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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.

What Documents are Needed in an Emergency?

Most people don’t have any idea where to start when it comes to their emergency documents.  This often keeps them from going anywhere near their estate planning. This is a big mistake, says a recent article, “3 tasks your family needs to complete to ease any anxiety over unexpected emergencies,” from MarketWatch.

Estate planning is not just about wealthy people putting assets into trusts to avoid paying taxes. Estate planning includes preparing for life as well as death. This includes a parent preparing for surgery, for instance, who needs to have the right documents in place so family members can make emergency medical or financial decisions on their behalf. Estate planning also means being prepared for the unexpected.

Power of Attorney. Everyone over age 18 should have a POA, so a trusted person can take over their financial decisions. The POA can be as specific or broad as desired and must follow the laws of the person’s state of residence.

Medical Directives. This includes a Medical Power of Attorney, HIPAA authorization and a Living Will. The Medical POA allows you to appoint an agent to make health care decisions on your behalf. A HIPAA authorization allows someone else to gain access to medical records—you need this so your agent can talk with all medical and health insurance personnel. A living will is used to convey your wishes concerning end of life care. It’s a serious document, and many people prefer to avoid it, which is a mistake.

All of these documents are part of an estate plan. They answer the hard questions in advance, rather than putting family members in the terrible situation of having to guess what a loved one wanted.

An estate plan includes a will, and it might also include a trust. The will covers the distribution of property upon death, names an executor to be in charge of the estate and, if there are minor children, is used to name a guardian who will raise them.

A list of important information is not required by law. However, it should be created when you are working on your estate plan. This includes the important contacts from doctors to CPAs and financial advisors. Even more helpful would be to include a complete health profile with dates of previous surgeries, current medications with dosage information and pharmacy information.

Don’t overlook information about your digital life. Names of financial institutions, account numbers, usernames and passwords are all needed if your agent needs to access funds. Do not place any of this information in your will, as you’ll be handing the keys to the vault to thieves. Create a separate document with this information and tell your agent where to find the information if they need it.

Reference: MarketWatch (Nov. 19, 2022) “3 tasks your family needs to complete to ease any anxiety over unexpected emergencies”

Why Do I Need a Will?

Perhaps getting hit by a cement truck is too blunt for some, but unexpected things happen all the time. An estate plan, including a will and other important documents, is good preparation, especially for caregivers of people with special needs. A recent article from Forbes titled “Where There is a Will, There is a Way” explains the steps everyone, especially caregivers, need to follow.

Creating a last will and testament

This is the foundation of an estate plan. Without a will, the court will distribute assets to children equally. If a disabled person receiving government benefits receives an inheritance, they will become ineligible and lose access to services. The court will also assign guardianship to minors or disabled individuals, if there is no will. A will, in tandem with proper estate planning, ensures protection for an individual with special needs, including naming a guardian of your choice.

Having a General Durable Power of Attorney for Finances

A POA allows you to name a person you trust to manage finances, real estate property, investments, or any aspect of your life, if you become incapacitated. A POA should be created for your needs, so you may decide in advance what you do and do not want your agent to be able to do for you.

Creating a Durable Power of Attorney for Healthcare

This important legal document, paired with a HIPAA release form, allows someone of your choice to take charge of your healthcare, talk with healthcare providers and make decisions based on your expressed wishes. You may name more than one person for this role but doing so could make it harder if the two people don’t agree on your care.

Naming a Guardian

This is a critical step if you are a caretaker for a person who will likely be unable to manage their own affairs, even after attaining legal age. By naming a guardian in your will, you can select the people who will be in charge of your special needs family member or minor children. Without a guardian named in your will, the courts will make this decision.

Drafting a “Letter of Intent”

A letter of intent is a guide with important information only you know. It is especially important for caretakers. Explaining in detail your disabled individual’s preferences can make a huge difference in the quality of their lives when you are no longer available. What are their likes and likes, what people do they enjoy spending time with and what foods do they prefer, etc. If your children are minors, this letter is an opportunity to describe your preferences for how they should be raised, including religious preferences, vocational choices and even nighttime rituals.

Providing Financial Security

If your family includes a loved one with Special Needs, you can protect their ability to have funds for things not covered by government benefits through a Special Needs Trust. Your estate planning attorney will create an SNT with a trustee and a secondary trustee to oversee the funds and ensure that they are used for qualified expenses.

Reference: Forbes (July 6, 2022) “Where There is a Will, There is a Way,”

caring for a loved one

Caring for a Loved One from a Distance

Trying to coordinate care from a distance becomes a challenge for many, especially since as many as 80% of caregivers are working. Add COVID-19 into the mix, and the situation becomes even more difficult, reports the article “When your parent is far away and you are trying to care for them” from the Pittsburgh Post-Gazette.

The starting point is to have the person you are caring for give you legal authorization to act on their behalf with a Power of Attorney for financial affairs and a Health Care Directive that gives you authority to receive health information under HIPAA (Health Insurance Portability and Accountability Act). It is HIPAA that addresses the use, disclosure and protection of sensitive patient information.

Next, have a conversation about their finances. Find out where all of their important documents are, including insurance policies (long-term care, health, life, auto, home), Social Security and Medicare cards. You’ll want to know where their tax documents are, which will provide you with information on retirement accounts, bank accounts and investments.

Gather up family documents, including birth, death, and marriage certificates. Make sure your loved one has completed their estate planning, including a last will and testament.

Put all of this information into a binder, so you have access to it easily.

Because you are far from your loved one, you may want to set up a care plan. What kind of care do they have in place right now, and what do you anticipate they may need in the near future? There should also be a contingency plan for emergencies, which seem to occur when they are least expected.

Find a geriatric care manager or a social worker who can do a needs assessment and help coordinate services, including shopping for groceries, medication administration and help with basic activities of daily living, including bathing, toileting, getting in and out of bed, eating and dressing.

If possible, develop a list of neighbors, friends or fellow worshippers who might create a local support system. If you are not able to visit with any degree of frequency, find a way to see your loved ones on a regular basis through video calls. It is impossible to accurately assess a person’s well-being, without being able to see them. In the past, dramatic changes weren’t revealed until family members made a trip. Today, you’ll be able to see your loved one using technology.

You may need to purchase a smartphone or a tablet, but it will be worth the investment. A medical alert system will provide further peace of mind for all concerned. Regular conference calls with caregivers and your loved one will keep everyone in touch.

Caring from a distance is difficult, but a well-thought out plan and preparing for all situations will make your loved one safer.

Reference: Pittsburgh Post-Gazette (Sep. 28, 2020) “When your parent is far away and you are trying to care for them”

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