Estate Planning Elder Law Guide

Estate Planning: Planning for death to get the assets toPercentage bequests to charities should be avoided
whom you want, when you want, the way you want,so that the family may avoid having to account to the
with the least amount of taxes and legal fees possible.charity for the expenses of administering the estate.
Elder Law: Planning for disability to get the persons youIn terms of the type of trust, we are generally looking
want to handle your affairs and to protect your assetsat several options for most clients. It is important to
from being depleted for long-term care.determine whether there should be one trust or two. In
Introduction to Estate Planning and Elder Laworder to avoid or reduce estate taxes, there should be
Practicing estate planning and elder law is one of thetwo trusts for spouses whose estates exceed or
most enjoyable and professionally rewarding careersmay at a later date exceed the state and/or federal
an attorney may choose. Imagine a practice areaestate tax threshold. Should the trust be revocable or
where your clients respect your knowledge and treatirrevocable? The latter is important for protecting
you with kindness and courtesy. They pay your fees inassets from nursing home expenses subject to the
a timely fashion and tell their friends how much theyfive-year look-back period. Primary features of the
have enjoyed working with you and your firm. At theirrevocable Medicaid trust are that neither the grantor
same time, you are rarely facing the pressure of anor the grantor's spouse may be the trustee and that
deadline, much less an adversarial attorney on thethese trusts are income-only trusts. Most people
other side of a matter trying to best you. In mostchoose one or more of their adult children to act as
instances, you are acting in the capacity of a counselortrustees of the irrevocable trust. Since principal is not
at law (trusted advisor) rather than an attorney at lawavailable to the grantor, the client will not want to put all
(professional representative).of their assets into such a trust. Assets that should be
We spend our days meeting with clients, discussingleft out are IRA's, 401(k)'s, 403(b)'s, etc. The principal of
their lives and their families and addressing their fearsthese qualified assets are generally exempt from
and concerns. Through our knowledge, training,Medicaid and should not be placed into a trust, as this
experience and imagination, we craft solutions,would create a taxable event requiring income taxes
occasionally elegant ones, to the age old problem ofto be paid on all of the IRA. If the institutionalized client
passing assets from one generation to another ashas a community spouse, up to about one hundred
quickly and painlessly as possible. At the same time,thousand dollars may also be exempted.
we also seek to protect those assets from beingNotwithstanding that the home is exempt if the
depleted by taxes, legal fees and nursing home costscommunity spouse is living there, it is generally a good
to the extent the law allows.idea to protect the home sooner rather than to wait
The end result of this process is a client who feelsuntil the first spouse has passed, due to the five-year
safe and secure in the knowledge that, in the event oflook-back period. It should be noted that the look-back
death or disability, they have all their bases covered.means that from the time assets are transferred to
Having achieved peace of mind that their future is wellthe irrevocable trust, it takes five years before they
planned and in good hands, they can get on with theare exempt, or protected from being required to be
business of enjoying their lives. For the attorney, aspent down on the ill person's care before they qualify
happy and satisfied client has been added to thefor Medicaid benefits. What if the client does not make
practice and another potentially lifelong and mutuallythe five years? Imagine that the client must go into the
rewarding relationship has begun. Let's look at thenursing home four years after the trust has been
strategies and techniques we use to achieve thisestablished. In such a case, by privately paying the
enviable state of affairs.nursing facility for the one year remaining, the family will
Major Issues Facing Senior Clients Todaybe eligible for Medicaid after just the remaining year of
One of the ways that we help clients is in setting up athe five-year penalty period has expired.
comprehensive plan so they may avoid courtAlthough the Medicaid trust is termed irrevocable, the
proceedings upon death or in the event of disability.home may still be sold or other trust assets traded.
Trusts are used in place of wills for older personsThe trust itself, through the actions of the trustees,
since they do not require court proceedings to settlemay sell the house and purchase a condominium in the
the estate. Trusts also avoid the foreign probatename of the trust so that the asset is still protected.
proceeding required for property owned in anotherThe trust may sell one stock and buy another. For
state, known as ancillary probate. This saves thethose clients who may wish to continue trading on their
family time in settling the estate as well as the highown, the adult child trustee may sign a third party
costs of legal proceedings. In addition, since revocableauthorization with the brokerage firm authorizing the
living trusts, unlike wills, take effect during the grantor'sparent to continue trading on the account. The trust
lifetime, the client may stipulate which persons takecontinues to pay all income (i.e., interest and dividends)
over in the event of their disability. Planning ahead helpsto the parent grantor. As such, the irrevocable trust
maintain control in the family or with trusted advisorspayments should not affect the client's lifestyle when
and avoids a situation that may not be in the client'sadded to any pensions, social security, and IRA
best interest. For example, in the event of a disabilitydistributions the client continues receiving from outside
where no plan has been put in place, an application tothe trust. It should also be noted that while no separate
the court may be required in order to have a legaltax return is needed for a revocable trust, the
guardian appointed for the disabled person. This mayirrevocable trust requires an "informational return"
not be the person the client would have chosen. Inwhich advises the IRS that the income is "passing
such a case, assets may not be transferred to protectthrough" to the grantors and will be reported on their
them from being spent down for nursing home costsindividual returns.
without court permission, which may or may not beIf there is a disabled child, consideration will be given to
granted.creating a supplemental needs trust, which will pay
Another area in which we assist the client is in savingover and above what the child may be receiving in
estate taxes, both state and federal, for marriedgovernment benefits, especially social security income
couples by using the two-trust technique. Assets areand Medicaid, so that the inheritance will not disqualify
divided as evenly as practicable between each of thethem from those benefits.
spouse's trusts. While the surviving spouse has the useFinally, with the size of estates having grown today to
and enjoyment of the deceased spouse's trust, thewhere middle class families are leaving substantial
assets of that trust bypass the estate of the survivingbequests to their children (depending, of course, on
spouse and go directly to the named beneficiarieshow many children they have), the trend is toward
when the second spouse dies. Tens to hundreds ofestablishing trusts for the children to keep the
thousands of dollars, or more, in potential estate taxesinheritance in the bloodline. Variously termed inheritance
may be saved, depending on the size of the estate.trusts, heritage trusts, or dynasty trusts, these trusts
Furthermore, the revocable living trust avoids the twomay contain additional features, such as protecting the
probates that would occur were the clients to use wills,inheritance from a child's divorce, lawsuits, creditors,
as the couple's estate must be settled after the deathand estate taxes when they die. The primary feature
of each spouse in order to save estate taxes. Weof all of these trusts for the heirs, however, is to
also help to protect assets from being depleted due toprovide that when the child dies, in most cases many
nursing home costs. Irrevocable Medicaid trusts mayyears after the parent, the hard-earned assets of the
be established, subject to a five-year look-back period,family will not pass to a son-in-law or daughter-in-law
to protect the client's home and other assets fromwho may get remarried, but rather to the grantor's
having to be spent down due to the high cost ofgrandchildren. On the other hand, if the client wishes to
nursing home care. We use Medicaid asset andfavor the son-in-law or daughter-in-law, they may
transfer rules to protect assets in the event a clientchoose to provide that the trust, or a portion of it,
requires nursing home care but has done nocontinue as an "income only" trust for their adult child's
pre-planning. Through the use of Medicaid qualifyingsurviving spouse for their lifetime, and only thereafter
annuities, promissory notes, and housing and careto the Grantor's grandchildren.
agreements, significant assets may be protected5. Applying for Medicaid Benefits
despite the five-year look-back, even when the clientIn the event the client requires home care or
may be on the nursing home doorstep.institutionalized care in a nursing home facility, an
Five Steps to Estate Planning for Seniorsapplication for Medicaid benefits may be required. Due
1. Understanding the Family Dynamicsto complex asset and transfer rules, the application
The first step in an elder law trusts and estates mattershould be made with the aid of an experienced elder
is to gain an understanding of the client's familylaw attorney. Again, it is useful in this context for a
dynamics. If there are children, which is usually theconfidential survey of the client's assets, as well as
case, we need to determine whether or not they areany transfers of assets, to be filled out prior to the
married. Is it a first or second marriage? Do they haveinitial consultation. This form of financial survey will be
any children from a previous marriage or do theirsignificantly different from the one used for estate
spouses? What kind of work do they do, and whereplanning purposes. As a combined federal and state
do they live? Do they get along with each other andprogram, Medicaid asset and transfer rules vary
with the parent clients? We are looking to determinesignificantly from state to state. A few techniques,
which family members do not get along with whichnevertheless, will be widely applicable. First, in the event
others and what the reasons may be. This goes aan adult child takes the parent into their home in order
long way toward helping us decide who should maketo care for them in their later years, a housing and
medical decisions and who should handle legal andcare agreement should be executed so that assets
financial affairs. Should it be one of them or more thanmay be legitimately moved from the parent to the child
one? How should the estate be divided? Is the clientprior to any nursing home care. The adult child will be
himself in a second marriage? Which children, if any,required to report any payments received under the
are his, hers, or theirs? Sometimes all three instancesagreement as earned income on their tax returns.
may occur in the same couple. Here, furtherAlso, since the family home is usually the most
exploration of the family functioning will be needed assignificant asset, consideration will need to be given as
the potential for hurt feelings, conflicts of interest, andto whether the home should be deeded to the client's
misunderstandings multiplies. In addition, great care mustadult children while retaining a life estate in the parent
be taken to develop a plan for management, control,or whether the irrevocable Medicaid trust should be
and distribution of the estate that will not only be fair toused to protect the asset.
the children from a previous marriage but will be seenWhile the deed with a life estate will be less costly to
to be fair as well. At times, the assistance of thethe client, in most cases it offers significant
professional advisor in acting as trustee may bedisadvantages when compare to the trust. First, if the
invaluable in helping to keep the peace between familyhome is sold prior to the death of the Medicaid
members. Finally, this step will also flesh out whetherrecipient, the life estate value of the home will be
there are any dependents with special needs andrequired to be paid towards their care. If the house is
which family members and assets might be bestrented, the rents are payable to the nursing facility
suited to provide for such children.since they belong to the life tenant. Finally, the client
2. Reviewing Existing Estate Planning Documentsloses a significant portion of their capital gains tax
The second step in an elder law trusts and estatesexclusion for the sale of their primary residence as
matter is to review any prior estate planningthey will only be entitled to a pro rata share based on
documents the client may have, such as a will, trust,the value of the life estate to the home as a whole. All
power of attorney, health care proxy and living will, toof the foregoing may lead to a situation where the
determine whether they are legally sufficient andfamily finds they must maintain a vacant home for
reflect the client's current wishes or whether they aremany years. Conversely, a properly drafted
outdated. Some basic elder law estate planningirrevocable Medicaid trust preserves the full capital
questions are also addressed at this time such as:a. Isgains tax exclusion on the primary residence and the
the client a US citizen? This will impinge on the client'shome may be sold by the trust without obligation to
ability to save estate taxes.b. Is the client expecting tomake payment of any of the principal towards the
receive an inheritance? This knowledge helps inclient's care, assuming we have passed the look back
preparing a plan that will address not only the assetsperiod. It should be noted here that both the life estate
that the client has now but what they may have in theand the irrevocable Medicaid trust will preserve the
future.c. Does the client have long-term carestepped-up basis in the property provided it is only sold
insurance? If so, the elder law attorney will want toafter the death of the parent who was the owner or
review the policy and determine whether it provides angrantor. Upon the death of the parent, the basis for
adequate benefit considering the client's other assetscalculating the capital gains tax is stepped up from
and income, whether it takes inflation into account, andwhat the parent paid, plus any improvements, to what
whether it is upgradable. This will allow the practitionerit was worth on the parent's date of death. This
to decide whether other asset protection strategieseffectively eliminates payment of capital gains taxes
may be needed now or later.d. Does the client needon the sale of appreciated property, such as the home,
financial planning? Many clients that come into the elderafter the parent dies. Both the revocable and
law attorney's office have never had professionalirrevocable trusts also preserve any tax exemptions
financial advice or are dissatisfied with their currentthat the client may have on their home, such as senior
advisors. They may need help understanding theand veteran's exemptions.
assets they have or with organizing and consolidatingFinally, even with a client already in a nursing home,
them for ease of administration. They may also besignificant assets may be saved through advanced
concerned with not having enough income to last fortechniques that are beyond the scope of this guide.
the rest of their lives. The elder law attorney willPlease consult your elder law attorney for further
typically know a number of capable financial plannersinformation if you or a family member is in this situation.
who are experienced with the needs and wishes ofMajor Mistakes in Estate Planning and Elder Law
the senior client, including (1) secure investments with1. Failure to address all of the issues.
protection of principal, and (2) assets that tend toA comprehensive review of the client's situation should
maximize income.address planning for disability as well as for death,
3. Reviewing the Client's Assetsincluding minimizing or avoiding estate taxes and legal
The third step is to obtain a complete list of the client'sfees and proceedings. A plan should be in place to
assets, including how they are titled, their value,protect assets from nursing home costs. Like a chess
whether they are qualified investments, such as IRA'splayer, counsel should look ahead two or three moves
and 401(k)'s and, if they have beneficiary designations,in order to determine what may happen in the future.
who those beneficiaries are. Armed with thisFor example, attorneys will too often place a majority
information, the advisor is in a position to determineof the assets in the wife's name or in her trust in light
whether the estate will be subject to estate taxes,of the husband having significant IRA assets in his
both state and federal, and may begin to formulate aaccount. However, since the husband is often older
strategy to reduce or eliminate those taxes to theand has a shorter life expectancy, this may result in
extent the law allows. This will often lead to shiftingthe IRA assets rolling over to the wife, all of the
assets between spouses and their trusts, changingcouple's assets ending up in the wife's estate, and no
beneficiary designations, and, with discretion, trying toestate tax savings effected. Another example would
determine which spouse might pass away first so asbe where the client's children are in a second marriage
to effect the greatest possible tax savings. Ideally, thebut have children (the client's grandchildren) from a
attorney should have the client fill out a confidentialprevious marriage. Unless planning is done with
financial questionnaire prior to the initial consultation.inheritance trusts for the client's children, a situation
4. Developing the Estate Planmay occur one day where the client's child
The fourth step is to determine, with input from thepredeceases their second spouse, all assets pass to
client, who should make medical decisions for the clientthe second spouse, and the client's grandchildren, from
if they are unable to and who should be appointed toa son or daughter's prior marriage, are denied any
handle legal and financial affairs through the power ofbenefit from the grantor's estate.
attorney in the event of the client's incapacity. Next,2. Failure to Regularly Review the Estate Plan
we will consider what type of trust, if any, should beAt a minimum, each client's estate plan should be
used, whether a simple will would suffice, who shouldreviewed every three years to determine whether
be the trustees (for a trust) or executors (for a will),changes in the client's personal life, such as their health,
and what the plan of distribution should be. In order toassets, or family history (births, deaths, marriages,
avoid a conflict, the trustees who are chosen in lieu ofdivorces, etc.) impact the plan. It is unrealistic to expect
the grantor should be the same persons named on thea plan established today to be effective ten, twenty,
power of attorney. At this point, great care should alsothirty, or more years in the future. Over time, clients will
be taken to ensure that the feelings of the heirs will notwant to change their back-up trustees or plan of
be hurt. Good estate planning looks at the client'sdistribution. They may wish to add inheritance trusts for
estate from the heirs' point of view as well as thetheir children. They might, after a number of years,
client's. For example, if there are three children, it maywish to change from a revocable trust to an
be preferable that one be named as trustee orirrevocable trust because they were unable or unwilling
executor, as three are usually too cumbersome and ifto obtain long-term care insurance. The attorney will
the client chooses only two, then they are leaving onebenefit from the additional legal work needed, and the
out. If there are four or five children, we prefer to seeclient will benefit from having a plan better suited to
two trustees or executors chosen. This way, thetheir current needs at any given time.
pressure will be reduced on just the one having toConclusion
answer to all the others. More importantly, the othersDespite the knowledge, earnestness and even charm
will feel far more secure that two siblings are jointlyof some of the finest practitioners in the land, clients
looking after their interests.occasionally do not act on the advice given. As
If the distribution is to be unequal, it may need to beexperienced attorneys, we know not to take it
discussed with the affected children ahead of time topersonally when clients choose to ignore our advice or
forestall any ill will or even litigation after the parentsperhaps choose other counsel. We know that people
have died. By considering the relative ages of thedon't always do what they need to. They do what
children, where they live, and their relationshipsthey want to and, even then, only when they want to.
amongst each other and with their parents, the advisorRecently, a ninety-three year old client told us that she
will generally find a way to craft a plan that"wanted to think about it" so far as planning her affairs.
accommodates the needs and desires of all partiesExperience tells us that this client is not ready to plan
concerned. Some of the techniques we find useful inat the present time, despite her advanced years, and
this context are to offer a delayed distribution, such aswe respect that choice. On the other hand, we
twenty percent upon the death of the grantor, one-halfrecently had a client come in to see us eleven years
of the remaining balance after five years, and theafter their initial consultation stating that they were now
remainder after ten years. These same percentagesready to proceed. We prepared their estate plan.
may also be used at stated ages, such as thirty,Perhaps the best approach to the estate planning and
thirty-five, and forty. Also, when leaving percentages ofelder law practice is to follow the four SW's. Some will,
the estate, unless it is simply to the children in equalsome won't, so what, someone's waiting. We move
shares, it is often useful to determine the monetaryforward, help those who will allow themselves to be
value of those percentages in the client's currenthelped by us and keep turning towards those to
estate. This will allow the client to see whether thewhom our firm's services are appreciated, admired,
amount is truly what they wish to bequeath.and sometimes even considered heroic.