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Rethinking Long-Term Care: A Strategic Approach for High-Net-Worth Individuals

Written by Alden Armstrong | Feb 28, 2025 3:07:48 PM

Many high-net-worth individuals believe they can "self-insure" for long-term care (LTC) expenses. However, self-insuring is not true insurance, as it lacks the immediate leveraging of funds that traditional insurance provides. While self-funding is possible, it may not be the most efficient use of assets, especially for those seeking to preserve wealth and minimize estate taxes.

Challenges of Self-Funding

Self-funding LTC presents two key challenges:

  1. Unpredictability: Market fluctuations and the unpredictable timing of LTC needs to make it difficult to estimate the required funds accurately.
  2. Estate Tax Implications: For high-net-worth individuals, self-funding LTC within their estate can lead to significant estate tax liabilities, potentially diminishing the inheritance to heirs.

A More Strategic Approach: Linked Benefit LTC Policies and Irrevocable Life Insurance Trusts (ILITs)

A more strategic approach combines a linked benefit LTC policy with an Irrevocable Life Insurance Trust (ILIT). This strategy offers several advantages:

  • Maximum Leverage: Linked benefit policies provide maximum LTC coverage with a guaranteed premium.
  • Death Benefit Protection: The policy includes a death benefit, ensuring that the premium is not lost if LTC benefits are never or minimally used.
  • Estate Tax Efficiency: Placing the policy within an ILIT can help reduce estate taxes, as the death benefit and any accrued loan interest can be excluded from the taxable estate.

How it Works

  1. ILIT Creation: An ILIT is established with provisions allowing for fully collateralized loans.
  2. LTC Policy Purchase: The ILIT purchases a linked benefit LTC policy.
  3. LTC Claim: When LTC is needed, the trustee files a claim.
  4. Loan to Grantor: The grantor borrows funds from the trust, using assets as collateral.
  5. Interest Accrual: Loan interest accrues. Ideally, the loan interest would be repaid before death to avoid income tax for the trust.
  6. Estate Tax Reduction: At death, the loan principal and unpaid interest are repaid to the trust, reducing the taxable estate and potential estate tax liability.

Example

A 60-year-old female could gift $196,032 to an ILIT, which would purchase a linked benefit LTC policy with a $1,080,000 benefit pool. If LTC is needed, the grantor borrows from the trust, repaying the principal and interest at death. This strategy could potentially save $123,833 in estate taxes and provide an additional $72,000 death benefit to the trust.

Benefits

  • Tax Savings: Reduces potential estate taxes.
  • Asset Protection: Protects assets from creditors.
  • Liquidity: Provides immediate funds for LTC expenses.
  • Legacy Planning: Ensures efficient wealth transfer to heirs.

Conclusion

For high-net-worth individuals, a well-structured LTC plan is crucial for both personal and financial well-being. By combining linked benefit LTC policies with ILITs, individuals can access care, protect their assets, and minimize estate tax liabilities, ensuring a more secure financial future for themselves and their loved ones.