Thursday, March 8, 2018

Long Term Care Insurance: An Overlooked Need




The Reality

Most people love a good reality show but only if it turns out well.  We occasionally watch a clip when an accident occurs and the person escapes grave injury.  They are able to get up and walk away.
  
Imagine this.

The towering poplar and maple trees’ branches lean over the farm buildings.  When the rain drips down from the leaves, the shingles deteriorate. When the leaves fall and remain on the roof, even more damage occurs. One day, the farmer evaluates the situation.

“A chain saw and ladder will fix this problem,” he thinks.  The ladder is cautiously propped up against the tallest maple tree. After precise calculation, he determines the branch that needs to be cut.  There’s only one problem: he miscalculates and the law of physics prevails. The ladder falls to the north; the chain saw to the south, and the farmer and the ladder bounce onto the ground below. 

“This is going to hurt!” is my husband’s first thought when he comes to terms with what just occurred.  He’s winded and cracks a couple of ribs.  

For me, when reality kicks in, my first thought is, “This could have been much worse!”  

My husband is generally not accident prone. He doesn’t usually get caught in situations like this but sometimes an accident just happens by accident.  That’s reality.

The unknown in his situation is the “what if”. 

Being self-employed and working on your own comes with a disadvantage. You are the sole-proprietor and key operator of your farm business.  You don’t have the privilege to phone your supervisor, tell him you are injured, expect someone to step into your farmer boots, and take over during a lengthy recovery.

The reality is present in any sole proprietorship where there is limited amount of excess cash for medical expenses and hired help.  The value of your business is invested in the assets, the equipment, buildings and land. You can see the assets but cannot and do not want to liquidate them. This is when an injection of insurance money helps fund, at the very least, the health care expenses while one recovers.


The Mistake in Identity


The most common mistake most people make is associating Long Term Care (LTC) Insurance with funding the cost of living in a long-term care facility or nursing home.  But quite frankly, this type of insurance can be beneficial during anyone’s life time.  Many health situations can have a lengthy recovery period.  You may recall someone you know who has been in this situation. Whenever a person is restricted from performing any two daily living activities, they are entitled to make a claim for benefits.  These activities are defined as:
  • Eating
  • Bathing
  • Dressing
  • Toileting (being able to get on and off the toilet and perform personal hygiene functions
  • Transferring (being able to get in and out of bed or a chair without assistance
  • Maintaining continence (being able to control bladder and bowel functions)


Think about it.  Any unexpected debilitating illness or an accident could limit your activity and warrant the need for long-term care insurance at any age.


The Push-back 


I often recognize there’s a “push-back” to insurance.  Fighting your financial battles can be done by carefully evaluating your own personal situation and the associated risks. 

The real questions are:

          How many types of insurance do I need?

          How much can I afford to pay for the coverage?

When you face the decision of funding your health care costs, you can choose to self-fund, share the risk, or transfer the risk.

Sun Life Financial describes these choices best in this brochure, A Health Conversation featuring Long Term Care Insurance.  

A.  Self-funding means to allocate a portion of existing assets into a “health fund”.  This approach requires discipline and risks underestimating who will need care, when care will begin, how long it will last, and how much it will cost.

B. Share the risk means to self-fund initial care and transfer the risk of a catastrophic need to long term care insurance.

C.  Transfer the risk to insurance means that all risk of an unexpected illness or need for care is transferred to long term care insurance or critical illness insurance if the individual is still in good health.

My Number #1 concern for any aging couple is when their situation changes, where one spouse is required to live in a private care home while the other continues to live in their home.  Essentially, the couple’s total lifestyle costs may have doubled.  They are managing and juggling two homes: the expense of private health care and the expense of home ownership (utility bills, insurance, taxes, and others). They are doing so with the same retirement income they had when they were living under the same roof. 


The Compromise


I totally agree you can’t be fully insured against every risk.  We have many different kinds of insurance: life, disability, property, and medical health insurance.   Now I am inviting you to consider an additional kind of insurance, long-term care insurance.

In every insurance circumstance, you are able to negotiate how much risk you are willing to assume when you self-insure (use your money) and how much premium you can afford when you share the risk with the insurance company.

With long-term care insurance, the task is to tailor your financial need to an affordable premium.  When you choose one option over another, you are able to adjust the cost of the premiums. For example, you can select a minimum number of days, either 90 or 180 days, before you require financial help and are able make a claim.  You can also choose the length of time you want to receive a weekly benefit to be paid, from a minimum of 100 weeks to unlimited.  Your age and health will also have a bearing on the cost of the premiums.  If you are slightly interested in long-term care insurance, make the decision sooner rather than postpone it. Most often, we have a tendency to shrug the decision off with a casual “I’ll-think-about-it.” 
  
  
Our Decision   



My husband’s tree incident triggered our decision to get long-term care insurance. When he applied, he chose a five-year benefit period.  We know this will buy us “time” in any catastrophic event to determine whether his health will improve so he could continue to farm or whether he will have to “pack it in and call it quits.” You could say this insurance policy gives us time to make the right decision without any added financial pressure.

The other feature we appreciate is “The return of premium on death benefit”.  No one likes the thought of spending money (or should I say ‘wasting money’) on something they may never benefit from using.  The thought of a death occurring without the opportunity to take advantage of this coverage may cross many peoples’ minds.  For a slightly higher cost, this feature is an add-on which ensures the insurance company will return the premiums if the insured person dies while the policy is in effect. Granted, you personally wouldn’t benefit from the money.  The premium money goes to the estate likened to money sitting in a savings account.






Your Decision


I am a firm believer that good information leads to good decisions. Making the time for a heart-to-heart conversation with your trusted insurance advisor is the only way to receive good information.  If you don’t have an advisor, ask for recommendations from your family and friends. You could interview insurance advisors.  You are like an employer seeking someone to work on your behalf. You must understand the information they are providing to you. You should feel comfortable with their recommendations.  

As a CERTIFIED  FINANCIAL PLANNER® professional, I don’t sell insurance but I do know its importance in a well-constructed financial plan.  Insurance is part of a wealth protection strategy and the premium should never be viewed as an “expense.” I don’t have a preference for any particular insurance company.  They all provide the same kind of products with slightly different features and premiums.  

To learn more about long term care insurance, click this link, to access a guide provided by the Canadian Life and Health Insurance Association (CLHIA).  You may also watch this “Learn and Plan” video produced by Sun Life Financial.  There is no shortage of information, only a shortage of time to sort and sift all of it.  Please make the time to discover the ideal fit for your financial needs.  



No comments:

Post a Comment