Nursing Home Contracts
DO include a list of charges for any items not included in the basic daily rate.
DO include a notice of the right to apply for Medicare and/or Medicaid and the right to appeal those decisions.
DO make sure the home’s “bedhold policy” is consistent with Medicare and Medicaid requirements.
DO make sure that the agreement provides that the resident can be forced to leave the home only if it is necessary for the resident’s welfare, the resident’s health has improved such that nursing home care is no longer required, the health or safety of other individuals is endangered, the resident unreasonably fails to pay, or the facility ceases to operate.
DO address how decisions will be made regarding moving the resident to a different room.
DO make sure your attorney reviews the contract before you or the resident signs it.
DON’T sign the contract as a guarantor or responsible party unless you intend to pay for the resident’s care.
DON’T agree to a limitation on the home’s liability in the event the resident is injured.
DON’T agree to a limitation on the home’s liability for the resident’s personal property.
DON’T include a provision requiring the resident to deposit all income directly into an account controlled by the nursing home.
DON’T agree to a requirement of private-pay status or other up-front money if a resident is eligible for Medicaid.
DON’T allow a clause restricting visiting hours.
DON’T include a provision requiring the applicant to consent to medical procedures, have a living will, or have a health care power of attorney.
Source: Findlaw.com
Check Credentials of ‘Senior Specialists’
The Michigan Office of Financial and Insurance Services (OFIS) today urged seniors to carefully check the credentials of individuals holding themselves out as “senior specialists.”"Individuals may call themselves a ’senior specialist’ to create a false level of comfort among seniors by implying a certain level of training on issues important to the elderly. But the training they receive is often nothing more than marketing and selling techniques targeting the elderly,” said Linda A. Watters, OFIS Commissioner.”These sales people and the alphabet soup of letters after their names can be confusing, and in some cases, may even be deceptive to seniors,” Watters said.
Bogus senior specialists commonly target senior investors through seminars where the specialist reviews seniors’ assets, including securities portfolios and typically recommends liquidating securities positions and using the proceeds to purchase indexed or variable annuities products or other investments the specialist offers.
In many jurisdictions, including Michigan, these recommendations may be viewed as providing investment advice for compensation. In Michigan, Investment Advisors are registered by OFIS, as are Insurance Counselors. Michigan also allows certified financial planners who can make recommendations about taxes and wills and other financial documents, but cannot make recommendations or give advice about investments or insurance without being licensed or registered by OFIS.
Before doing business with any investment professional, all investors, especially senior investors, should contact OFIS by email or toll-free at 1-877-999-6442 to determine whether the individual is properly licensed and if there have been any complaints or disciplinary problems involving the individual or his or her firm
Some Quotes About Aging
” It is not the years in your life, but the life in your years that counts.” Adlai Stevenson
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You’re only young once, but you can be immature forever. ”
John Greier - “It is not how old you are, but how you are old. “
Marie Dressler - “Youth is the gift of nature, but age is a work of art.”
Garson Kanin - “The old believe everything, the middle-aged suspect everything, the young know everything. “
Oscar Wilde - “Just remember, once you’re over the hill you begin to pick up speed.”
Charles Schultz - “You’re getting old when you don’t care where your spouse goes, just as long as you don’t have to go along. “
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VA Aid and Attendance Pension Increase
After 2-years of no cost of living adjustments for VA Pensions, effective December 1, 2011, Veterans and surviving spouses will see the following increase in Pension awards:Married Veteran & Spouse: $2,200
Single Veteran: $1,704
Surviving Spouse: $1,094
Spouse of a Living Veteran: $1,338These figures represent a 3.6% increase in pension amounts!
Many families overlook the A&A Pension as it pertains to veterans who are still independent, but have an ill spouse. Keep in mind that in this situation, if the spouse’s medical expenses completely depletes their combined monthly income, the Veteran can file as a Veteran with a sick spouse, and be eligible for $1,338
Resolving Conflict Between Powers of Attorney
Having power of attorney over a family member is a big responsibility and sometimes it makes sense to share that responsibility with someone else. But when two people are named co-agents under a power of attorney, conflicts can arise. Unfortunately, if the conflict can’t be resolved, it may be necessary to get a court involved. If you are acting as a co-agent under a power of attorney, but you and your fellow agent disagree on a course of action or one party has stopped participating in decision making, what can you do? The first thing is to check the wording of the power of attorney document to see if it sets up a procedure for resolving disputes. If the power of attorney itself doesn’t help, you should contact an elder law attorney. The attorney can tell you if your state’s power of attorney laws offer any guidance. There may be a state statute that deals with disputes. If the dispute still cannot be resolved, the final step may be to file a petition in probate court to let the court decide it. Or if the court finds that one of the agents is not acting according to the incapacitated person’s best interests, it can revoke the agent’s authority. Unfortunately, taking the matter to court takes time and money.
Trustee Responsibilities
If you have been appointed the trustee of a trust, this is a strong vote of confidence in your judgment and integrity. Unfortunately, it is also a major responsibility. Following is a brief overview of your duties:
- Fiduciary Responsibility. As a trustee, you stand in a “fiduciary” role with respect to the beneficiaries of the trust. As a fiduciary, you will be held to a very high standard, meaning that you must pay even more attention to the trust investments and disbursements than you would for your own accounts.
- The Trust’s Terms. Read the trust itself carefully, both now and when any questions arise. The trust is your road map and you must follow its directions, whether about when and how to distribute income and principal or what reports you need to make to beneficiaries.
- Investment Standards. Your investments must be prudent, meaning that you cannot place money in speculative or risky investments. In addition, your investments must take into account the interests of both current and future beneficiaries.
- Distributions. Where you have discretion on whether or not to make distributions to a beneficiary you need to evaluate his current needs, his future needs, his other sources of income, and your responsibilities to other beneficiaries before making a decision. Often the most important role of a trustee is the ability to say “no” and set limits on the use of the trust assets.
- Accounting. One of your jobs as trustee is to keep track of all income to, distributions from, and expenditures by the trust. Generally, you must give an account of this information to the beneficiaries on an annual basis, though you need to check the terms of the trust to be sure.
- Taxes. Depending on how the trust was established, the trustee will have to file an annual tax return and may have to pay taxes. You will need to keep good records and turn this over to an accountant to prepare.
- Delegation. While you cannot delegate your responsibility as trustee, you can delegate all of the functions described above. You can hire financial advisors to make investments, accountants to handle taxes and bookkeeping for the trust, and lawyers to advise you on questions of interpretation.
- Fees. Trustees are entitled to reasonable fees for their services. Determining what is reasonable can be difficult. It would make sense to consult with a professional experienced with trust work to determine what would be normal fees.
In short, acting as trustee gives you an opportunity to provide a great service to the trust’s beneficiaries. Just keep an eye on the responsibilities described above to make sure everything is in order so no one has grounds to question your actions at a later date.
Adding children to bank accounts
Individuals engaged in estate planning often get panicky when they hear the word “probate.” When the term hasn’t been fully explained by a probate lawyer (and sometimes even when it has), it conjures visions of long waits, loss of inheritance, and many other hassles for heirs of an estate.
To calm these fears (and to avoid working with an attorney), many people consider the idea of adding one or more of their children to their bank accounts. Generally speaking, each “joint tenant” of an account has complete access to the money, but when one dies, the entire amount becomes the property of the other joint tenant(s).
There are potential pitfalls to adding children to assets:
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As it has already been mentioned, all joint tenants have access to the funds in the account. This means that either party can withdraw money at any time. If the child added to the account is not entirely trustworthy, this can be a devastating reality when the money is used inappropriately.
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In a case where the parent passes away, any money received by the child can be considered a gift, which means that it is subject to a variety of laws and may be taxed.
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Creditors for both parties can have access to this account. That means that if one joint tenant dies (even the one who is not in debt), the other’s creditors can go after the money they jointly held.
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Money left in the event of the parent’s death will only be accessible to the other named tenant(s). If one child has been responsible for the majority of a parent’s elder care and therefore is on the account, he or she will likely have no legal responsibility to share those funds with other siblings. Again, trustworthiness is an important issue.
