen a number of these documents that are both contradictory and confusing. Some of these documents claiming to be a living will, in effect, allow life-saving heroic efforts to be performed in contradiction to the principles of a living will.  These documents are not living wills but are some other form of health care directive.

 

Wayne B. Ball is an elder law attorney serving families in need in Arkansas for more than 25 years. Wayne B. Ball can be reached at:

Wayne B. Ball
415 N. McKinley, Suite 310
Little Rock, AR 72205
501-687-9000
Fax 501-687-9003
Wayne.ball@ball-stuart.com
www.ball-stuart.com

New FDIC Rules: Are You Protected? Wednesday, Jan 14 2009 

With the rash of bank failures, you may wonder whether – and to what extent – the FDIC (Federal Deposit Insurance Corporation) will protect your bank accounts. Fortunately, new rules from the FDIC clarify how you can ensure maximum FDIC insurance coverage. You may need to modify your planning slightly to take advantage of these new rules.

FDIC
The FDIC is an independent federal agency that ensures the availability of deposited funds after a bank failure. Created in 1933 after a run on banks left many account owners penniless, the FDIC promotes public confidence and stability in the nation’s banking system by insuring your deposits at any FDIC-insured institution.

Planning Tip: FDIC-insured institutions include most banks and savings associations located in the United States. It does not include brokerage firms.

Until very recently, the FDIC insured up to $100,000 for each account beneficiary. Beginning October 3, 2008, the FDIC temporarily increased coverage to $250,000 per beneficiary.

Planning Tip: FDIC insurance covers checking accounts, savings accounts, money market deposit accounts (but not money market mutual funds), certificates of deposit, and certain retirement accounts.

Planning Tip: FDIC insurance does not cover investments in stocks, bonds, mutual funds, life insurance policies, annuities, or municipal securities, even if you bought these from an insured bank. The FDIC also does not insure U.S. Treasury bills, bonds, or notes, although the U.S. government backs these investments.

Planning Tip: FDIC insurance also does not cover money market mutual funds. However, the United States Treasury Department recently created a temporary guarantee program for money market mutual funds that is effective for one year beginning September 19, 2008.

New Rules for Non-Interest-Bearing Accounts
Beginning October 14, 2008, FDIC insurance temporarily covers all non-interest-bearing deposit accounts for the entire amount of the account. This includes personal and business checking accounts that do not earn interest.

New Rules for Revocable Trusts
The FDIC recently issued rules that clarify the insurance limits when the account is in the name of a revocable trust. This clarification confirms that you can protect up to $250,000 for each revocable trust beneficiary under certain circumstances.

As you may know, a revocable living trust (also known as a living trust or inter vivos trust) is a trust that you create during your lifetime to control your property during any disability and at death. As a result, revocable living trusts typically name as beneficiaries the maker of the trust, plus a spouse, children and grandchildren, if any. Revocable trusts also often name siblings, parents, and other relatives and friends as beneficiaries, as well as charities.

Under the new FDIC rules, a trust account owner with up to five different beneficiaries named in all of his or her revocable trust accounts at one FDIC-insured institution will have FDIC insurance up to $250,000 per beneficiary. In other words, if your revocable trust(s) names five beneficiaries, the FDIC will insure up to $1,250,000 at any one FDIC-insured bank.

What Beneficiaries Count for Revocable Trust Coverage?
If you create your own individual revocable trust (other than a joint revocable trust), the FDIC rules tell us that you are not a beneficiary of this trust for FDIC purposes. What if your trust names a primary beneficiary (one who takes before the contingent or alternative trust beneficiaries)? The FDIC rules also tell us that the contingent beneficiaries generally do not have an interest in a revocable trust for FDIC purposes while the primary beneficiary is living.

However, there is an exception to this general rule if the primary beneficiary has the right to receive income, or some or all of the trust principal during the primary beneficiary’s lifetime; the FDIC rules define this as a “life estate.” With this type of trust, the FDIC counts both your primary and contingent beneficiaries for purposes of determining FDIC coverage.

Example:
Husband has a living trust that gives wife a life estate interest in the trust, with the remainder going to their two children equally upon wife’s death. In this example, the FDIC’s insurance rules recognize wife and the two children as beneficiaries. Since there is one trust owner who has three beneficiaries, husband’s revocable trust account at an FDIC-insured bank is protected up to $750,000.

Revocable Trusts with More Than $1.25 million or 5 Beneficiaries
What if your revocable trust account has more than $1,250,000 or more than five different beneficiaries? Under these circumstances, the FDIC will insure the greater of either: $1,250,000 or the aggregate amount of all the beneficiaries’ interests in the trust(s), limited to $250,000 per beneficiary. For example, suppose your revocable living trust names eight beneficiaries equally. If your FDIC-insured bank fails when you have $2,500,000 in this trust account, the FDIC will insure $2,000,000. What if instead you had $1,500,000 in your revocable trust account and three named beneficiaries in equal shares, plus one beneficiary in the amount of $25,000? In this instance, the FDIC will insure only $775,000 – three beneficiaries insured at $250,000 each, plus one at $25,000.

Joint Revocable Living Trusts
If you have an account for a joint revocable trust, you and your spouse both have $250,000 FDIC insurance per qualifying beneficiary. In other words, a joint trust with three named beneficiaries will have $1,500,000 of FDIC coverage (both spouses have $750,000 of FDIC insurance–$250,000 each for three beneficiaries).

Planning Tip: If the owners of a joint revocable trust account are themselves the sole beneficiaries of the trust, both spouses are eligible for up to $250,000 of FDIC insurance. The FDIC treats this arrangement as a joint account (discussed below).

Multiple Account Types at One FDIC-Insured Institution
In addition to the FDIC-coverage for revocable trusts outlined above, you may also be eligible for up to $250,000 of deposit insurance coverage for each of the following types of accounts at any one FDIC-insured institution:

Single accounts. This includes accounts in an individual’s name alone and accounts in the name of a sole proprietor business (for example, “DBA accounts”);

“Certain retirement accounts.” This includes all types of IRAs, self-directed 401(k)s, and self-directed Keogh plan accounts (or H.R. 10 plan accounts) designed for self-employed individuals.

Planning Tip: The FDIC adds all qualifying retirement accounts owned by the same person in the same FDIC-insured bank and insures the total up to $250,000.

Joint accounts. These are deposits owned by two or more people (businesses and other legal entities do not count for this purpose).

Planning Tip: With joint accounts, the FDIC will add together each of the co-owner’s share of every account that is jointly held at the same insured bank with the co-owner’s other shares, and insure up to $250,000.

Irrevocable Trust Accounts. The interests of a beneficiary in all irrevocable trust accounts established by you and held at the same insured bank are added together and insured up to $250,000.

Alternatively, if you as the trust maker retain any interest in the trust, the FDIC will add the amount of your retained interest to any single accounts you own at the same bank and insure the total up to $250,000.

Planning Tip: The rules for revocable trusts apply to trusts that were revocable but that have become irrevocable because of the death of the trust maker.

Employee benefit plan accounts. The FDIC insures up to $250,000 for each participant’s non-contingent interest in an employee benefit plan account.

Corporation/Partnership/Unincorporated Association Accounts. The FDIC insures accounts owned by a corporation, partnership, or unincorporated association up to $250,000 at a single bank. This includes for-profit and not-for-profit organizations under the same ownership category. This FDIC insurance is separate from your personal accounts if you are one of the entity’s stockholders, partners, or members.

Worst-Case Scenario
Bank failures at a rate similar to the Great Depression is unlikely. However, if there are significant bank failures, the FDIC may not have the liquidity to immediately pay out all FDIC-insured claims. According to the FDIC website (at fdic.gov), the FDIC directly supervises about 5,250 banks and thrifts, more than half of the institutions in the U.S. banking system. The FDIC insurance fund totals approximately $49 billion, which insures more than $3 trillion of deposits in insured U.S. banks and thrifts.

Planning Tip: Since the FDIC insures deposits with each FDIC-insured bank separately from deposits at a different insured bank, consider holding different accounts at separate FDIC-insured institutions to ensure the availability of FDIC insurance for all of your bank accounts.

Conclusion
If your FDIC-insured bank accounts have significant value they may be covered up to $250,000 per beneficiary, per account type, at each FDIC-insured institution. By discussing your situation with your planning team, you can ensure that you have maximum coverage for all your accounts, including your revocable trust account, in the event any of your banks fail.

Using an Elder Law Attorney Sunday, Jan 11 2009 

As the population of the country ages, more people will run into legal or planning issues that are unique to seniors. This might include help with obtaining veterans’ pensions, Medicare or Medicaid. Other issues might include the need for long term care planning, solving disputes with family members, dealing with financial elder abuse, providing for powers of attorney, medical care planning or guardianship.

Elder Law attorneys represent a growing specialty of the law that helps the elderly deal with many of the problems mentioned above. But Elder Law attorneys can often do much more for their clients. Below is a list of services that an elder law attorney might provide. This list was taken from the National Academy of Elder Law Attorneys’ website.

Below is a list of what an elder law attorney might do:

• Preservation or transfer of assets seeking to avoid spousal impoverishment when a spouse enters a nursing home
• Medicaid qualification and application and Medicaid planning strategies
• Medicare claims and appeals
• Social security and disability claims and appeals
• Supplemental and long term health insurance issues
• Disability planning, including use of durable powers of attorney, living trusts, “living wills,” for financial management and health care decisions, and other means of delegating management and decision-making to another in case of incompetency or incapacity
• Conservatorships and guardianships
• Estate planning, including planning for the management of one’s estate during life and its disposition on death through the use of trusts, wills and other planning documents
• Probate
• Administration and management of trusts and estates
• Long term care placements in nursing home and life care communities
• Nursing home issues including questions of patients’ rights and nursing home quality
• Elder abuse and fraud recovery cases
• Housing issues, including discrimination and home equity conversions (reverse mortgage)
• Age discrimination in employment
• Retirement, including public and private retirement benefits, survivor benefits and pension benefits
• Health law
• Mental health law

Wayne B. Ball is an elder law attorney serving families in need in Arkansas for more than 25 years. Wayne B. Ball can be reached at:

Wayne B. Ball
415 N. McKinley, Suite 310
Little Rock, AR 72205
501-687-9000
Fax 501-687-9003
Wayne.ball@ball-stuart.com
www.ball-stuart.com

Hello world! Monday, Sep 29 2008 

Welcome to the Ball & Stuart helpful information page.  Please let us have your comments on how we can serve you.