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Late in Life Decisions Are Often Impaired

June 6, 2016 by Honey Leave a Comment

Sumner Redstone
Sumner Redstone, center, at a 2012 charity event with, from left, Manuela Herzer and Sydney Holland, both ex-lovers who have figured in a battle over his care. Credit Brian to/WireImage

In what may be an “extreme example of the high stakes and chaos that can result, the Redstone pattern is happening in epidemic proportions,” reports a June 2 New York Times (NYT) article.

This article dovetails beautifully with my recent blog on the evidence proving why loss of cognitive speed, verve, and financial literacy is a normal part of aging.

Feuds between 93 year-year-old billionaire Sumner Redstone and his former mistress, estranged daughter, and former heir apparent have been graphically, publicly aired for the past few months.

The NYT article goes on to state that familial feuds like Mr. Redstone’s are becoming more prevalent due to Alzheimer’s and longer lifespans. The elderly are especially susceptible.

The article states that similar situations can often be averted by proper legal planning, with more explicit trust language. In addition, everyone should have and share extremely explicit personal, financial and medical directives, and of course, own long-term care insurance (LTCi).

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Long Term Care insurance, long-term care, LTCi, New York Times, Sumner Redstone

The Club Sandwich Generation

June 1, 2016 by Honey Leave a Comment

Club SandwichI want to thank my courageous colleague Rachel Faiga for allowing me to share her story. I do so in admiration and with deep gratitude to her. It is our hope that Rachel’s story will touch  and inspire readers to take action and do responsible long-term care planning, now!

The Club Sandwich Generation, by Rachel Faiga

I have always thought that we are not just the sandwich generation, but the “club sandwich” generation. I helped care for my grandmother for 10 years, and my father has had dementia for years. Last May, our lives changed irrevocably. Our 19-year-old daughter Lee had a catastrophic car accident.

Where to begin…

Back in 1990 I became an LTCi specialist. I sort of just fell into this position, taught myself, and now I live it.

My grandmother needed seven-day-a-week, round-the-clock home care, then a nursing home. Thank goodness she owned LTCi. In fact, she was one of my very first clients. When I consulted at the time as to whether a 76 year-old should have inflation protection, the answer was always no. The cost seemed too high. What a way to learn a lesson, I wish she’d had it! I was actively involved in her care. Her LTCi supplemented other funds she had to enable her to stay at home. Otherwise, she would have gone directly to a nursing home. Eventually, her policy’s benefits were exhausted, forcing her to spend her last five years in a nursing home. She needed a total of about 10 years of care. Having the resources to keep her home for those five years helped us all participate in her care and she had some real quality years in her home.

Fortunately, I also sold my father LTCi. Interestingly, he battled me on this and only applied for it after his attorney recommended it. He currently has dementia and it has been progressing for many, many years. He is getting excellent care because of his LTCi policy.

Back to the car accident…

I was actually at the airport going to a seminar when Lee’s friend called me with the news.

That was followed by a call from the Fairfield Police Department telling me it was really bad and I had to get back immediately.

They sent an ambulance to take me all the way from NYC to the hospital in CT, then onto Yale where she was air lifted.

My daughter had a massive brain injury a broken neck, broken ribs and sternum, a broken wrist in two places and a broken pelvis in seven places, which basically meant that her spine was not attached to her pelvis. She was in a coma for a long while.

Doctors know very little about what to expect from her healing. We have been asking for prayers, healing and good thoughts to be sent to her. Lee has made some remarkable progress this past year, but she has a very long way to go and needs full-time care.

Before Lee’s accident, I was a successful LTCi specialist and workaholic. I am just getting back to work, but very part time. My husband now teaches only two classes a week. We are dividing and conquering, as they say. My husband and I took turns in the brain stimulation rehab hospital in New Jersey (the only place that would accept her with how low she was functioning). We arrange Lee’s schedule, while being at home with our 11 year-old, trying to provide her with a semblance of normal life. There isn’t much time to do anything else. Our stress levels are off the charts.

The hardest part to comprehend is that there is no break. Ever. Lee’s sleep patterns are off; she has pain and confusion. Her emotions are very real and very strong. So this is as they all told us, a marathon, but one that does not have a clear end in sight.

I have always been fiercely independent. But now, we are taking help from the government, friends, and acquaintances. I have learned to say “yes” to help.

My advice is to check your car insurance and make sure the uninsured motorist coverage is very, very high. It might say $3 million but it often is $1 million per person! In an accident, if the other person has little or no coverage that is all you have to go on.

Make sure your kids over 18 appoint you as their health care proxy until they are married, so that you don’t have to go for conservatorship to help your child. If your child needs the kind of help Lee does, and you need a conservatorship, you will both need an attorney.

Look at your health insurance. Does it have a provision that says the health insurance company is first in line for any money that you get from the car insurance to repay their expenses? Not all carriers do!

I have always advised friends and clients to buy LTCi for their unmarried kids over 18. Not all carriers sell policies to people this young. My kids started heading off to college, strapping us financially. We didn’t follow this advice, so regretfully, my kids don’t have LTCi. We all want the best for our kids. That does not stop when they turn 18 and need this kind of help. Being able to control choices is so important. In addition, being able to have help, so that you can be there for yourself, your spouse, your other kids and of course, other friends, family and commitments would be amazing.

I cannot stress enough the importance of LTCi coverage. We all think it won’t be us or our loved ones, but take it from me, it happens and it is not always short-term. The fear and shock and pain are so great when a care need occurs. In addition to this, without LTCi, you just don’t have options.

I hope I don’t sound preachy, but unfortunately these are things I learned the hard way.

If you are a licensed agent, insurable and don’t already own LTCi, I encourage you to get it right now. If you don’t know how to write it, seek the advice of a wise and knowledgeable LTCi specialist.

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Long Term Care insurance, LTC nsurance, LTCi, Medicare

Does Your Long-Term Care Plan Account for Your Own Normal, Natural Cognitive Decline?

May 19, 2016 by Honey Leave a Comment

What??Wade Pfau, PhD, CFA, whom I’ve previously praised effusively, writes about research confirming that we all will, very gradually, lose our cognitive speed, financial literacy and verve. I believe our natural good judgment will fade along with these things because I see my clients demonstrate this so very often.

Here’s a paper Dr. Pfau cites that illustrates this normal, natural cognitive decline.

Here’s another paper Dr. Pfau cites proving normal decline in financial literacy at advanced ages.

At a healthy age 63, I notice these changes in myself to a very minor extent. I am pretty sure it’s age related and not dangerous yet. It is just annoying.

I had breakfast with a long-time financial planner this week. He believes affluent people should self-insure for long-term care. I believe that he, like so many, is divorced from and not willing to imagine the psychological reality of what often happens at advanced ages.

I gave him many reasons why affluent people need long-term care insurance (LTCi). They buy it in disproportionately high numbers. I have blogged about this extensively.

Dr. Pfau’s article gives compelling scientific proof of why the elderly are often the victims of their own bad business decisions.

I see in-person proof of these same things. Even if they have no diagnosis of cognitive impairment, I see elderly clients making very bad personal and business decisions, time and time again. I am very disturbed by this.

Children of affluent clients with multi-million dollar wealth tell me their parents would not avail themselves of home or assisted living care without their LTCi.

From what I’ve seen with my clients during the past 25-plus years, the most important reason to own LTCi may be the lack of good judgment plus the common familial dysfunction that too often accompanies aging and decline.

Long-term care insurance provides a plan that plugs in and works. When need arises, no thoughts about which assets to liquidate to pay for LTC are necessary. Irrational thoughts of outliving savings are quashed. Thoughts of imposing on family members are minimized. LTCi can drastically reduce stress and increase quality outcomes.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure Tagged With: Long Term Care insurance, LTCi, Wade Pfau

Media Continues to Love Trashing LTC Insurance

May 16, 2016 by Honey Leave a Comment

The MediaI will never completely understand why inflammatory headlines like this are necessary: “Out-of-Control Premium Hikes for Long-Term Care Insurance”.

I do partially understand why they run inflammatory headlines. “If it bleeds, it leads”. Disparaging headlines sell copies.

Nowadays, the majority of LTCi media coverage is constructive. But readers usually have to get past negative titles and first paragraphs intended to “hook” people into reading the story.

In the case of Long-Term Care Insurance (LTCi), this is very harmful to the public. Disparaging headlines and lead paragraphs further encourage people to make excuses to avoid important, necessary conversations about planning for LTC.

In addition, inflammatory LTCi coverage fuels falsehoods such as out-of-control, wanton rate hikes and claim difficulties.

If people bother to read “Out-of-Control Premium Hikes for Long-Term Care Insurance” they will find excellent reporting on why today’s LTCi policies should experience very stable rates with very minimal odds of rate hikes.

Click here to read several blogs I’ve done that explain the reasons for and likelihood of LTCi rate hikes.

I want to give a “shout out” to my highly esteemed friends and colleagues Scott Olson, Steve Cain, and Jesse Slome who were quoted in this story. This article’s excellent content is largely due to their input.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC, Misinformation About LTC Tagged With: AALTCI, Jesse Slome, Long Term Care insurance, LTCi, LTCi rate hikes, Scott Olson, Steve Cain

Spring Comes to LTC Insurance

May 10, 2016 by Honey Leave a Comment

SpringMy good friend and colleague Steve Forman has written a report titled “Spring Comes to LTC Insurance”. Here’s a link to the report.

Like me, Steve believes good times are coming for long-term care insurance (LTCi) sales. Here’s a blog I just did about how rate-stable today’s LTCi policies are.

Here’s an excerpt from Steve’s report explaining why the LTCi market is poised for an upswing in sales:

“While the last decade was marked by carriers exiting the long term care insurance market (from a peak of around 110 to today’s dozen or so), the transition to a soft market predicts new entrants will return. And that’s exactly what we’re seeing (aided by a new study from the Society of Actuaries which demonstrates to sideline insurers the remarkably good odds of a profitable future selling LTCI). Within the last twelve months, heavyweight endorser AARP has signaled a new partnership with the private market, a brand new carrier has announced its intention to sell traditional LTCI, and a third major brand has shed every product in its portfolio but LTCI.

Meanwhile, the number of life insurers who recognize the demographic opportunity represented by the Silver Tsunami is unprecedented: seven have entered the combo space within the past five years, while over twenty offer an accelerated benefit for chronic illness and/or critical illness. LIMRA reports that acceleration riders are now a “must have” benefit, and one carrier was quoted in confidence saying, ‘You will never see another life insurance product sold by us which does not include a long term care benefit.'”

Filed Under: Elephant in the Room, I'll Just Self-Insure, Information About LTC Tagged With: LIMRA, LTCi, Medicare, Steve Forman

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Honey Leveen, LUTCF, CLTC, LTCP
“The Queen, by Self-Proclamation, of Long-Term Care Insurance (LTCi)”
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Phone: 713-988-4671
Fax: 281-829-7177

Email: honey@honeyleveen.com

Email: honey@honeyleveen.com

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