Archive for the ‘Elder Law’ Category

Signs That A Loved One Should Consider Assisted Living by J.D. Davis

Tuesday, May 8th, 2012

Our latest guest blogger is J.D. Davis, a co-founder of Golden Years Living Solutions, which provides a free service to families searching for senior residences.  He can be reached at (914) 437-8675 or visit the company’s website for additional information.  www.goldenyearslivingsolutions.com


People with aging parents may find it difficult to have a discussion about the prospect of transitioning them into a senior residence, particularly an assisted living community.  Many adult children should expect to face some resistance from their parents who may feel they are not ready to give up their independence and/or move from their home.  However, there are potential warning signs that one should consider while evaluating the particular circumstances.  The following are some examples when having a discussion on the topic might be necessary:

  • The refrigerator is empty or filled with spoiled food, which may be a sign that food shopping and preparation are more difficult.
  • The parent has frequent bruises, which may be a sign of falling or mobility and balance problems.
  • The parent poses a safety risk by living alone (i.e., forgetting to turn off burners on the stove).
  • The parent wears the same clothing over and over again or neglects personal hygiene, which can be a sign that doing laundry and bathing are becoming more challenging.
  • The house isn’t as clean and tidy and is in disrepair, which may show that maintenance may becoming too much of a burden.
  • The parent forgets things (including doctor’s appointments and when to take medication) or dresses inappropriately for the weather, which may be due to memory loss or dementia.
  • The parent seems to be depressed or anxious, which may result from isolation and staying home alone, particularly if a spouse recently died.

Assisted living communities offer many great benefits to the residents and provides peace of mind to their loved ones.  Some of these benefits may include the following:

  • Dining plans with many choices of food to ensure that each resident is eating a well-balanced healthy meal.
  • Daily social and recreational activities to encourage an active social life.
  • Laundry and linen services.
  • Assistance with eating, bathing, dressing and medication management, ensuring greater health and personal hygiene.
  • On-site trained staff for medical emergencies.
  • Group transportation for shopping and community events, and personal transportation for doctor’s appointments.
  • On-site medical offices, physical therapists and other medical professionals.

While having a discussion with a parent about moving from the home may not be easy, promoting the benefits of assisted living can make the conversation much easier.  Planning ahead and getting them comfortable with the prospect of moving into such a residence is strongly encouraged.

Costs May Be More Affordable

Many families believe the costs of living in an assisted living community are too expensive, thereby making it not a viable option from a financial standpoint.  However, some residents are eligible for discounts at certain communities based on their former careers.  For instance, retirees who served as firefighters may save hundreds of dollars per month from the rent at certain communities.  In addition, certain residents may be eligible for a government benefit as much as $2,000 per month, which makes the costs significantly more affordable.

An appropriate diagnosis can help an aging individual and their loved ones plan for the future. Being proactive in the early stages can allow a person a chance to make long-term decisions about their care, living arrangements, finances, and legal concerns. This allows a person more opportunity to benefit from advanced medical care and support services so that the aging process and effects of the disease are managed better. To learn more about New York elder law or New York estate planning, visit http://www.elderlawnewyork.com

It’s Time to Protect Your Family and Your Future

Friday, April 20th, 2012

Estate planning is a financial process that can protect you and your family, and is a very important component of your overall financial planning. April is National Financial Literacy Month to put your estate planning house in order. If you don’t have an up-to-date estate plan and you happen to get hurt or sick and cannot manage your financial affairs, the courts will have to appoint someone to manage them for you. The person they appoint might not be the one you would want to perform those tasks.

Without an estate plan when you pass away, your affairs will be settled by default through a complex legal system called “probate.” The handling of your financial affairs can turn into a costly and frustrating ordeal for your family and heirs.

The crafting of a good estate plan starts with planning, followed by the proper drafting and signing of appropriate legal documents such as wills, trusts, buy-sell agreements, durable powers of attorney for asset management, and an advanced health-care directive or health-care power of attorney. Having these documents in place saves you and your family a lot of money and time at a very difficult and emotional time.

Your estate planning should also address the coordination of the way you hold title to your various assets, your beneficiary selections, and the possible transfer of certain assets while you are alive.

Regardless of the extent of your net worth, estate planning is important for everyone. Complex strategies may be used by wealthy people to reduce death taxes and costs. Others may only require a simple will and/or trust to pass on property to their heirs and provide for minor children.

Even if a simple will is all you require, an estate plan is an essential part of your financial planning. Everybody will need it someday. The time to address or update your estate plan is now.

CHECKLIST — SIX STEPS TOWARD SUCCESSFUL ESTATE PLANNING

1. DEFINE YOUR GOALS: What do you want to happen to your assets in the event of your death or disability? If your beneficiaries predecease you, who are your alternate selections? How will your assets be distributed, and when will these distributions take place?

Decisions on distribution of your estate assets should take into account the size of the estate, the ages and abilities of your children, and your personal desires. For example, a distribution to children over time might consist of 10 percent of the estate at age 18, 25 percent at age 21, 50 percent at age 24 or upon completion of college, and the balance at age 30.

Choose your appointees for important roles: Who will be your executor and, if applicable, trustee and/or guardians? It is advisable to list at least a first and second alternate for each appointment in case your first choice is unwilling or unable to serve.

If you have children who are minors, the appointment of a guardian is probably the most important decision you’ll make. With the court’s approval, this person, or persons, will raise your children. Consider appointing a family member and spouse, or another close couple who’ll care for your children the way you would want.

You may want to consider listing multiple executors, trustees and guardians to serve together in handling the details of your estate. This can provide a check-and-balance system for the appointees and help them avoid oversights or misappropriations. Consider appointing family members, friends, professionals, advisers and/or trust companies for this position.

There is some risk here: If these people disagree and have problems, they can each be represented in court by counsel paid for by your estate, so be very careful in making your selections.

Living trusts have become popular because less administration is required in comparison with a will. Be aware that having a living trust does not eliminate the need for a will and administration at either the first or second spouse’s death.

To get the benefits of the trust, certain details must be attended to, and this is the job of your appointees. For example, leaving a trust for the surviving spouse requires that the trust be funded properly and in a timely manner at the first death, or major tax benefits can be lost.

Is estate privacy an issue for you? Do you want your estate to be public record upon your death? Do you have any special gifts you want made to charity? Do you want an elderly parent or friend to be financially cared for? All of these circumstances should be noted in your plan.

2. GATHER & ORGANIZE YOUR DATA: There are three basic tasks to be accomplished:

  • Review and update your financial position.
  • Review how you hold title to your assets. Is it consistent with your estate plan?
  • Review your beneficiary selections. Are they aligned with your estate plans?

Did you know that how you hold title to assets has a higher legal priority than your will? For example, if you and your best friend held title to an investment club account as joint tenants and you died, the property would revert to your friend even though you had willed your interest to your spouse.

3. ANALYZE YOUR SITUATION: Start by determining your current net worth, assuming your death occurred today. This can be done by totaling your current assets and liabilities, and adding the value of any life insurance.

Try sketching a picture or flow chart of your existing estate plan. Review your appointees:

  • Executor
  • Guardian of the Person/of the Property
  • Trustee
  • Power of Attorney – Property Management
  • Advanced Health-Care Directive or Health-Care Power of Attorney

ESTATE PLANNING ALERT : On December 17, 2010, President Obama signed the Tax Relief, Unemployment Insurance Reauthorization, and Job Creation Act of 2010 (The 2010 Tax Relief Act) into law. Estate and gift tax laws have been reinstated along with many new temporary estate and gift tax provisions that will end on December 31, 2012 unless Congress extends or makes them permanent.

Estate Tax Exclusion & Top Rates:  Establishes an estate exclusion amount at $5 million and the top estate tax rate at 35%; indexes the $5 million exemption for inflation for decedents dying after 2011.

Portability:  Beginning for taxpayers dying after Dec. 31, 2010 the estate tax exclusion becomes “portable” between spouses. This means that the surviving spouse’s exemption is increased by any exemption not used at the first spouse’s death.

Check with your financial advisors for updated information.

4. DEVELOP YOUR STRATEGIES: With the assistance of your estate planning advisor(s), identify the legal documents that need drafting or make any necessary adjustments to existing documents. Determine any other actions that must be taken for your wishes to be carried out.

5. IMPLEMENT YOUR PLAN: Do what needs to be done — i.e., create new wills, trusts and powers of attorney, adjust title to your properties, change alternate beneficiaries of retirement plans and life insurance policies to trusts.

6. TRACK & MONITOR YOUR PROGRESS: Check your estate plan annually or any time there are changes in your family situation or net worth. Use your financial planning calendar to schedule your next review.

These materials are provided as a public service by The NAEPC Education Foundation for “free-use” on websites, newspapers, newsletters, magazines, and other media broadcasts during the months of April and October as it relates to National Financial Literacy Month and National Estate Planning Awareness Week. For additional information or materials contact us at The NAEPC Education Foundation.

To assist with your estate planning, follow this link  at www.estateplanninganswers.org/protect-your-family-and-your-future/ to get a complimentary copy of the Your financial PARTNER “Estate Planning Location Sheet,” in Excel worksheet format. For more information on estate and financial planning visit www.estateplanninganswers.org/category/financial-planning/personal-financial-management-system/ or visit our website at www.elderlawnewyork.com.

What Do LGBT Couples Need to Know About Power of Attorney?

Thursday, April 12th, 2012

LGBT couples need to be aware of the legal documents that can protect them in the event of a medical emergency.  Unlike heterosexual married couples, whose rights to visitation and to make medical decisions are unquestioned, LGBT couples – and unmarried heterosexual couples – are not afforded the same rights.  This is why it is essential for couples to understand the importance of power of attorney and living wills.

Many LGBT couples want the right to visit their loved one in the hospital, and want their loved one to have the right to make critical healthcare decisions.  The solution is a living will with healthcare power of attorney.

A living will is a document stating an individual’s wishes in the event of a medical emergency resulting in incapacitation.  A living will explains what procedures one does and does not want in an end-of-life medical situation.  It can contain directions concerning artificial resuscitation, pain medicine and life support procedures.

A healthcare power of attorney document is a way for an individual to appoint another to make those medical decisions.  It has the effect of giving LGBT couples the decision-making rights that are already afforded to heterosexual married couples.

Even gay and lesbian couples who are married in their state need to consider a living will with healthcare power of attorney.  Though a couple may live in a state that recognizes gay marriage, these documents may be of crucial importance when traveling out of state.

What documents are important for LGBT couples:

  • A living will states a person’s wishes in the event of a life-threatening medical emergency
  • A healthcare power of attorney assigns healthcare decision-making power to a particular person

For assistance with questions regarding our legal services, visit our website at http://www.littmankrooks.com/

Veterans’ Writing: Raising Awareness

Monday, March 26th, 2012

Our guest blogger this week is David Surface, founder and instructor of the Veterans Writing Workshop:

Veterans’ Writing: Raising Awareness

“Why would a veteran want to join a writing workshop?”

That was the question someone asked two years ago when I said that I wanted to start a free writing workshop for U.S. military veterans.

As a lifelong writer and teacher of writing, it was a question that initially did not make sense to me. I knew the empowerment and joy that comes with being fully engaged in the writing process. I’d run writing programs in mental health settings and had seen the healing power of writing in the lives of men and women who are struggling to gain some measure of control over their lives. And I was sure that veterans had stories they wanted to tell.

So the question for me was, “Why would a veteran NOT want to take part in a writing workshop?”

I’ve heard a lot of answers to that question and they all boil down to the same thing: “Because they’ve got better things to do.”  This is especially true, I was told, about younger veterans—with the pressures of finding a job, getting an education, and holding a family together, younger veterans simply don’t have room for something as “impractical” as writing…

…Or so I was told.

In fact, it was the older veterans from Vietnam, Korea, even World War II who showed up for the first workshops I led. They gave it their all and produced some magnificent work. They also demonstrated the kind of selfless concern and sense of brotherhood that I’ve come to expect from veterans, and on the very first day we met, told me, “We’ve got to get younger vets involved in this.”

Last week I started a new workshop for veterans in Manhattan. I looked up and was surprised (and glad) to see a young guy walk in the room, fresh from duty in Iraq—then another, and another. By the time we got started there were ten young vets in the room who’d served in Iraq and Afghanistan, including two women and one active duty officer. I can’t explain why they all finally showed up—they just did.

So—what is it that makes a veteran walk into a writing workshop to tell his (or her) story? Does it happen when they finally get all the other details of their life straightened out? Or does telling their story somehow make it easier for them to get the other parts of their life in order? Does it have anything to do with how old—or how young—they are?

And for all the veterans out there, young and old, who need to tell their stories but haven’t found a way yet, how can we reach them—and help them reach us?

David Surface is founder and instructor of the Veterans Writing Workshop that provides professional writing programs free of charge for U.S. veterans and raises public awareness of veterans’ writing through publications and community readings and events. For more information, visit the VWW website at http://www.veteranswritingworkshop.org

Guest Blog – The Latest Edition of the Older American Act – The Benefits

Friday, March 2nd, 2012

Our guest blog this week has been written by Amanda McCarthy

A Brief History of the Older Americans Act

The Older Americans Act (OAA) was first passed in 1965 in response to complaints that there were not enough social services available to older Americans. Because of the lack of social services offered to older Americans, there was a general feeling among this age group that Americans past a certain age were not treated with dignity.

Today, amendments to the OAA also help establish nutrition programs for older Americans. The most well-known nutrition program established through the OAA is Meals on Wheels. Grant programs formed in response to the OAA allow older Americans to receive proper physical and mental health care and provide employment training for older Americans needing more income. Senior centers have also been built under the guidance of the Older Americans Act.

Recent Efforts to Improve the Older Americans Act

Senator Bernie Sanders, I-V.T., introduced a new bill in January that is aimed at reauthorizing the OAA and clearly establishing initiatives that would be enacted through the reauthorization of the OAA.

Many organizations in the United States have expressed their intent to back Senator Sanders’ bill through letters of support. Listed below are some of the organizations that are supporting the bill with a brief summary of their offer of support.

• National Committee to Preserve Social Security & Medicare

This organization was expected to support the bill, as Senator Sanders is a chairman on the board. The organization notes that an increasingly aging population would not be supported through the current funding available for the OAA.

• American Bar Association (ABA)

The ABA has offered their support, especially after discovering the inclusion in the bill of a provision establishing low-cost, high-quality legal services for older Americans.

• National Council on Aging (NCOA)

The NCOA applauds Senator Sanders’ effort to continue to keep older Americans independent and active in their communities, and notes that a lack of funding has been the main hurdle in realizing the OAA’s full potential in the past. The bill specifically outlines provisions for additional funding.

Benefits of the Older Americans Act

As the OAA requires significant funding, many Americans may wonder what the benefits to reauthorizing the act may be. There are several benefits that should be noted.

• The bill calls for a change in inflation calculation as it applies to the elderly, especially in regards to medication and healthcare. Currently, healthcare assistance is often not adequate for older Americans because of the way costs are calculated.

• More assistance will be provided for older Americans looking for work. This would help reduce costs to the public, as older Americans with jobs would require less assistance from public programs.

• Provisions in the bill would help the elderly receive nutrition and healthcare while living at home rather than in a senior facility or hospital. Even though this will be accomplished through increased funding to programs like Meals on Wheels, proponents of the bill believe that this will significantly lower the cost of healthcare for elderly Americans.

• Older Americans living in long-term care will receive representation to protect their rights and assure that they are given proper healthcare while being treated with dignity and respect.

Amanda McCarthy’s passion for senior care, political issues and reading has allowed her to pursue a career in writing. Amanda is currently working as a part-time writer for a Senior Retirement Care site.

How Could The New Alzheimer’s Criteria Affect My Care And Access To Services

Tuesday, February 28th, 2012

Proposed new criteria to diagnose Alzheimer’s disease could affect how many people have the condition and their access to services and government benefits. Individuals with mild and very mild Alzheimer’s disease could be categorized as having mild cognitive impairment (MCI), which doctors say is the stage between loss of mental function and dementia.

The National Institute on Aging and the Alzheimer’s Association proposed the new criteria. If an individual can still do everyday activities, independently function, but has mild activity problems, they would have MCI. Currently, more than five million people in the U.S. have Alzheimer’s or related dementias. By 2050, these numbers are expected to double. But if the classification changes, millions of Americans could lose out on critical care in the early stages of Alzheimer’s disease.

Earlier this week, the Obama Administration announced plans to spend $50 million on Alzheimer’s research and develop a National Alzheimer’s Plan under the direction of the U.S. Department of Health and Human Services. The funds will promote more Alzheimer’s research, treatment, and caregiver support. Alzheimer’s disease costs $180 billion annually for medical and nursing home care.

Opponents of the proposed diagnosis say that more than 90 percent of people would have their diagnosis downgraded. Some medical experts say that more effort should be done to help patients who have MCI to prevent the onset of Alzheimer’s disease. They hope that the proposed criteria will be modified and discussed more to help the aging population.

Checklist to ensure you are proactive as you receive a diagnosis of cognitive impairment:

  • See a doctor early on to get answers and treatment options
  • Meet with an elder law attorney to review what health services and government benefits you are eligible for
  • Create documents for advance health care directives, power of attorney, and living will
  • Work with an elder law attorney to create an asset protection plan, estate plan, and appropriate trusts
  • Stay aware of changes that could occur due to the National Alzheimer’s Plan
  • Stay updated with Alzheimer’s Association proposal for condition re-categorization

An appropriate diagnosis can help an aging individual and their loved ones plan for the future. Being proactive in the early stages can allow a person a chance to make long-term decisions about their care, living arrangements, finances, and legal concerns. This allows a person more opportunity to benefit from advanced medical care and support services so that the aging process and effects of the disease are managed better. To learn more about New York elder law or New York estate planning, visit http://www.elderlawnewyork.com

Medicaid Offers Home Attendant Services For Eligible Individuals

Wednesday, February 1st, 2012

New Yorkers who have Medicaid and need home attendant services can have this type of care covered. Approval is granted when financial and medical criteria are met, and an individual submits an M11q form that his or her doctor has thoroughly completed. These services can offer substantial savings for an individual and their family, and helps to provide for daily care.

Personal care services, which are also called home attendant services, can greatly assist individuals affected by physical or mental impairments. Individuals who have excess resources or income can get the skilled advice of a New York Medicaid planning lawyer to access benefits and preserve assets. Once home care is authorized, an attendant can assist from 12 hours a week to around-the-clock care.

It is also important for people who have been denied benefits to have their case reviewed. An experienced Medicaid planning attorney can uphold an individual’s rights and ensure that the medical and financial information is complete when a hearing is needed to seek benefits the second time around. Hearings can also be expedited in certain circumstances.

Littman Krooks LLP counsels individuals and families on how to access Medicaid benefits and plan for comprehensive care and estate matters. Our New York City, White Plains and Fishkill Medicaid planning attorneys are well versed in state regulations, benefits, and asset protection. To learn more, visit http://www.littmankrooks.com/elder-law-medicaid-planning/.

Proper Planning Needed to Protect Assets From Rising Elder Care Costs

Wednesday, January 11th, 2012

Planning for assisted living costs should be at the top of senior citizen’s minds. Nursing home, assisted living, and adult day care costs are rising. The MetLife Mature Market Institute’s annual survey showed that the cost of these types of long-term care have increased by 5.6 percent since the previous year. A private room in a nursing home averaged $87,000 a year and adult day programs cost $42,000 a year.

Assisted living costs tend to go up as seniors need extra care. Facilities can charge hundreds more a month for bathing, incontinence care, and managing medications. If proper planning is not done ahead of time, savings can be depleted quickly. MetLife’s survey noted that many seniors have little financial reserves to plan for adequate care and only seven million people 65 and older have a policy for long-term care insurance.

Seniors and their families should discuss what kind of care they want and need as they age. These discussions should include an experienced elder law attorney so that government benefits and tailored plans can be carried out successfully. The planning can be complex, so trusting in a knowledgeable attorney to help protect savings, establish proper trusts, and carry out your health care wishes is critical.

New York law firm Littman Krooks LLP assists seniors and their families to plan for long-term care needs, estate planning and asset protection, and preservation of Medicaid and government benefits. Our New York City, White Plains or Fishkill elder law attorneys are a trusted resource for many New York families. To learn more, visit http://www.littmankrooks.com/elder-law/.

Employers Can Be Great Resource for Workers with Ailing Parents

Wednesday, January 4th, 2012

As a parent ages, many adult children are left to pick up the pieces. The parent’s financial and medical needs increase and issues start to take over the adult child’s work time. Employers who can help their workers connect with elder care resources and allow for flexible schedules can retain hard workers and help them through a tough chapter in life.

Employers that can help workers be proactive about financial planning and health care needs can greatly aid their employees. Access to financial counselors, estate planning experts, and elder law attorneys can be great benefits to offer employees over the phone, via webinars, or in person. During this stage, an adult child often needs help strategizing about long-term care, their parent’s Medicare and Social Security benefits, and should know about important documents to create such as a power of attorney and health care directives.

Often times a parent’s concerns spark the adult child to start thinking about his or her finances and life wishes. Giving employees access to workshops and experts will help them have peace of mind while on the job. Also of importance is caregiver support and counseling resources. Having to take care of an ailing parent can be very difficult. Having a resource to count on and get referrals to deal with their depression, stress, and other concerns is the cornerstone to a solid employee assistance program.

New York law firm Littman Krooks LLP assists caregivers and their loved ones to plan for medical needs, estate planning and asset protection, and preservation of government benefits. Our New York City, White Plains or Fishkill elder law and estate planning attorneys are a trusted resource for many New York families. To learn more, visit http://www.littmankrooks.com/elder-law/ or http://www.littmankrooks.com/estate-planning/.

New York Medicaid Changes Affect Estate Plans

Tuesday, December 6th, 2011

Changes to the Medicaid program in New York can have a big effect on estate assets and planning. New regulations that were put into place in early September allow for the state to recover costs spent on an individual’s Medicaid services. Estate recovery of these costs can come from any assets that pass via a will, intestacy, or real and personal property.

Previously, only probate assets were subject to an estate recovery of Medicaid costs. But now that joint accounts, annuities, life estate interests in deeds, and other assets are now subject to estate recovery, individuals and their loved ones need to get legal guidance to review their estate plans and protect their assets even more. The changes in New York are due to budget laws that were passed earlier in the year.

Since these regulations are so new, individuals should seek a qualified elder law attorney and estate planning attorney. If you already have a trust or deed with a life estate, a skilled estate planning lawyer can review your existing plans and assets too.

Littman Krooks LLP counsels individuals and families on how to access government benefits such as Medicaid while protecting assets. Our New York City, White Plains and Fishkill estate planning attorneys and elder law attorneys are accomplished in comprehensive estate planning including these new regulations, probate matters, and asset protection. To learn more about New York estate planning, visit http://www.littmankrooks.com/estate-planning/ or www.elderlawnewyork.com