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Elder Law Update
 
North Carolina Edition
Vol 2  Issue Three
 
August 2008
 
 
In This Issue
FDIC Insurance and Trusts
Brittle Bones!
Hurricane Season: Evacuation Planning
Social Security Benefits for the Spouse
Money Management 101: Avoiding Pitfalls
This Month's Favorite Link
Check It Out!
 
Secret warehouse
Veterans Benefits: The Missing Puzzle Piece


The All New, Drastically Revised, All Free: North Carolina Medicaid Guide

How To Get Vet Records Online

Come across an interesting link?  Share it with me.

 
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Dear Bob,

Hope you are having a good summer. For us at Mason Law, it has been a busy one.

I'll hold my comments down, because this edition of Elder Law Update is a big issue. In fact, it is our biggest issue yet.

I welcome Penny Louis to Elder Law Update. Penny has an interesting article below on how seniors most often get into financial trouble. She should know! Penny is a financial manager for seniors who have difficulty managing their own financial affairs. I've seen her in action in Savannah. She can do everything from "help straighten out some things" to complete financial management.

Trusts and FDIC Insurance

A client recently joked that I could change the name of Mason Law, PC to "Trusts-R-Us" because we so often use planning techniques that involve trusts. Lately, I have been receiving many questions about the FDIC insurance program and how it applies to trusts. Finally, I promised the last client who asked that I would devote an article to the topic . . . which appears below.

Brittle Bones and Running From Hurricanes

Dr. Beth Hodges gives us some advice regarding a very serious topic: bone fractures in seniors. It is well worth reading . . . and even takes a dig at lawyers. Beth and I are friends, so she was worried I would be offended. I told her not to worry, because she is actually down on personal injury lawyers (as are most doctors), and I am not a personal injury lawyer as you all know. In fact, have you EVER heard an Elder Lawyer joke? I am sure NOT. We aren't funny. On the other hand, if anyone knows any good doctor jokes, please do send them my way and I'll forward them to Dr. Beth.

Part III of Barbara Dunn's series on emergency preparedness runs below. Hurricane season is headed into the busiest three months, so the article is timely.

Finally, Warren Coble shows us how spousal Social Security benefits are calculated. I haven't told Warren this, but I was gratified to hear that at least one reader has bookmarked the Elder Law Update Boneyard (Archives) and regularly goes back to look at Warren's articles for a Social Security "refresher". So there ya go, Warren!

Bob Mason
Certified Elder Law Attorney
 

Certified by the National Elder Law Foundation, recognized by the American Bar Association as the certifying entity for specialization in  Elder Law.

FDIC INSURANCE AND TRUSTS
Bob Mason

 
Bowtie Bob Recent bank failures have rattled a few clients lately. It would be easy to dismiss these concerns because the rate of failures is extraordinarily low and bank deposits generally are quite safe. On the other hand, when it is your money involved . . . .  well . . . .
 
As many know, I use a variety of trusts in the many techniques used to help clients. Naturally, many clients are concerned about FDIC insurance coverage with respect to those trusts.
 
In a couple of earlier columns contributor Rose DeVries wrote about FDIC coverage generally. It may be helpful to go back and reread her columns to get a general orientation. Click HERE for the first; click HERE for the second.
 
. . . .
 
At this point, either you've refreshed your memory or you know the basic FDIC rules. I will assume that is the case. Now that you're oriented, here is a general description of FDIC rules applicable to trusts. Keep in mind the limits apply at each bank . . . in other words if a trust has coverage limited to $100,000 only because of one of the rules below, the limit applies at each bank in which the trust has an investment.
 
First, the FDIC has different rules that apply to Revocable Trusts and to Irrevocable Trusts. As a starting point, determine which type of trust you are analyzing.
 
Revocable Trusts
 
Revocable trusts, of course, are trusts over which the settlor or grantor (a/k/a "The Person Who Set The Trust Up") retains the right to freely add or remove assets, make amendments and even terminate the trust. Mason Law uses these often for a variety of purposes.
 
To make things really confusing, the FDIC classifies Pay On Death, or POD, accounts as one of two types of revocable trusts, which is ludicrous because a POD account isn't a trust at all. Read Rose's article on POD trusts by clicking HERE.
 
In summary, FDIC will insure a POD account up to $100,000 for each "qualifying beneficiary" listed to be paid upon the death of the primary account holder. A "qualifying beneficiary" is a spouse, a child, a grandchild, a parent, or a sibling. The beneficiary must be clearly listed on the books and records of the bank.
 
The POD rules, of course, caused much confusion when applied to the sort of living trusts attorneys use. Sort of like pounding a square regulatory peg into a round hole.
 
As a result of the confusion and in order to "spread around" FDIC coverage, many people were setting up accounts owned by revocable trusts as POD accounts with the children listed. Others were setting up trust accounts as joint survivorship accounts with children. Because POD and most survivorship accounts pay automatically to the listed beneficiary, the arrangement might completely frustrate the careful plans laid out in the trust.
 
In 2004, FDIC published new regs that added some clarity.
 
A "living trust account", to use the new regulation's term, is entitled to up to $100,000 FDIC coverage for each "named qualifying beneficiary", which means the beneficiary must be related to the Grantor/Settlor and it must be possible to determine from the trust document who the beneficiaries are (no need to list them at the bank, although most banks want to retain a copy of the trust agreement). It doesn't matter at all that the Grantor/Settlor has retained complete authority to terminate the trust.
 
If Mom and Dad have set up a joint revocable trust (which we at Mason Law often do), each qualified beneficiary will be entitled to FDIC coverage of up to $100,000 with respect to each of Mom and Dad (i.e., $200,000).
 
If the bank goes under, the FDIC will look at the trust document and pay up to $100,000 for each beneficiary who would be entitled to a trust distribution if the Grantor died on the day the bank went down. That is in addition to other accounts Mom and Dad had in her or his own name.
 
Irrevocable Trusts
 
We also assist clients with irrevocable trusts. Of course, an irrevocable trust is a trust over which the Grantor/Settlor has surrendered ALL right to amend or revoke the trust.
 
Some Grantors completely surrender any right to receive any sort of distribution whatsoever. Others retain the right to receive all of the income, but nothing else. This is an important distinction to keep in mind.
 
If the Grantor has not retained any income interest and if it is not possible for the trustee to later shift benefits between various beneficiaries, then each beneficiary is entitled to up to $100,000 FDIC coverage. Again, it must be possible to identify the beneficiaries from the trust instrument. It is not necessary for a beneficiary to be related . . . any person, or even a charity, will do.
 
On the other hand, if the Grantor has retained an income interest, and if the trustee or others have the discretion to allow unequal distributions to others (for example, the Grantor's children), then the trust is limited to $100,000 coverage (separate, by the way from insurance the Grantor may have under her own name).
 
That is important to understand. Many trusts designed by Mason Law feature an income stream to the Grantor, and many allow the trustee (perhaps with others' cooperation) to make distributions to one or more people (other than the Grantor). If that is the case, the trust will be limited to $100,000 coverage at each institution.
 
Final important point. The features that might limit an irrevocable trust to $100,000 very likely are worth retaining (they were put in the trust because they were valuable features). If FDIC coverage is a concern, then the trustee simply needs to make sure to "spread around" the investments between a number of different banks.
 
Confused? Send me an email!


 
BRITTLE BONES
Beth Hodges, MD

I try with each article to write about issues that are current, and since five of myBeth Hodges, MD patients have fallen and suffered hip fractures this month, osteoporosis wins.

Osteoporosis, or abnormal thinning of the bones, is actually  the third leading cause of mortality (death) in our elderly population and is an even higher cause of morbidity (decline in function.)

Yes, I did say death.  It happens like this:  Aunt Suzy falls outside Walmart and after the personal injury lawyers descend and take down all the pertinent information an ambulance is called and transfers her to the local hospital, where an overworked emergency room physician determines she has a broken hip.  The orthopedist marches in to the rescue and whisks Aunt Suzy off to surgery, where he does a simply splendid job fixing her hip.  However, postoperatively, Aunt Suzy develops a) severe anemia leading to a heart attack from the stress on the cardiovascular system, or b) pneumonia, or c) kidney failure, or d) some severe hospital-acquired infection, or e) just doesn't do well in rehab, falls and breaks the other hip, and starts the whole process over.  We in the medical community do all we can to watch over Aunt Suzy in the perioperative period, but a better solution is to keep Aunt Suzy's bones strong, so she bounces off that curb like an Olympic gymnast.

How, you ask?  First, check the status of Aunt Suzy's bones with a test called bone densitometry.  Guidelines call for screening every two years in women 65 or over  OR postmenopausal with risk factors (Caucasian race, slight of build, history of smoking, family history of osteoporosis, sedentary lifestyle, chronic use of corticosteroids, history of broken bones with minimal trauma.)  Men also can be prey to osteoporosis and are overlooked for screening purposes.

Next, all women and some men over age 50 need at least 1500mg calcium with Vitamin D daily.  That is the MINIMUM DAILY REQUIREMENT, so getting extra calcium in the diet is generally not a problem. 

Then, make sure Aunt Suzy's doing some daily weight-bearing exercise, like walking.  If she can handle some light hand weights, too, all the better. Mild stress on the bones makes them stronger.

If osteoporosis is present, treat it.  There are oral medications that can be given once weekly or monthly.  They work very well, but have to be taken correctly to be safe, so if Aunt Suzy's faculties went to lunch in the 90's and never came back, pick something else.  That same medication can be given intravenously in the doctor's office once yearly, which is a good option for some people.  Alternatively, there is a medication called a selective estrogen receptor modulater, which has to be taken daily, but is effective.  It is not a good choice for someone at risk for blood clots, as it does thicken the blood.  Also, the most common side effect is hot flashes, so Aunt Suzy might be hunting you down for that one.  Lastly, there is a nasal spray that pushes calcium back into the bones, but it has the least impressive data, so I usually reserve it for patients who cannot tolerate any of the other options.

I hope this has shed some light on a poorly recognized issue and its prevention.  Osteoporosis generally isn't painful but it is serious.  Take your Aunt Suzy to see her doctor today.
 
Beth Hodges, MD, is a principal in Hodges Family Practice, with offices in Asheboro and Ramseur, North Carolina.
 

Evacuation Planning for Older Adults - Part III
Barbara J. Dunn, RN, MSN


Barbara DunnEditor's note: This is the third (and final) installment in a three part series telling you how to begin devising an emergency evacuation plan for the elderly.

We are in the middle of hurricane season. Often the victims of an evacuation fiasco are unprepared older adults. In the previous two issues of Elder Law Update I stressed the need to work with your older loved ones to draft a written evacuation plan, and I discussed a number of critical areas. In this last installment, I'll address one last usually overlooked (but very important) issue, and give you a few summary pointers.
Pet Needs
 

Don't laugh! We all know how elders feel about leaving pets behind. A cherished pet. It is imperative to have proof of the pet's rabies shot. Other pet health records are important too. Is there a pet carrier for the pet? A carrier is required in order to transport a pet on public transportation and to enter a shelter. Is a supply of pet food listed in the evacuation plan? Talk with your vet about your pet's evacuation needs.
And Finally . . .

Share your evacuation plan with all who need to know it. If your loved one lives in a senior living facility, be sure to provide the administrator in charge with a copy. Make an appointment with the administrator to discuss the plan. Senior living facilities have their own evacuation plan and it may not be consistent with your wishes or with the needs of your loved one.

If your loved one lives alone, and at a distance, communicate with local emergency management authorities about the best approach. Many communities maintain a list of older adults who will need help evacuating. Contact James Drinnon at Chatham Emergency Management Agency (CEMA) at (912) 201-4500 for information on assisting older adults with evacuation. CEMA's web site is full of up to date preparedness info. Check it out by clicking HERE.

We've skimmed the surface of a vast topic. For further help with planning, call you local chapter of the American Red Cross with your planning questions and for two excellent publications:  #A4499 and #A4497. Publication A4497 deals with planning for people with disabilities and other special needs. YOU MAY REACH THE SAVANNAH CHAPTER OF THE AMERICAN RED CROSS BY CALLING 912-651-5371 or stop by  906 Drayton, Savannah, GA 31412. Both CEMA and the Savannah Chapter of the American Red Cross offer speakers on all emergency preparedness topics.

 
Barbara Dunn, MSN, is owner of Elder Care of Coastal Georgia, as well as Chair of the Disaster Services Committee of the Savannah Chapter of the American Red Cross. You may email comments and questions to Barbara by clicking HERE.

 

SOCIAL SECURITY BENEFITS FOR THE FAMILY
 -Warren Coble

Warren CoblePreviously, we discussed the categories of Social Security benefits payable to family members of retired, disabled, or deceased workers who have earned enough credits to be "insured" for benefits.  This month we will address how spouse benefits are computed.

Benefit computations under Social Security always derive from a computation formula (Primary Insurance Amount, or PIA) which is determined from average annual earnings of the worker on the record.  It should be noted that any benefits payable on the record always go to the retired or disabled worker first.  Any family benefits payable are in addition to the benefits of the worker.  The family maximum limit on a record is usually 150 - 180 per cent of the worker's benefit.  If the total benefits due to the spouse and children are more than this limit, their benefits will be reduced.  Again, the worker's own benefit will not be affected.

A spouse who has not worked or who has low earnings can be entitled to as much as one-half of the retired worker's full benefit.  If you are eligible for both your own retirement benefits and for benefits as a spouse, SSA always pays your own benefits first.  If your benefits as a spouse are higher than the retirement benefits, you will get a combination of benefits equaling the higher spouse benefit. 

If you file for spouse benefits prior to full retirement age (currently age 66), you are also considered to have filed for reduced retirement benefits.  The amount of the benefits will be reduced permanently.  However, if you have reached your full retirement age, and are eligible for a spouse's or ex-spouse's benefit and your own retirement benefit, you may choose to receive only the spouse's benefits and continue accruing delayed retirement credits on your own Social Security record.  You may then file for benefits at a later date and receive a higher monthly benefit based on the effect of delayed retirement credits.

An example:     Jane Doe is eligible for a reduced retirement benefit of $300.00 per month based on a Primary Insurance Amount of $400.00 per month.  Her husband, John Doe files for retirement and his Primary Insurance Amount is $1500.00 per month, with a family maximum amount of $2400.00 per month.  The potential full spouse's benefit (at Jane's full retirement age, 66) for Jane would be $750.00 (50% of Jack's full benefit).
From the $750.00 full unreduced spouse's benefit, Social Security would deduct Jane's own full Primary Insurance Amount of $400.00, leaving $350.00 payable to her as a spouse.  If Jane files for the $350.00 prior to age 66, the benefit would be reduced proportionately.  Jane's eligibility for the spouse's benefits has no effect on John's benefits.

Next month, we'll consider divorced spouse and widow's benefits.

Social Security expert Warren Coble welcomes your questions regarding Medicare, Social Security and Senior Life in general! Email Warren by clicking HERE.

 
Money Management 101:  Top 8 Reasons Why Seniors Get Into Money Trouble and How to Avoid the Pitfalls
- Penny Louis, MPA

Penny LouisI provide personal financial management services for seniors. Often I am called upon to clean up a financial mess and to put a client's affairs on a more orderly basis. Here are the most common causes of the financial woes I often encounter.

1.  Clutter!

Are you an "accumulator"?  Can't throw anything away?  This results in piles of papers with no system to keep track of the important papers you really need.  Develop a simple filing system for these, check current guidelines on retaining financial records and shred excess documents you don't need.
 
2.  Paying late
 
Create a system to keep track of bills and when they are due.  Open mail every day and mark due dates on bills and file in order of when they are due.  Schedule at least 2 days a month to pay bills.  Late payments result in higher interest rates on credit cards and negatively affect your credit score limiting your ability to borrow money.

3.  Failure to reconcile accounts

Get familiar with your bank statement and use it to balance each month.  Accurately record all transactions, particularly ATM and check card transctions which are easy to lose track of if you don't record them as they happen.  Don't get caught paying overdraft charges.  It's just throwing money away.

4.  Double payment of bills or paying bills you don't owe

Look back in your checkbook to make sure the bill you are paying is a new charge and not one already paid-sometimes payments cross in the mail and are not posted when the new bill is issued.  Medical bills and Medicare and supplemental insurance explanation of benefits forms often are not bills at all but have been billed to insurance.

5.  Responding to Telemarketers and phone solicitations

Seniors are especially vulnerable to phone solicitations either to purchase or contribute to something.  Don't feel obligated to say yes to everyone who calls, or even to listen to their pitch.  If you're not interested, say so politely and hang up.  If you are interested, never give your personal information over the phone.  Ask them to mail you the offer in writing to give you time to review it.  If it is a legitimate organization they will do this.  If they say they can't send you anything, don't commit over the phone.  They probably aren't "legit".

6.  QVC, Internet and Catalog shopping-Your Enemy!

Many Seniors watch QVC and other infomercials out of boredom or loneliness.  They buy merchandise impulsively that they don't necessarily need and probably can't afford.  If you must watch, establish a "waiting period" before "pulling the trigger".  Often what seems like a good deal on TV actually carries hidden charges in the form of "Shipping and Handling" which are not advertised and can cost as much or more than the merchandise itself!  Get off catalog mailing lists to avoid the temptation of impulse buying.  Contact the Direct Marketing Association's Mail Preference Service at abacusoptout@epsilon.com or by writing to Abacus, Inc., P.O. Box 1478, Broomfield,  CO  80038.

7.  Failure to make and adhere to a budget.

Most people don't have a budget of what they can afford and don't keep track of what they spend.  Credit card use and abuse is rampant.  It's easy to get deep into debt if you use a credit card and don't pay it off each month.  Further, fixed expenses go up periodically and such increases in utilities, phone, rent, food and gas need to be factored into your budget periodically.  It may mean less money for discretionary spending, especially for those, who like most Seniors, are on fixed incomes.

8.  Failure to protect your credit rating and protect yourself from identity theft.
Refrain from giving personal information, especially your social security number, out over the phone or internet.  Elder abuse is rampant and can be abuse by "outsiders" (phone solicitors that prey on the elderly) or "insiders" (caregivers or unqualified advisors-can even be family members!).  You are entitled to a free credit report from the 3 major credit bureaus, Equifax, Experian and TransUnion once a year.  This enables you to check your credit score, dispute inaccuracies, and monitor your credit for suspicious activity.  For access to your free credit report visit www.annualcreditreport.com or call 877-322-8228.
 
Penny Louis, MPA is the Managing Partner of Financial Care for Elders, LLC which provides personal business assistance to clients who have difficulty managing their personal monetary affairs.  She is a member of the American Association of Daily Money Managers. You may email Penny by clicking HERE.
 

 
The Usual Disclaimer: This newsletter is for general information only. Please do not rely on anything you read in this email as definitive legal advice applicable to you. All situations are different, including yours. Nothing you read in this newsletter is a suitable substitute for professional advice you may receive from your attorney, your accountant, or your tax advisor.

All contents copyrighted 2008 by Mason Law, PC. Contents may be republished with written permission of Mason Law, PC (which permission will usually be given!).
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