Deferred Annuities What
is a deferred annuity? A deferred annuity is an insurance product designed
to provide income at some time in the future - typically during retirement. The
idea is to let the premium payment you made to the insurance company accumulate
tax-deferred for a number of years.
If you choose a fixed, deferred annuity, your money will accumulate at
a fixed rate guaranteed* by the insurance company for a specified period of time.
If you choose a variable, deferred
annuity, your money will accumulate at a variable rate, based upon the performance
of the underlying investments. The investment return and the value of an investment
will fluctuate so that an investor's shares, when redeemed, may be worth more
or less than their original cost.
When you no longer wish to keep accumulating funds in your annuity, you may take
the money out as a lump sum or annuitize it (convert it to income payments). If
you annuitize, you have a choice of several standard pay-out options. Liquidations
of earnings are subject to ordinary income tax and, if taken prior to age 59 1/2,
a 10% federal income tax penalty may also apply.
* Guarantees are based on the claims-paying ability of the insurer.
Fixed, Deferred Annuities
What is a fixed, deferred annuity? A fixed, deferred annuity is an
insurance product that offers a fixed interest rate guaranteed* by an insurance
company for a specified period of time (sometimes called a guarantee period ).
With this form of retirement savings, the premium you pay to the insurance company
accumulates on a tax-deferred basis and the insurance company usually guarantees*
the return of your principal investment. Example
Mr. and Mrs. Smith, both in their early 50's,
have received a $40,000 inheritance and would like to use this money for their
retirement income later on. Their financial advisor has explained that an annuity
may be a suitable product for them. The Smiths have a very low risk tolerance
and they will need this money for their retirement. They decide that a fixed,
deferred annuity is perfect for them because they do not need the money right
now and they do not want to risk losing their principal investment. What
are the advantages of a fixed, deferred annuity? - Tax-deferred
accumulation
- Guaranteed return of
principal*
- Guaranteed interest rate*
- Choice
of guarantee period with many fixed annuities
- Not
subject to stock and bond market fluctuations
- No
fees or charges with many fixed annuities.
* Guarantees are
based on the claims-paying ability of the insurer. What
are the disadvantages of a fixed, deferred annuity? - No
flexibility. You may not change any applicable guarantee period or interest rate
once you pay your premium.
- Not a
liquid investment. Liquidation of earnings is subject to ordinary income tax and,
if taken prior to age 59 1/2, a 10% federal income tax penalty may also apply.
Early surrender charges may also apply.
For
what type of investor is a fixed, deferred annuity suitable?
It may be a suitable investment for someone: - Seeking
a fixed rate of return
- Wishing to
diversify their overall retirement investment portfolio
- Who
has already reached maximum contribution levels in a 401(k) plan and any IRAs
they may have.
- Not wanting to worry
about market fluctuations or having to actively manage their investments.
May one make withdrawals from a fixed, deferred
annuity? Certain withdrawals from fixed, deferred annuities may be subject
to: - Surrender charges
On many annuities, the insurer
may assess a surrender charge -- typically ranging from 7 percent to 1 percent
of the withdrawal amount, based on a schedule where the amount of the surrender
charge declines over time. There are some exceptions. Some annuities allow the
annuitant to annually withdraw a certain amount (for example 10%) without a surrender
charge. - Market value adjustments
Some fixed annuities
contain a market value adjustment that applies when you take a full or partial
distribution. With some types of fixed annuities, the market value adjustment
may increase or decrease the value of your distribution, depending whether the
interest rates currently being offered for your type of annuity have risen or
fallen since your guarantee period began. If they've fallen, the adjustment may
result in a higher payment. If they've risen, your payment may be lower. With
some types of annuities, there is no market value adjustment if you surrender
your annuity at the end of a guarantee period. - Federal income tax
penalties.
Withdrawals before age 59 1/2 may be subject to a 10 percent
Federal Income Tax penalty. Ask your financial consultant if any of
these apply with the annuity you are considering.
Pay-out options available Most
annuities offer several standard pay-out options - ranging from pay-outs for a
specified period of time (Period Certain), to pay-outs for life. Click
for more pay-out options information.
Variable, Deferred Annuities
What is a variable, deferred annuity? A variable, deferred annuity
is a long-term insurance product that enables the premium paid to the insurance
company to accumulate tax-deferred with a variable rate of return. Within the
annuity, there is a choice of investment options (called sub-accounts) that will
allow for management of investment choices over time. The sub-accounts invest
in underlying funds that, in turn, invest in various types of securities (i.e.,stocks,
bonds, money market instruments) each with a different risk/return profile. The
return on your annuity will depend on the performance of the investment options
you choose. Example
Nancy Edwards, 56, makes the maximum contribution to her 401(k) plan at
work each year and also has an IRA to which she contributes the maximum annual
amount. This year, she receives a bonus for which she doesn't have an immediate
need. She decides she would like to invest $15,000 of her bonus and let the earnings
accumulate on a tax-deferred basis. Knowing that Nancy is financially savvy and
is a moderately aggressive investor, her financial advisor suggests a variable,
deferred annuity with a mix of equity and bond investment options. Nancy is willing
to take the risk of either profiting or losing from this investment.
What are the advantages of a variable,
deferred annuity? - Tax-deferred accumulation
- Ability
to choose among investment options
- Potential for more rapid accumulation
than with a fixed annuity.
What are the disadvantages of a variable, deferred annuity?
- No guaranteed rate of return on variable investment options
- No guarantee
of principal
- Not a liquid investment. Liquidation of earnings is subject
to ordinary income tax and, if taken prior to age 59 1/2, a 10% federal income
tax penalty may also apply. Early surrender charges may also apply.
- Subject
to fees and charges from the annuity contract and from the underlying investments.
For what type of investor is a variable,
deferred annuity suitable? A variable, deferred annuity can be a suitable
investment for someone: - Who does not require a fixed rate of return
and with a tolerance for risk
- Who has already reached maximum contribution
levels in his or her 401(k) plan and in any IRAs
- Who likes to manage their
own investments
May
one make withdrawals from a variable, deferred annuity? Certain withdrawals
from variable, deferred annuities may be subject to: - Surrender charges
On
many annuities, the insurer may assess a surrender charge -- typically ranging
from 7% to 1% of the withdrawal amount, based on a schedule where the amount of
the surrender charge declines over time. There are some exceptions. Some annuities
allow the annuitant to annually withdraw a certain amount (for example 10%) without
a surrender charge. - Federal income tax penalties
Withdrawals
before age 59 1/2 may be subject to a 10 percent Federal Income Tax penalty.
When speaking with your financial consultant, ask if any of these apply with
the annuity you are considering.
What pay-out options are available when I get ready to receive income from
my annuity?> Most annuities offer several standard pay-out options -
ranging from pay-outs for a specified period of time to pay-outs for life.
Click for more pay-out options information.
Immediate Annuities
What is an immediate annuity? An immediate annuity is an insurance
product designed to convert assets into income immediately (typically within 30
days and seldom longer than 12 months from the date of purchase). The consumer
pays a premium to the insurance company and the insurance company makes a stream
of periodic, income pay-outs** to the annuitant. As is the case with deferred
annuities, immediate annuities can either be fixed or variable.
** Taxable Distributions (and certain deemed distributions) are subject to
ordinary income tax.
With a fixed, immediate annuity, your periodic pay-out amount will always
stay the same. With a variable, immediate annuity, your periodic pay-out
amount will fluctuate, based on the performance of the investment options you
have chosen within the annuity.
Fixed, Immediate AnnuitiesA
fixed, immediate annuity is an insurance
product that offers a fixed, periodic payment to you, the annuitant, to begin
shortly (usually about a month) after you pay your premium to the insurance company.
You choose the time frame over which you will receive your pay-outs
- Either for a specified period (called a Period
Certain )
- Or for the rest of your
life.
The most common
usage of this type of annuity is to convert assets into a steady income during
retirement. Example
Mr. Johnson, age 71, is a conservative investor
who wants to have additional monthly income. He plans to sell about $50,000 of
mutual funds that he currently owns and use the proceeds to buy a 10-year Period
Certain Fixed, Immediate Annuity. His fixed pay-outs will begin in about a
month. He likes the idea that he won't have to worry about market fluctuations
with the mutual funds any more and that his pay-outs will be the same every month.
He also likes the fact that, should he die before the 10-year period is over,
his beneficiary will receive any remaining payments from that Period Certain.
What are the advantages
of a fixed, immediate annuity? - Guaranteed*
periodic pay-outs**.
- Pay-outs begin
immediately.
- Pay-out amount is not
subject to market fluctuations.
* Guarantees are based on the claims-paying ability of the insurer. ** Taxable
Distributions (and certain deemed distributions) are subject to ordinary income
tax. What
are the disadvantages of a fixed, immediate annuity? - No
choice of investment options.
- No
flexibility. You may not change your pay-out option or your periodic pay-out amount
once the pay-outs begin.
- Not a liquid
investment. Withdrawals are not allowed unless the annuity has a commutation (cancellation)
provision.
For what
type of investor is a fixed, immediate annuity suitable?
- Is seeking a fixed, periodic pay-out
- Does
not want to worry about market fluctuations and have to manage their investments.
Can one make withdrawals from a fixed, immediate annuity? No. Withdrawals
from a fixed, immediate annuity may be made only if there is a commutation (cancellation)
provision written in your annuity contract.
What pay-out options are available from a fixed, deferred annuity?
Most fixed, deferred annuities offer several standard pay-out options - ranging
from pay-outs for a specified period of time (Period Certain) to pay-outs for
life. Click for
more pay-out options information.
Variable, Immediate Annuity
What is a variable, immediate annuity? A variable, immediate annuity
is an insurance product designed to produce pay-outs that will vary depending
upon the performance of the investment options you choose. At the time you pay
your premium to purchase the annuity, you choose from several underlying investment
options (called sub-accounts). The sub-accounts, in turn, invest in underlying
securities that can range from stocks to bonds to money market instruments. You
choose the investment options based your assessment of their potential performance
and on your own risk tolerance. Unlike
a fixed, immediate annuity, you may make some changes to your variable, immediate
annuity after the pay-outs begin. You may change your investment options as frequently
as your particular annuity allows. You may not, however, change your pay-out option.
Example
Mr. and Mrs. Ford, ages 70 and 72, have a sum of money that they would like to
use to purchase an annuity. They have discussed with their financial advisor that
they already have enough income to fund their retirement. They would like to purchase
an annuity and be able to choose their investment options with the potential of
profiting from favorable performance. Because the Fords are savvy investors, their
financial advisor suggests a variable, immediate annuity because they want to
receive pay-outs immediately, but they do not need a defined pay-out.
What are the advantages of a variable, immediate annuity?
- Ability to choose underlying investment
options
- A stream of periodic income
payments**.
- Potential for higher
returns than a fixed annuity.
** Taxable Distributions (and certain deemed distributions) are subject to ordinary
income tax. What
are the disadvantages of a variable, immediate annuity?
- Pay-outs are not guaranteed - they are subject
to market fluctuations
- No guaranteed
return of principal
- No liquidity.
The only way that withdrawals can be made from an immediate annuity is if there
is a commutation provision written in your annuity.
- Subject
to investment management fees and other charges.
For what type of investor is a variable, immediate annuity suitable?
- Is willing to have his or her periodic
pay-outs fluctuate
- Does not mind
managing his or her investments.
Can one make withdrawals from a variable, immediate annuity? No.
The only way you can make a withdrawal from a variable, immediate annuity is if
there is a commutation (cancellation) provision written in your annuity contract.
What pay-out options are available
from a variable, immediate annuity? Most annuities offer several standard
pay-out options - ranging from pay-outs for a specified period of time (Period
Certain) to pay-outs for life. Click
for more pay-out options information.
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Annuity
Pay-Out Options What are
the pay-out options if I choose to annuitize (convert my assets to income payments)?
Both fixed and variable annuities offer similar pay-out options.
The most common options are listed here.
| Pay-out Option | Length
of Payments | Payment to
Beneficiary | Example |
| Life Only Annuity |
The annuitant will receive pay-outs for the rest of his or her life. Under this
option, it is possible to receive only one pay-out |
No death benefit with this option. |
John purchases a life annuity and lives for three more years, receiving pay-outs
over that time. Upon his death, no death benefit is payable. Susan purchases a
life annuity and lives for 25 years, receiving pay-outs over that time. Upon her
death, no death benefit is payable. | | Period
Certain Annuity |
The annuitant will receive guaranteed* pay-outs for a specified period of time
(Period Certain). This period is typically expressed as a number of years (i.e.,
10, 15, or 20 years). |
If the annuitant dies before the specified period ends, the beneficiary will receive
pay-outs for the rest of the Period Certain. |
Bill buys a 10-year period certain annuity and he dies in the 3rd year. The beneficiary
will receive payments for the remaining 7 years. | |
Life Annuity with Period Certain |
The annuitant will receive periodic pay-outs for the longer of his/her lifetime
or a specified period (Ex. Life with 10 years certain). |
The beneficiary will receive payment if the annuitant dies before the specified
period has expired. |
Maria buys a Life with 10-year Period Certain annuity and she later dies in the
third year. Her beneficiary receives payments for the 7 remaining years. However,
if she were to die in the 11th year after purchasing the annuity, the beneficiary
would receive nothing. | | Joint
and Survivor Annuity |
Payments are made for the duration of 2 lives. Upon the death of the first annuitant,
the second annuitant receives a percentage (typically ranging from 50-100%) of
the amount the first annuitant received. |
No death benefit with this option. |
Tom has chosen a Joint and Survivor with 50 percent continuation benefit for him
and his spouse, Jill. When Tom dies, Jill will continue to receive pay-outs for
the rest of her life, but each pay-out will only be 50% of the periodic pay-out
he received. When Jill dies, no death benefit will be payable. |
| Joint and Survivor With
Period Certain |
Payments are made for the duration of 2 lives. Upon the death of the first annuitant,
the second annuitant receives a percentage (typically ranging from 50-100%) of
the amount the first annuitant received. In addition, the annuitants may choose
a minimum period (Period Certain) over which they will receive guaranteed payments*.
| If both annuitants
die before the Period Certain ends, a beneficiary will receive any remaining guaranteed*
payments. | Jim and
Martha purchase a Joint and Survivor Annuity with 50% continuation benefits and
a 10-year Period Certain. If Jim dies in year 3, Martha will continue to receive
pay-outs, but the amount of each pay-out will be 50% of the amount he received.
If Martha dies before the end of the 10th year, any remaining pay-outs will go
to a beneficiary. If Martha dies after the end of the 10th year, no death benefit
will be payable. | | Life
Annuity with Cash Refund |
With this option, the annuitant receives guaranteed* periodic pay-outs for the
rest of their life. If the annuitant dies before receiving the amount of his/her
premium payment back as pay-outs, any remaining pay-outs go to a beneficiary.
NOTE: For immediate annuities, a beneficiary will receive any remaining premium
if the annuitant dies before receiving the amount of his or her premium back as
pay-outs. For deferred annuities, if the annuitant dies before receiving any pay-outs,
the beneficiary will receive the account value of the annuity. |
Upon the death of the annuitant, the beneficiary will receive the remainder of
the premium (or in the case of a deferred annuity, the account balance.) |
Juan makes a premium payment of $100,000 to purchase an immediate Life Annuity
with Cash Refund. He dies several years later, after having received only $75,000
back in the form of pay-outs. His beneficiary will receive the remaining $25,000.
|
* Guarantees are based on the claims-paying ability of the insurer. ** Taxable
Distributions (and certain deemed distributions) are subject to ordinary income
tax. How
the pay-out option choosen affects the monthly benefit This
chart, for an immediate fixed annuity pay-out only, shows how a monthly annuity
benefit amount is affected by the pay-out option chosen.
| Assumptions | |
| Annuity type: | Fixed,
Immediate | | Premium
Amount: | $100,000 |
| Annuitant: | Male,
Age 60 | | Joint
Annuitant (if applicable): | Female,
Age 62 |
Example: How Choice Of Pay-out Option Affects Benefit Amount
| Pay-out Option
| Monthly
Benefit paid to annuitant | Provisions
for beneficiary or co-annuitant | | 10
yr. Period Certain Annuity | $1,125.13
| If the annuitant dies
before the 10-year Period Certain ends, the beneficiary will receive the remainder
of the payments for the 10-year period. | | Life
Only Annuity | $724.96
| No death benefit. |
| Life Annuity with 10 yr. Period
Certain | $714.41 | If
the annuitant dies before the 10-year Period Certain ends, the beneficiary will
receive the payments for remainder of the 10-year period. |
| Life Annuity with cash refund | $698.72
| If the annuitant dies
before receiving the $100,000 premium back as pay-outs, the beneficiary will receive
the difference. | | Joint
and Survivor Annuity with 50% continuation | $693.51
| The co-annuitant will
receive a monthly benefit of $346.75 upon the death of the primary annuitant.
| Joint and
Survivor Annuity With 50% continuation and 10-Year Period Certain | $688.42
| The co-annuitant will
receive a monthly benefit of $344.21 upon the death of the primary annuitant.
If both annuitants should die before the end of the 10-year Period Certain, the
beneficiary will receive any remaining payments at the 50% level. |
The above information
was provided by Hartford Life Insurance Company
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Guaranteed
Acceptance Life Insurance
Some companies are now offering Guaranteed Acceptance Life Insurance to people
whose age, health or pocketbook may prohibit them from being able to purchase
life insurance. Unlike underwritten life insurance policies, you are not required
to answer any health questions or take a physical. Usually these plans include
a limited benefit period. If death occurs during the first few years, a reduced
benefit is payable or the company will return the premiums paid plus interest.
This allows the company to guarantee your acceptance.
| Guaranteed Acceptance
Life Insurance provides extra protection to help cover final expenses, unpaid
medical bills, outstanding loans and credit card payments. Even if you already
have some form of life insurance, you may still be underinsured due to inflation
and the rising costs of final expenses.
Colonial Penn Life Insurance Company offers a guaranteed acceptance life
plan for about a quarter a day, for ages 50-85 (most states). There are no health
questions asked and no physicals to take. Your benefit is based on your age at
the time your coverage goes into effect and will not decrease because you grow
older. In addition, the rate will never increase. Guaranteed acceptance is made
possible by a 2-year limited benefit period.
For information about our
Guaranteed Acceptance Life Insurance, click here. |
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Medicare
Those who have worked for a time in the United States, and their spouse, are generally
eligible for Medicare. The age of eligibility is 65, unless there is a disability
involved, in which case one may be younger to qualify. A
person who is 65, a legal resident of the United States and has been so continuously
for 5 years, may be eligible to buy into Medicare by buying into Part A and also
Part B coverage of medicare. The buy-in amount varies and can be determined for
you by workers in your local Social Security office.
Even if you are not going to file for Social Security at 65, FILE FOR MEDICARE
at 65. If you delay filing, it may cost you more money to file later!
Medicare is divided into Part A and Part B coverage.
Part
A, provided free of patient premiums to those who have worked the necesary number
of quarters, includes: - In-patient
hospital care for up to 90 days in a benefit period.
- A
Benefit Period ends when you've been out of the hospital 60 consecutive days.
- There is no limit to how many benefit
periods you can have.
- There are 60 reserve
hospital days that can be used in any benefit period.
- There
is a deductible of $840 per hospital stay per benefit perior.
- The
deductible is paid by the patient (or a medigap insurance
provider).
- From 61-90 days there
is a per day co-pay.
- Inpatient
care in a participating skilled nursing facility
- Home
health care (distinguished from non-medical home help)
- Hospice
care
Part
B is provided at a premium "which most people pay through an automatic deduction
from their social security check" and helps pay for: - Doctor
services.
- Outpatient hospital care.
- Diagnostic tests.
- Durable
medical equipment.
- Ambulance services.
- Many other health services/supplies,
not covered by Part A.
- Part B deduction
is $78.20 per month starting in 2005 with a $110 deductible.
If you live in a rural area Medicare regulations enable some reimbursement of
home care visits. Your closest Social Security Office can provide details regarding
availability in your state. This is another segment of trying to provide better
services overall for seniors in rural regions of the country. Earlier efforts
to provide for rural patients was approval of limited telehealth services for
"teleradiology" and "telepathology". Some
seniors qualify for Supplemental Security Income Program (SSI) because of a "disability"
or other exceptional circumstance and "low income". Eligibility for maximum payments
under SSI are reduced by "countable" income and assets beyond home ownership.
Some states supplement the SSI payment from Medicare when a qualified recipient
lives in a care home. SSI recipients may also qualify for additional help i.e.
food stamps or medicaid.
Medicare and SSI information provided here is meant to be a primer, and a place
to start. It is not meant to replace information available from Medicare. The
Medicare Hotline is 1.800.633.4227.
They can provide: - "Your Medicare Handbook"
(the latest update version) free of charge. The Handbook, Publication No. HCFA
10050 provides explanations about Part A (Hospital Insurance) and Part
B (Medical Insurance) of Medicare coverage. It lists carriers of Part
B coverage by state and explains Part B enrollment procedures. It also lists,
by state, where to call for information regarding the quality of care in Medicare-certified
facilities. There is an application for sending away for additional free publications,
that deal with Medicare questions relating to specific medical conditions and
treatments.
- A toll free number for your
State Counseling Office.
The Medicare Fraud Hotline is 1.800.447.8477. It is operated 8 a.m. to 5:30
p.m Eastern Standard Time. They are interested in suspected instances of Medicare
fraud.
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Supplemental
Insurance to Medicare
Medical Insurance and medical coverage can be obtained from private providers
to help pay for doctor and hospital care costs not covered by Medicare A and/or
B through:
Health
Maintenance Organizations (HMO's) - These
organizations negotiate pricing and coverage agreements with private physicians
and hospitals.
- They accept government
medicare payments as premium payments, or the bulk of the premium payment.
- They may provide patient treatment with little
or no deductibles or a small or no co-pay.
- Are
run as a business.
- They have many regulations
regarding circumstances of care.
- They
control patient out of pocket costs if patients accept their services.
- They can only be expected to cover emergency
care when care is received outside their service area from non-group providers.
Things
to compare between HMO's: - Patient
co-pay requirements for:
- Hospitalization
- Choice of doctors
- How
nurse practictioners are used in patient care
- Doctor
visits
- Prescription limitations and
coverage
- Dental care
- Eye
care
- How existing conditions are handled
- Which procedures available for your
present conditions are included or exempted
- Number
of consecutive days you may travel away from home
- Conditions
of coverage when out of the USA or their service area - Convenience of doctor
groups and hospitals
Links
for More HMO Information
Medigap or Medicare
Supplemental Insurance Legislation
standardizes this insurance into ten plans. They are referred to by letters A
- J. All oplans ffer some coverage for what is not covered in part A of Medicare.
Plans B - J, offer insurance covering for additional "services" medicare does
not cover. i.e. J includes coverage for Part A costs, as well as many non-covered
charges from part B. In comparing policies, remember that all insurance
providers must provide categories A - J with similar features. So within each
designated category, compare insurance coverage by: - Quality
of service they will provide
- Premium
costs
- Existing condition clause
- Built-in premium increases
- Age
triggered increases
- Inflation factors
for increase in benefit coverage
- Guarantee
of renewability
- Ability to upgrade to
a higher letter coverage at a later date
Medicaid
Medicaid is federally funded, and administered by states under their State Department
of Insurance ( found in Resources by State. How "poor"
you have to be to be eligible for Medicaid varies by state. Divesture of assets
including spousal impoverishment (through asset transfers) in order to qualify
for Medicaid may differ. How much a couple may have in "assets" is presently approximately
$87,000, $2,000 for an unmarried nursing home resident. For a couple, the maximum
monthly income is approximately $2,200, but again this differs by state. The asset
limit and income for a married couple are adjusted annually by each state. If
you want Medicare and Medicaid to work together to cover the cost of medical care,
select providers (doctors, hospitals, etc.) that accept both Medicare and Medicaid.
Check at http://www.hcfa.gov
for your state information. Exemptions to your "assets" value may
be: - The permanent home the well spouse
occupies, or that the nursing home patient wishes to return to
- One
car
- The value of the premium in
an annuity
- (The annuity amount
paid out to the annuitant usually counts in income qualifications)
Generally regulations require residence
in a long term care facility or skilled nursing home for Medicaid eligibility.
But in some states a case by case investigation may allow some to be eligible
when receiving medical care at home.
Long Term Care
Insurance Medicare, HMO's
and Medigap insurance do not pay for nursing home care for long term stays
or for Assisted Living.
Insurance can be purchased to help pay for these costs. Without it, a one year
stay in a nursing home, estimated at $25,000-$42,000 per year, can
wipe out a family nest egg. It can leave the well spouse without financial resources
for their living expenses. When shopping for Long Term Care insurance
compare: - Premium costs
- How
long has the company been writing this insurance
- What
is their history on pay-outs
- If there
is a company history of premium increases
- Is
a "partnership" policy available
- Is
the policy tax qualified
- What
will the insurance policy cover
- Nursing
home
- Home care
- Care-giver
training for home care
- For how
many years will it pay
- How does the
policy treat pre-existing conditions
- How
much will it pay per day
- Is
it indexed for inflation
- How is the
indexing calculated
- Under what
conditions are premiums waived
- What
medical benefits are covered, besides basic nursing home costs
- How many days must you wait before coverage
starts: 1, 30 or 90 days: referred to as the "deductible"
- How
does this fit with your managed care coverage or Medigap insurance coverage
- What
is the daily benefit maximum
- For
how many years, months, does coverage last, or is there a maximum pool of money
- What
optional benefits are available
- What is the daily
rate for nursing homes in your area now
 Tax
Qualified Long Term Care Insurance vs. Non-Tax-Qualified Policies
Understanding the differences between tax-qualified and non-tax-qualified long
term care insurance plans is important when considering the purchase of long term
care insurance. As the names imply, tax-qualified plans provide the purchaser
with certain tax advantages, including the assurance that benefits paid reimbursing
them for qualified long term care service costs will be excluded from their taxable
income, while non-tax-qualified plans do not provide the same assurance.
Another advantage is that premiums paid for tax-qualified long term care insurance
plans can be deducted as medical expenses by taxpayers who itemize (subject to
Internal Revenue Code limits). And, proposed federal legislation for an above-the-line
tax deduction for long term care insurance premiums would only apply to tax-qualified
long term care insurance plans.
There are also other differences that consumers may wish to consider. Tax-qualified
long term care plans are designed to cover disabilities that are expected to last
for a prolonged period of time, and the IRS has set specific eligibility standards
for qualified benefits to be payable. The policyholder must either need substantial
assistance with two of at least five activities of daily living (ADLs) for a period
expected to last at least 90 days, or suffer from severe cognitive impairment.
That need must be certified by a licensed health care practitioner. Long term
care services must be in accordance with a Plan of Care prescribed by a licensed
health care practitioner, and benefits can only be paid for qualified long term
care services. Under
non-tax-qualified policies, the insurance company may offer different benefit
eligibility triggers, including allowing eligibility for benefits upon a finding
of medical necessity. These less stringent triggers may provide access to benefits
more quickly than under tax-qualified plans. Premiums are generally higher than
for tax-qualified policies with equivalent benefit levels, benefits may be taxable
as income, and premiums may not be deductible medical expenses.
The above tax-qualified vs. non tax qualified long term care insurance
policies was provided for your informational use by GE Capital's Long Term Care
Division, 2000.
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Prescription Drug
Assistance Programs Pharmaceutical
companies offer medication assistance programs to help uninsured and indigent
patients obtain needed prescription drugs. Program eligibility criteria differs
from company to drug company, but most all of them, as part of their philanthropic
efforts, want "no patient in need to do without".
Seniors who feel the financial pinch of filling doctor-prescribed medications
should: - Speak with their
pharmacist.
Pharmacists
have access to eligibility criteria for each specific medication. They also have
access to the Directory of Prescription Drug Patient
Assistance Programs, as do you. Forty-nine manufacturer's are represented
regarding their offers of medications to physicians whose patients cannot afford
to buy the meds they need. -
Contact the drug manufacturer through their websites
- Inquire
of social workers and health care providers for help
To qualify for free or reduced price prescription medications patients must meet
specific financial criteria and be prepared to fill out paper work for each specific
medication. Here is where a health care professional can help. -
Some companies require that patients have no third party payer assistance.
- Some programs provide intervention
with Medigap or HMO insurance companies to identify billing problems and work
to resolve claim denials.
- Some
outline specific payment limitation programs for expensive and long-term medications
for the indigent.
- Patients may
not be eligible if they have any prescription drug insurance coverage, or may
be required to pay a nominal pre-determined shipping fee to receive "free" prescriptions.
- Some assistance programs provide a card
that can be presented at the pharmacy for medication refills. Enrollment is not
indefinite and most programs require periodic re-application.
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Auto Insurance
"Back in the day, being "cheap" meant being
excessively frugal, or offering substandard service.
Today, being cheap means that you're smart enough to shop around
for auto insurance
quotes, rather than take the first deal you see.
Visit cheapautosinsurance: spend less money on car
insurance - you'll need it for gas."
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Here are some tips to help the senior drivers that are increasingly staying
in the driver's seat. Of course, like many life senior services, the correct
auto insurance is a must.
Auto
Insurance Discounts for Mature DriversAn accident is sometimes the first
indication that an elderly person should cease driving. It is hard for senior
drivers to give up their independence. Drivers over 75 have one of the highest
rates of fatal daytime accidents. Many times with Seniors, driving skills have
impaired over time. Hence senior drivers should be proactive in keeping their
driving skills up. In many states, auto insurance discount are available in many
states for mature drivers who have taken an approved senior driver safety course.
Check to see if such a discount is available when you get a auto insurance quote.
Be sure you check the eligibility rules for the auto insurance discount. Automobile
DesignWhile the auto design features are important to all drivers, there
may be special considerations for seniors. These include: movement freedom, high
roadway visibility, and any unique physical limits. Careful attention to the following
parameters can assure a better driving experience. 1.
Display panel visibility 2. Fully adjustable seats 3. Easy to use restraint
devices (seat belts and such) 4. Lightweight doors for ease of handling
5. Unobstructed view of road and peripheral areas Specific
Physical ConditionsMany physical conditions and medications can have an adverse
impact on driving. Seniors should be aware of the potential reactions to
medicine that might make driving difficult. Your doctor is your best place to
gain such insight. Several health elated conditions have been toed to automobile
accidents and injuries. These include: vision problems, joint inflammation, neurological
disorders, diabetes, foot problems and falling episodes. Driving courses for
Seniors are offered by many states to get informed about potential problems and
to renew safe driving techniques. Getting the Correct Auto InsuranceWant
to save money? Here are nine suggestions to help you save on your auto insurance
policies. It all starts with an auto insurance quote.
- Comparison shop.
Use consumer auto insurance information
provided from your state's insurance department. Visit the National
Association of Insurance Commissioners web site to locate where to find your
state's auto insurance information. - Consider higher deductibles
when getting your auto insurance quote
- Buy a "low-profile"
car.
Check the Highway
Loss Data Institute for those cars that are stolen the least and have the
lowest repair cost. - Drop collision and/or comprehensive coverage
on older cars.
- Ask about discounts for antilock brakes, air bags
and other safety features
- Check your credit history and correct inaccuracies.
- Take advantage of low-mileage discounts.
- Check on group
insurance and corporate discounts.
For example American Automobile
Association (AAA) members can save significant money on auto insurance. - Ask
about other discounts when you get your auto insurance quote.
AARP offers 55 ALIVE, mature driving
courses through local AARP chapters. Many insurance companies offer subscriber
discounts with proof of course completion. Information on local offerings may
be obtained through local AARP chapters. | Back
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Travel Insurance
Page two of your passport says:
"HEALTH INSURANCE. Persons considering foreign travel should determine what health
insurance coverage, if any, they require while outside the United States. Medicare
does not cover health care costs outside the United States and its territories,
except under limited circumstances in Canada and Mexico." Government sponsored
health programs such as Medicare almost never cover care received in a foreign
country. Employer-sponsored plans often limit overseas coverage to emergency care
only. Emergency medical evacuation is almost never covered. You might want to
check with your home health policy before you travel, and before you buy travel
insurance. Obtaining healthcare in some parts of the world can be tricky. Some
hospitals won't provide any treatment--or won't allow a patient to be discharged--until
the hospital has received a guarantee of payment. Such guarantees are commonly
provided by travel insurers, in conjunction with assistance providers, but rarely
by other insurers or managed care plans. This means you'll have to pay in advance.
If using a credit card, the hospital must accept foreign credit cards and your
card must have a sufficient credit limit. In addition, traveling from your foreign
vacation spot--for a place with higher quality medical care or to return home
where your regular insurance is accepted--may be difficult. Medical evacuations
are tricky to arrange and all air ambulance providers are not equal. Worse, local
authorities may have financial ties to certain evacuation companies. Travel health
insurance may be purchased with three components:
- Medical
Assistance Benefit,Supplemental health/accident insurance
- Medical
Evacuation
- Trip Cancellation Insurance
Most travel insurance products offer all three or two of the three.
A medical assistance benefit gives you 24/7/365 access to a company
that will arrange an evacuation for you with a creditable evacuation company--or,
through their medical personnel, can help assure that you're getting appropriate
treatment locally. They can provide the guarantees needed for hospital discharge
and could also help with other travel related problems: i.e. legal troubles, lost
passports or credit cards. Supplemental health/accident insurance generally pays
for doctor and hospital bills, and sometimes dental care and medications. Depending
on when travel insurance is purchased, medical problems from preexisting conditions
may also be covered. Medical Evacuation can be expensive (as
much as $50,000 or more from a remote location). In addition to the coverage,
you'll want assistance arranging an evacuation. Trip cancellation/interruption.
These coverages protect you financially in the event you have to cancel or interrupt
your trip for medical reasons. For example: you purchase a $5,000 cruise but can't
take it because of personal illness--or illness in the family. Depending on when
you cancel, a significant portion of the $5,000 may be non-refundable. This type
of insurance will reimburse you. Information provided by Eliot
C. Heher, M.D. and HTH
Worldwide
1.888.243.2358 HTH
Worldwide offers trip cancellation, evacuation and supplemental health/accident
coveragge. HTH Worldwide provides these insurance services along with complimentary
global health and security information for travelers. If bought within the regulated
time frame, trip cancellation due to pre-existing conditions is covered. HTH supplemental
health plans can be bought on an Annual/Multi trip basis and have no pre-existing
condition exclusion. |
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Additional Resources
Links to Other Insurance
Resources
Legal Disclaimer
All information in Insurance For Seniors Page, including
articles, forms, documents, videos and FAQs, are for educational purposes
and may not fit your specific situation. Due to the intense personal
nature of any insurance issue, it is suggested that you consult with
appropriate financial advisor to ensure your issues are resolved to
your satisfaction.
The insurance information links provided above are for a third party,
and is not endorsed by, supported by, or affiliated with Seniorresource.com.
Seniorresource.com: Insurance Information Page makes no representations
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