Long-Term Care Insurance 101–Part 2: The Dos and Don’ts

Saturday, November 15, 2014

In my last blog post, I introduced you to Jennifer Jacobs, the top living benefits specialist in Canada, and sat down with her to discuss the essentials of long-term care insurance. To quickly recap, a long-term care insurance policy is essentially a security tool used in the event that you encounter a serious injury or that hinders your ability to perform day-to-day activities. The policy provides you with an added tax-free cash flow that allows you to maintain your ability to continue to financially run your household.

Today, I want to introduce the pros and cons of the various plans available, as well as to point out their most exciting features. In addition, I will also reveal a bit more detail on being “physically dependent.”

pros and cons

Jennifer tells us that a key aspect of a long-term care insurance policy is to apply early and get an offer back from the insurance company first. They will look at your medical records to check that everything is in order. In some cases, further medical testing could delay the process for up to a few months. In other scenarios, a couple may learn that only one party can be approved, thereby causing them to consider other financial plans. So it is important to put in an application early because you never know what the insurance company is going to say or how they view things. Applying early for a long-term care insurance policy is beneficial as it allows clients to stay informed on their situations in case there are delays. This way, there will be no surprises.

A long-term care insurance policy has a number of exciting features that appeal greatly to the mass public. The first feature of this policy is the payment period. In the majority of cases, we are looking at situations where the client is aged 35 and above. One of the options available is for you to deposit into the plan for 20 years and then be covered for life with no further deposits required. This is a very beneficial advantage because it not only protects the younger self in the event of an injury, but it also creates a fully back-loaded retirement plan with a cash flow protection plan in place once you have reached an older age. If you do make a claim in the first 20 years while you are depositing to the plan, your required deposits are waived during your claim, and the amount of time you have collected on this policy will not be added on to the deposit period. It will only simply lessen the amount you paid into the policy.

The second feature is interesting in that it is unique to a long-term care insurance policy. Extended term insurance provision is a feature that incorporates the acceleration of your payments by a bit so that you are pre-paying in advance. This action prevents you from missing a payment and protects you from the risk of losing your policy. Typically, this action does not come into effect until after the five-year mark of the policy being put into place, but the upside of this feature is that you can choose to stop your payments, yet the coverage will remain enforced for anywhere between five and fifteen years from the time you stopped the payments.

Long-term care insurance policies have a lot of flexibility, making it possible for them to be tailored to each specific client’s needs. This is the reason why it is smart to be informed on the optional benefits available and extra features that can be added on to these policies. I do not actually recommend them in most cases as they easily become drawbacks in the cost versus benefits examination. However, it is still important to take note of these options in order to stay knowledgeable about financial planning for the future.

One such optional benefit is inflation protection, which is highly discouraged in many cases due to the high cost and poor rate of return in the feature. For example, if you decide to purchase $2000 in monthly benefit, and add the inflation adjuster to keep things in line as time went on, the premium would go from $100 to $180 for the inflated product. At a 2% inflation rate, it would take 30 years before it is worth $4000 a month. Alternatively, you could have bought $4000 a month right now for the same price as adding the inflation adjuster and waiting for the benefit to catch up.

This feature then seems, in most cases, unnecessary. However, there are two scenarios in which an inflation adjuster may be beneficial. The first situation occurs when the insured is given a limit on the collected amount; inflation protection is the only way to have more insurance when an unlimited benefit is taken away.

The second time in which this feature is used is with executives, high earners and very young, wealthy clients. Because these types of individuals recognize the need for insurance coverage in spite of their wealth, inflation protection becomes a less expensive way of protecting their future cash flow. Unless you find yourself in either of these situations, I strongly discourage adding the inflation protection feature to your policies.

Another feature of optional benefits arises when people express concerns about wasting money or buying something that they may not need—they wonder whether premiums can be returned if the insured passes away without making a claim. I will make a note here and say that you are more likely than not to use a long-term care insurance policy based on actual medical experience.

This feature essentially gets the insured to spend more money in unnecessary places by declaring that the insurer would return the premiums paid, less any claims, in the case that the policy is never used. However, you usually only need to collect for six months to a year in your whole lifetime for that amount to equal the 20 years of payment paid for the policy. Risk is a factor that we need to consider, but I assure you that the chances of you using long-term care insurance are very, very high.

Lastly, I want to talk a little about comprehensive and facility insurance coverages. As the names suggest, one covers care facilities such as retirement homes or hospitals, while the other encompasses cases regarding the mental ability, such as brain injuries, regardless of where care is needed. Remember what I said in my previous post about being “physically dependent.” For this policy, a claim can be made as long as you are in need of either physical or mental assistance; you do not require both.

In addition, the policy does not differentiate between temporary or cognitive impairment, either. However, it is extremely important to note that you CANNOT make a claim with long-term care if factors such as work stresses, anxiety or depression occur because they do not render you dependent on others—these are situational issues. Being “physically (or mentally) dependent” in daily activities is not an insurance company’s definition; it is a standard medical assessment that is critical to an income policy that is essentially based on you and your body.

I hope that you will take advantage of a long-term care insurance policy, a very beneficial security tool that will help you and your family in the long run. Talk to a financial planner today to speak to a specialist in this field. It is never too early when preparing for the future.

Related Links

Long-Term Care Insurance 101—Part 1: The Basics
https://www.ironshield.ca/articles/long-term-care-insurance-101-part-1-the-basics/

Find Out if You Have the Right Type of Insurance Plan
https://www.ironshield.ca/services/insurance-plan/

Health and Dental Insurance
https://www.ironshield.ca/online-healthdental-insurance/

Four Mistakes to Avoid When Creating a Retirement Income Plan
https://www.ironshield.ca/articles/four-mistakes-to-avoid-when-creating-a-retirement-income-plan/

Add a Facebook Comment

Add a Blog Comment

Leave a Reply

Your email address will not be published. Required fields are marked *