New York Estate Planning & Elder Law Blog

NY Elder Law Estate Planning: Alternatives to Nursing Home Care

Published on: January 29, 2019 | by Ettinger Law Firm

One of the biggest anxieties many Americans may face is entering into a nursing home or other skilled residential care facility at some point in their lives. Not only does residency in a nursing home mean less autonomy, but also potentially pay a tremendous financial price. Depending on the location, living in a nursing home can cost between $60,000 and $300,000 a year, with the median being $97,455 a year for a private room.

Not surprisingly, studies show that most older Americans prefer to remain in their own homes as long as possible and this results in a lot of care being delivered by skilled professionals and family members in the patient’s home. As a result, these caretakers often shoulder the greatest burdens for the patient such as transportation, meal prepping, and household chores, which can quickly monopolize someone’s time.

As a result, families need to be considerate to one individual who may be spending more of his or her time helping to take care of the elder than others and whether his person is properly compensated for all the hard work that goes into that. Furthermore, what may seem like a fair and equitable division of responsibilities at the present can end up anything but in a a few years or even months when major life events happen.

Centers for Medicare and Medicaid Studies Issue Guidance to States on Service

Published on: January 27, 2019 | by Ettinger Law Firm

The Centers for Medicare & Medicaid Services (CMS) recently released a “Dear State Medicaid Director” letter highlighting ten opportunities for states to better serve individuals dually eligible for Medicare both and Medicaid. The letter states that these these opportunities are newly available to states through Medicare rulemaking or other CMS burden reduction efforts and can be used to help better the lives of an estimated 12 million Americans dually eligible for Medicare and Medicaid.

Medicaid is an important source of medical coverage for individuals dually qualified Medicare beneficiaries as the former covers services the latter does not, such as long term care in nursing homes or assisted living facilities. Additionally, Medicaid aids in cost reduction for Medicare by helping pay Medicare premiums and cost-sharing, which may be high for low income individuals.

The outlines in the letter include new developments in managed care, using Medicare data to inform care coordination and program integrity initiatives, and reducing administrative burden for dually eligible individuals and the providers who serve them. Many advocacy groups have welcomed CMS’s efforts to forge closer ties with state administrators to improve the Medicare Part A Buy-in Program and simplify the eligibility and enrollment processes for Medicare Savings Programs.

Can New York Probate Judges Reject Parts of a Last Will and Testament?

Published on: January 26, 2019 | by Ettinger Law Firm

A last will and testament is an important legal document that tells our loved ones and the government how we wish for our estate to be apportioned to heirs and friends upon passing away. Although New York trust and estates law give testators wide latitude to decide what parts of their estates go to whom, there are still certain restrictions on what types of property can be given away if there is a surviving spouse and circumstances in which a testator may be coerced into created an invalid law.

In cases where some portions of the last will and testament are invalide, the surrogate court probating the will must admit the document if the court is satisfied the will is genuine, the testator was of sound mind or not under any undue restraint, and was executed in accordance with statutory requirements. However, the court will have to throw out parts of the will that are otherwise invalid so long as it can separate without defeating the testator’s intent or destroying the overall testamentary scheme.

Courts can also strike portions of a last will and testament they deem to be invalid due to improper execution, such as additions made to the document after a witness affixed his or her mark on the will. This same action may be applied when courts deem that addendums to a will were made when the testator was incapacitated or otherwise coerced into adding a section to the document. Courts are well within their power to isolate these particular sections of the will and preserve the original intentions of the testator that were properly executed.

New York Surrogate’s Court reverses Tax Department penalty on QTIP Trust

Published on: January 23, 2019 | by Ettinger Law Firm

A New York Surrogate’s Court judge recently handed down a ruling striking down a substantial state Tax Department penalty levied against the surviving spouse who became the beneficiary of a qualified terminable interest property trust (QTIP) established by the deceased husband. The judge’s order could have further reaching implications for other QTIP trusts established under similar circumstances.

The ruling effectively reverses a $462,546 levied by the state Tax Department against because the QTIP trust was established in 2010 during a one-year suspension of the federal estate tax. Under the wording of New York state tax laws, the state could not levy taxes on a trust that the federal government itself could not. The case represents a special set of circumstances that other individuals in similar positions may be able to take advantage of in order to avoid paying costly taxes on their QTIP trust.

Ordinarily, a QTIP trust allows a tax deferral on an trust, not a tax avoidance, by allowing the assets of a deceased spouse to pass on to the surviving spouse without taxation. However, upon the passing of the second spouse, the QTIP assets and the second spouse’s estate are subject to inheritance taxes. In this case, the lawyers for the trust holders were savvy enough to argue that the way New York estate laws were written would allow QTIP trusts established in 2010 to be passed on without any tax.

IRS Issues Notice on ABLE Accounts

Published on: January 21, 2019 | by Ettinger Law Firm

The Internal Revenue Service recently issued a notice to people with disabilities who are employed that for the first time they can now deposit extra money into their ABLE accounts without losing Social Security, Medicaid, or other government benefits. Annual contributions to ABLE accounts are currently capped at $15,000 but under new legislation passed in late 2017 individuals with disabilities who are employed may now accrue at least some of their wages as well.

This year, Americans living in the lower 48 states may now deposit an additional $12,140 from their income which means workers with disabilities are allowed to save up to $27,140 in their ABLE account in 2018. Hawaii residents can save an additional $13,390 and Alaska residents can save an additional $15,180, according to the release put out by the IRS this month.

Additionally, the IRS has announced that workers with disabilities and an ABLE account may now qualify for a Saver’s Credit to help reduce their federal tax bill. Formerly known as the Retirement Savings Contributions Credit, the Saver’s Credit gives special tax breaks to low and moderate income taxpayers saving for retirement. The Saver’s Credit can be taken for contributions to a traditional or Roth IRA, a 401(k), SIMPLE IRA, SARSEP, 403(b), 501(c)(18) or governmental 457(b) plan.

IRS Sets Higher Estate and Gift Tax Limits for 2019

Published on: January 17, 2019 | by Ettinger Law Firm

The Internal Revenue Service (IRS) recently announced the official estate and gift tax limits for 2019 will increase over the previous year from $11.18 million in 2018 to $11.4 million in 2019 which means married couples can now leave up to $22.8 million in assets to heirs without paying taxes. While the estate and gift tax has increased over last year, the annual gift exclusion amount (the amount in gifts that may be given each year without tax) remains at $15,000 for individuals and $30,000 for couples.

Recent tax reform legislation has not only decreased corporate and income taxes but also greatly expanded the estate and gift tax threshold from previously long-standing levels. For many years, the estate and gift tax limits held firm at a base of $5 million per individual with adjustments for inflation but the 2017 tax reforms passed effectively doubled that until 2024 when the provisions expire. As a result, the number of estates subject to such federal taxes has fallen to less than 2,000 in 2018 from almost 5,000 in 2013.

In order for married couples to take advantage of the full $22.8 million in estate and gift tax exemptions, they will need to utilize a concept called portability. Essentially, this allows one spouse to leave his or her unused estate tax exemption to the surviving spouse and to do you must elect it on the estate tax return of the first spouse to die, even when no tax is due. If the portability option is not exercised, the surviving spouse may be left with a hefty federal tax bill.

Understanding the Law: What are the rules for Medicaid eligibility?

Published on: January 15, 2019 | by Ettinger Law Firm

With the skyrocketing costs of medical care and nursing homes, few people can afford to pay out of pocket costs to live in a long term care facility in their later years and most will eventually need to qualify for Medicaid to do so. Medicaid has essentially become the default funding source for for nursing home care and the long-term care insurance of the middle class in the United States.

Sources estimate that up to two-thirds of nursing home patients are covered by Medicaid, which was created to act as a safety net to the country’s poorest citizens. The definition of who qualifies as poor under Medicaid varies from state to state. In New York, individuals may only have up to $15,150 “countable assets” such as cash, stocks, bonds, investments, vacation homes, and savings and checking accounts to qualify for institutional or nursing home care. The spouse of the individual applying for Medicaid is allowed to have $123,600 in assets.

Certain assets are not counted towards these eligibility requirements. Some of the most important exemptions are the individual’s personal possessions like clothing and furniture, a single motor vehicle used for transportation, and the individual’s principal residence as long as he or she intends to return there at some point. For those over income an asset limits, New York does offer a variety of programs to help individuals qualify for Medicaid benefits.

Where Do I Start? Basics to Include in your Estate Plan

Published on: January 14, 2019 | by Ettinger Law Firm

Every single person, regardless of how large or modest they may feel their assets are, needs to have a well thought out estate plan that covers three very basic planning instruments that will serve your best interests. Those three planning instruments include a durable power of attorney, a health care proxy, and a last will and testament. Each of these will cover an important aspect of our lives and our family’s lives after we pass away and should be taken very seriously, regardless of what you believe your financial or lifestyle limitations may be.

First, your estate plan will need a durable power of attorney allows you to designate another person to manage your property and/or finances during your life in the event your are unable to do so for yourself. This authority should be vested in a trusted individual you can trust and be sure will act solely in your best interest should the time come that you will need to rely on another for some type of guardianship.

Next you will need to create a health care proxy, which is essentially a form of a power of attorney that deals solely with health care decisions. This durable power of attorney allows you to appoint another person to direct your medical care and make important end of life decisions should you be incapacitated. In New York, this health care proxy should will need a medical directive (also known as an advance directive) providing guidance to your health care agent.

Yes, You Need One: Reasons for A Last will and Testament

Published on: January 11, 2019 | by Ettinger Law Firm

Having a last will and testament is something that every single person needs to have, regardless of how substantial or modest they feel their estate may be. This because a last will and testament does much more than spell out who receives what part of an estate. A last will and testament can and should go on to set out contingencies for many practical scenarios and life events that the average person can find himself or herself in.

First and foremost, a last will and testament allows individuals to direct portions of their estate to whomever they choose. When individuals pass away without a will it is known as intestacy and will be distributed according to the laws of the state where that person resides. Generally, this means that the deceased’s property will be distributed among his or her immediate family, regardless of what his or her final wishes would have been.

Once a person passes away, his or her estate will generally need to pass through probate court, known in New York as Surrogate’s Court. Without a last will and testament, this process can be more costly and time consuming than if the deceased had clearly expressed to the court his or her final wishes on how to divide the estate in question.

Overcoming Excuses for Not Having an Estate Plan

Published on: January 10, 2019 | by Ettinger Law Firm

Creating an estate plan is an important process every single person needs to undertake in his or her lifetime to ensure their final wishes are carried out and estate assets are distributed properly upon death. Despite this importance, many ordinary people still make excuses with one reason or another why they do not need an estate plan, last will and testament, or set up a health care directive.

One of the most common excuses people make for not having an estate plan is thinking that their estate is simply too small or they do not have assets that warrant that level of planning. Even if your estate is modest, you still need to create a living will or health care directive to help loved ones make health and financial decisions on your behalf in the instance you may be left incapacitated or otherwise unable to act for yourself.

Another common excuse is believing that having joint ownership of bank accounts with children is a proper mechanism to transfer wealth to upon passing away. The reality is that unless you are only leaving behind a single child, it is nearly impossible to separate accounts for more than one child equal. This can become even more difficult if you find yourself suddenly incapacitated or unable to manage these accounts yourself.