Attorney Maria Baler discusses Advance Directives, Living Wills and MOLSTs for our Smart Counsel for Lunch Series. What happens if you get sick and can’t make decisions for yourself? If you have questions please call us for a consultation at 781 461-1020.
Blog
The Impact of the SECURE Act and the CARES Act on retirement accounts
Attorney Suzanne Sayward discusses The Impact of the SECURE Act and the CARES Act on retirement accounts for our Smart Counsel for Lunch Series. Did you know that this year you don’t need to take the minimum distributions. If you have questions or want to learn more please call us at 781 461-1020.
Scheduling Your Appointment
Client Services Coordinator, Jennifer Poles discusses the firm’s scheduling process for our Smart Counsel for Lunch Series. Jennifer is usually the first person you will speak with when it comes to scheduling. If you have questions please call us and let us know at 781 461-1020.
Welcome to our Smart Counsel for Lunch Series
Attorney Suzanne Sayward introduces our new Smart Counsel for Lunch Series, where we will be talking about all things estate planning with short lunch time videos. If you have questions or want to learn more please call us at 781 461-1020.
Silver Linings! A Chance To Pause, Plan, And Act To Save Money On Long Term Care!

Despite the uncertainty, pain and loss associated with COVID-19 there are some opportunities that have emerged in the long-term care space as well. This ordeal is affecting us all – requiring that we slow down, re-evaluate our priorities, take care of ourselves, our families and friends, and importantly attack that closet that’s been exploding with junk! This is also a great time to re-evaluate financial and estate plans with respect to long-term care. If I or my loved one needs nursing home care or long-term care, assets will be consumed in no time. Can we do anything to prevent that?
The answer is yes, and this is the time to do it! Right in the middle of COVID-19, believe it or not, when the market is depressed.
Although it may not feel good now, we can actually take advantage of this decrease in the market by protecting assets from the cost of long-term care. How can we do this? By creating and funding an irrevocable trust now with “depressed assets” which are likely to increase in value when the market rebounds.
Let’s look at the numbers around long-term care in Massachusetts.
Nursing homes are expensive!
* According to a study conducted by Genworth in 2019, the monthly median cost of a semi-private room in Massachusetts was $12,473 and a private room was $13,212. So, roughly $150,000 per year on the low end!
* 52% of people over age 65 will require long term care/nursing home care
* 62% of all nursing home beds are paid for by Medicaid
What is the difference between Medicare and Medicaid?
In short, Medicare is the federal health insurance program designed principally for Americans age 65 years of age or older. Medicare Part A is hospital insurance that covers part of the cost of inpatient hospital care, hospice care and limited time in a skilled nursing home facility.
If you ask a Medicare attorney, What nursing home costs will Medicare cover? The short answer? Not a lot.
Medicare will cover 100% of the cost for the first 20 days you are in a nursing home IF, AND ONLY IF:
- You had a recent inpatient hospital stay of at least 3 days;
- You are admitted to a Medicare-certified nursing facility within 30 days of your hospital stay; and
- You need skilled care such as physical therapy or skilled nursing services.
If all three criteria are met, Medicare will pay 100% of the costs for the first 20 days of your stay in the nursing home. For days 21-100, you pay up to $170.50 per day and Medicare pays at least a portion of the balance. There are criteria that must be met and Medicare can end sooner than 100 days. After 100 days, you are fully responsible for the entire cost for each day that you remain in the facility.
Let’s talk about Medicaid now.
Medicaid is a federal public assistance program (MassHealth is the state program) for low income people. Medicaid/MassHealth pays for health care services for people with very low income or high medical bills relative to income and assets. Eligibility is based on income and assets.
In order to qualify for Medicaid/MassHealth as a single person, a single applicant can have no more than $2,000 in resources (this includes retirement accounts, stocks, bonds, CDs, life insurance policies with a cash value and bank accounts). Real estate that is your primary residence is exempt up to an equity value of $893,000 in 2020. Married couples can retain an additional $128,640 in assets (unless both spouses are in the nursing home).
So now what? What can we do? What’s the strategy?
Although it is not the right planning strategy for everyone, a long-term care planning strategy that is appropriate for some people to protect assets from having to be spent on long-term care costs is to create and fund an irrevocable trust. You and your long-term care attorney (and perhaps your financial advisor) will decide what assets and how much of those assets to transfer into this irrevocable trust, keeping in mind that once assets are transferred to an irrevocable trust, you cannot take them back or use those assets in any way that benefits you.
If you don’t apply for Medicaid/MassHealth for at least five (5) years after the date you transferred assets to the Trust, the entire value of the trust assets will not be included when MassHealth determines your financial eligibility (remember $2,000 for a single person and an additional $128,640 for a married couple), and will be protected for distribution to your family or intended beneficiaries following your death.
The silver lining in all of this Medicaid estate planning (and what makes this is a perfect time to implement some proactive planning) is that when the market rebounds, that gain or increase in value in your assets titled in your irrevocable trust is also protected from the cost of long term care if you apply for Medicaid/MassHealth.
So, while the stress of COVID-19 is difficult, it is also presenting a unique opportunity to capture some upside for your long-term care planning from this downturn in the market. Take advantage of this opportunity to protect your assets (or those of your loved ones), and proactively plan for the future. This will yield yet another silver living during this ongoing crisis – peace of mind and the knowledge that you will have taken a big step in protecting assets for your children, your spouse or other beneficiaries.
The Dedham firm of Samuel, Sayward & Baler LLC focuses on advising its clients in the areas of estate planning, estate settlement and elder law matters. This article is not intended to provide legal advice or create or imply an attorney-client relationship. No information contained herein is a substitute for a personal consultation with an attorney. For more information visit www.ssbllc.com or call 781/461-1020.
April, 2020
© 2020 Samuel, Sayward & Baler LLC
Resources for Challenging Times
From your Samuel Financial LLC Team
We hope you are staying safe and finding ways to make the best of your time at home during the COVID-19 public health emergency. Previously, we’ve sent an outline of the government stimulus programs to ensure you are aware of the financial help available to both individuals (unemployment, including for self-employed persons) and forgivable loans for companies (Paychecks Protection Program and others). The government’s programs also include waiving the Required Minimum Distributions from all individual and company retirement accounts and extensions of time to repay loans from company retirement plans, for just two more examples of the help available.
The government’s assistance programs are new and sometimes not clear enough. For example, many self-employed persons are not aware that they are now permitted to apply for unemployment and receive $600 per week, in addition to the amount paid by Massachusetts or other states of residence, for many weeks. If you have a question about whether you are eligible for government programs, we’d be happy to hear from you and help resolve your questions.
Courtesy of colleagues at Nationwide and our own staff, we are sharing some website resources that may help you stay well stocked, safe and maybe even entertained:
Grocery Delivery Services:
Wal-Mart Grocery Delivery https://grocery.walmart.com/
Amazon Prime Now Grocery Delivery https://primenow.amazon.com/
Food Delivery Services:
Uber Eats https://www.ubereats.com/
DoorDash https://www.doordash.com/
GrubHub https://www.grubhub.com/
Postmates https://postmates.com/
CDC’s Official Website for COVID-19 Updates:
https://www.cdc.gov/coronavirus/2019-ncov/index.html
Massachusetts’s Official Website for COVID-19 Updates:
https://www.mass.gov/resource/information-on-the-outbreak-of-coronavirus-disease-2019-covid-19
Nationwide Care Concierge for Annuity Contract Owners, Spouses, Children, Parents and Parents in Law
https://nationwidefinancial.com/resources/support/annuities/nationwide-care-concierge
https://members.healthadvocate.com/Home/Index
Tips for Working at Home:
https://www.npr.org/2020/03/15/815549926/8-tips-to-make-working-from-home-work-for-you
https://www.businessinsider.com/how-to-work-from-home-during-the-coronavirus-outbreak-2020-3
https://www.cbsnews.com/news/coronavirus-pandemic-tips-for-working-from-home/
Ideas and Free Educational Materials for Kids at Home:
Scholastic’s Free Learn at Home
https://classroommagazines.scholastic.com/support/learnathome.html
Khan Academy Free Learning
Crash Course YouTube Channel
Best wishes from Samuel Financial LLC
Steve Samuel, Chad Gutner, Nancy Mann, Kevin Cotton, Veronica Garzone, Sarah Newell and Stephanie Gallegos
Samuel Financial LLC is located at 858 Washington Street, Dedham, MA 02026 and can be reached at 781.461.6886. Securities and advisory services offered through Commonwealth Financial Network, member FINRA/SIPC, a registered investment adviser. Fixed Insurance products and services offered through CES Insurance Agency.
Start Your Spring Housecleaning With Some Estate Planning
While this period of quarantine is the perfect opportunity to clean out your attic, catch up on your Netflix queue, or get in shape, this is also the time to make sure you have the appropriate legal documents in place in the event that you are not able to make or communicate your health care decisions. These documents include a Health Care Proxy and HIPAA Authorization and many choose to also execute a Living Will
Health Care Proxy: A Health Care Proxy is the document by which you appoint a health care agent – the person who will make health care decisions for you if you are not able to make them for yourself. If you already have executed a Health Care Proxy, take a moment to locate it, ensure that the agent you named is still appropriate, and distribute copies (if you haven’t already) to your agent, your primary care doctor and perhaps your family members. Most of us usually have our cell phones close by so it’s a good idea to scan a copy of your health care proxy and save it on your phone.
We also recommend that you affix a copy of your Health Care Proxy, emergency contact information and health insurance information to the side of your refrigerator. EMTs are trained to look for emergency information there.
HIPAA Authorization: It is also important to execute a HIPAA Authorization. The Health Insurance Portability and Accountability Act (HIPAA) was enacted in 1996 to help ensure the privacy of your medical records. A HIPAA Authorization is a document that authorizes your health care agent and any family members or friends you list to talk to your medical professionals and view your medical records. Remember that once your teenager reaches age 18, they will need to execute a HIPAA Authorization authorizing you to speak with their doctors and view their medical records. The mere fact that you are mom/dad/guardian is not sufficient.
Living Will: Additionally, you may wish to sign a Living Will. While Living Wills are not legally binding in Massachusetts, they provide guidance to your doctors and health care agent about your wishes regarding end of life care in the event that you have a terminal condition or are in a persistent vegetative state.
Other practical suggestions during this time of Coronavirus:
If you have a family member sick at home and at risk of being hospitalized it’s a good idea to have an emergency bag packed, since visitors are not being allowed in to the hospital. Things to include in the bag: *
- Written UPDATED accurate list of medications: name, dose, frequency.
- Cell phone charger!
- List of emergency contacts and phone numbers on paper!
- Toothbrush, toothpaste and hair brush.
- Three pairs of underwear.
- Full name, phone number, office address of Primary Care Doctor.
- Book, magazine or something to read.
- Copy of legal paperwork such as Health Care Proxy, HIPAA Authorization and Living Will.
- If patient has a pacemaker or defibrillator, a copy of the pocket information card that states the brand, model number, MRI compatibility.
- If the patient has asthma or COPD, bring the inhalers. Hospitals are running out.
- Extra batteries for hearing aid or other medical devices.
These are uncertain times right now, but ensuring that your health care documents are up to date can provide some peace of mind for you and your loved ones. If you wish to create or update your health care proxy, please contact our office. We are working remotely but are able to speak with you over the phone or via Zoom and will meet you in the office parking lot to execute your documents. One silver lining in all of this – we are waiving the $400 fee we customarily charge our clients for initial estate planning meetings if you make an appointment in the month of April.
Please do not hesitate to reach out with any questions. We are happy to speak with you and to do what we can to ease your mind during this difficult time.
*With thanks and credit to Peter T. Clark Esquire of Mansfield, Massachusetts for compiling and sharing this great list!
The Dedham firm of Samuel, Sayward & Baler LLC which focuses on advising its clients in the areas of estate planning, estate settlement and elder law matters. This article is not intended to provide legal advice or create or imply an attorney-client relationship. No information contained herein is a substitute for a personal consultation with an attorney. For more information visit www.ssbllc.com or call 781/461-1020.
March, 2020
© 2020 Samuel, Sayward & Baler LLC
Five Answers to Your Estate Planning Questions in Uncertain Times from An Estate Planning Attorney
In light of the COVID-19 pandemic, many people have questions about what will happen if they get sick or pass away. As estate planners, these are questions we think about and answer every day. Our goal as estate planning attorneys is for everyone to have an updated estate plan that will ensure you and your family are taken care of in the event of illness or death. However, there are many folks for whom estate planning has not made it to the top of their To Do list. Here are five answers to many of the questions we are hearing (over the phone and online), and some steps you can take in the short run to give yourself some peace of mind.
- If I am hospitalized, who will decide what type of treatment I receive?
If you are able to make and communicate your own health care decisions, the doctors will look to you to make those decisions for yourself. If your illness is such that you are no longer able to make or communicate your own decisions, and if you have signed a Health Care Proxy, the doctor will look to the Health Care Agent you named in that document to make health care decisions for you.
Hopefully, if you are hospitalized, you already have a Health Care Proxy. If you do not have a Health Care Proxy, consider downloading, printing and completing the Massachusetts Health Care Proxy form here, and follow the instructions carefully. When the form is completed and signed, give a copy to your primary care physician and to each of your health care agents.
If you do not have a Health Care Proxy and your illness makes it impossible for you to create one, your family or the medical facility where you are resident may need to ask the Court to appoint a guardian for you. Your court appointed guardian would have the legal authority to make health care decisions on your behalf.
If you name a Health Care Agent in a Health Care Proxy, take the time to communicate your health care wishes to your Health Care Agent. There are many online tools available to facilitate these discussions. You can find a lot of good information and tools that will help you create a Health Care Proxy and discuss your health care wishes with your Health Care Agents on the Honoring Choices website. Additional tools can be found on the website of the American Bar Association’s Commission on Law and Aging. For discussions about end of life care, check out the Conversation Project.
- Who will make financial decisions for me if I can’t make them for myself?
Financial decision-making is an important part of our daily life. If you are unable to make these decisions yourself, you will need someone to pay your bills, file your income tax returns, manage your investments, sell or mortgage real estate, take distributions from your retirement accounts, and a variety of other things that arise on a daily basis. A Power of Attorney designates a person to handle financial matters on your behalf. The designee is called your attorney-in-fact. Many people name their spouse or an adult child as their attorney-in-fact. A so-called “durable” Power of Attorney permits action even after the person who created the document becomes incapacitated.
The law requires that the Power of Attorney specifically authorize the actions your attorney-in-fact may undertake on your behalf. For this reason, Powers of Attorney are typically drafted by an estate planning attorney who will tailor the powers granted to address your particular situation.
If you do not have a Power of Attorney and you become incapacitated, your family may petition the court to appoint a Conservator for you. A court-appointed conservator will have the legal authority to manage your financial affairs under court supervision.
- If I die and do not have a Will, what will happen to my assets?
If you pass away and have not signed a Will, the distribution of your assets depends on how your assets are owned, or whether a beneficiary has been designated to receive that asset at your death.
Assets that are jointly owned with another person (for example, your home that is owned jointly by you and your spouse) will (usually) pass automatically to the surviving joint owner.
Assets for which a beneficiary is designated (for example, your life insurance policies and retirement accounts) will be paid to the beneficiary you have designated to receive that asset at your death.
While joint ownership can seem like an easy way to ensure a person receives an asset at your death, keep in mind that adding a joint owner to an asset carries with it tax, ownership, liability and other implications, and should not be done before consulting with an attorney. Beneficiary designations are also best made in consultation with your estate planning attorney to ensure the designations do not disrupt the other provisions of your estate plan.
If you do not have a Will, for assets owned in your individual name without a joint owner or beneficiary, those assets will be distributed at your death according to the Massachusetts intestate laws.
If you are married, all of your assets will pass to your spouse if (a) you have no children or parents living, or (b) all of your children are also your spouse’s children, and your spouse has no children that are not your children.
If you are married and have no children, but you have parents living, your spouse will receive $200,000, plus three-quarters of the remaining assets, and your parents (or your surviving parent) will receive the rest.
If you are married and you have children who are also your spouse’s children, and either you or your spouse has a child who is not your spouse’s child, your spouse will receive $100,000, plus one-half of the remaining assets, and your children will receive the rest.
Without a Will, if you are not married, all of your assets will go to your descendants. If you have no descendants, all of your assets will go equally to your parents, or to your surviving parent. If you have no descendants or surviving parents, your assets will go to your siblings.
If a person is under the age of 18, any assets they inherit cannot be legally owned by them. The court will appoint a Conservator to manage those assets for the minor’s benefit until the minor reaches age 18, at which time the minor will receive ownership of the assets.
- What will happen to my minor children if I pass away?
If you don’t have a Will appointing a Guardian for your minor children, the court will appoint a Guardian who will have physical custody of your children, make decisions about where your children will live and go to school, their religious upbringing, and also make health care decisions for them.
If you have a Will, your Will will name the people you wish to be appointed as Guardian of your children. In all cases, the Court will determine who to appoint as Guardian based on what the Court determines is in the best interests of the child at the time.
Parents of minor children should also have a document that appoints a temporary guardian who will have authority to take temporary physical custody of a child until the permanent Guardian can be appointed by the Court.
If you have young children, consider creating a letter of instruction that provides important information about each child – the name and contact information for the child’s physician, allergies, other important medical information, food preferences, schedule, friends, activities, and other things you think someone should know if they had to care for your child unexpectedly.
- Where will my family begin if something happens to me?
One of the most important things you can do is get organized. Take the time to identify a place in your house where you keep important information and documents and let trusted family members know where that is. Consider a well-organized filing cabinet with clearly labeled folders and treat that as your estate planning repository. Include copies of your legal documents such as Wills, Trusts, Powers of Attorney and Health Care Proxies, as well as the contact information for your estate planning attorney, accountant and financial advisors. Also included should be recent account statements, life insurance and homeowner’s insurance policies, retirement account information, etc.
Compile and include a list of your assets (bank accounts, investment accounts, annuities, life insurance, retirement accounts, etc.) that includes the institution where each account is located, the account number, your contact person at that institution (if any) and their contact information. Also include a list of usernames and passwords for any important online accounts – financial, photo storage, email, social media, document storage accounts. Keep these lists updated and in the place where you keep other important papers so that they can be found.
If you have a safe deposit box, make sure at least one other trusted family member’s name is on the box so that they will have access after your death. This is especially important if your original Will or other estate plan documents are in the box.
A comprehensive estate plan drafted by an estate planning lawyer will address all of these issues – name guardians for your children, specify how your assets will be distributed at your death, designate decision-makers for financial and health care decisions if needed, and so much more. If you are concerned about not having legal documents in place, contact an estate planning attorney. Resist the urge to create these documents yourself. Whether on the back of a napkin or online at Legal Zoom, there is no substitute for the advice of an experienced attorney who will provide advice tailored to your particular family situation, your assets, and the tax and probate laws of your state of residence. If you are feeling concerned about the state of your estate plan, or lack thereof, give your local estate planning attorney, including our office, a call – we are here to help.
Maria Baler, Esq. is an estate planning lawyer and elder law attorney and partner at Samuel, Sayward & Baler LLC, a law firm based in Dedham. She is also a former director of the Massachusetts Chapter of the National Academy of Elder Law Attorneys (MassNAELA), and currently serves on the Board of Directors of the Massachusetts Forum of Estate Planning Attorneys. For more information, please visit www.ssbllc.com or call (781) 461-1020. This article is not intended to provide legal advice or create or imply an attorney-client relationship. No information contained herein is a substitute for a personal consultation with an attorney.
April 2020
© 2020 Samuel, Sayward & Baler LLC
Coronavirus Update & Remote Estate Planning
Dear Clients, Colleagues and Friends,
We hope this finds you all well and safe! As promised, we want to give you an update on our plans in light of Governor Baker’s emergency order of this morning.
We are and will continue to be “open” for business as we are well-equipped to work remotely, including meeting with clients by phone or video conference. However, in compliance with the Governor’s order, we closed our physical office beginning Tuesday, March 24 at noon until Monday, May 4th (assuming we are permitted to re-open at that time), which means we will not be able to physically meet with clients to sign documents during that time.
We want you to know that we are here to help you. You are welcome to reach out to any of us by phone or email at any time. If you would like to schedule a time to speak or video conference with us, please email Jennifer Poles (poles@ssbllc.com) or Lynne Abe (abe@ssbllc.com) or call the office at 781-461-1020.
In other news, Attorney Abigail Poole of our office has been involved with proposed legislation, supported by hundreds of attorneys statewide, to allow attorneys who are notaries to conduct meetings to sign documents in a virtual manner via video conference. Keep an eye out for information about how you can support this effort by contacting your legislators.
We will continue to keep you updated as the situation evolves, and continue to wish you and your family health and safety during these uncertain times.
Suzanne R. Sayward
Maria C. Baler
Julia K. Abbott
Abigail V. Poole
Three Things You Can Do Now
Dear Clients and Friends,
We hope this finds you all well and safe! We want to give you an update on our plans and assure you that we’re here for you. While we may need to close our physical office, please be assured that our team members are well-equipped to work from home and to attend to the important work we are doing for you. You are welcome to reach out to us by phone or email.
Over the past week, we have been thinking about how we can best serve our clients during this uncertain time. Here are three things we can do to help you now:
1. Provide Access to Your Health Care Documents Electronically Contact us if you would like us to send you or your health care agents your health care documents in electronic format. You and/or your named health care agents should store the documents on your smart phone so you have them on hand at all times. Here are our directions for doing so. Please contact Jennifer Poles at poles@ssbllc.com with the names and email addresses of the people to whom you would like us to send your health care documents.
2. Meet with you by Phone or Video Conference Contact us if you would like to schedule a phone or video conference to discuss your estate plan and any updates that may be necessary. We are offering flexible hours – early in the morning, during business hours, or in the evening – to allow you to have these calls at a time that is convenient for you.
3. Provide Answers to Your Long-Term Care Planning Questions Contact us if you have concerns about planning for long-term care needs for yourself or a loved one.
While the new realities of social distancing, sheltering in place, and self-quarantining are consuming our thoughts right now, the important issues addressed by estate planning are still there, and in fact, are more important than ever. We will get through this crisis. During this time and after, we want you to know that we are here to help you, so please don’t hesitate to reach out.
We wish you and your family health and safety during these uncertain times.
Suzanne R. Sayward
Maria C. Baler
Julia K. Abbott
Abigail V. Poole