Every Day, Seniors Needlessly Abandon a Life Insurance Policy and Get Nothing In Return Did You Know… A life insurance policy can be converted to pay for Senior Care expenses If a policy owner no longer needs, or can no longer afford their policy, and is considering letting it lapse or surrendering it for the remaining cash value, then converting it into a 2013 National Average Costs Senior Care Here are three examples of families that converted their policies into a Example #1 Gender / Age Female / 74 Policy Size $50,000 Policy Conversion $21,700 $800 24 months $2,500 Example #2 Gender / Age Male / 77 Policy Size $100,000 Policy Conversion • Nursing Home - $7,000/mo. ..................... $84,000 $45,000 $4,500 • Assisted Living - $3,450/mo..................... $41,400 9 months • Homecare - $6,384/mo. ............................ $76,608 $4,500 *12 hours per day ($19/hr.) Genworth Cost of Care Survey 2013 Example #3 Gender / Age Female / 76 Policy Size $376,000 Policy Conversion $105,000 $5,000 20 months $5,000 The examples above are for illustrative purposes only and do not constitute a guarantee for other transactions. Source: Life Care Funding Long Term Care Benefit Long Term Care Benefit FAQ Q: WhatisisaaLong LongTerm Term Q: What Care Benefit Plan? A: The Long Term Care Benefit Plan is the A: conversion of conversion of an an in-force in-force life life insurance insurance policy into policy into a a pre-funded, pre-funded, FDIC FDIC insured, insured, irrevocable Benefit Account that is professionally administered professionally administered with with tax-free* tax-free* payments made payments made monthly monthly on on behalf behalf of of the the individual receiving individual receiving care. care. It It is is a a unique unique financial option for seniors because all health conditions are conditions are accepted, accepted, and and there there are are no no wait periods, wait periods, no no care care limitations, limitations, no no costs costs to to apply, apply, no no requirement requirement to to be be terminally terminally ill, and ill, and there there are are no no premium premium payments. payments. It It is not is not long long term term care care insurance insurance or or a a policy policy loan. loan. Policy Policy owners owners use use their their legal legal right right to to convert convert an an in-force in-force life life insurance insurance policy policy to to enroll in the benefit plan, and are able to immediately direct immediately direct payments payments to to cover cover their their senior housing senior housing and and long long term term care care costs. costs. Key Benefits of the Program Include: •• Simple, Simple, no-cost no-cost application application and and review review process process Q: Whattypes typesofoflife life insurance Q: What insurance qualify forconversion conversion into qualify for into a a Long Term Care Benefit Plan? A: A: Universal, Universal, Whole, Whole, Term, Term, and and Group Group life life insurance insurance policies policies are are all all eligible. eligible. The The value value of of the the conversion conversion is is based based solely solely on the death benefit, and cash value is not not a a factor factor in in determining determining the the converconversion value of a life insurance policy. Q: Whatforms formsofofSenior Senior Care qualify? Q: What Care qualify? A: A: The Benefit Plan will pay the following following monthly monthly expenses expenses directly directly to to the the health health care care provider: provider: •• Home Home Care Care (Family (Family Caregiver/Private Caregiver/Private Duty/Non-medical Duty/Non-medical or or Skilled Skilled Nursing) Nursing) •• Independent Independent Living Living •• Assisted Assisted Living Living •• Memory Memory Care Care •• Nursing Nursing Home Home •• Hospice Hospice Care Care Quick approval •• Quick approval and and funding funding (no wait (no wait periods) periods) Q: Whatdetermines determines the amount Q: What the amount of of the monthly Benefit Payment? No age •• No age minimum minimum A: A: The The conversion conversion value value of of a a life life policy policy to fund the Long Term Care Benefit is based based on on an an actuarial actuarial calculation calculation that that factors the face amount (death benefit) of the the life life insurance insurance policy, policy, annual annual premium premium payments payments and and the the health health care care needs needs of of the the applicant. applicant. Once Once the the conversion conversion value value is is determined determined and and the the enrollment enrollment is is complete, complete, expenses expenses will will be be paid paid monthly monthly to to the the appropriate appropriate health health care care provider. provider. No premium •• No premium payments payments Term, Universal, •• Term, Universal, Whole Whole and and Group life Group life insurance insurance all all qualify qualify All types •• All types of of in-force in-force life life insurance insurance qualify qualify Monthly, tax-free* •• Monthly, tax-free* payments payments made made directly to directly to care care provider/facility provider/facility of of choice choice Provides tax-free* •• Provides tax-free* Funeral Funeral Expense benefit Q: Is the Long Term Care Benefit Plan a long longterm termcare care insurance policy? a insurance policy? A: Conversion A: Conversion of of a a life life insurance insurance policy policy into into a Long Term Care Benefit Plan is not a long term care term care insurance insurance policy, policy, annuity, annuity, any any form form of of hybrid hybrid life/LTCi life/LTCi policies, policies, or or an an accelerated accelerated death benefit it is actually the private market exchange of exchange of a a life life insurance insurance policy policy for for a a Pre-paid Benefit Plan at the time that care needs to be paid. There are no premiums and nothing and nothing ever ever needs needs to to be be paid paid back. back. Q: Is there a Funeral Benefit? A: A: Yes, all Benefit Accounts reserve 5% of the death benefit or $5,000, whichever whichever is is the the lesser, lesser, to to provide provide a a tax-free* funeral benefit payment to the Account’s named beneficiary. Q: Arethere thereany any fees Q: Are fees or or obligations apply? obligations totoapply? A: A: No, No, there there are are no no application application fees fees and and no no obligations obligations to to apply. apply. Once Once a a policy policy is is converted converted by by the the owner, owner, the the Long Long Term Term Care Benefit payments begin immedi-ately ately and and the the enrollee enrollee is is relieved relieved of of any any responsibility responsibility to to pay pay any any more more premiums. premiums. Q: Howlong longdoes doesthe the Q: How enrollment process take? enrollment process take? A: A: The The typical typical enrollment enrollment time time is is 30-60 30-60 days. days. The The actual actual time time to to complete complete the the process process will will vary vary on on the the applicant’s applicant’s ability ability to to provide provide the the necessary necessary requirements requirements for for review review such such as: as: signed signed application application and and authorizations, authorizations, copy copy of of life life insurinsurance ance policy, policy, last last two two years years of of medical medical records, records, and and offer/enrollment offer/enrollment packet. packet. Q: Howlong longdo doLong LongTerm Term Care Q: How Care Benefit payments last? A: A: The The average average enrollment enrollment period period will will last last between one and two years. The Benefit is is adjustable adjustable so so an an enrollee enrollee can can customize customize the monthly Benefit payments to best meet meet their their changing changing health health care care needs. needs. Each Each case case is is unique unique and and enrollees enrollees work work with their families, and possibly a financial or legal advisor, to create a Benefit sched-ule ule to to best best meet meet their their monthly monthly budgets. budgets. Q: Whathappens happensif if the enrollee Q: What the enrollee dies beforeallallofof the Long Term Care dies before the Long Term Care Benefit is paid out? A: A: Should Should the the enrollee enrollee pass pass away away with with additional funds remaining in their Benefit Account, Account, the the remaining remaining balance balance is is paid paid tax-free* tax-free* directly directly to to the the enrollee’s enrollee’s named named beneficiaries. Enrollees and/or their benefi-ciaries ciaries are are assured assured to to receive receive the the full full BenBenefit amount even if the client dies before all all monthly monthly payments payments have have been been made. made. Long Term Care Benefit Long Term Care Benefit FAQ (cont) Q: enrollee actually Q:IsIsthe the enrollee actually transferring the the ownership of transferring ownership of the insurance policy? thelife life insurance policy? A: allall A: Yes, Yes,the theenrollee enrolleewill willtransfer transfer ownership and beneficiary rights to the life insurance insurancepolicy policytotoenroll enroll the Long inin the Long Term Care Benefit Plan and will complete life settlement settlementworking workingdirectly directly with a life with a a licensedProvider. Provider.From From moment licensed thethe moment thethe Benefit Plan is established, the Benefits Administratorwill willbegin beginmaking makingmonthly monthly Administrator paymentsto tothe theappropriate appropriatehealth health care payments care provider as aswell wellasasallall future premium provider future premium payments onthe thelife lifeinsurance insurance policy. payments on policy. The enrollee enrolleeisisno nolonger longerresponsible responsible The forfor paymentsand andthe thepolicy policy is no premium payments is no consideredananasset asset that count longer considered that willwill count againstthem themfor forfuture futureMedicaid Medicaid eligibility. against eligibility. Q: How is a Long Term Care Benefit Account administered Account administered andsafe-guarded? safe-guarded? and A: The Benefit Plan is an irrevocable; FDIC A: insured account accountheld heldbyby a nationally char-insured a nationally char Bank&&Trust Trust and then administered tered Bank and then administered by a licensed, benefit management com-pany ensuring ensuringthat thatthe thefunds funds are protected pany are protected onlyused usedfor forthe therecipient recipient care. and only of of care. TheThe accountalso alsohas hasthe the added protection account added protection the enrollee enrolleeofofpaying payingany any remaining for the remaining balance to a named account beneficiary and/or providing a final expense benefit help cover coverfuneral funeralexpenses. expenses. to help Q:Which Which states Q: states can acan a policybebe converted? policy converted? A: A life life insurance insurancepolicy policyowner owner has A: has thethe propertyownership ownershipright righttotoconvert convert legal property their policy into a Long Term Care Benefit Plan inevery everystate stateininAmerica. America.Q: How Plan in Q: How does converting life policy does converting a lifeapolicy impact impact an enrollee’s eligibility for Medicaid? an enrollee’s eligibility for Medicaid? A: A life life insurance insurancepolicy policy legally A: A is is legally recognized asananasset asset policy owner recognized as of of thethe policy owner and itit counts countsagainst againstthem them when qualify-when qualify ing for for Medicaid. Medicaid.If Ifa a policy anything policy hashas anything more than thanaaminimal minimalamount amountofofcash cash value value (usually inthe therange rangeofof$2,000) $2,000) it must (usually in it must be be liquidated andthat thatmoney moneyspent spent towards liquidated and towards cost ofcare carebefore before the owner qualify cost of the owner willwill qualify for Medicaid. Medicaid.All AllMedicaid Medicaid applications applications specifically ask if the applicant owns life insurance insuranceand andfull fullpolicy policy details. details. Failure todisclose discloseand and comply is fraud. Failure to comply is fraud. Some states allow for a final expense policy tobe bekept keptorortransferred transferred policy to to to a a funeral home home(but (butthe thefuneral funeralhome homewould would keep the entire death benefit). Medicaid recovery unitshave havebecome become much more recovery units much more forceful aboutlooking lookingfor forlife lifeinsurance insurance forceful about policy death benefits (declared and undeclared) thathave havepaid paidout out families undeclared) that toto families after the the death deathofofaaMedicaid Medicaid recipient. recipient. Medicaid budgetsare arenow now facing extreme Medicaid budgets facing extreme pressure andasset asset recovery efforts pressure and recovery efforts cancan be very veryaggressive. aggressive. Recovering entire Recovering thethe entire cost ofcare careagainst against a retained insur-cost of a retained lifelife insur ance policythrough throughlegal legalactions actions against ance policy against the estate estateand andsurviving survivingfamily family pursuing byby pursuing the death benefit through probate action is aafederally federallymandated mandated requirement. requirement. by the Deficit Reduction Act (DRA). The Long Term Care Benefit Plan are all “private “privatepay” pay”funds funds and recognized and recognized as a qualified spend-down of the policy asset, because the proceeds in the form asset, because the proceeds in the form of an irrevocable, Benefit are paid to cover thecosts costsofof care until exhausted. cover the care until exhausted. A partial death benefit is preserved over this thisspend-down spend-downperiod period and and a a final expense funeral payment is also preserved. Once the Benefit has been spent-down, theenrollee enrolleewould would able spent-down, the bebe able to apply applyfor forMedicaid Medicaidwithout without the the lifelife insurance assetcounting counting against them. insurance asset against them. Q: Does policy Q: Does thethe policy ownerowner get good value get aagood value withwith a Longa Long Term Care Benefit Plan? A: Seniorslapse lapseoror surrender a life A: Seniors surrender a life insurance policybecause because they either insurance policy they either cancan no longer longer afford affordpremium premiumpayments payments oror they are arepreparing preparingfor forMedicaid Medicaid eligibility eligibility and they theyabandon abandonthe thepolicy policy because because it is an unqualified asset that will count against them.For Fora apolicy policy owner looking against them. owner looking for an an alternative alternativetotoabandoning abandoningtheir their policy andaccessing accessing private-pay dollars policy and private-pay dollars for Senior SeniorCare; Care;the the option convert option to to convert their life insurance insurancepolicy policyinto into a Long a Long Term Care Benefit Plan will allow them to realize thetrue, true,fair fairmarket market value their realize the value of of their policy andspend spendit itdown down tax-free* policy and tax-free* in ain a Medicaid compliantmanner. manner. long Medicaid compliant AsAs long as as the individual individual remains remainsprivate privatepay pay they they can choosewhichever whichever form long term can choose form of of long term care theydesire desireand and are constrained care they are notnot constrained to only only receive receiveMedicaid Medicaid covered services. covered services. ViViveré veré Alternative Assets Alternative Assets Tel: (312) 600-8576 Tel: (312) 600-8576 Fax: (855) 672-8210 Fax: (855) 672-8210 E-mail: [email protected] E-mail: [email protected] 320 West Ohio Street #3W 320 West Ohio Street #3W Chicago, IL 60654 Chicago, IL 60654 *Please treatment of of thethe proceeds fromfrom the sale a life policy will depend on manyonfactors, but not limited to who owns the policy, *Pleasenote notethat thatthe thetax tax treatment proceeds the of sale of insurance a life insurance policy will depend manyincluding factors, including but not limited to who ownsthe thehealth policy, the health of the insured, the use of proceeds, the size of the estate and the state in which the policy owner lives (for purposes of state taxation). This material does not constitute tax, legal or accounting advice; and it cannot be used by any taxpayer for the purpose of avoiding any IRS penalty. Anyone interested in selling a life insurance policy in order to fund Long Term Care Benefits should seek professional advice based on his or her particular circumstances from an independent tax advisor. 012615
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