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Opportunity Cost and Your Long Term Care Decision

If you are out shopping for long term $4,200 after tax to pay the premium.
care (commonly abbreviated as LTCI or They can't spend the $91,300. It can't
LTC), I'm going to encourage you to take grow. Basically, they have "committed"
a look at a way of providing long term $91,300 of their assets to pay the
care benefits that is probably new to premium on their LTC policy. That's the
you. On the other hand, if you are in the one "job" of this $91,300. The premium
crowd that thinks they will never need may only be $4,200 a year, but the
long term care, I would also suggest you opportunity cost is $91,300.
evaluate this line of thinking. Let's take a look at another of their
Dick and Jane are both age 65, recently alternatives. It's called asset based
retired and models of good health. They long term care. How it works will unfold
have ignored the long term care subject as I provide the example and contrast
until recently. They just put Jane's below.
mother, who is 88, into a nursing home. One approach to asset based long term
Talk about sticker shock! She is in a care involves re-positioning $91,300 of
nice place, but Dick and Jane are not Dick and Jane's CD to a combination long
100% certain that her assets will allow term care/life insurance policy plan with
her to stay there for the rest of her an insurance company. Here's what moving
life. this money does for them...
Consequently, they have been out looking The money on deposit with the insurance
at long term care for themselves. They company grows at interest, but it is
figure they can afford to insure a tax-deferred interest so the insurance
portion of what it might cost them if company will not send them 1099s every
they ever need some form of LTCI, so they year for an amount they have to pay tax
are looking at a benefit of $3,000 a on like the bank is required to do. In 10
month. The premium is around $4,200 a years, assuming current rates, the
year. $91,300 will grow to $127,000; in 20
Here's a new concept that Dick and Jane years $161,000. The CD, remember, does
must become accustomed to now that they not grow, as its job is to spin off
are retired. They both had good jobs interest to pay the annual $4,200 premium
during their working years. If they ever on the traditional LTCI plan.
wanted to buy anything, it was just a If either Dick or Jane needs any form of
question of looking at their income to long term care, the insurance company
see if they could swing the purchase. plan will pay them $3,900 a month for 50
Pretty straightforward. months--$900 a month more than the
Now that they are retired, most of their traditional plan.
expenditures are going to come from But here's the real kicker.
investment returns on the assets they If Dick and Jane never need long term
have accumulated, not income from care, then the camp that doesn't buy it
working. So they need to understand the would have been right. If Dick and Jane
difference between premium cost and bought the traditional long term care
opportunity cost. Here's what I mean... plan, in 10 years they would have paid
If they elect to buy this $4,200 a year out $42,000 in premiums and about $7,400
long term care policy, the money has to in taxes on their CD interest in order to
come from somewhere. Chances are it's net out the required premium. That's a
coming from the interest earned on total of $49,700. The $91,300 portion of
perhaps a CD or an annuity. But there is their CD would still be $91,300.
an opportunity cost associated with However, if Dick and Jane never need long
paying the premiums from earnings on any term care, chose the asset based long
asset. term care plan and both die, for example
Let's say they are going to pay this in 10 years, the outcome is different.
$4,200 from the interest on a CD they own They have paid no annual premiums and the
which is earning 5.4% interest. Since life insurance company will pay about
interest is taxable, and assuming they $198,000 tax free to their kids.
are in a 15% tax bracket, they would have Which sounds like a better plan?
to have $91,300 in that CD to produce




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