Boomers Need to Talk About Long-Term Care

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By Casey Quinlan

No one wants to talk about death, illness or divorce. Unfortunately, you may have to raise some unpleasant issues when you speak with family members over the holidays if you want to ensure a successful retirement. Family issues are just about the only thing investors don't plan for, and it could hurt them in retirement, a new Bank of America Merrill Lynch and Age Wave study shows.

The study, "Family and Retirement: The Elephant in the Room," conducted in August, surveyed more than 5,400 respondents and asked about family dynamics and long-term financial planning. The survey found that respondents were generous when it came to assisting family members but unrealistic in assessing some of their own needs later in life, especially long-term care.

In the survey, half of pre-retirees age 50 and older said they would make major financial sacrifices for family members, and 36 percent said they were willing to endure a less comfortable post-retirement lifestyle to aid family members. Baby boomers, also known as the "sandwich generation," are in a tough spot, with one in five parents seeing their children return home to live with them as they also attempt to care for their own aging parents. Those boomers surveyed said they would not be prepared if an aging parent or older relative needed long-term care.

But what about the boomers' own long-term care? The majority don't think they'll need it, with only 37 percent of survey respondents age 50 and older saying they may need long-term care in their lifetime. %VIRTUAL-article-sponsoredlinks%But according to 2013 U.S. Department of Health and Human Services data, 70 percent of retirees will eventually require it.

That's a big problem, according to Matt Curfman, senior vice president of Richmond Brothers, a money management firm. He says his clients in Jackson, Miss., may spend anywhere from $2,000 to $7,000 a month on long-term care. Paying for such care is an even bigger concern when someone is married, as they have to worry about how much will be left for the healthy spouse to live on once the ill spouse passes.

One option is long-term care insurance, but Curfman doesn't advise it. "The average rise of health care costs compared with what a long-term care policy offers is not great. There is an average increase of 15 percent a year and even if it's a great policy, there could be an inflation cap of 3 to 5 percent."

Curfman suggests that people planning for long-term care also consider trying to use the death benefit in their life insurance policy while they're still living. "Life insurance is becoming more unique. Some policies allow access to the death benefit while alive," Curfman says.

If a person can't perform two activities of daily living -- feeding and clothing yourself, for instance -- he or she can talk to a doctor, have the doctor write a note explaining their inability to succeed at those tasks and receive substantial access to the death benefit, Curfman explains. You can also receive an accelerated death benefit if you are terminally ill or have a life-threatening diagnosis such as AIDS, according to the U.S. Department of Health and Human Services. There are also hybrid life insurance policies that allow chronic illness riders, which may be helpful to boomers in their 50s and 60s.

Curfman says some financial advisers are beginning to factor long-term care and assistance to family members into clients' financial plans. "I think what's happening is that a lot of advisers only deal with retirement planning through asset allocation, and that's shortsighted to help with those goals but not deal with long-term care issues. It's not so much that advisers are proactive, it's that these issues are being brought to them and now they're reacting."

David Tyrie, head of retirement and personal wealth solutions for Bank of America Merrill Lynch, says the study makes it apparent that people are not having real discussions about their financial needs in retirement or how family issues complicate those goals. According to the survey, as much as 70 percent of adult children age 25 and older haven't discussed important financial issues with their parents, such as their parents' retirement, possible illnesses or anything related to aging. The survey also shows that more than half of parents age 50 or older haven't discussed inheritance, a will or where they want to live in retirement with their adult children.

"It's very clear people are not talking about this. People are only reactive, doing this after an illness or death of a family member. But there is fear of conflict or what might happen as a result," Tyrie says.

If families don't discuss important financial issues, debt could easily spiral out of control. Curfman gave the example of a couple he worked with who did everything right to plan for their retirement -- only they didn't account for the financial help they would need to give their children and parents.

"They eventually had $100,000 in debt. They were embarrassed, but they weren't blowing money. They were helping out with kids and parents. They were two years away from retirement and did the planning, but didn't have a plan when it came to the parents and kids," Curfman says.


More from U.S. News:

Boomers Need to Talk About Long-Term Care
Where you live can have a huge impact on your tax bill in ways that may surprise you. Some states are more tax-friendly for retirees than others -- particularly if you are living on a fixed income -- can have a big impact on how much you have left over to spend.

Click through our gallery to see which states qualify as "heaven" and which are "hell" for income tax, pension, social security benefits, sales tax and property tax.

Read Kiplinger's Article


Next: States With No Income Tax
Don't assume that a state with no income tax qualifies as a tax haven. High sales and property taxes can more than offset the absence of an income tax.

7 States With No Income Tax
Alaska
Florida
Nevada
South Dakota
Texas
Washington
Wyoming
(N.H. and Tenn. tax only dividend & interest income that exceeds certain limits.)
Next: Pensions - Tax Heavens
Only three states exempt virtually all retirement income (including public and private pension benefits, 401(k) and other retirement-plan distributions, and IRA withdrawals) from state income taxes.

3 Best States for Pensions
Illinois
Mississippi
Pennsylvania


Next: Pensions - Tax Hells
Five states are particularly tough on retirees. Not only do they fully tax most pensions and other retirement income, but most of them also have fairly high top tax brackets.

5 Toughest States for Pensions
California
Connecticut
Nebraska
Rhode Island
Vermont


Next: Social Security Benefits - Tax Heavens
36 states and the District of Columbia don't tax Social Security.

36 States That Are Heaven
Alabama, Alaska, Arizona, Arkansas, California, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Virginia, Washington, Wisconsin and Wyoming
Next: Social Security Benefits - Tax Hells
The remaining 14 states tax Social Security benefits to some extent.

14 Tax Hells
Colorado, Connecticut, Iowa, Kansas, Minnesota, Missouri, Montana, Nebraska, New Mexico, North Dakota, Rhode Island, Utah, Vermont and West Virginia. (Iowa will gradually phase out its Social Security tax by 2014, starting in 2008)


Next: Sales Taxes - Tax Heavens
These five states have no state sales taxes.

Top 5 States
Alaska
Delaware
Montana
New Hampshire
Oregon


Next: Sales Taxes - Tax Hells
These five states each have a state sales tax of 7%, the highest in the nation.

5 Worst States
Indiana
Mississippi
New Jersey
Rhode Island
Tennessee


Next: Property Taxes - Tax Heavens
Based on data from a 2006 Census Bureau survey and Tax Foundation calculations these are the five states with the lowest median real estate taxes.

5 Best States for Propert Taxes
Louisiana
Alabama
West Virginia
Mississippi
Arkansas


Next: Property Taxes - Tax Hells
At the other end of the spectrum, these five states have the highest median real estate taxes. (from highest to lowest according to 2006 Census Bureau survey and Tax Foundation)

5 Worst States
New Jersey
New Hampshire
Connecticut
New York
Massachusetts
Also: Retire on Time? Sure You Can

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