Lawyers With Purpose

Building a Firm that Roars in the 2020's: The Future is Now at TAPER Orlando

 

The new decade will be a time of extraordinary change characterized by challenges to embrace and opportunities to seize.

We’ll see demographic changes, with baby boomers continuing to enter retirement and increasing numbers of elders requiring expensive long-term care.

Technology and AI will continue to advance at a startling rate. More employees will work from home (or expect to have the option to do so). The LegalZooms of the world will increasingly threaten those of us who practice highly personal, customized planning.

Laws governing Medicaid, asset protection, taxation, and more will change as well.

Dramatic change is inevitable. The question is, will you address it reactively or proactively? Will you triumph over the challenges and turn them into opportunities?

Since its inception, LWP has been at the forefront of innovation. Dave Zumpano is a pioneer in the creation and evolution of Medicaid planning and Elder Law. His iPug Trust was and continues to be one of the industry’s most powerful asset protection tools. Dave’s firm, the Estate Planning Law Center, serves as the model for how a profitable estate planning and elder law firm should operate. LWP’s cutting-edge software, tools, systems, and processes are utilized by successful law firms all across the country.

At TAPER Orlando, Dave will share his vision for the profitable practice of law in the new decade. His Keynote address will be followed by some of the most transformative breakout sessions we’ve ever hosted. There will be sessions about adding Alzheimer’s planning to your firm; the SECURE Act; a three-part series on the TLC Estate Planning Process; budgeting; ActionStep financial reporting; marketing; VA benefits; and more.

You’ll leave Orlando with a detailed road map of how to get where you want to be in 12 months, three years from now, and at decade’s end 10 years from now.

In short, we’ll be providing you with the hands-on training, tools, systems, processes, and strategies you need to address the coming changes proactively—and, to create a firm that roars in the twenty-twenties.

We can’t wait to see you in Orlando!

Introducing June 2019 Member of the Month, Jenny Rivard

Located in Manchester, New Hampshire and serving all of New Hampshire and Massachusetts, American Wealth Protection has been an LWP member since the fall of 2017.  Owner and Founder Jenny Rivard began her legal career at just 14 years old when she worked typing documents and answering phones for the estate planning law firm where her mother worked.  After several years at that firm, she knew that she wanted to become an estate planning and elder law attorney.  She avidly pursued her career, obtaining her undergraduate degree in just 3 years, and in 2009, became the second youngest person to have passed the bar in the state of New Hampshire.  After a brief stint at another firm, she created her own a year later, and went on to innovate by being the only firm in her market to include financial planning among her firm’s offerings, providing seamless service to her clients.  Today, Jenny and her husband, Patrick, who is also an attorney and plays a key business development role at AWP, are focused not only on growing their business but also parenting their four beautiful children.

LWP sat down with Jenny Rivard to talk about her firm and the changes it’s experienced since becoming a member. 

What brought you to LWP? 

About six years ago, I had a client who came to see me because she needed a plan.  She had Alzheimers and could no longer do math, but prior to this, she had been a physicist!  We prepared all the standard documents, but she needed more.  “Who will help with the day-to-day things, like bathing?  What checkbook should my son use when he needs to take over the finances?” were among her many concerns.  I realized that despite having a lot of tools, in order to provide a real plan, I needed more.  I decided to get involved with Medicaid planning, and when I searched online for training, I found LWP. 

I knew I needed the Medicaid software, so I attended Practice With Purpose, and I joined LWP right then.  I’ve been a platinum member for two years. 

How tightly do you follow LWP’s systems and processes?

My firm definitely speaks the LWP language, but we’re a unique firm, so despite my strong inclination to want to follow the systems as strictly as possible and not change the workflows, I realized that my firm simply didn’t fit perfectly in the category.  We wanted one system that could handle all of the services we offer, including financial planning and insurance, while keeping all the notes for every file together.  There are confidentiality issues that get quite complex with that, so, we’ve had to adapt LWP’s systems to fit. 

What is the greatest success you’ve had since you fully engaged with LWP?

We’re on the brink of doubling our revenue within about a year to 18 months, but even so, I’d say that the biggest success was being able to see the 10,000-foot view so we could see what was to come next.  Before LWP, I’d done pretty well on my own, but I was working in the business.  Since joining LWP, we’ve gone from being a one-person to a five-person firm.  That was due to the coaching—the ability to get to the next steps that I couldn’t have achieved on my own.  Hands down, for me, the most valuable part of LWP has been the coaching with Mandy and Candace.  They help us stay focused and spent a good deal of time helping us tweak the software to fit our model.

To what, specifically, do you attribute your revenue growth?

It’s the coaching…more so than anything else.  I was too “in it” to see the 10,000-foot view of what was to come next.  My LWP coaches got me out of that.  I don’t think I would’ve gotten to this place without that coaching.

What do you believe sets American Wealth Protection apart from your competition?

Our unique model sets us apart.  It’s the fact that we have the financial advisors on staff, and we do both legal and financial seminars.  While we do have clients that have their own advisors, often times, they’re in separate buildings and not always on the same page in regard to the client’s needs.  Our model offers a more integrated approach.  Also, our approach to financial planning is to plan for the worst-case scenario.  We assume the highest inflation and taxes, and from that, we figure out how long our clients’ income will last.  Once that scenario has been created, we see what’s left to protect, which takes us into estate planning.  I think our model is pretty unique right now, but people will probably migrate to it over time.  A lot of attorneys think they need to bring someone in house, but in my case, I had both the legal and the financial planning licenses. 

What is your marketing model?

I have over 2,000 clients I’ve gathered in the last 9 years, so we get a lot of client referrals.  Other than that, there are a few referrals from other places, and of course, we do the workshops.  We would like to start more traditional advertising, but we’re not doing it yet.  For now, we’re continuing to work on our infrastructure.

Do you attend LWP’s TAPER events, and if so, what wowed you there?

We attend one TAPER per year, and the IMQ (In Marriage QDRO^®) presentation was amazing.  But, our firm’s TAPER “aha” moment is really just that it keeps us centered and moving in the same direction, and we really need that by October of each year.

What is your favorite LWP tool?  It’s a tie between the dashboard and the Medicaid software.  The dashboard is an easy way to see what happened all month—what we should have earned vs. what we actually collected.

What kinds of changes, if any, are you currently seeing in your market?

In our market, we’re seeing a trend among widows whose husbands had handled the finances.  They’ve suddenly found themselves in a situation in which they don’t know who to call.  There’s an unmet need there. 

FUN FACTS:

Share something about yourself that most people don’t know about you.

I’m a “little old lady at heart.”  I really enjoy crossword puzzles and jigsaw puzzles.  I grew up on a farm, so now I can my own vegetables, and I love all kinds of outdoor activities, like fishing.

What is your favorite book, and how did it impact your life?

I love to read.  The book that taught me how to adapt my personality to that of the person with whom I’m speaking so we’re connected was Jeffrey Fox’s Rainmaker.  It has nothing to with law at all.  It’s super small, easy read, and the reason I could bring in business.  I found it when I was starting my own firm and googling every sales book I could to try to figure things out.

 

 

Patient Eviction - A Growing Problem Across the Country

 

Have you received the call from an old client’s family?  I certainly have. Dad is acting out.  Dad is hard to handle.  Daughter needs to sit with Dad all day or they cannot handle him.  We complained about Dad’s care, and now they want us to come get him.  Dad needs to be sent to the hospital for evaluation and they cannot hold his bed.  The stories are always different, but the end is the same.  The nursing home wants to discharge a difficult patient and get an “easier” patient in the bed. 

 

 

This is a growing problem in our country.  Between 2000 and 2014, national Ombudsman programs report that eviction complaints are up 57 percent, despite the number of nursing home patients being slightly down.  And the correlation between the growth of dementia and the eviction of patients seems clear.  On May 8, the Associated Press released a wonderful article titled, “Nursing homes turn to eviction to drop difficult patients,” and it is a must read. 

 

Certainly every nursing home in the country has read and comprehended the 1987 Nursing Home Bill of Rights.  Medicare requires that every nursing home give a copy of these rights to every patient.  Yet the calls continue to come in from desperate family members.  So what are we to do when clients’ families call, desperate to stop a loved one from being unnecessarily discharged to the hospital or to the care of an ill-equipped loved one? 

 

First, along with the federal laws, we must also be informed about our state initiatives.  Many states have OBRA 87 as a springboard to add additional protections for patients.  California forbids the discharge of patients as they switch from private pay to MediCal and will not allow a third-party payment method as a requirement for admission.  In Wisconsin, patients must be given a 30-day written notice for discharge and have their appeal rights explained.  In Illinois, patients have the right to be involved in all aspects of their care and to use whatever medical doctors they choose for their care.  In Alabama, no patient may be discharged without a written discharge plan presented to the patient sponsor.  

 

Certainly, knowing our state discharge procedures, appellate rights and care requirements is essential to us as elder care attorneys.  Our understanding of patient rights and legal protections, along with a phone call to a facility, can often go further than anything a family can do.  Forming a friendly relationship with the local ombudsman’s office can also be a great tool in your elder care tool belt.  As elder care attorneys, our ethical duties often extend beyond the words on our retainers, and I am proud that we, as LWP attorneys, take those duties to heart by making sure our clients’ rights are protected when they need us the most.   

 

If you want to learn more about becoming a Lawyers With Purpose member give us a little information about yourself. You will then be able to download the Membership Brochure and learn more about our membership benefit options.

 

Kimberly Brannon, Legal-Technical & Software Trainer, Lawyers With Purpose

 

Maximizing Your Legal Technical Training

As those of you who have joined in on our weekly live case study review during the last few weeks are aware, Lawyers with Purpose is getting ready for some exciting changes in our legal technical training.  Over the past several months, as my calendar has been freed up to provide one-on-one legal training and file reviews with members, case-specific questions for the Live Case Study review have slowly faded. As such, we are restructuring the Monday afternoon hour to continue to provide members with the most efficient use of your time and the time of your staff.

 

 

Moving forward, while we will continue to address all questions that are submitted by 5 p.m. Friday on the following Monday, we will be using a large portion of the legal technical hour as an in-depth study of the Lawyers with Purpose system and the many uses of the LWP Client Centered Software.

 

We will be discussing the four layers of planning, and we will go through the documents used in these plans in the LWPCCS as we learn. In the first layer, estate planning, we will talk about the Power of Attorney, Health Care Directive, Will and Revocable Living Trust. We will discuss what makes these documents client-centered and what features of the software you can use to achieve

various client goals. In the second layer, asset protection planning, we will discuss the legal distinction of what known creditors and predators are, along with the many client-centered features of the IPUG trust, family trust and other irrevocable trusts that the LWPCCS offers in the asset protection realm.

 

It is in the third layer that we will focus most of our studies. In the special needs and benefits planning layer, we will review the general rules of Medicaid, VA pension and SSI. We will then focus on the many planning tools available in the IPUG, MIT, FIT and KIT, the special needs trust and the other irrevocable trusts available in the LWPCCS for creating a successful plan that provides the highest level of planning that most of our clients require. We will focus on powers of appointment, trust protectors, disability panels and all of the other options the software provides to make these plans highly client-centered and extremely effective at the same time. And finally, we will discuss the fourth layer, tax planning. We will address how to create various tax shelters, ILITs and other plans designed to shelter the assets of our wealthier clients. 

 

As we move through this series, I will send weekly emails to the Listserv letting you know where we are in our studies. We will treat the call as a live classroom and will have time for questions each day on the topics discussed. The legal technical hour is for MEMBERS ONLY on Monday afternoons at 4 p.m. Eastern.  I encourage you to register and for your entire staff to listen. 

 

I am confident that the drafting techniques and legal lessons will be a great benefit to your entire firm, and an hour well-spent. I am excited to continue to move forward as the most client-focused group of elder law attorneys in the country.  If you are not a Lawyers With Purpose member and want to know more about joining our community, contact Molly Hall at [email protected].

 

Kimberly Brannon, Legal-Technical Trainer - Lawyers With Purpose

 

Avoiding The Five Major Threats To IRA's: Part 4

As I have been discussing there are five threats to qualified accounts that most people don’t typically consider when doing estate planning.  The five major threats to qualified plans are unexpected loss to income taxes, excise taxes, long-term care costs (all covered previously), estate taxes (today’s topic) and to beneficiaries and/or their creditors.  As we’ve previously outlined, the threats of incomes taxes and excise taxes can easily be avoided if planned for, and the threat to long-term care costs can be planned for with the least risk by completing an IRA analysis to determine if an IRA should be liquidated or annuitized when the IRA owner becomes subject to long term care costs.  When it comes to protecting qualified accounts from estate tax, it is more challenging. 

If an individual dies with assets greater than $5,340,000.00 their estate is subject to a forty percent estate tax.  When this occurs, the IRA (or other qualified asset) can be subject to more than seventy five percent in total taxes.  How?  Well assuming a $1 million IRA is part of a $7 million estate, the IRA will be subject to estate tax of forty percent ($400,000.00) and upon the liquidation of the IRA by the beneficiaries it could be taxed at a rate of up to thirty nine point six percent (39.6%), which results in an additional $396,000.00 in income tax if the beneficiary is in the highest income tax bracket.  To add insult to injury, there is no deduction on the value of the estate tax return for the income tax due on the IRA.  As if federal taxes were not enough, there can be state income taxes dues when the IRA is liquidated to pay the federal estate tax. It gets even worse if you live in a state that has an estate tax.  A state estate tax is yet one more tax on top of the federal estate and income taxes, and state income taxes. Most states estate taxes are up to an additional sixteen percent.  And so the question becomes, how do you protect qualified accounts from estate tax liabilities?

The answer is you really can’t, without first liquidating the IRA and paying the income tax (other than an annual $100,000.00 gift allowed to charity).  So in order to protect IRA’s from federal and state estate taxes requires the reduction of a client’s non IRA estate during lifetime so the total estate evaluation does not exceed the estate tax limits.  One strategy to do this is annual gifting, which can be effective, but often requires a significant number of beneficiaries to distribute the annual growth on an estate of that size.  For example, if an individual had a $7 million estate and it grew at three percent the individual would have to give away $210,000.00 per year just to keep the estate from growing.  That would require fifteen beneficiaries to distribute $14,000.00 to or eight beneficiaries if the client is married. 

Another strategy to reduce estate taxes is to give away money to charity.  An individual can have the ability to benefit charities and their family by use of various strategies which is outside the scope of this writing.  A third way to reduce estate taxes is by using legal strategies to discount the value of assets by use of various tax planning techniques.  Unfortunately none of these strategies work to reduce an IRA’s value other than outright gifting after withdrawal and the payment of income tax or use of the annual allowance for distributions from qualified account to charity.  In summary, subjecting qualified accounts to estate taxes is a significant burden to the tax payer which only can be minimized by ensuring their non-qualified estate is reduced and moving to a state without income tax can reduce the income tax burden.  Obviously qualified accounts are very appealing as they have tax referral advantages, but one must weigh the long term benefit of the difference with the tax cost upon receipt or death. 

If you want to learn more about what it's like to be a Lawyers With Purpose member, join our 3.5 day Practice With Purpose Program (you can find the agenda here).  We still have a few spots left so grab them now!  It's a jam packed 3.5 days that include all the essentials on Asset Protection, Medicaid & VA for your estate or elder law practice.

David J. Zumpano, Esq, CPA, Co-founder Lawyers With Purpose, Founder and Senior Partner of Estate Planning Law Center

Registration For LWP's Tri-Annual Practice Enhancement Retreat Is OPEN!

Molly here from Lawyers With Purpose.  Just a quick heads up that we’ve opened the doors to register for our Tri-Annual Practice Enhancement Retreat, happening June 1-5 in St. Louis, MO.

You won’t want to miss the opportunity to attend one the industry’s most in-depth training programs for Estate and Elder attorneys (and their teams!), focused on helping you:

• Freshen up on your legal/technical knowledge and discover new lucrative offerings to weave into your current business model;
• Stay up-to-date on changing laws and best practices that affect your business;
• Learn how to host consumer-focused presentations, effortlessly fill the room and master the art of “speaking to sell;”
• Implement guerilla marketing strategies for any budget that work right away to fill your calendar with high quality estate or elder law clients;
• Develop your legal team into efficient and productive staff members who come to the office each day excited to serve your clients with excellence, become your greatest evangelists in the community and love your practice as if it were their own.

It’s a weeklong event with many different trainings and focus sessions to choose from based on YOUR unique needs and the needs of your staff members.  Here’s just a little taste of some of the focus sessions and programs offered:

• Mastering The Business of Law -  A roadmap to increasing office efficiency and revenues.
• Adding Insurance Services To Your Law Practice
• Train the Trainers: Speaker School- Learn a more strategic way to give presentations that leaves audience members rushing to the podium after your talk to sign up to work with you!
• Legal/technical training, including: General Medicaid Laws & Rules, Penalty Period Scenarios, Crisis Planning, Debrief of VA Benefits, Trust Fundamentals, Design Strategy, Strategic Planning for Qualified Assets and more.
• Converting Prospects Into Paying Clients- Mastering Client Attraction and Retention, Enrollment with Initial Contact and Initial Meeting and Value Proposition Pair Practice.

Click here now and register today to make sure you reserve your spot!  The full agenda is now live for your viewing. 

This is your chance to learn from some of the most respected and successful leaders in estate and elder law. These are attorneys that have grown their practices to seven figures and beyond, are doing what you want to do and will openly show you their secrets and how to duplicate their success without costly learning curves or trying to sell you something. 

We promise you’ll be ready to hit the ground running with new strategies and plans for explosive growth your first week back in the office! 

Jump ahead now to view the full agenda and decide what portion of the program you’d like to attend… or again, consider joining us for the FULL week.

Have questions?  Just email me at [email protected] and let me know what’s on your mind.  I’m happy to personally jump on a call with you and walk you through your options.

Hope to see you in St. Louis!

Molly

Don’t wait: http://retreat.lawyerswithpurpose.com/

 

When It Comes To Medicaid, What Is The Break-even Point

The break-even point is the point at which it doesn’t matter whether the individual applies for Medicaid or continues to private pay.  Either way, the individual is going to pay the same amount. 

Let’s say that the minimum months to qualify is 20 months.  The break-even point is 40 months.  (60 minus 20).  If at any time the individual goes into the nursing home and applies for Medicaid prior to 40 months, you will “flip the switch” and apply for Medicaid.  The penalty period is 20 months, so the individual private will have to private pay for those 20 months.  If that was done in month 10, then the individual will pay the penalty until the 30^th month from the date of the funding of the iPug.  (10 months plus 20 months penalty = 30 months from funding).  The individual will begin to receive Medicaid benefits the 31^st month.  The individual does not have to wait until month 60 from the date of the funding to get their benefits in that scenario.

If the individual applies for Medicaid on the break-even point – month 40, they will still have a 20 month penalty, which will push them to 60 months from the funding date.  If they don’t apply for Medicaid in month 40, then the individual would have to private pay for those 20 months until month 60.  After which time, the individual will apply for Medicaid and Medicaid won’t see the transfer 61 months earlier.  Either way it costs the same; it doesn’t matter whether you apply for Medicaid or not.  (That said, know your local rules too - in Texas for example, there is a slight benefit for being on Medicaid and in the penalty period, so I would probably go ahead and apply at the break-even point for Texas residence).

Now, if the individual becomes ill in month 45 and goes to the nursing home and applies for Medicaid, then applying for Medicaid still triggers the 20 month penalty.  This will push the Medicaid eligibility out past the 60 months to month 65 (45 months from funding plus 20 months of penalty).  This is beyond the initial 60 months from funding, so you don’t want to apply for Medicaid after the break-even point.  If the individual makes it past the break-even point before they need a nursing home, they will private pay the nursing home cost until month 60.  After month 60 passes, the individual can apply for Medicaid and answer “no” to the question of have you given any money away in the last 60 months and avoid the 20 month penalty.

David J. Zumpano, Esq, CPA, Co-founder Lawyers With Purpose, Founder and Senior Partner of Estate Planning Law Center

What Is The MMMNA?

MMMNA means minimum monthly maintenance needs allowance.  MMMNA[1] is the minimum income that the community spouse (CS), or well spouse, gets to keep when the other spouse, the institutionalized spouse (IS), goes into the nursing home.  Medicaid law says that the income of the Medicaid applicant in excess of the limits must be used toward the cost of care. But if the applicant has a spouse, Medicaid, through the concept of the MMMNA, allows the CS to keep some or all of their income. 

Medicaid considers the gross income of the CS.  If the CS’s income is in excess of the MMMNA, then under the federal law, 25% of the CS’s income in excess of the MMMNA must be used for the IS’s cost of care. While New York is currently the only state that enforces that provision, we must be aware of the federal rules because it is probably only a matter of time before other states are assessing the 25%.

Now if the CS’s income is less than the MMMNA, then income from the applicant will be diverted to the CS to try to get the CS’s income up to the MMMNA.  If the CS’s income is still below the MMMNA, then assets needed to generate sufficient interest to fill the income up to the MMMNA are exempt. This is what we call the assets to income rule.

But there's a little more to it than that.  The federal law says there’s a minimum MMMNA and there’s a maximum MMMNA.  The states are allowed to set the MMMNA for the CS, but the federal government says the states can’t set a MMMNA below $1938.75 (we will call it $1,939 to keep the math easy) or above $2,931[2]. So your state’s MMMNA will be somewhere between those two numbers.

States vary in how they set the MMMNA.  About half of the states are what we call “max states.”  They set the MMMNA at the maximum end of the range and say that the CS can keep up to $2,931 in gross monthly income.  Other states are “range states.”  That is the MMMNA can fall somewhere between both the maximum and minimum range the feds allow for the MMMNA.  In a range state, if the CS's income is less than $1,939, then the CS can take the IS’s income up to that minimum amount of $1,939.  If the CS’s income was more than the minimum but less than the maximum, then income of the CS would be the MMMNA. 

Let’s consider some examples:

First, let’s say there is a CS who had $1,000 in monthly income. The applicant, the husband, was the predominant income earner, and the CS had $1,000 of income. In a max state, the law says the CS could keep the first $2,931, regardless of whom it came from.  So if the wife had $1,000 of income, she would be able to keep the first $1,931 of the income of the husband, who is in the nursing home. And if the husband didn’t have $1,931, then the assets to income rule would come into play. That means the law would say that, if the total income between the IS and the CS does not equal the MMMNA, then the CS can exempt additional assets needed to generate the income to get the CS up to the MMMNA. So again, if this is a max state, the threshold is $2,931. If the CS had $1,000 and the husband had $3,000 of income, the CS would be able to keep $1,931 of the applicant’s income.

In a range state, the CS is allowed to keep the minimum MMMNA, but if the income is below $1,939, then the CS gets to take income from the IS to get to the $1,939 limit.  For instance, if a CS’s income was $1,000, she could take $939 from the husband’s income. If she had income of $2,500, then her MMMNA would be $2,500 because her income is below the maximum and above the minimum MMMNA.  And if a CS earns more than the maximum MMMNA, then 25% of that amount in excess would have to be contributed toward the cost of care. Those are the federal rules. But remember, only New York currently applies the 25% rule. Most states allow the CS to keep any income in excess of the MMMNA.

REVIEW:

You should now be able to figure out the MMMNA for a few basic cases. So let's go through what the minimum and maximum would be, and what the MMMNA would be, in each of four scenarios.

Starting with scenario one and scenario two, the fact pattern is this:

• The husband has $3,000 a month of income.
• The wife has $1,000 a month of income.
• The MMMNA minimum is $1,939; the maximum is $2,931.

In scenario one, the husband is in a nursing home, so we know that the wife is the CS, and she has $1,000 in income. Plus, let’s say that in this scenario that are in a max state, which means that the CS is entitled to the maximum income - $2,931.

What does that mean? That means of the total income of $4,000 between the husband and wife, $1,069 will be contributed toward the cost of care each month.  If the husband goes into the nursing home, the wife gets her $1,000 of income plus she gets to keep $1,931 of the husband’s monthly income.  The balance of $1,069 ($4000 – $1000 - $1931=$1,069) would go toward the cost of his care. (We are setting aside the discussion of his personal needs allowance, but whatever it is in this state, the amount contributed to the cost of care would be reduced by the personal needs allowance.)

What if the wife went into a nursing home? What’s the MMMNA in that case? It is still $2,931, but now the husband is the CS, so he would be able to keep $2,931 and he would have to contribute 25% of the amount over $2,931. So his $3,000 minus $2,931 comes out to $69, and 25% of that would be $17.25. But remember, New York is the only state that currently requires spousal contribution for incomes above the MMMNA.  In all the other states the husband as CS would get to keep his total $3,000 in monthly income, and the cost of care would be $1,000, the wife’s income, less whatever the personal needs allowance is for the state.

Why? Because every other state allows the CS to keep whichever is greater, the MMMNA or the CS’s actual income. Again, that distinction is made because the federal Medicaid law does not require it or even allow it.  The states allow it. Remember, the federal government sets the laws on Medicaid, and the states can be less restrictive, but they cannot be more restrictive.  So in most states if the husband, who is the CS in this scenario, has $3,000 a month of income, they will allow him to keep 100% of his income. That’s why we have shown it here as $3,000, and all you would lose is the IS’s income of $1,000.

So how would this be different in a range state? With the husband going into the nursing home, the wife is now the CS, so the range state would allow her to keep the bottom of the range. She has $1,000 of income, but the MMMNA says the minimum is $1,939, so she gets to keep her income, plus $939 of his income. In this scenario she would get $1,939, and the remaining $2,061 of his income would be contributed toward the cost of his care (again less the personal needs allowance amount, which he would get to keep).

Income Allowance:

As has been alluded to, the IS is allowed a personal needs allowance, which ranges from $30 to $106.50, depending on the state. The applicant is also given an allowance to help pay for health insurance.  The theory is that Medicaid does not want to get stuck being the primary insurance payer, so in addition to your personal needs allowance, it allows the applicant money to pay for a health insurance premium so the applicant’s insurance company can be the insurance of first resort and Medicaid can be the backup.

To be clear, Medicaid only exempts the cost of health insurance for the IS, not the CS. So, only the IS gets the personal needs allowance and the health insurance allowance. The CS gets the MMMNA. In addition, about 25% of the states also have a housing and shelter allowance, and another 25% of the states have a heating and utility allowance. These allowances are a state specific issue, so be sure to check yours. The federal law does permit housing and shelter and heating and utility allowances, but not all the states do it. And it is for the CSs only, with the intent being to make sure that CSs have sufficient income to stay in their homes.

No matter what fact pattern you are looking at, the first thing you need to determine is whether you are looking at a max state or a range state, then follow the methodology shared in here. Next look at the income of both spouses and figure out which spouse is in the nursing home, and which spouse is in the community. Then you can calculate the MMMNA.  And in addition to the MMMNA, you will possibly have the housing and shelter allowance and the heating utility allowance, depending on the state.  Of course, if the applicant is not married, you don’t even have to worry about that MMMNA calculation. All of the income that a single applicant gets to keep is the personal needs allowance and the health insurance premium amount.

Did you know we are announcing NEW pricing, services & membership changes---Effective Monday, October 27^th

At LWP we are committed to innovation and continuous improvement. In an effort to augment our services and the value of our membership levels, LWP is excited to announce changes to our membership levels. All membership offerings were specifically designed to serve solo, small and medium sized firms based on their customized needs. Changes are applicable to all NEW memberships beginning Monday October 27^th.   If you are interested in learning more about joining the Lawyers with Purpose community, please contact [email protected] to schedule a 15 minute demo to see the upcoming Pricing, Services, & membership structures prior to October 27th!

Existing LWP member? Great NEWS, you’re grandfathered in! 

David J. Zumpano, Esq, CPA, Co-founder Lawyers With Purpose, Founder and Senior Partner of Estate Planning Law Center

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[1] MMMNA is usually pronounced “Triple M NA,” but others call it an “mmmmmmm –NA” 

[2] At least those are the amounts as of April 29, 2014. These numbers do change, so be sure to double check them.

Hidden Dangers of Medicaid Qualifying Annuities

Today, many elder law attorneys rely on Medicaid qualifying annuities to get their clients qualified to receive Medicaid benefits. They're also used when clients seek VA pension benefits.

While Medicaid qualifying annuities have become the default solution, they are not without risk. One challenge is that MQA's do not work well for single individuals. Second, even when used in married planning, there is no assurance the amount placed in the Medicaid qualifying annuity will actually be preserved. In fact, it could all be lost with the subsequent disability or death of the community spouse.

These are just some of the issues (not to mention the Veterans Administration's changing position on annuities when applying for veteran pension benefits) that we will be discussing at the Asset Protection, Medicaid and VA Practice With Purpose Program October 20-22^nd  in Phoenix, AZ.

National Asset Protection, Medicaid and VA experts and dozens of attorneys like you will be collaborating to identify the hidden risks in the different Medicaid and veterans' benefits strategies. This program promises to be the hands-on strategic solving many lawyers crave in their practice. Click here to get a full outline and to register for the program.

In these three days here is just some of what we will cover:

ASSET PROTECTION:

• Recent updates to asset protection and Medicaid compliant strategies.
• The new asset protection strategies dominating the marketplace.
• The death of DAPT'S, FLP'S, GRATS, GRUTS, and tax planning, and what's replaced them.
• The five essential trusts and key drafting needs to serve 99.7% of clients.
• The Power of Powers of Appointment, in the right places.
• Four "must have" drafting considerations and three "most forgotten" powers in trust.

MEDICAID:

• Four steps to Medicaid eligibility for any client.
• How to calculate the "breakeven" to ensure the proper filing date for the shortest penalty period.
• Medicaid Qualifying Annuities: Hidden risks and how to properly disclose them to clients or protect from them.
• The seven key factors to calculate any Medicaid case in seven minutes (or less!).
• IRA's: Exemption versus taxes, how to calculate if IRA's should be liquidated or exempted in Medicaid and VA cases.

VETERANS' BENEFITS:

• New fully developed claims process for veterans and widows.
• Qualifying assisted living facilities as UME's.
• Key language to complete the physician affidavit for more timely approvals.
• Update on three year look back for VA benefits.
• The key reports no longer required for VA applications.
• Dangers of annuities in VA benefits planning.
• The effects of the Supreme Court decision on DOMA related to veterans' benefits.

HERE'S WHAT YOUR PEERS HAD TO SAY ABOUT THE PROGRAM:

• "It will change your practice and your life!" --John Koenig
• "Great way to grow into a real firm and help one's community." --Antoinette Middleton
• "Go to the training session and consider and evaluate upgrading your delivery of services, for me it's modernizing what I can offer." --Wally Kelleman

Are you going to miss or attend the most important event of the year? Click here now to join some of your most successful colleagues and leave confident in the strategies you provide to your clients every day. 

David J. Zumpano, Esq, CPA, Co-founder Lawyers With Purpose, Founder and Senior Partner of Estate Planning Law Center

How Efficient Is Your Law Firm?

Tom was making the same colossal mental mistake most attorney practitioners make, thinking he was doing everything he could to eke out a respectable living.  He certainly was working hard enough.

Tom and his partner Richard started their practice together a few years ago.  They both thought they could earn a better living than working for their respective law firms.

It didn't take long for reality to set in. Their hours were longer and they earned far less per hour than they had when they had employers.

They hired an admin, Sally, about a year ago.  It definitely helped but there were still problems.

After Tom read the intro to the Revenue Focuser Workbook, he was definitely intrigued.

He coordinated two hours for himself, his partner, and their admin to watch the video and work through the workbook.

Tom and Richard thought about how much they really wanted to pay themselves every month.  Since they'd opened their doors, they had never been able to pay themselves that magic number.

They also recognized that, for some reason, their marketing efforts were unfocused and never attracted the right clientele. They could only help a small percentage of the prospects who called them.

Together the three identified their key revenue-generating services.  They added up the hours they spent delivering each service.

Tom and Richard also looked at the total hours they spent in the office each week.  They felt a knot in the pit of their stomachs when they discovered their office was operating at less than 20% of efficiency.  In fact, they barely operated at 19% efficiency.

Tom and Richard realized it was time to figure out how to retool their processes so they could handle their clients more efficiently; they also needed to determine how to attract the right clientele.

If you haven't worked through your Revenue Focuser, it could be the most important hour you spend.  When you decide it's time to eliminate the long hours and the feeling of being overwhelmed,take 1 hour and Complete the Lawyers With Purpose Revenue Focuser.

The income you want to earn and the ease you want to experience is within your reach.

If you have any questions about your Revenue Focuser results, send us your questions on the form on our contact page. Just send an email to [email protected].

And, if you're interested in learning more about Lawyers With Purpose, please click here and register today to attend our Practice With Purpose Program in Phoenix, AZ, October 20-22nd.  We'll see you then!

To your success,

Dave Zumpano 
Lawyers With Purpose