A Package Deal: Planning for Long-Term Care With Income Security

Your clients are increasingly aware of the acute limitations in Medicare financing of long-term care expenses; the limitations are such that individual planning for postretirement long-term care, whether in a nursing home or at home, has become essential for those nearing retirement age. Despite this knowledge, your clients are simply weary of hearing about the pros and cons of expensive long-term care insurance. A form of annuity could provide the solution for clients who are looking to plan for long-term care and receive a guaranteed return on their investment.

By combining coverage for chronic medical care with a traditional fixed annuity, two of your clients’ primary concerns—retirement income security and funding of postretirement long-term care—can be addressed in a single package.

Why Not LTCI?

The risks inherent in purchasing long-term care insurance (LTCI) exist on both sides of the equation. In recent months, as the costs of providing long-term care have escalated rapidly, even major insurance companies have begun exiting the market. Lower-than-expected investment returns on policy premiums, coupled with increased claims, have left insurers unprepared to cover these rising costs.

This makes the LTCI that is available extremely expensive, which, compounded with the fact that your client’s entire investment in LTCI could be lost if he does not require long-term care, creates an increasingly difficult product to sell.

The Annuity Solution

The base product is very simple: your clients can purchase a single premium fixed annuity and add on optional death benefits and protection to fund chronic care expenses.

These annuities protect against the use-it-or-lose-it problem of long-term care insurance—if your client is lucky enough to never tap into the chronic care benefit of these products, the product contains a cash surrender value. If the client has opted to include enhanced death benefits in the annuity contract, he will have provided an inheritance for the contract beneficiaries.

Once your client requires long-term care, the long-term care benefits under the annuity begin to pay out over a period of years. Typically, benefits will continue for about five years before they are exhausted. However, if the client holds the annuity for a significant time prior to using the long-term care benefits, the benefits increase accordingly.

The Downside

As with any other financial product, it is important to advise your clients as to the downside of purchasing an annuity with chronic care benefits. Locking funds into an annuity product with a fixed rate of return always creates the risk that the equity markets will perform well, and your clients will have lost the opportunity to participate in these gains.

Further, the income received under the annuity contract could increase your clients’ premiums for the means-tested Medicare Part B, which are adjusted based on annual income.

Most of these products also require a waiting period after purchase of the annuity contract that must elapse before your client will be eligible for long-term care coverage. Because of this, it is important that your clients plan in advance when purchasing these products.

Conclusion

Planning for postretirement medical expenses, including long-term care, should be a high priority for your clients who are nearing retirement age. New annuity products that cover both the costs of long-term care and provide additional cash surrender or death benefits may be the solution that your risk-adverse clients are seeking.

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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. 

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

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