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WA LTC Trust Act Take 2
CO
by
Carolyn Olson
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Updated Apr 13, 2021
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Chapters
00:00
Chapter 1
00:07
Chapter 2
00:09
Chapter 3
00:15
Chapter 4
00:27
Chapter 5
00:29
Chapter 6
00:31
Chapter 7
00:53
Chapter 8
00:54
Chapter 9
01:16
Chapter 10
01:18
Chapter 11
01:19
Chapter 12
01:26
Chapter 13
01:31
Chapter 14
01:37
Chapter 15
01:39
Chapter 16
01:59
Chapter 17
02:03
Chapter 18
02:14
Chapter 19
02:25
Chapter 20
02:26
Chapter 21
03:01
Chapter 22
03:03
Chapter 23
03:07
Chapter 24
03:09
Chapter 25
03:11
Chapter 26
03:13
Chapter 27
03:15
Chapter 28
03:28
Chapter 29
03:29
Chapter 30
03:41
Chapter 31
03:50
Chapter 32
03:53
Chapter 33
03:59
Chapter 34
04:00
Chapter 35
04:07
Chapter 36
04:20
Chapter 37
05:26
Chapter 38
05:28
Chapter 39
05:45
Chapter 40
05:47
Chapter 41
05:59
Chapter 42
06:28
Chapter 43
06:32
Chapter 44
06:45
Chapter 45
06:47
Chapter 46
06:48
Chapter 47
07:11
Chapter 48
07:49
Chapter 49
07:51
Chapter 50
07:53
Chapter 51
07:56
Chapter 52
07:58
Chapter 53
08:10
Chapter 54
08:11
Chapter 55
08:16
Chapter 56
08:22
Chapter 57
09:01
Chapter 58
09:12
Chapter 59
09:19
Chapter 60
09:41
Chapter 61
10:05
Chapter 62
10:07
Chapter 63
10:16
Chapter 64
10:20
Chapter 65
10:34
Chapter 66
10:44
Chapter 67
10:56
Chapter 68
11:06
Chapter 69
Audio Transcript
Auto-generated
00:01 - 00:03
Thank you for visiting ltc shop dot com.
00:04 - 00:05
Long term care insurance.
00:05 - 00:08
What you need to know first of all, what is
00:09 - 00:09
long term care.
00:10 - 00:13
Long term care is many things to many people, but
00:14 - 00:15
the biggest thing you need to remember is that it
00:15 - 00:16
is a problem.
00:17 - 00:19
It is a huge problem and a problem that is
00:19 - 00:21
coming for you personally or someone.
00:21 - 00:24
You know, if it's not a problem now then it'll
00:24 - 00:26
probably be a problem for you in the future.
00:28 - 00:29
But why is it such a problem?
00:30 - 00:33
Well, because it costs so much generate.
00:33 - 00:36
Does this great study every year where they analyze the
00:37 - 00:40
average costs and the average cost of home health care
00:41 - 00:46
Across the country is $150 a day Assault living is
00:46 - 00:47
around $141 a day.
00:48 - 00:51
And a nursing home is about $290 a day.
00:51 - 00:52
Well that's great.
00:52 - 00:54
But what about our area here in Washington?
00:56 - 00:57
In the puget sound area?
00:58 - 01:01
The home health care average cost is 150 a day.
01:02 - 01:04
While assisted living is about to 13 a day.
01:06 - 01:10
Um I'm sorry $200 a day in the nursing home
01:10 - 01:13
is $350-$400 a day.
01:13 - 01:17
So it's significantly higher than the nationwide average here in
01:17 - 01:18
our area.
01:20 - 01:23
But who you know the question is does insurance work
01:23 - 01:25
because we know long term care insurance?
01:25 - 01:26
But does it work?
01:27 - 01:28
Well. Let's look at the numbers.
01:28 - 01:28
The N.
01:28 - 01:28
A. I.
01:29 - 01:32
C. Publishes the report in 2019 and a total of
01:32 - 01:35
almost $13 billion was paid out in 2019.
01:36 - 01:37
Across the country.
01:38 - 01:43
It's about 285,000 claims comes down to $124 per day
01:43 - 01:45
is the average claim amount.
01:45 - 01:49
But as we saw, even home health care costs $213
01:51 - 01:51
a day.
01:52 - 01:54
Up to $400 a day for for nursing home.
01:54 - 01:57
So, so the industry standard or the nationwide average is
01:58 - 01:58
significantly different.
02:00 - 02:03
But who's who, what, who are the people that are
02:03 - 02:03
making these claims?
02:05 - 02:08
There's a 69 chance of needing care if you're over
02:08 - 02:09
the age of 65.
02:09 - 02:12
So most of the claims are by people that are
02:12 - 02:13
over age 65.
02:15 - 02:18
Who is the largest payer of these of long-term care
02:18 - 02:22
total. So it was 13 almost 13 billion of private
02:22 - 02:23
insurance, long-term care claims.
02:24 - 02:25
But who is the largest payer?
02:27 - 02:27
It's Medicaid.
02:28 - 02:30
And look at this, this is this number is from
02:30 - 02:37
2017. And in total it was $235 billion long-term care.
02:37 - 02:41
It is a huge $235 billion dollar problem.
02:42 - 02:44
And you could see that the private long-term care insurance
02:45 - 02:47
was only accounted for four of that.
02:47 - 02:50
So in 2017 it was only 9.4 billion.
02:51 - 02:56
And now in 2019 that it grew to a $13
02:56 - 02:57
billion dollar problem.
02:58 - 03:01
So it is an absolutely huge problem that is breaking
03:02 - 03:07
the bank of our government and individually our pocketbook, it's
03:07 - 03:10
going through our wealth for our family that we've amassed.
03:11 - 03:13
And so that's the biggest thing you need to remember.
03:14 - 03:16
But Medicaid, let's just real quick.
03:16 - 03:17
What is Medicaid?
03:18 - 03:21
It is primarily a health coverage for low income adults
03:22 - 03:24
and it's administered by the states according to the federal
03:24 - 03:28
guidelines and it's funded jointly by states and the federal
03:28 - 03:31
government. You need to know that there are income and
03:31 - 03:31
asset limits.
03:32 - 03:34
If you ever need to go on Medicaid to pay
03:34 - 03:37
for long term care, there's what they call spend down
03:37 - 03:39
rules. We're not going to go into it.
03:39 - 03:40
You just need to know that it exists.
03:41 - 03:43
And this is why if you have income and assets
03:44 - 03:46
to protect, you need to ask yourself this question, how
03:46 - 03:49
much of your net worth do you want to protect
03:49 - 03:51
for your spouse or your heirs?
03:52 - 03:54
Well, the state of Washington is the first in this
03:55 - 03:57
a country to try and address this problem.
03:58 - 04:02
They passed the Washington long term Care Trust Act In
04:02 - 04:05
July of 2019 in an attempt to decrease the Medicaid
04:06 - 04:12
budget. It is a payroll tax that is .58 Or
04:13 - 04:15
58 cents for every $100 of your earning.
04:16 - 04:19
And this tax, it begins January 1st of 2022.
04:22 - 04:24
Now it will take 10 years to be fully vested
04:25 - 04:28
and and to be able to receive benefits for long
04:29 - 04:32
term care, you have to pay without a break for
04:32 - 04:34
five consecutive years or you have to pay your tax
04:35 - 04:38
for three of the last six years from the date
04:38 - 04:39
of application of benefits.
04:40 - 04:43
So I've I've read some articles where people think that
04:43 - 04:45
you're you're fully vested after five years are fully vested
04:46 - 04:46
after three years.
04:46 - 04:47
And that's just not the case.
04:49 - 04:51
That is only if you go on claim.
04:52 - 04:55
If you need long term care you have to have
04:55 - 04:58
paid three of the last six years without a break
04:59 - 05:00
for five consecutive years.
05:00 - 05:04
So the 10 years that's where if you're if you're
05:04 - 05:08
headed toward retirement right now and you're still earning wages
05:09 - 05:09
you you get a W.
05:10 - 05:12
Two and your age 62 you're planning to retire in
05:12 - 05:14
three years, you'll pay the tax for three years.
05:16 - 05:20
And unless you file a claim within six years Then
05:20 - 05:23
you won't ever receive benefits for this because you have
05:23 - 05:25
to be paid into it for 10 years to be
05:25 - 05:25
fully vested.
05:27 - 05:30
It does not cover people already retired and it doesn't
05:31 - 05:31
travel with you.
05:31 - 05:34
So if you retire, if you work for 15 years
05:34 - 05:37
and you pay tax this tax for 15 years and
05:37 - 05:38
then you want to retire in the state of Tennessee
05:39 - 05:41
or Florida or Arizona anywhere else.
05:42 - 05:44
It will not travel with you.
05:44 - 05:45
You will not be able to use the benefits.
05:47 - 05:48
What else do you need to know?
05:49 - 05:51
The benefits are paid in $100 unit.
05:52 - 05:55
Essential. That means $100 a day for one year.
05:55 - 05:58
So it's 3 36,500 lifetime maximum.
05:59 - 06:01
That's what you get for this tax.
06:02 - 06:06
Yeah. To qualify to go unclaimed for this, you need
06:06 - 06:08
help with three of the 10 80 s.
06:08 - 06:12
Now, the 10 ideals are consistent with Medicaid, So it's
06:12 - 06:16
medication management, personal hygiene, eating, toilet and transferring body care,
06:17 - 06:20
bathing, mobility, dressing, or cognitive impairment.
06:20 - 06:23
You need help with three of the 10th traditional long
06:23 - 06:23
term care insurance.
06:24 - 06:26
It's two ideals of six.
06:26 - 06:29
So there's a little bit different rules there, there's no
06:30 - 06:32
guarantee that your payroll tax will remain fixed, that it
06:32 - 06:37
won't be increased And just something to note that 45
06:38 - 06:42
of Washington residents could receive comparable coverage on the private
06:43 - 06:45
market for equal or less money.
06:47 - 06:50
Some important dates you need to know already mentioned that
06:50 - 06:52
this tax starts January one of 2022.
06:54 - 06:57
The as the law was written and signed into law,
06:58 - 07:00
there's an exemption allowed for people who already own long
07:01 - 07:04
term care insurance, december 31st 2022.
07:05 - 07:07
As long as you own a policy before that date,
07:08 - 07:10
you'll be able to opt out of the tax.
07:12 - 07:16
However, this house passed an amendment that changed the exemption
07:17 - 07:22
date, but the Senate chain did an amendment changing that
07:22 - 07:25
date to November 1 2021 this year.
07:25 - 07:29
And chances are very high that the house will Vote
07:29 - 07:32
on the Senate version and it will remain November 1
07:33 - 07:37
2022. So you have between now and November 1 2021,
07:38 - 07:42
sorry 2021 to own a long-term care insurance policy, you'll
07:42 - 07:45
be able to apply for an exemption and opt out
07:45 - 07:45
of that tax.
07:47 - 07:50
But you must own a policy before that date.
07:51 - 07:52
So it's a very important date to remember.
07:54 - 07:54
But what's the solution?
07:55 - 07:55
What can you do?
07:55 - 07:56
How do you get a policy?
07:58 - 08:01
Well, we can help, we have the best solution for
08:01 - 08:02
ltc shop dot com.
08:03 - 08:06
We are independent brokers and we represent all the top
08:06 - 08:10
companies and we can help you compare shop and compare
08:10 - 08:12
for the best policy for your situation.
08:13 - 08:16
We have a great policy, we call the recovery care
08:16 - 08:20
policy or a simplified issue long term care insurance policy.
08:21 - 08:25
This is primarily geared for employees that are aged 50-79
08:26 - 08:29
and that's for this specific policy age 50-79.
08:30 - 08:33
If you're an employee we have this policy for you
08:34 - 08:37
that you simply just answer health questions, there's no telephone
08:38 - 08:40
interview and they don't even pull medical records.
08:40 - 08:42
If you can answer no to the health questions you
08:42 - 08:46
qualify. So if you are in this age group, especially
08:46 - 08:50
if you're age 58-68 there in your working still in
08:50 - 08:54
your pain being paid wages and the tax will apply
08:54 - 08:54
to you.
08:55 - 08:58
You may not work for 10 full years.
08:58 - 09:00
If you're planning to retire within 10 years, you really
09:00 - 09:01
need to look at something.
09:03 - 09:04
You are in the difference with this, you are fully
09:05 - 09:06
vested from day one.
09:06 - 09:08
The state plan takes 10 full years to be fully
09:09 - 09:12
vested. You buy a private policy, you're fully vested from
09:12 - 09:12
day one.
09:13 - 09:14
It's portable.
09:14 - 09:16
You can use the benefits anywhere in the United States
09:17 - 09:17
or Canada.
09:17 - 09:19
So you don't have to stay in the state of
09:19 - 09:20
Washington after you retire.
09:21 - 09:24
There's a 15 day elimination period meaning you pay for
09:24 - 09:25
care yourself for 15 days.
09:27 - 09:29
We don't know what the state's plan will be.
09:29 - 09:31
There is still finalizing details like that.
09:31 - 09:35
Most traditional policies, there's like an average of 90 days
09:36 - 09:38
that you pay it for elimination period.
09:38 - 09:41
But this policy that simplified issues a 15 day elimination
09:42 - 09:44
period And it really helps you get into a better
09:45 - 09:49
facility, facilities that take Medicaid directly from the, from day
09:49 - 09:53
one, typically have a wait list and there's other facilities
09:54 - 09:57
that don't take Medicaid from day one.
09:58 - 10:01
Um Those don't typically have a wait list, but they're
10:01 - 10:03
going to want to see the private pay, which is
10:03 - 10:06
either cash out of pocket or you have an insurance
10:06 - 10:10
policy. Here's a simple chart that shows the tax.
10:11 - 10:15
If you're earning $100,000, your monthly tax will be $48.
10:17 - 10:20
And let's just say sorry about that.
10:20 - 10:25
You're female Age 50 costs you $37 a month for
10:25 - 10:26
the simplified issue.
10:27 - 10:30
If you're earning $100,000 in your female age 50, well
10:31 - 10:35
you're better off buying a private policy So we can
10:35 - 10:37
help people under age 50 as well.
10:38 - 10:41
So even though this plan that I was talking about
10:41 - 10:43
is for people over age 50, we can still help
10:43 - 10:46
you. If you're under age 50 we can help you
10:46 - 10:49
if you're under age 40 Even, which is typically uh,
10:51 - 10:53
people under age 40 typically aren't even looking at long-term
10:53 - 10:54
care insurance yet.
10:54 - 10:57
But with this tax, it's time to start looking at
10:57 - 10:59
it. And we can even help people under age 30,
10:59 - 11:02
there's very few companies that will ensure people under age
11:02 - 11:04
30 and we represent them as well, so we can
11:05 - 11:05
help you with that.
11:06 - 11:09
So I thank you very much for watching and click
11:09 - 11:11
on the links on this page to learn more or
11:12 - 11:14
fill out the form and we'll be glad to send
11:14 - 11:14
you some quotes.
11:15 - 11:15
Thanks.
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