WA LTC Trust Act Take 2

CO
by Carolyn Olson1 view·Updated Apr 13, 2021

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  1. Thank you for visiting ltc shop dot com.
  2. Long term care insurance.
  3. What you need to know first of all, what is
  4. long term care.
  5. Long term care is many things to many people, but
  6. the biggest thing you need to remember is that it
  7. is a problem.
  8. It is a huge problem and a problem that is
  9. coming for you personally or someone.
  10. You know, if it's not a problem now then it'll
  11. probably be a problem for you in the future.
  12. But why is it such a problem?
  13. Well, because it costs so much generate.
  14. Does this great study every year where they analyze the
  15. average costs and the average cost of home health care
  16. Across the country is $150 a day Assault living is
  17. around $141 a day.
  18. And a nursing home is about $290 a day.
  19. Well that's great.
  20. But what about our area here in Washington?
  21. In the puget sound area?
  22. The home health care average cost is 150 a day.
  23. While assisted living is about to 13 a day.
  24. Um I'm sorry $200 a day in the nursing home
  25. is $350-$400 a day.
  26. So it's significantly higher than the nationwide average here in
  27. our area.
  28. But who you know the question is does insurance work
  29. because we know long term care insurance?
  30. But does it work?
  31. Well. Let's look at the numbers.
  32. The N.
  33. A. I.
  34. C. Publishes the report in 2019 and a total of
  35. almost $13 billion was paid out in 2019.
  36. Across the country.
  37. It's about 285,000 claims comes down to $124 per day
  38. is the average claim amount.
  39. But as we saw, even home health care costs $213
  40. a day.
  41. Up to $400 a day for for nursing home.
  42. So, so the industry standard or the nationwide average is
  43. significantly different.
  44. But who's who, what, who are the people that are
  45. making these claims?
  46. There's a 69 chance of needing care if you're over
  47. the age of 65.
  48. So most of the claims are by people that are
  49. over age 65.
  50. Who is the largest payer of these of long-term care
  51. total. So it was 13 almost 13 billion of private
  52. insurance, long-term care claims.
  53. But who is the largest payer?
  54. It's Medicaid.
  55. And look at this, this is this number is from
  56. 2017. And in total it was $235 billion long-term care.
  57. It is a huge $235 billion dollar problem.
  58. And you could see that the private long-term care insurance
  59. was only accounted for four of that.
  60. So in 2017 it was only 9.4 billion.
  61. And now in 2019 that it grew to a $13
  62. billion dollar problem.
  63. So it is an absolutely huge problem that is breaking
  64. the bank of our government and individually our pocketbook, it's
  65. going through our wealth for our family that we've amassed.
  66. And so that's the biggest thing you need to remember.
  67. But Medicaid, let's just real quick.
  68. What is Medicaid?
  69. It is primarily a health coverage for low income adults
  70. and it's administered by the states according to the federal
  71. guidelines and it's funded jointly by states and the federal
  72. government. You need to know that there are income and
  73. asset limits.
  74. If you ever need to go on Medicaid to pay
  75. for long term care, there's what they call spend down
  76. rules. We're not going to go into it.
  77. You just need to know that it exists.
  78. And this is why if you have income and assets
  79. to protect, you need to ask yourself this question, how
  80. much of your net worth do you want to protect
  81. for your spouse or your heirs?
  82. Well, the state of Washington is the first in this
  83. a country to try and address this problem.
  84. They passed the Washington long term Care Trust Act In
  85. July of 2019 in an attempt to decrease the Medicaid
  86. budget. It is a payroll tax that is .58 Or
  87. 58 cents for every $100 of your earning.
  88. And this tax, it begins January 1st of 2022.
  89. Now it will take 10 years to be fully vested
  90. and and to be able to receive benefits for long
  91. term care, you have to pay without a break for
  92. five consecutive years or you have to pay your tax
  93. for three of the last six years from the date
  94. of application of benefits.
  95. So I've I've read some articles where people think that
  96. you're you're fully vested after five years are fully vested
  97. after three years.
  98. And that's just not the case.
  99. That is only if you go on claim.
  100. If you need long term care you have to have
  101. paid three of the last six years without a break
  102. for five consecutive years.
  103. So the 10 years that's where if you're if you're
  104. headed toward retirement right now and you're still earning wages
  105. you you get a W.
  106. Two and your age 62 you're planning to retire in
  107. three years, you'll pay the tax for three years.
  108. And unless you file a claim within six years Then
  109. you won't ever receive benefits for this because you have
  110. to be paid into it for 10 years to be
  111. fully vested.
  112. It does not cover people already retired and it doesn't
  113. travel with you.
  114. So if you retire, if you work for 15 years
  115. and you pay tax this tax for 15 years and
  116. then you want to retire in the state of Tennessee
  117. or Florida or Arizona anywhere else.
  118. It will not travel with you.
  119. You will not be able to use the benefits.
  120. What else do you need to know?
  121. The benefits are paid in $100 unit.
  122. Essential. That means $100 a day for one year.
  123. So it's 3 36,500 lifetime maximum.
  124. That's what you get for this tax.
  125. Yeah. To qualify to go unclaimed for this, you need
  126. help with three of the 10 80 s.
  127. Now, the 10 ideals are consistent with Medicaid, So it's
  128. medication management, personal hygiene, eating, toilet and transferring body care,
  129. bathing, mobility, dressing, or cognitive impairment.
  130. You need help with three of the 10th traditional long
  131. term care insurance.
  132. It's two ideals of six.
  133. So there's a little bit different rules there, there's no
  134. guarantee that your payroll tax will remain fixed, that it
  135. won't be increased And just something to note that 45
  136. of Washington residents could receive comparable coverage on the private
  137. market for equal or less money.
  138. Some important dates you need to know already mentioned that
  139. this tax starts January one of 2022.
  140. The as the law was written and signed into law,
  141. there's an exemption allowed for people who already own long
  142. term care insurance, december 31st 2022.
  143. As long as you own a policy before that date,
  144. you'll be able to opt out of the tax.
  145. However, this house passed an amendment that changed the exemption
  146. date, but the Senate chain did an amendment changing that
  147. date to November 1 2021 this year.
  148. And chances are very high that the house will Vote
  149. on the Senate version and it will remain November 1
  150. 2022. So you have between now and November 1 2021,
  151. sorry 2021 to own a long-term care insurance policy, you'll
  152. be able to apply for an exemption and opt out
  153. of that tax.
  154. But you must own a policy before that date.
  155. So it's a very important date to remember.
  156. But what's the solution?
  157. What can you do?
  158. How do you get a policy?
  159. Well, we can help, we have the best solution for
  160. ltc shop dot com.
  161. We are independent brokers and we represent all the top
  162. companies and we can help you compare shop and compare
  163. for the best policy for your situation.
  164. We have a great policy, we call the recovery care
  165. policy or a simplified issue long term care insurance policy.
  166. This is primarily geared for employees that are aged 50-79
  167. and that's for this specific policy age 50-79.
  168. If you're an employee we have this policy for you
  169. that you simply just answer health questions, there's no telephone
  170. interview and they don't even pull medical records.
  171. If you can answer no to the health questions you
  172. qualify. So if you are in this age group, especially
  173. if you're age 58-68 there in your working still in
  174. your pain being paid wages and the tax will apply
  175. to you.
  176. You may not work for 10 full years.
  177. If you're planning to retire within 10 years, you really
  178. need to look at something.
  179. You are in the difference with this, you are fully
  180. vested from day one.
  181. The state plan takes 10 full years to be fully
  182. vested. You buy a private policy, you're fully vested from
  183. day one.
  184. It's portable.
  185. You can use the benefits anywhere in the United States
  186. or Canada.
  187. So you don't have to stay in the state of
  188. Washington after you retire.
  189. There's a 15 day elimination period meaning you pay for
  190. care yourself for 15 days.
  191. We don't know what the state's plan will be.
  192. There is still finalizing details like that.
  193. Most traditional policies, there's like an average of 90 days
  194. that you pay it for elimination period.
  195. But this policy that simplified issues a 15 day elimination
  196. period And it really helps you get into a better
  197. facility, facilities that take Medicaid directly from the, from day
  198. one, typically have a wait list and there's other facilities
  199. that don't take Medicaid from day one.
  200. Um Those don't typically have a wait list, but they're
  201. going to want to see the private pay, which is
  202. either cash out of pocket or you have an insurance
  203. policy. Here's a simple chart that shows the tax.
  204. If you're earning $100,000, your monthly tax will be $48.
  205. And let's just say sorry about that.
  206. You're female Age 50 costs you $37 a month for
  207. the simplified issue.
  208. If you're earning $100,000 in your female age 50, well
  209. you're better off buying a private policy So we can
  210. help people under age 50 as well.
  211. So even though this plan that I was talking about
  212. is for people over age 50, we can still help
  213. you. If you're under age 50 we can help you
  214. if you're under age 40 Even, which is typically uh,
  215. people under age 40 typically aren't even looking at long-term
  216. care insurance yet.
  217. But with this tax, it's time to start looking at
  218. it. And we can even help people under age 30,
  219. there's very few companies that will ensure people under age
  220. 30 and we represent them as well, so we can
  221. help you with that.
  222. So I thank you very much for watching and click
  223. on the links on this page to learn more or
  224. fill out the form and we'll be glad to send
  225. you some quotes.
  226. Thanks.