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Guide to Incapacity Planning: Protecting Yourself and Your Estate

Incapacity planning is a crucial aspect of managing your estate and ensuring that your wishes are honored if you cannot make decisions for yourself. This article will examine the various components of incapacity planning, offering comprehensive advice for anyone looking to secure their future.

What Is Incapacity Planning?

Incapacity planning involves preparing legal documents and making decisions in advance should you become unable to manage your affairs due to illness, injury, or other reasons. This process ensures that your financial, health and personal preferences are respected and handled according to your wishes.

Understanding the Basics

Incapacity planning isn’t just for the elderly; unexpected life events can happen at any age. It’s about taking control of your future, regardless of what may happen. This planning includes choosing who will make decisions on your behalf and outlining your wishes for medical treatment and financial management.

The Importance of Early Planning

The best time to plan is now. Waiting until you’re incapacitated leaves your loved ones with difficult decisions and could lead to court involvement. Early planning ensures that your wishes are clear and legally documented.

What Is a Power of Attorney?

A Power of Attorney (POA) is a legal document allowing you to appoint someone to handle your affairs if you cannot. There are different types of POAs, each with specific functions.

Financial Power of Attorney

This document grants someone authority to manage your financial matters, from paying bills to handling investments. Choosing someone trustworthy and capable of managing your finances effectively is essential.

Medical Power of Attorney

Also known as a healthcare proxy, this allows someone to make medical decisions on your behalf. Discussing your wishes with this person is crucial, ensuring that they understand your preferences for medical treatment.

What Role Does a Trust Play in Incapacity Planning?

A trust is a legal arrangement where a trustee holds assets on behalf of a beneficiary. Trusts can be particularly useful in incapacity planning.

Revocable Living Trust

This type of trust allows you to maintain control over your assets while alive and capable. In the event of incapacity, a successor trustee can manage the trust assets according to your wishes.

Using Trusts to Avoid Guardianship

By setting up a trust, you can avoid needing a court-appointed guardian or conservator, since the trust’s instructions will guide how your assets are managed.

How Can I Ensure That My Medical Wishes are Respected?

Documenting your healthcare preferences is a vital part of incapacity planning. This ensures that your medical treatment aligns with your values and wishes.

Living Wills and Healthcare Directives

A living will or healthcare directive outlines your wishes for medical treatment, including end-of-life care. This can include specific instructions on issues, like life support and feeding tubes.

HIPAA Authorization

The federal Health Insurance Portability and Accountability Act (HIPAA), known as the Privacy Rule, gives individuals rights over their health information and sets rules and limits on who can look at and receive a person’s health information. A HIPAA authorization is a legal document that enables your healthcare providers to share your medical information with the individuals you’ve designated.

Healthcare Surrogate or Medical Agent

While the HIPAA authorization allows chosen individuals to receive or view your healthcare information, a healthcare surrogate or medical agent is an authorized individual who can make decisions for your medical care when you cannot.

What Happens If I don’t have an Incapacity Plan?

Without a plan, your family may face legal hurdles and difficult decisions. They may need to seek guardianship or conservatorship, which can be time-consuming, expensive, and stressful.

The Risk of Court Intervention

Without proper documents, a court may appoint someone to make decisions for you who might not align with your preferences. This can lead to family disputes and added emotional stress.

Ensuring Your Wishes are Followed

An effective incapacity plan helps avoid these issues, ensuring that your wishes are known and respected and that someone you trust makes decisions on your behalf.

How Do I Choose the Right People to Act on My Behalf?

Choosing the right individuals to make decisions for you is crucial. They should be people you trust, who understand your values and are willing to act in your best interests.

Selecting a Health Care Proxy

Your healthcare proxy appointee should understand your medical preferences and be willing to advocate on your behalf, even under challenging circumstances.

Choosing a Financial Proxy

Selecting someone with financial acumen and integrity is essential for managing your financial affairs. This person should be organized, responsible and understand your financial goals well.

Can Incapacity Planning Reduce Estate Taxes?

While incapacity planning primarily focuses on managing your affairs during life, it can also affect estate taxes. Proper planning can help manage your estate efficiently, potentially reducing tax liabilities.

Summary: Key Points to Remember

  • Start Early: Don’t wait until it’s too late to start planning.
  • Appoint Trusted Individuals: Choose people you trust to make decisions on your behalf.
  • Document Your Wishes: Clearly outline your healthcare and financial management preferences.
  • Consider a Trust: Trusts can provide a streamlined way to manage your assets if you become incapacitated.
  • Legal Advice: Consult an estate planning attorney to ensure that your plan meets your needs and complies with legal requirements.

Incapacity planning is not just about protecting your assets; it’s about ensuring your wishes are honored and providing peace of mind for you and your loved ones. With the right planning, you can safeguard your future, no matter what it holds.

Can I Protect My Elderly Parents?

Estate planning requires the ability to be realistic about current health and assets, while considering the inevitable changes to come. For adults with aging parents, having a well-thought out estate plan, regardless of the size of the estate, becomes more urgent as the time to use the documents draws closer. A recent article, “Accessing needs of aging parents,” from The News-Enterprise explains the steps adult children need to take to protect their parents.

There are four key factors to consider: medical needs, housing and care needs, finances and legal needs. All require candid, non-emotional assessments.

Start with medical, housing and care needs. Consider the next five years. Is it likely their medical condition may decline? How will their present home work, if they are unable to manage steps or need to sleep and toilet on the same level? If their home is not conducive for aging in place, will they consider moving to a better situation—or can they afford to make any changes?

Next, examine health and care needs. Do they have long-term care insurance or do they expect to apply for Medicaid? If one spouse will need memory care or one spouse dies, will the surviving spouse have the resources needed to remain in home and receive the care they need? An experienced estate planning attorney will be able to evaluate their financial situation with regard to becoming eligible for Medicaid, if this will be needed. There is a five-year look-back period for Medicaid, so advance action is necessary to protect assets.

Do they have any estate planning documents in place? Is there a will, and when was it prepared? Ask any estate planning attorney how many times seniors have told their children a will exists, only for the children to learn the will is forty years old, woefully out of date and declared invalid by the probate court. Deceased individuals may be listed as agents for Power of Attorney and Medical Power of Attorney. Funds left for heirs may no longer exist. Laws for power of attorney may not include required provisions as a result of changes to the law.

More complicated issues may exist. If appreciated real estate property has been deeded to loved ones to protect the property from nursing home costs, are the beneficiaries prepared to pay the resulting taxes? If deeded real estate property was intentionally left unrecorded, transferring property could become a legal quagmire.

The best solution is to have an experienced estate planning attorney meet with the parents, review any existing documents and prepare an updated set of documents to achieve the parent’s goals, protect them in case of medical emergencies and allow parents and children to gain the peace of mind of knowing they are ready for the future. This includes a will, power of attorney, health care power of attorney, HIPAA release, living will and, depending upon the situation, may also include trusts.

Reference: The Times-Enterprise (Nov. 5, 2022) “Accessing needs of aging parents”

Do I Need to Update My Estate Plan?

Given a choice, most people will opt to do almost anything rather than talk about death and life for others after they are gone. However, estate planning is essential to ensure that your life and life’s work will be cared for correctly after you’ve passed, advises the article “Is Your Estate Plan Up to Date?” from NASDAQ.com. If you own any assets, have a family, loved ones, pets or belongings you’d like to give to certain people or organizations, you need an estate plan.

Estate planning is not a set-it-and-forget it process. Every few years, your estate plan needs to be reviewed to be sure the information is accurate. Big life changes, from birth and death to marriage and divorce—and everything in between—usually also indicate it’s time for an update. Changes in tax laws also require adjustments to an estate plan, and this is something your estate planning attorney will keep you apprised of.

Reviewing and updating an estate plan is a straightforward process, once your estate planning attorney has created an initial plan. Keeping it updated protects your wishes and your loved ones’ futures. Here are some things to keep in mind when reviewing your estate plan:

Have you moved? Changes in residence require an update, since estate laws vary by state. You also should keep your advisors, including estate planning attorney, financial advisor and tax professional, informed about any changes of residence. You’d be surprised how many people move and neglect to inform their professional advisors.

Changes in tax law. The last five years have seen big changes in tax laws. Estate plans created years ago may no longer work as originally intended.

Power of Attorney documents. A Power of Attorney authorizes a person to act on your behalf to make business, personal, legal and financial decisions. If this document is old, or no longer complies with your state’s laws, it may not be accepted by banks, investment companies, etc. If the person you designed as your POA decades ago can’t or won’t serve, you need to choose another person. If you need to revoke a power of attorney, speak with your estate planning attorney to do this effectively.

Health Care Power of Attorney and HIPAA Releases. Laws concerning who may speak with treating physicians and health care providers have become increasingly restrictive. Even spouses do not have automatic rights when it comes to health care. You’ll also want to put your wishes about being resuscitated or placed on artificial life support in writing.

Do you have an updated last will and testament? Review all the details, from executor to guardian named for minor children, the allocation of assets and your estate tax costs.

What about a trust? If you have minor children, you need to ensure their financial future with a trust. Your estate planning attorney will know which type of trust is best for your situation.

A regular check-up for your estate plan helps avoid unnecessary expenses, delays and costs for your loved ones. Don’t delay taking care of this very important matter. You can then return to selecting a color for the nursery or planning your next exciting adventure. However, do this first.

Reference: NASDAQ.com (July 28, 2021) “Is Your Estate Plan Up to Date?”

Suggested Key Terms: Estate Planning Attorney, Minor Children, Guardian, Last Will and Testament, Executor, Power of Attorney, Health Care, POA, Assets, Trust, HIPAA Release

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