WHEN SOMEDAY ARRIVES How to protect your loved one from ending up in a nursing home and what to do if you can’t James P. Shields, Esquire Thomas J. Boris, Esquire WHEN SOMEDAY ARRIVES How to protect your loved one from ending up in a nursing home and what to do if you can’t James P. Shields, Esquire Thomas J. Boris, Esquire JAMES P. SHIELDS, ESQUIRE THOMAS J. BORIS, ESQUIRE The Elder Law Offices of Shields & Boris 109 VIP Drive, Suite 102 Wexford, PA 15090 724-934-5044 724-934-3080 Fax 1-800-879-0984 Toll Free Copyright ©2015 by James P. Shields All rights reserved. No part of this book may be used or reproduced in any manner whatsoever without written permission of the author. Printed in the United States of America. ISBN: 978-1-63385-079-8 Cover design by: Madeline Sciullo and Jenna Beneski Published by Word Association Publishers 205 Fifth Avenue Tarentum, Pennsylvania 15084 www.wordassociation.com 1.800.827.7903 CONTENTS Introduction .................................................................................1 1 Acknowledgements .....................................................................3 2 The Hidden Woman’s Issue: Why the Coming Long-Term Care and Tax Crisis Could be Catastrophic to your Legacy and to your Wife or Daughter ......................................5 3 Things Have Changed: Estate Planning 101 .........................25 4 Guardianship: Living Probate .................................................29 5 Wills and Probate: What’s All the Fuss? ................................39 6 Pennsylvania Inheritance Tax .................................................49 7 Federal Estate Tax .....................................................................53 8 In-Laws and Outlaws and Capital Gains ...............................55 9 The Hidden Risks ......................................................................59 10 Income and the Social Security Shuffle .................................63 111 Caring for an Aging Adult – Give Yourself a Break ............71 12 What Should My Estate Plan Accomplish to Protect My Family’s Legacy? ...................................................77 13 The Old Solution: Giving It All Away, Medicaid and Long-Term Care Insurance ......................................................79 14 The New Solutions: Asset Based Protection Combined with Powerful Legal Documents ............................................87 15 Conclusion: Take Action and Take Charge .........................107 About The Elder Law Offices of Shields & Boris ...............133 INTRODUCTION THIS BOOK is written for those con- cerned about long-term care. Today’s primary caregiver is a woman, either the spouse of an ill husband or a daugh- ter. Daughter caregivers are typically called the “sandwich generation.” They are still raising their own children while caring for aging parents. In fact, in 2013, 31.3% of children aged 18 to 34 were still living with their parents. We write this book for retirees and child caregivers as a tool to allow you to stay at home as long as possible and as a guide of what to do if you or a loved one cannot stay at home. We believe every family has a legacy to protect and it is our job to protect that legacy. The greatest risk to today’s retiree is a long-term care health crisis. We hope you find this book helpful as a tool to prepare for what the future holds. Our firm was created in response to the sudden pass- ing of partner James P. Shields’ mother in 1992. She died with nothing in place. We began our firm to help people plan ahead. We have helped thousands of families plan 1 2 SHIELDS & BORIS ahead. Over the years we have created strategic alliances to become an integrated multidisciplinary firm dedicated to helping our clients to protect their family legacy, to leverage their assets and make their money last for a life- time. ACKNOWLEDGEMENTS JIM AND I have been partners now for over a decade and have learned so much from so many dif- ferent people. We wish to personally thank the following people for their contributions to our inspiration, knowl- edge and other help in creating this book. First we thank God for giving us the natural abilities to do what we do; our families who have always been there from our home offices when we first started to our five of- fices across Western Pennsylvania, that we now have; our staff for helping us keep our heads on straight and keep- ing us organized and on top of everything; our clients for putting their trust and faith in us to create plans to protect their families legacy; our current and past business coach- es and business associates (John D. Laslavic and Wendy O. Lydon of ThistleSea; Julieanne Steinbacher, Esq. of Stein- bacher & Stahl; Don Quante of Wealth Protection Advi- sors, LLC.; and Greg Miller of Guardian Capital, LLC). Finally I want to tell my business partner, who I con- sider my brother, thank you for being my mentor, always being there for me over the past several years while I was 3 4 SHIELDS & BORIS dealing with my different health issues and ultimately helping me reach my dreams of being a successful compre- hensive estate planning and elder law attorney. 1 THE HIDDEN WOMAN’S ISSUE: WHY THE COMING LONG-TERM CARE AND TAX CRISIS COULD BE CATASTROPHIC TO YOUR LEGACY AND TO YOUR WIFE OR DAUGHTER THE LIFE EXPECTANCY of today’s retiree is much longer than that of their parents. We live longer now, which puts us at greater risk for needing help or care along the way. To develop an effective plan for you and your legacy, you need to identify the issues that will have the greatest financial impact. The cost of disability and long-term care is the number-one offender, so let us explore what has now become the greatest financial threat to middle-class Americans today. The biggest and most obvious question for retirees and for long-term care needs is usually money. How are we going to pay for long-term care? 5
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