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                The call from John involved another crisis planning case.  His sister, Mary was already in a nursing home and had a minimal amount of assets remaining to be spent down.  Before entering the facility she had lived for many years with her other brother, Jerry. Although she was able to attend to her activities of daily living, Mary is mentally challenged to the extent that she could not handle her own finances, although she was legally competent.   Jerry had been handling her finances which in large part included funds left to Mary by their mom.  Now, however, Jerry was experiencing his own health issues and asked John to step in.                 We immediately asked John to gather 5 years of records for every account Mary owned as well as the trust accounts established to hold and manage Mary’s inheritance from her mom, of which Jerry had been the trustee.  It would only be a matter of months before we would be spent down and I needed to know quickly if there would be any potential Medicaid penalties to address.                 Sure enough there were.  We encountered numerous withdrawals from Mary’s accounts.  We also found many checks payable to Jerry.  Some were signed

                In my blog post last week I laid out Mary’s problem trying to draw out the required minimum distribution for 2018 from her deceased aunt’s IRA.  June died in November and had not yet taken the minimum necessary (RMD) to avoid a 50% penalty.  The bank holding the IRA, however, has refused to allow Mary to withdraw the balance of the RMD, insisting that a tax waiver from the State of New Jersey is necessary before it can do so.  It has frozen 100% of the account.                 As I explained last week, Mary’s aunt did not have any children and has left her estate to Mary and Mary’s cousins.  They are all nieces and nephews in relation to her aunt and are classified as Class D beneficiaries for inheritance tax purposes.  The tax on the distributions amounts to 15% of the first $700,000 received by each beneficiary and 16% on anything above that.  While the tax is calculated as of the date of death the return and the tax are due 8 months after death because the State recognizes that it takes time for the estate representative to figure out if there is any tax due and if so,

       Although New Jersey no longer has an estate tax we still have an inheritance tax and with it a tax waiver. Last week we received a call from Mary who had been appointed executrix of her Aunt June’s estate. June had not taken her required minimum distribution (RMD) amount for 2018 from her individual retirement account (IRA) before her death.        For those not familiar with the RMD rules, let’s review. IRAs are tax deferred accounts. They are not taxed each year as the investments in those accounts grow. The tax is only owed when the account holder withdraws the funds from the retirement accounts. The longer the assets remain in the retirement account, the longer one can put off paying the tax.        The government, however, does not allow this to continue indefinitely. That’s where RMD rules come into play. Account owners must start withdrawing funds from IRAs not later than the year he/she reaches the age of 70 and 1/2. The IRS has rules regarding how much must be withdrawn each year, which is a dependent upon the owner’s life expectancy. Failure to withdraw at least the RMD each year can carry a

                In my post last week, I talked about new legislation that is still in the drafting phase but that may be the next government attempt to provide a long term care benefit to Americans.  The last attempt, known as the CLASS Act, was a voluntary program.  This new program looks like it would be a mandatory one intended to provide universal coverage.                 As far as we currently know the current draft would provide a minimum benefit of 5 hours a day – about $100 a day on average nationally.  There would be an increase in the benefit as more care is needed but the details of that haven’t yet been worked out.  It would appear that anyone who receives Medicare Part A would be eligible for this benefit making it essentially universal.  Unlike Medicaid home care which requires recipients to use only Medicaid approved care providers the current draft provides that the new benefit would be the equivalent of cash in the sense that seniors could choose any provider they like and pay for it using a debit card.                 For the moment there appears to be two ways one could qualify.  Applicants can show that they need assistance with

       Just the other day I had someone ask me about the possibility of the government extending the Medicaid lookback from 5 years to 10 years. Since the last change in 2005 when the lookback went from 3 to 5 years (which change became effective in February, 2006) I have heard this rumor reported to me numerous times but have never found anything to substantiate it and know of no bill in the works in Congress.        There are, however, some other changes possible on the long term care financing front. Although still in what I would call infancy stages, Representative Frank Pallone of New Jersey among others has been working on legislation which would potentially expand government benefits to cover long term care. Some may remember that Representative Pallone was involved in the passage of the Community Living Assistance Services and Support (CLASS) Act. (See my posts 4/12/10 and 4/19/10.)        The CLASS Act was designed to provide a modest amount of benefits to cover long term care. It was a voluntary program which was supposed to work like insurance. Participants paid a premium for a minimum of 5 years and then could be eligible

       In my blog post last week, I disclosed some of the important numbers that change year to year with respect to the Medicaid and VA Aid and Attendance programs that we work to obtain for many of our clients. Here are the rest of the important numbers as well as 2019 Medicare and estate and gift tax numbers.        In the case of a married couple where one spouse is applying for Medicaid, the healthy spouse is entitled to keep a certain level of assets, referred to as the Community Spouse Resource Allowance (CSRA). The maximum CSRA is $126,420 (if the couple has $252,840 in countable assets or more). The minimum CSRA is $25,284. As I explained in several posts in October, the VA has changed their rules regarding transfer of assets, borrowing from Medicaid. The VA now uses a net worth limit to qualify applicants that is tied to Medicaid’s CSRA so changes to the CSRA will likewise change the VA’s net worth number.        The primary residence is an exempt asset for Medicaid purposes no matter the value if the non-Medicaid spouse is living in it. In the case of a single applicant