Looking for Long-Term Care Coverage? You Might Not Find It

The cost of long-term care can be devastating to your clients if they are not prepared. Unfortunately, the long-term care insurance business has not been financially rewarding for major insurance carriers—they are abandoning the business in record numbers. As a result, advising your clients to purchase this insurance is not going to provide a solution to the modern long-term care dilemma. The need to plan for the costs of long-term care is not going away with the insurance plans. So, what do you tell your clients? 

Several options exist, but a smartly crafted annuity strategy may provide the solution and simultaneously offer your clients a substantial tax break.

What Is the Problem With Long-Term Care Insurance?

The cost of long-term care has skyrocketed recently—it may cost as much as $4,000 to $8,000 a month to cover the cost of in-home care or nursing home expenses. The costs increase exponentially when today’s longer lifespans are taken into account.  

To prepare for these costs, insurers have relied on the fact that policyholders will generally make payments over an extended period of time before making a claim and have invested these payments to build adequate reserves. Lower-than-expected investment returns coupled with increasing claims have left many insurance carriers inadequately prepared for the rate at which long-term care costs have risen.  

As a result, 10 of the 20 largest insurance companies have stopped offering long-term care insurance in the past five years, with Prudential and MetLife exiting the business most recently. Consequently, it has become much more difficult for your clients to purchase adequate long term care coverage.

Though insurers who have policies outstanding cannot cancel the policies, they can petition state insurance commissioners to allow premium increases. Some insurers have chosen to take this route to manage the costs of the policies currently in effect, in some cases doubling premium costs to existing customers in the process. 

What Is the New Plan?

The plight of insurance carriers that offer long-term care policies highlights the importance of preparing for this expense. If your clients already have a long-term care policy in effect but are facing significantly increased premiums, they may be able to maintain current premium levels by reducing inflation protection benefits on the policy. This is exactly the reason many of your clients purchased the policy in the first place—to protect against the rapidly rising costs of care. 

However, a type of deferred annuity product known as a long-term care annuity may provide a more appropriate solution. These hybrid annuities contain long term care riders that allow the client to choose the amount of long term care coverage desired. Some products offer the choice to include inflation protection benefits.

The value of the annuity grows in the same manner as a traditional annuity product, but when the funds are withdrawn to cover the cost of long term care, they are taken tax-free. There is a downside, as these annuities require a relatively substantial initial investment, usually $50,000 to $100,000. However, the peace of mind your client is able to purchase for this price may make the investment worthwhile to many.

Conclusion

Long-term care insurance may not be the full solution in today’s market, but it does not have to be entirely abandoned as a planning tool. Your clients need to understand that, while long-term care insurance may still be a smart choice, it should be considered a method of easing the burden of the cost of long-term care—not as a way to cover the costs entirely. Investing in an annuity product may be the smartest way to prepare for tomorrow’s rising costs.

For additional coverage of this issue and similar ones, we invite you to sign up with AdvisorOne’s Summit Business Media partner, AdvisorFX, for a free trial.

You may also be interested in signing up for a free trial with another Summit Business Media partner, Tax Facts Online.

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About the Author
William H. Byrnes, Esq.

William H. Byrnes, Esq.

Prof. William H. Byrnes, Esq., LL.M., CWM, Fellow

Prof. William H. Byrnes, Esq., LL.M., CWM, Fellow, is the leader of Summit Business Media's Financial Advisory Publications, having been appointed July 1, 2010. He has been an author and editor of 10 books and treatises and 17 chapters for Lexis-Nexis, Wolters Kluwer, Thomson-Reuters, Oxford University Press, Edward Elgar, and Wilmington, as well as numerous commissioned, peer-reviewed, and law review articles. He was a Senior Manager, then Associate Director of international tax for Coopers and Lybrand, which subsequently amalgamated into PricewaterhouseCoopers, practicing in Africa, Europe, Asia, and the Caribbean.

He has been commissioned and consulted by a number of governments on their tax and fiscal policy from policy formation to regime impact. He has served as an operational board member for companies in several industries including fashion, durable medical equipment, office furniture, and technology. Since 1994, he has been a professional trainer for professional association conferences, government workshops, and financial service institutions in-house meetings.

Before Associate Dean Byrnes joined the administration of Thomas Jefferson School of Law, he was a tenured law faculty member at St. Thomas School of Law. He serves on the Academic Committee of the American Academy of Financial Management. He created the first online graduate program offered to wealth managers and life insurance producers without any legal background—see http://llmprogram.tjsl.edu (Graduate Program of International Tax and Financial Services, Thomas Jefferson School of Law).

Email: wbyrnes@nationalunderwriteradvancedmarkets.com

About the Author
Robert Bloink, Esq., LL.M.

Robert Bloink, Esq., LL.M.

Robert Bloink is a professor of tax for the Graduate Program of International Tax and Financial Services, Thomas Jefferson School of Law.

Previously, he served as Senior Attorney in the IRS Office of Chief Counsel, Large and Mid-Sized Business Division, where he litigated many cases in the U.S. Tax Court, served as Liaison Counsel for the Offshore Compliance Technical Assistance Program, coordinated examination programs audit teams on the development of issues for large corporate taxpayers, and taught continuing education seminars to Senior Revenue Agents involved in Large Case Exams. In his governmental capacity, Mr. Bloink became recognized as an expert in the taxation of financial structured products and was responsible for the IRS’ first FSA addressing variable forward contracts. Mr. Bloink’s core competencies led to his involvement in prosecuting some of the biggest corporate tax shelters in the history or our country.

 

Mr. Bloink's insurance practice incorporates sophisticated wealth transfer techniques, as well as counseling institutions in the context of their insurance portfolios and other mortality based exposures. 

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