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Question of the Day on ElderCareMatters.com: "I am an Elder Care Professional with 15 years experience in helping families with their elder care matters. Should I be listed on ElderCareMatters.com?"

Answer:  If you are a professional who helps families plan for or deal with ANY of their elder care matters, then you owe it to yourself to be listed on America's #1 online source for "Elder Care Experts"….

ElderCareMatters.com

ElderCareMatters.com is where you will find more than 2,000 competent, caring elder care experts located across America, including:

  • Elder Law Attorneys
  • Estate Planning Advisors
  • Financial Planners
  • Investment Advisors
  • Geriatric Care Managers
  • Insurance Professionals
  • Life Care Planners
  • Professional Organizers
  • Reverse Mortgage Lenders
  • Senior Move Managers
  • Senior Real Estate Professionals
  •  Tax Advisors
  • Aging in Place Professionals
  • Daily Money Managers
  • And other elder care experts with long and successful careers working with seniors and their families

This is also where you will find some of America's best:

  • Assisted Living Communities
  • Alzheimer's / Memory Care Communities
  • Continuing Care Retirement Communities
  • Home Care Agencies

Together, we provide families across America with:

  • Unparalleled professional expertise
  • Up-to-date elder care information & answers to your elder care questions
  • Competent, caring assistance with a wide range of elder care services

So if you are a competent, caring elder care professional who helps families with ANY of their elder care matters, then request today an Application for Membership in the national ElderCare Matters Alliance and get listed on ElderCareMatters.com - America's #1 source for "Elder Care Experts" plus information and answers about a wide range of elder care matters.

Phillip G. Sanders, MBA, MSHA, CPA
Founder & CEO
ElderCare Matters, LLC
ElderCareMatters.com

 

 

 

Question of the Day on ElderCareMatters.com: "My elderly in-laws have a 1st and 2nd mortgage on their home. Would they still be eligible for a reverse mortgage?"

Answer:  With Reverse Mortgages, it doesn’t matter how many mortgages have previously been placed on the property.  The couple must be at least 62 years old.  Actually, the amount of money you might get extended as a reverse mortgage is based upon the age of the couple and the value of the home.  The older you are, the more money you can qualify for.  This is because you can continue to live in the home for the rest of your life and never have to make a mortgage payment.  So, if the elderly couple in the question are more advanced in age, it greatens the chance that the amount they qualify for can pay off both of the two prior mortgages.  It needs to because a reverse mortgage won’t be extended unless it will occupy a “first” position. 

One of the best things about reverse mortgages is that they are non-recourse. The concept began in 1988 under Ronald Reagan, an oldster himself.

Russell Hodges, Esq., Managing Partner
Hodges Law Firm, LLC
Atlanta, Georgia  30040
404-824-4225 or 770-888-0015
www.RHodgesLaw.com
Member of the national ElderCare Matters Alliance, Georgia chapter

 

Question of the Day on ElderCareMatters.com: "Would you please provide me with a list of all the 87 different elder care services that the members of the national ElderCare Matters Alliance provide on ElderCareMatters.com?"

Answer:  It is my pleasure to provide you with the following list of the 87 different elder care services that are currently provided by the members of the national ElderCare Matters Alliance on ElderCareMatters.com:

  1. Accounting Services
  2. Adult Day Care
  3. Advance Medical Directives
  4. Aging in Place Services
  5. Alzheimer's / Memory Care Communities
  6. Annuities
  7. Arbitration
  8. Asset Protection Planning
  9. Assisted Living Communities
  10. Assisted Living Referral Services
  11. Bankruptcy
  12. Bill Paying
  13. Budgeting
  14. Caregiving Education
  15. Companion Care
  16. Conservatorship
  17. Consumer Law
  18. Continuing Care Retirement Communities
  19. Cremation Services
  20. Crisis Intervention
  21. Daily Money Management
  22. Dementia Care
  23. Disability Income Insurance
  24. Disability Planning
  25. Elder Abuse Litigation Services
  26. Elder Law
  27. ElderCare Planning
  28. Estate Administration
  29. Estate Liquidation
  30. Estate Planning
  31. Family Law
  32. Financial Planning
  33. Funeral Services
  34. Geriatric Care Management
  35. Guardianship
  36. Health Insurance
  37. Hoarding Clean Up and Coaching Services
  38. Home Care
  39. Home Downsizing Services
  40. Home Health Care
  41. Home Modifications
  42. Hospice Care
  43. Independent Living Communities
  44. Investment Services
  45. Life Care Planning
  46. Life Insurance
  47. Litigation
  48. Long Term Care Insurance
  49. Long Term Care Planning
  50. Medicaid Planning
  51. Medical Services
  52. Medical Alert Systems
  53. Medical Claims Processing
  54. Medical Equipment & Supplies
  55. Medical Malpractice Litigation
  56. Medicare Consulting
  57. Medicare Supplemental Insurance
  58. Medication Management Services
  59. Moving Services
  60. Nursing Homes
  61. Personal Finance
  62. Powers of Attorney
  63. Probate
  64. Professional Organizing
  65. Public / Non-Profit Resources
  66. Real Estate Services
  67. Rehabilitation Services
  68. Residential Psychiatric Care
  69. Respite Care
  70. Retirement Planning
  71. Reverse Mortgages
  72. Securities Arbitration & Litigation Services
  73. Senior Housing
  74. Senior Move Management
  75. Senior Move Planning
  76. Senior Relocation Services
  77. Social Security Disability Services
  78. Special Needs Planning
  79. Tax Law
  80. Tax Planning
  81. Tax Preparation
  82. Transportation Services
  83. Trustee / Fiduciary Services
  84. Trusts
  85. VA Benefits
  86. Wills
  87. Wound Care

The goal of ElderCareMatters.com is to provide families across America with the help they need to plan for and deal with their elder care matters.  Let us know if there are other elder care services that you would like to have us list on ElderCareMatters.com – America's #1 source for Elder Care Experts plus information & answers about a wide range of elder care matters.

Phillip G. Sanders, MBA, MSHA, CPA
Founder & CEO, ElderCare Matters, LLC
ElderCareMatters.com
1-877-379-4500

Question of the Day on ElderCareMatters.com: "I noticed this morning that ElderCareMatters.com now has a total of 72 different elder care / senior care services that are included on this wonderful website. Can you tell me how these services are selected, and are there a maximum # of services that will be included on ElderCareMatters.com?"

Answer:  ElderCareMatters.com is an elder care resource to help families across America plan for and deal with their elder care matters.  With this goal in mind, we will continue to add more elder care-related services to ElderCareMatters.com in order to make this online elder care resource invaluable for families looking for help in planning for and/or dealing with their elder care matters.

Below are the 72 different elder care services currently listed on ElderCareMatters.com (with more services soon to be added): 

  1. Adult Day Care
  2. Advance Medical Directives
  3. Aging in Place Services
  4. Alzheimer's / Memory Care Communities
  5. Annuities
  6. Arbitration
  7. Asset Protection Planning
  8. Assisted Living Communities
  9. Assisted Living Referral Services
  10. Bankruptcy
  11. Caregiving Education
  12. Consumer Law
  13. Continuing Care Retirement Communities
  14. Crisis Intervention
  15. Daily Money Management / Bill Paying
  16. Dementia Care
  17. Disability Income Insurance
  18. Elder Abuse Litigation Services
  19. Elder Law
  20. ElderCare Planning / Long-Term Care Planning
  21. Estate Administration
  22. Estate Liquidation
  23. Estate Planning
  24. Financial Planning
  25. Funeral Services
  26. Geriatric Care Management
  27. Guardianship / Conservatorship
  28. Health Insurance
  29. Hoarding Clean Up and Coaching Services
  30. Home Care
  31. Home Downsizing Services
  32. Home Health Care
  33. Home Modifications
  34. Hospice Care
  35. Independent Living Communities
  36. Investment Services
  37. Life Care Planning
  38. Life Insurance
  39. Litigation
  40. Long-Term Care Insurance
  41. Medicaid / Disability Planning
  42. Medical / Healthcare
  43. Medical Alert Systems
  44. Medical Claims Processing
  45. Medical Equipment & Supplies
  46. Medicare Consulting
  47. Medicare Supplemental Insurance
  48. Medication Management Services
  49. Moving / Relocation Services
  50. Personal Finance / Accounting / Tax Preparation
  51. Powers of Attorney
  52. Probate
  53. Professional Organizing
  54. Public / Non-Profit Resources
  55. Real Estate Services
  56. Rehabilitation Services
  57. Residential Psychiatric Care
  58. Respite Care
  59. Retirement Planning
  60. Reverse Mortgages
  61. Securities Arbitration & Litigation Services
  62. Senior Move Management
  63. Senior Move Planning
  64. Social Security Disability Services
  65. Special Needs Planning
  66. Tax Law
  67. Tax Planning
  68. Transportation Services
  69. Trustee / Fiduciary Services
  70. Trusts
  71. VA Benefits
  72. Wills

If you need help with your family's elder care matters, you can count on ElderCareMatters.com to provide you with the experts, information & answers you need to plan for and deal with your elder care matters.

Phillip G. Sanders, MBA, MSHA, CPA
Founder & CEO of ElderCareMatters.com
1-877-379-4500

Question of the Day on ElderCareMatters.com: "My husband and I had never purchased long term care insurance, since it was too expensive. Now that he has passed away, I am concerned that I might become a burden for my children. Are there any options for me at my age?”

Answer:   Yes, there are planning steps you can take now.  First, check with your local agencies, such as the Area Council on Aging to find out what eldercare services are available in your area. You may find that there are adult day care centers that cost nothing or are very reasonably priced. Next, determine out what the cost of eldercare is in your community. These providers will include home health care agencies, nursing homes, and assisted living facilities. Prices vary, so survey the market carefully.

Involve your children and inform them of your wishes in the event you need custodial eldercare services, and write down your wishes. Name one of your children or friends that you trust as your eldercare coordinator. As an aside, it is always a good idea to consult with an attorney and have a durable power of attorney drafted, as well as a living will.

If you have assets available for possible eldercare expenses, you should designate those as being for that purpose. If you have existing life insurance or annuity policies, it may be possible to leverage those products by re-positioning them into products that can provide enhanced eldercare dollars in the event that you need them. Check with your financial advisor.

To find  competent, caring elder care professionals across America who are located near You and can help you with your elder care matters, go to: www.ElderCareMatters.com - A FREE online resource to find elder care experts plus elder care information & answers to your elder care questions.

Gregory D. Roberts, CFP, CLU, ChFC, CLTC, EA
Life Solutions
Aiken, South Carolina  29803
803-617-9805
Member of the national ElderCare Matters Alliance, South Carolina chapter 

Question of the Day on ElderCareMatters.com: "I’m the trustee on my parent’s trust. Parts of the trust’s assets are held in the stock market. With the recent market fluctuations, can I be held responsible for any losses the trust’s stock may have sustained?"

Answer:  Generally, a fiduciary is a person who manages property for the benefit of another, exercises discretionary authority or control over an asset(s), and/or renders comprehensive and continuous investment advice.  When you accept the role to trustee, you are a fiduciary and accordingly you become personally liable to all trust beneficiaries.  Liability is not determined by the performance of investments but by whether you followed “prudent investment practices”.   

The Prudent Investor Act sets forth 7 Uniform Standards of Care to avoid being found liable for investments losing value:

  1. Know standards, laws, and trust provisions.
  2. Diversify assets to the specific risk/return profile of the trust.  Each trust and beneficiary will have specific cash flow requirements and risk return objectives.  The interests of all need to be weighed.
  3. Prepare an Investment Policy Statement (IPS).  The IPS is basically a business plan for the trust’s investments.  It lays out goals and policies regarding trust investments.
  4. Use “prudent experts” (lawyers, money managers, CPAs) and document due diligence.  Unless you are an experienced professional this can be a daunting task.  Any slip up and you could be paying out of your pocket.  Hiring an expert, so long as you use due diligence in determining their qualifications, and your liability is eliminated.
  5. Control and account for investment expenses.  It is your role to make sure that the trust is paying a fair fee for the professional services.
  6. Monitor the activity of “prudent experts”.  Monitoring the investment professional is part of using due diligence.  You, as trustee, want to be sure the money manager is not taking funds and is working toward accomplishing the goals stated in the IPS.
  7. Avoid conflicts of interest and prohibited transactions.  Although this seems silly, trustees often violate this principal.  A trustee cannot use entrusted assets for personal or business gain.   

This is one of the most common areas of litigation we see today.  Especially with the market falling and stocks losing value, people are afraid to make changes and are standing still, thinking that if they do nothing they will not be liable for losses.  NOT TRUE.  Trustees do not need to personally guarantee every investment decision is successful.  What a trustee should do is follow a system that ensures you are following the Prudent Investor Act standards.  There is a 5 Step Investment Management Process you can use to be sure you are within the prudent investor standard:

  1. Analyze Current Position.  This is where you review current investment activates, disbursements, investing strategies and policies, and legal constraints.  You examine what the trust’s investment picture currently looks like.
  2. Design the Optimal Portfolio.  This is where you propose optimal asset allocation strategies and suggest any changes, keeping in mind the current market.
  3. Formalize Investment Policy.  The policy should include investment objectives, guidelines, as well as guidelines for selecting and monitoring money managers, if you have them.
  4. Implement Policy.  Here you would propose a number of alternative money manager structures, negotiate favorable fees and coordinate brokerage services.
  5. Monitor & Supervise.  In monitoring the investments you would prepare detailed monthly appraisal and transaction report as well as quarterly reports that compare performance of the trust’s investments against the performance of the market and the state objectives.  

To answer your question, as long as you followed the 7 Uniform Standards of Care and the 5 step process for managing investments you will not be found liable for any investment losses. 

To find  competent, caring elder care professionals across America who are located near You and can help you with your elder care matters, go to: www.ElderCareMatters.com - A FREE online resource to find elder care experts plus elder care information & answers to your elder care questions.

Dennis B. Sullivan, Esq., LLM, CPA
Estate Planning & Asset Protection Law Center of Dennis Sullivan & Assoc.
Wellesley, Massachusetts  02482
781-237-2815
Member of the national ElderCare Matters Alliance, Massachusetts chapter 

Question of the Day on ElderCareMatters.com: "Husband and wife are both 85 and live in Massachusetts. Wife has early stages of Alzheimer's (possible Nursing Home admission in the future). If an income annuity is set up in the Husband's name, since it is income is this now a non-countable asset? Can a trust be named as primary beneficiary, in case he pre-deceases his wife, or do we have to name the State of Massachusetts as primary beneficiary up to the extent of benefits received? This annuity would be set up for income to be received for a period less than his life expectancy."

Answer:  Yes, a trust can be named the beneficiary of an income annuity; however, it must be done 5 years (60 months) prior to eligibility for Medicaid in order to be a non-countable resource for Medicaid purposes. The spouse could be the primary beneficiary with the state the ultimate beneficiary.

To find competent, caring elder care professionals across America who are located near You and can help you with your elder care matters, go to: www.ElderCareMatters.com - A FREE online resource to find elder care experts plus elder care information & answers to your elder care questions.

William "Bill" Brown, Attorney at Law
2999 E. Dublin-Granville Road
Suite 217
Columbus, Ohio  43231-4030
614-890-9099
Member of the national ElderCare Matters Alliance, Ohio chapter

Question of the Day on ElderCareMatters.com: "Help! We need some advice about personal budgeting and bill paying for my parents, who are in their early 70’s. My father is a dentist and still works and mom maintains the home, which is a place that my parents have been renting for awhile. They spend far more than they bring in every month, charge too much on their credit cards, and have a very small retirement account. Yet with all these “tell tale” signs, they still don’t see that they have a financial problem. What should my sister and I do to help our elderly parents “see the light”?

Answer:  This is a tough and not uncommon situation.  Your parents may be “in denial” about their situation or they may be perfectly aware but fatalistic – that is, “we can’t do anything about our situation so we might as well live our lives and the kids will take care of us when the time comes.”  Of course, they may truly not understand the consequences.  You don’t mention whether this is new behavior or if your parents have always lived beyond their means.  Reading between the lines, I’m guessing that this is more “business as usual” than not since your parents don’t own their home, have a “small” retirement account despite your father’s profession, and seem to be carrying a credit card balance.  If that’s the case, the situation is especially tricky, because their “system” has worked for them up to now and they may simply assume that will continue.  If, on the other hand, this is new behavior, it may be an indication of cognitive decline and the best place to start may be to take each of them for a thorough medical check-up. 

One way to begin to address this is for you and your sister to sit down with your parents and have a discussion about where and how they would like to age and the resources they have available to them to facilitate that plan so that the two of you can be sure that you know their wishes and can try to follow them.  After having that general discussion, I’d suggest that your transition the discussion into allowing the two of you to document what they have and where it is “just in case something happens to them suddenly” and you have to step in to their shoes.  As a part of this process, you should eventually be able to identify their income, expenses, assets and liabilities.  The next step would be to forecast a couple of scenarios and show them what will happen if……  In other words, if nothing changes, they will run out of money in X years.  Or, if one of them needs care, they will run out of money in Y years.  Perhaps you can then use this as a starting point for discussion of some changes they can make in their spending habits.  I call this process developing a family transition plan.   I have an outline of all of the items that should be included in this “family transition plan” and if you email me using the contact information provided I will be happy to provide it to you.  In general, the more dispassionate and non-judgmental you can be, the better the discussion will go.  I find when I’m working with families like yours that working through “the math” is often the best way to change behavior. 

To find competent elder care professionals who are located near You and can help you with this type of elder care matter, go to: www.ElderCareMatters.com - A FREE online resource to find elder care experts plus elder care information & answers to your elder care questions.

Sheri Samotin, President
LifeBridge Solutions, LLC
Naples, Florida  34108
239-325-1880
Member of the ElderCare Matters Alliance, Florida chapter

Question of the Day on ElderCareMatters.com: "My forty-three year old daughter and her three children moved in with me right before Christmas in my two bedroom apartment. She lost her job and they needed a place to live. She is planning on taking college classes to get a degree, so she can get a good job. I feel sorry for her and can’t put them out on the street, but I’m over seventy years old and this is creating a lot of stress for me. What do you suggest?"

Answer:  One of the biggest stresses I’m hearing now from clients is the stress caused by some of their adult children. Usually it is in the form of “financial aid” to pay the mortgage or something, but your case is about as extreme as I have heard.  I don’t know how you can cope with this situation. 

I don’t have a simple plan to solve your problem because family dynamics are involved that can complicate rational decision making. I usually suggest that the parent get a “business plan” from the child outlining how and when he/she is planning to solve the problem. The “plan” would include dates so progress can be measured. I don’t think just waiting for the economy to recover is the answer. Stress could kill you by then. 

In your daughter’s case, if she is taking three or four years to get a degree, I assume accumulating a lot of debt along the way, hoping to land a wonderful job once she has a degree in hand, I think her “business plan” has a very low chance of being successful. First of all I don’t think you deserve to put up with all of them for four years.  Second, what she needs is an income stream right now, not in four years, maybe.  If she absolutely needs more skills, I suggest a vocational schooling that can have her up and ready to work in a matter of months, not years. And, I suggest she take this training while working whatever job she can find.

To locate elder care experts who are near YOU and can help you with elder care financial matters, go to: www.ElderCareMatters.com - A FREE online source to find elder care experts plus information & answers about a wide range of elder care matters.

Philip C. Benedict, CFP
Benedict Financial Advisors, Inc.
Atlanta, Georgia  30328
770-671-8228
Member of the ElderCare Matters Alliance, Georgia chapter

Question of the Day on ElderCareMatters.com: "How much money / income do I need to have in order to retire? I am a 62 years old married man, own my home, and want to start enjoying my life a little before I get too old."

Answer:  The key to retirement is “cash flow.”  If at all possible, you want enough monthly “cash flow” to exceed your monthly “cash outlays.”  So I would suggest you first write down all your sources of retirement income.  This is passive income that you can count on for the rest of your life…not wages or earnings.  Then take an hour or two and estimate what your expenses are going to be during retirement.  You can probably use the last three months spending to help give you some guidelines.  

If you are comfortable that your monthly “cash flow” is greater that your monthly “cash outlays,” then you can probably think seriously about retirement.  

Be sure to factor in the cost of health care into your calculations.  Medicare is available for most people at age 65.  You will be required to pay for the Part B and Part D coverage, which will be withheld from your social security check.  The total of Parts B and D will probably be in the $125-150 per month range.  Most people also like to purchase a Medicare Supplement insurance policy, which will probably cost in the $125-150 per month range.  

Remember; when you elect to take social security at age 62, you will receive 30% less in benefits, than if you wait for “full retirement age,” which is age sixty-six.  And, this 30% discount lasts for the remainder of your life.  

Two more big items are inflation and death.  If your retirement “cash flow” does not increase with inflation and your “cash outlays” do, this can result in some lean late-in-life years, if you have no “extra” today.  And, be sure to consider how much of your “cash flow” will disappear upon the death of you or your wife. 

Good luck with your retirement planning.  You might consider an in-between retirement, where you semi-retire and continue “working” doing something you really enjoy.  Work doesn’t have to be a four-letter word.

To locate experts in your state who can help you with these elder care financial matters, go to: www.ElderCareMatters.com - A FREE online source to find elder care experts plus information & answers about a wide range of elder care matters.

Philip C. Benedict, CFP
Benedict Financial Advisors, Inc.
Atlanta, Georgia  30328
770-671-8228
Member of the ElderCare Matters Alliance, Georgia chapter

Question of the Day on ElderCareMatters.com: "The article you wrote for ElderCare Matters Library says I should own stocks for my retirement income. Twice in the last decade I have watched my 401(k) lose almost one-half of its value. That doesn’t sound like a good retirement plan to me. Am I looking at this wrong?"

Answer:  Unfortunately, in most 401(k) plans, your account balance is dependent almost solely on the overall market level. After you retire, you will be able to roll the balance into a self-directed IRA in which you can own individual stocks, especially stocks that pay dividends. In many cases the dividends a company pays are far more stable than the share price of the company’s stock.  

Think of owning a rental property that pays you $1,000 per month in rents. If the market value of that property drops in half, it doesn’t mean your rent drops also. The key is the stability of the rental income, not the market value of the property. Focus your retirement income planning on creating a monthly cash flow and try to put account values in perspective.

To locate experts in your state who can help you with these elder care financial matters, go to: www.ElderCareMatters.com - America's online source for elder care experts plus information & answers about a wide range of elder care matters.

Philip C. Benedict, CFP
Benedict Financial Advisors, Inc.
Atlanta, Georgia  30328
770-671-8228
Member of the national ElderCare Matters Alliance, Georgia chapter

Question of the Day on ElderCareMatters.com: "I’m in my forties and am just getting started in building up retirement assets outside of my 401(k) at work. I don’t have enough to hire an investment manager, but I like the idea of owning dividend paying stocks. Do you have any advice for us beginners?"

Answer:  Many of the companies that you want to own have Dividend Reinvestment Plans (DRIPs) in which you can accumulate shares with monthly purchases. You can find these by going to the company’s website, usually under “Investor Services.” 

You can set the plan up where you add the same amount each month and the company buys shares for you. It is a great way to accumulate wealth because it is on autopilot. I suggest if you can, that you consider doing this with at least five different companies in five different industries. 

To locate experts in your state who can help you with these elder care financial matters, go to: www.ElderCareMatters.com - America's online source for elder care experts plus information & answers about a wide range of elder care matters.

Philip C. Benedict, CFP
Benedict Financial Advisors, Inc.
Atlanta, Georgia  30328
770-671-8228
Member of the national ElderCare Matters Alliance, Georgia chapter

Question of the Day on ElderCareMatters.com: "I’m fifty-seven years old and behind on my retirement planning. I’m watching my parents in their older years have to watch every penny and I don’t want to have to live like that. What do I do?"

Answer:  I guess you are at least aware. Now you need to develop a plan and take action. Your retirement lifestyle is dependent primarily on two things…your required spending and your monthly income or cash flow.  

Look at your current spending patterns and spend a little effort projecting those patterns into your retirement years. Then list what retirement income you will have.  

Obviously, if the spending is far greater than the income, you have serious work to do. If that is the case, don’t wait until retirement to “fix” the shortfall, start today. Work on lowering your “fixed” monthly costs and save more to increase your retirement cash flow. If you are not comfortable doing this on your own, you may need the help of an accountant or a Certified Financial Planner in your area. But, do take action or you will likely follow your parent’s pattern.

To locate experts in your state who can help you with these elder care matters, go to: www.ElderCareMatters.com - America's online source for elder care experts plus information & answers about a wide range of elder care matters.

Philip C. Benedict, CFP
Benedict Financial Advisors, Inc.
Atlanta, Georgia  30328
770-671-8228
Member of the national ElderCare Matters Alliance, Georgia chapter

This Week's Featured Elder Care Expert is Dennis Duncan, Attorney at Law

Get FREE advice every day about elder care matters from one of our 1,375+ elder care experts (and our team of experts is growing daily).

Families now have FREE access every day to the advice of one of our 1,375+ ElderCare Matters Alliance experts, offering YOU not only answers to your elder care questions but also providing you with up-to-date, useful articles about a wide range of elder care matters. This is information that will help YOU plan for and deal with your family's issues of aging.

This week's Featured Elder Care Expert is Dennis Duncan, Attorney at Law, from Macon, Georgia.  Mr. Duncan provides legal assistance in the areas of Elder Law, Elder Care Planning, Asset Protection Planning, Social Security, Medicaid/Disability Planning, Wills and Trusts, Advance Directives, Probate Law, Guardianship/Conservatorship, and Annuities.  Mr. Duncan will answer a different question each day about his areas of expertise, and a selected question along with Mr. Duncan's answer will be posted on the Featured Elder Care Question of the Day section of www.ElderCareMatters.com.

So if you would like to ask Mr. Duncan a question about an elder care matter, just send a short email (a few sentences only please along with your first name and City & State) to: questions@ElderCareMatters.com

And remember to bookmark www.ElderCareMatters.com and check back every day to see if your question is our Featured Elder Care Question of the Day. 


Special Offer for ALL Elder Care Professionals:  The next 125 elder care professionals who apply for Lifetime Membership in the national ElderCare Matters Alliance will receive a 25% discount off the regular price of $450 for lifetime membership.  (Just $337.50 for a "lifetime membership")  This is a very cost effective way to "get the word out" to literally hundreds of thousands of families across America about how you and your company can help families with their elder care matters. 

So if you are a competent, caring elder care professional – take advantage of this special 25% discount offer for a "lifetime membership" (and there are no annual membership dues, ever!) in the national ElderCare Matters Alliance.

To request a Membership Application, send an email to: info@ElderCareMatters.com

www.ElderCareMatters.com – Experts, Information & Answers

At last, families across America have one resource they can tap into daily to relieve the stress of aging…

ElderCareMatters.com

 

ElderCareMatters.com, along with the 1,350+ members of the national ElderCare Matters Alliance, provides families with the elder care resources they need to plan for and deal with their issues of aging.  In fact, here is where you will locate, by state, some of America's top elder care professionals who provide a total of 68 different elder care services that will help you plan for and deal with your family's issues of aging, including:

  1. Advance Medical Directives
  2. Aging In Place Services
  3. Alzheimer's / Memory Care Communities
  4. Annuities 
  5. Arbitration 
  6. Asset Protection Planning
  7. Assisted Living Communities 
  8. Assisted Living Referral Services
  9. Bankruptcy
  10. Caregiving Education 
  11. Consumer Law
  12. Continuing Care Retirement Communiities
  13. Crisis Intervention
  14. Daily Money Management / Bill Paying
  15. Disability Income Insurance
  16. Elder Abuse Litigation Services
  17. Elder Law
  18. ElderCare Planning / Long-Term Care Planning
  19. Estate Administration
  20. Estate Liquidation
  21. Estate Planning
  22. Financial Planning
  23. Geriatric Care Management
  24. Guardianship / Conservatorship
  25. Health Insurance
  26. Hoarding Clean Up and Coaching Services
  27. Home Care
  28. Home Downsizing Services
  29. Home Health Care
  30. Home Modifications
  31. Hospice Care
  32. Independent Living Communities
  33. Investment Services
  34. Life Care Planning
  35. Life Insurance
  36. Litigation
  37. Long-Term Care Insurance
  38. Medicaid / Disability Planning
  39. Medical / Healthcare
  40. Medical Alert Systems
  41. Medical Claims Processing
  42. Medical Equipment & Supplies
  43. Medicare Consulting
  44. Medicare Supplemental Insurance
  45. Medication Therapy Management
  46. Moving / Relocation Services
  47. Personal Finance / Accounting / Tax Preparation
  48. Powers of Attorney
  49. Probate
  50. Public / Non-Profit Resources
  51. Real Estate Services
  52. Rehabilitation Services
  53. Residential Psychiatric Care
  54. Respite Care
  55. Retirement Planning
  56. Reverse Mortgages
  57. Securities Arbitration & Litigation Services
  58. Senior Move Management
  59. Senior Move Planning
  60. Social Security Disability Services
  61. Special Needs Planning
  62. Tax Law
  63. Tax Planning
  64. Transportation Services
  65. Trustee / Fiduciary Services
  66. Trusts
  67. VA Benefits
  68. Wills

 

If you and your family need help with your elder care matters, this is where you will find competent, caring elder care experts located near you who provide a total of 68 different services that will help you plan for and deal with your family's issues of aging.  Whether you are looking for:

  • an elder law attorney in Philadelphia
  • a geriatric care manager in South Florida
  • a long-term care insurance professional in Fort Worth,
  • a home care provider in Southern California, or
  • an assisted living community in Phoenix (as shown in the photo above)…

you can count on www.ElderCareMatters.com to help you find the Elder Care Experts and services that you will need in ALL 50 states (plus the District of Columbia).


 

Special Offer for ALL Elder Care Professionals:  The next 125 elder care professionals who apply for Lifetime Membership in the national ElderCare Matters Alliance will receive a 25% discount off the regular price of lifetime membership.

So if you are a competent, caring elder care professional – take advantage of this special 25% discount offer and pay only $337.50 for a "lifetime membership" (and there are no annual membership dues, ever!) in the national ElderCare Matters Alliance.   

To request a Membership Application, send an email to: info@ElderCareMatters.com.

Question of the Day: "What are my responsibilities when hiring a home health aide? I'm confused about payroll tax, Social Security tax and other benefits."

Answer:  I do not mean to sound facetious when I say that your first responsibility when hiring a Home Care Aide is to avoid being the employer.  I will come back to that.

First, let’s differentiate between a Home Health Aide and a Home Care Aide.  The former is actually someone who works as part of a Home Health team, comprising Nurses, Physical Therapists, Speech Therapists, Occupational Therapists and Home Health Aides.  Home Health is a prescribed set of short term services, under a doctor’s order, to assist a patient who is return home from hospitalization or skilled nursing facility rehabilitation.  Such services may last 4-8 weeks.  In this assignment, Home Health Aides are responsible primarily for bathing services.

In non-medical home care, a Home Care Aide provides support for Activities of Daily Living (ADLs and Instrumental ADLs).  When a client or family hires a Home Care Aide, they should actually be hiring an agency, with the agency serving as the employer of record for the caregiver.  That agency should be providing the client and family with protection that includes liability insurance, a large dishonesty bond (we recommend $50,000), Workers Compensation insurance, Unemployment Insurance, all the payroll taxes, including Social Security, etc. being the responsibility of the employer agency.  There are many other reasons for ensuring that you hire an agency, rather than becoming the caregiver’s employer.  For example, what happens when the caregiver is sick?  The agency is responsible for covering.  If the client does not get along with the Home Care Aide, you want that to be the agency’s problem, not a matter of you firing the caregiver and then having to deal with an unemployment claim.

If you do hiring a caregiver directly – or through a so-called “referral agency” – you are going to be considered the employer of record.  You have enough on your hands without that added responsibility.

Bert Cave, President
Support For Home
Sacramento, California  95825
916-482-8484
Member of the national ElderCare Matters Alliance, California chapter 

Question of the Day: "How can I become one of the Elder Care Experts on www.ElderCareMatters.com and help families across America plan for and deal with their issues of aging?"

Answer:  If you are an elder care professional and you would like to "get the word out to thousands of families across America in a cost effective way about how you can help them plan for and deal with their issues of aging", then you should join our 1,250 elder care experts as a lifetime member of the national ElderCare Matters Alliance.  And, now, if you are one of the next 250 members, you will receive a 25% discount off the regular lifetime membership price.

This 25% discount is available only to the next 250 elder care professionals who join the national ElderCare Matters Alliance.

So if you are a competent, caring elder care professional – take advantage of this special 25% discount offer and pay only $337.50 for a "lifetime membership" (and there are no annual membership dues, ever!) to the national ElderCare Matters Alliance.

To request an Application for Lifetime Membership, send an email directly to: psanders@eldercarematters.com

Phillip G. Sanders, MBA, MSHA, CPA
Founder & CEO
ElderCare Matters, LLC
1-877-379-4500
www.ElderCareMatters.com

Special Offer: Next 250 Professional Members Receive 25% Discount

If you are an elder care professional and you would like to "get the word out to thousands of families across America in a cost effective way about how you can help them plan for and deal with their issues of aging", then you should join our 1,250 elder care experts as a lifetime member of the national ElderCare Matters Alliance.  And, now, if you are one of the next 250 members, you will receive a 25% discount off the regular lifetime membership price.

This 25% discount is available only to the next 250 elder care professionals who join the national ElderCare Matters Alliance.

So if you are a competent, caring elder care professional – take advantage of this special 25% discount offer and pay only $337.50 for a "lifetime membership" (and there are no annual membership dues, ever!) to the national ElderCare Matters Alliance.

To request an Application for Lifetime Membership, send an email directly to: psanders@eldercarematters.com

Phillip G. Sanders, MBA, MSHA, CPA
Founder & CEO
ElderCare Matters, LLC
1-877-379-4500
www.ElderCareMatters.com

Question: When you need a quick answer about an elder care matter, who can you ask?

Answer:  The experts of the national ElderCare Matters Alliance.

ElderCareMatters.com is now offering a NEW Ask an Elder Care Expert service.

Each week one of our 1,200 experts will answer your family's important questions about elder care matters – from legal, financial, housing, health care, etc.

If you would like to ask one of our Elder Care Experts a question about his/her areas of expertise, just send a short email (a few sentences only please) to:  Questions@ElderCareMatters.com

Every day we will post one of your questions along with an answer provided by our Featured Elder Care Expert of the Week to the homepage of www.ElderCareMatters.com (which is currently visited by thousands of families each week).  Yours may be one of the questions posted.

So bookmark www.ElderCareMatters.com and visit us daily as questions about a wide range of elder care matters are answered by some of America's top elder care professionals with years of experience helping families plan for and deal with their issues of aging.

Phillip G. Sanders, MBA, MSHA, CPA
Founder & CEO
ElderCare Matters
1-877-379-4500
www.ElderCareMatters.com

ElderCare Matters Alliance now has 1,200 professional members

The ElderCare Matters Alliance is a national organization of 1,200 elder care experts who help families across America plan for and deal with their issues of aging, including providing families with a host of elder care resources that can be found on www.ElderCareMatters.com

If you are a competent, caring elder care professional – you need to belong to the national ElderCare Matters Alliance.

To request a Lifetime Membership Application to the national ElderCare Matters Alliance, send an email to psanders@ElderCareMatters.com

www.ElderCareMatters.com – America's online source for elder care experts who help families plan for and deal with their issues of aging.

Phillip G. Sanders, MBA, MSHA, CPA
Founder & CEO
ElderCare Matters
www.ElderCareMatters.com

"Are the proceeds from a reverse mortgage viewed as a countable asset by Medicaid when making application?"

Answer:  Medicaid is a Federal/State program where the Federal government puts up most of the money, and the States administer how the money is spent.  The States must follow Federal law and regulations, but the law and regulations allow for some leeway in how different rules are interpreted and applied in given situations.  Thus, Medicaid is administered differently from State to State, and it is important to consult a Medicaid expert in your State any time you need accurate information.

That being said, the proceeds from a reverse mortgage may be “countable” as long as they remain in cash and as long as the amount of cash exceeds the amount that an individual or couple may possess without undermining Medicaid eligibility.  The law allows States to set that amount within a range prescribed by Congress.  Some States opt for the maximum amount, some for the minimum, and some opt for a level in between the allowable extremes.

Where an individual or couple owns “excess” cash, often they can spend the cash on exempt assets in order to bring themselves within the prescribed limit.  Thus, for example, if a State allows a couple to have $111,560 in cash but they have $150,000 in reverse mortgage proceeds sitting in the bank, they can spend enough of the cash on exempt assets to bring themselves within the $111,560 limit.

Exempt assets may include such things as their home, a car, normal household furniture and appliances, a funeral plan, a burial plot, and life insurance with a cash value of no more than $1,500.  Thus, if some of the reverse mortgage proceeds are spent on needed improvements to the home (to make it more habitable for the spouse that is not entering a nursing home), on a car (no Ferraris, please), or on typical household furnishings, they can essentially turn nonexempt cash into exempt property.  Note that various States have different caps on the amount of home equity will be considered exempt, and a reverse mortgage can be used to convert excess equity into other kinds of exempt assets in order to assure that the home will be exempt.

As you can see, the rules can be complex and they vary from State to State, so it would be to your advantage to consult a Medicaid expert in your State.  Have a look at http://www.eldercarematters.com/statechapters.htm for a link to experts in your locale.

Scott A. Makuakane, Esq., CFP
Est8Planning Counsel LLLC
Honolulu, Hawaii  96813
808-587-8227
Member of the national ElderCare Matters Alliance, Hawaii chapter

“What does 'fiduciary' mean as it applies to financial advisors and why should I as an investor care?"

Answer:  The word fiduciary stems from the Latin root word fīdere, to trust. Applied to financial advisors, the term fiduciary ethos describes the “leadership behaviors, core values, and decision-making process an advisor uses to make recommendations that are in the best interest of the client.”

 As a consumer and investor, you would hope that a fiduciary standard is widely upheld. It is not. Brokers and other sales people operating largely in a transaction mode merely have to recommend products that meet suitability standards. By virtue of net worth, income level, liquidity level, or some other criteria, a product may be deemed suitable, and no disclosure of conflicts of interest is required. Heavily loaded or proprietary house products may be pushed based on compensation incentives, sales quotas, or other mandates, even if more appropriate products are available.

Regulators are considering application of a fiduciary standard to all financial advisors, including insurance agents and brokers employed in large Wall Street firms. The Financial Planning Association (FPA) has campaigned for the universal application of fiduciary standard for all financial advisors, yet the idea remains controversial. Companies with captive sales forces that sell house brands do not like the idea at all.

Ethos leadership behaviors may be framed within a 6-step process. Anyone who gives advice to another, including you “talking to yourself,” can follow the six steps. Taken from the book Fiduciary Ethos: Living In A Fiduciary World, Volume One: Investment Management by Donald B. Trone (Strategic Ethos, Mystic, CT, 2010), step one is to define the roles and responsibilities of decision-makers. An advisor should provide appropriate solutions based on holistically explored goals and objectives, rooted in inductive and deductive reasoning, with personal biases recognized and neutralized. If in a conversation you feel like a target in a shooting gallery, or you are being pressured for a decision, fiduciary ethos is not being applied.

Step two, analyze. Deep analysis is required to understand your goals, objectives, challenges, opportunities, problems, constraints, relationships, and capabilities, so that interrelated and practical judgment can be brought to the fore.

Step three, strategize. An essential leadership behavior is one of innovation, evaluating the big picture from a macro- and micro-viewpoint, the advisor as a creative and opportunitistc problem solver. What is your tolerance for risk, for example, and have all risk factors been explained and placed in perspective? What is the best alternative to be applied to the challenge or opportunity?

 Step four, formalize. What strategy represents the greatest probability that your goals and objectives will be achieved?

 Step five, implement. What resources are available to power the selected strategy? Is the policy to be followed well defined, written down, and agreed to by all parties? Have tools and methodologies been selected, explained as to application, with service agreements in place that do not contain provisions that can conflict with the objectives?

Step six, monitor. Is there a dynamic, synergistic, and earnest process to insure that you and your advisory team stay on task, and make course corrections as necessary? Much damage is done by “hit and run” sales tactics or one-time engagements that do not provide for on going service, diligence, and follow up. Is there a process for periodic qualitative reviews of decisions made and decision makers?

Ethos leadership standards should be applied to every facet of financial services, indeed any service relative to your health, wealth, and spiritual well being. A fiduciary standard of care should be applied to investment management, estate and trust planning, gifting and philanthropy, business planning, and family matters. With the aging of America and rising concern amongst family members, social workers, caregivers, and regulators over abuse of the elderly, nothing less than a strict fiduciary ethos should be accepted.

That such ideas remain controversial should be unacceptable, period!

Lewis J. Walker, MBA, CFP, CRC
Past national president of The Institute for Certified Financial Planners
Norcross, Georgia  30092
678-205-0229
Member of the national ElderCare Matters Alliance, Georgia chapter

"I am a 71 year old widow who lives in California. I have very few financial resources other than my home, which I own free and clear. I am considering applying for a reverse mortgage to help me pay off some medical expenses that I have incurred over the last couple of years. Please share with me some information about reverse mortgages so that I can make an informed decision about this type of loan."

AnswerA reverse mortgage is the opposite of a traditional mortgage. With a traditional mortgage, you borrow money and make monthly mortgage payments.

However, in a reverse mortgage, you basically receive money from the lender and don't have to pay it back for as long as you live in your home. Instead, the loan must be repaid when you pass away, sell your home, or no longer live there as your principal residence.

The eligibility requirements are quite simple. There is no income, employment or credit qualifying.

  • All homeowners must be 62 or older and occupy the property as their principal residence
  • The home must be owned free and clear, or have a remaining mortgage balance which can be paid off by a reverse mortgage
  • The property must be a single-family or a two-to-four unit dwelling
  • Townhomes, detached homes, condominium units, planned unit developments and some manufactured homes are eligible
  • The home must meet HUD minimum property standards

The maximum amount that can be borrowed is based on the several factors:

  • The age of the youngest borrower when loan is taken out
  • The appraised value of the home
  • The current interest rate
  • Amount of equity in your home
  • Mortgage program and options chosen

Usually, the more your home is worth, the older you are, and the lower the interest rate is, the more you'll be able to borrow.

Four Important Things You Should Do Before Getting a Reverse Mortgage

  • Determine if you really need a reverse mortgage or if another type of loan would be better for you. Depending upon your needs and your financial situation, you may be able to meet your goals with another financial solution.
  • See a HUD-approved reverse mortgage counselor – for a fee – to help you decide if a reverse mortgage is for you, or to help you choose among the different types of reverse mortgages. The Federal Government has made it mandatory that each Reverse Mortgage applicants go through independent third-party counseling. This is simple and stress-free process, and can be done in person or over the telephone. We can provide you a list of names and phone numbers of HUD counselors in your area.
  • Shop around and compare! Not all reverse mortgages are created equal. They vary substantially in how much cash you can get, what they cost and other features.
  • Consider whether a reverse mortgage might make you ineligible for any public benefits you now receive or may be eligible to receive in the future. For example, if you currently receive or expect to be eligible for any "needs-based" benefits such as Medicaid, MediCal, or Supplemental Social Security Income (SSI), reverse mortgage payments will have to be structured so that monthly payments will be spent within the month they are received. If not, such payments will be considered "income," and may make you ineligible for public benefits. You should always contact your benefits provider to ask about how a reverse mortgage may affect your eligibility.

Consumer Protections

  • Asset protection – non-recourse loan – the HECM borrower (or his or her estate) will never owe more than the loan balance or value of the property, whichever is less; and no assets other than the home must be used to repay the debt. This applies only when the borrower or estate choose to sell the property to pay off the reverse mortgage loan. If the borrower or estate want to retain the property the balance must be paid in full
  • Approved counseling required for all reverse mortgage loans
  • Adjusted interest rates have lifetime caps
  • After estate pays lender, any remaining equity is paid to heirs or estate
  • No maturity date – a reverse mortgage cannot become due during the borrower's lifetime

Philip B. Goss, Reverse Mortgage Professional
Generation Mortgage Company
Glendora, California  91741
626-691-0135
More Information about this ElderCare Matters Alliance member 

"I'm concerned about my money in the stock market. My accounts have been up and down the last few years, and with all that's happening right now and all the bad news, I just can't see anything positive. What should I do?"

Answer:  In times of extreme economic volatility we want our assets invested in things that can adapt and prosper and we believe that is globally dominating companies.  We like companies that pay steady dividends, and have a long history of increasing their dividends.   

Over the next decade about one billion people will enter the realm of middle class in what we still tend to call the emerging markets.  These middle class people will want more and more of the good life.  They will buy everything from paper towels to chocolate bars to basic automobiles.  This will be a giant wave.

Anyone who is serious about creating wealth and/or protecting existing wealth needs a significant position in high-quality, globally dominating corporations.  Many of these companies are priced right, have very manageable debt, have a lot of excess cash and are well positioned to take advantage of the millions and millions of people that are climbing the economic ladder in the emerging economies of Asia and South America.

Philip C. Benedict, CFP
Benedict Financial Advisors, Inc.
Atlanta, Georgia  30328
770-671-8228
More Information about this ElderCare Matters Alliance member