Long-Term Care Insurance 101
Get the facts about long-term care insurance in this short video.
Get the facts about long-term care insurance in this short video.
While it may have been an adventure, neither Tim nor his insurance professional Joe Grabar, CLU, CFP, took the change lightly. Since Tim no longer had benefits through the church, they put in place health insurance, increased his personal disability insurance coverage, and added long-term care insurance. Importantly, Tim also got a disability insurance overhead policy for the business.
Just six months later, on a Sunday afternoon, Tim found himself doubled over in pain. What he thought was a kidney stone was, in fact, an iliac aneurism, which caused him to suffer two strokes. Doctors operated, but said he only had a 5 percent chance of survival. Tim beat those odds, reviving from a coma after three weeks and eventually moving on to rehab.
While Tim has been away from his fledgling business, it continues on in his absence because of the planning he and Joe had done. The disability insurance overhead policy helps the business meet payroll and pay vendors, while assuring customers that the business will go on. Tim’s personal disability policy replaces a portion of his salary, which helps pay for the family’s everyday expenses, such as the mortgage and groceries. The long-term care policy is there to pick up where health insurance leaves off, when it comes to rehab and other care expenses.
Tim is doing better each day, and plans on going back to work at his company in the near future. “I’m so thankful I had these policies in place,” says Tim. “Without this planning, I’m not sure where my family would be financially, or if my business would even still be alive today.”
Felipe and Lissete Montes de Oca started dating while they were young, but they already had grown-up priorities. Even before getting married, the couple saved diligently to purchase a house, a dream for these children of Cuban immigrants.
That dream was realized when they got the keys to their first home just as they started their lives together. That’s when Pedro J. Busse, an insurance professional, helped them get life insurance. He emphasized the importance of covering their mortgage should something happen to one of them.
As Lissete advanced in her accounting career, Felipe took his love for home renovation and construction and turned it into a profitable business. Their dream was to provide a better future for their sons, Felipe, Jr. and Lucas, as the couple had both come from humble beginnings. As their family and income grew, Pedro helped the couple increase their life insurance and get long-term care insurance.
Their lives took a detour, however, when Felipe learned that the fatigue he was feeling was not due to overwork; instead doctors diagnosed him with leukemia. Aggressive treatments made it impossible for Felipe to work, but because of his long-term care policy, they didn’t need to use their retirement savings to pay for his care. Felipe also didn’t worry about paying for his life insurance coverage because each of his policies had a rider that waived his premiums in the event of a disability. After a three-year battle, Felipe finally succumbed to the disease. He was 47.
More than 700 people came to Felipe’s funeral. His love of life had touched so many in his community. His family, however, was at the center of that love. The life insurance ensured they would be OK financially and that his boys could attend college. “Life insurance is something you pay for, but never expect to use,” says Lissete. “But here I am, and I can’t imagine not having this support to help me through.”
Felipe y Lissete Montes de Oca comenzaron a salir cuando eran jóvenes, pero ya tenían prioridades de personas adultas. Aún antes de casarse, la pareja había ahorrado con esmero para comprar una casa, un sueño para estos hijos de inmigrantes cubanos.
Ese sueño se hizo realidad cuando recibieron las llaves de su primera casa, apenas empezaban a compartir su vida juntos. Allí fue cuando Pedro J. Busse, profesional de seguros, les ayudó a obtener un seguro de vida. Pedro puso énfasis en la importancia de cubrir su hipoteca por si le ocurría algo a alguno de ellos.
A medida que Lissete avanzaba en su carrera, Felipe convirtió su amor por la construcción y renovación de viviendas en un negocio rentable. Su sueño era dar un mejor futuro a sus hijos, Felipe Jr. y Lucas. A medida que la familia y los ingresos crecían, Pedro ayudó a la pareja a aumentar su seguro de vida y a conseguir una póliza de atención a largo plazo.
En 2007, sus vidas cambiaron cuando Felipe supo que la fatiga que sentía no se debía al trabajo en exceso, sino que los médicos le diagnosticaron leucemia. Los agresivos tratamientos hicieron que a Felipe le resultara imposible trabajar, pero gracias a su póliza de atención a largo plazo, no tuvieron que utilizar sus ahorros de retiro. Felipe tampoco tuvo que preocuparse por pagar su cobertura de seguro de vida, porque sus pólizas contenían una cláusula de exención de pago en caso de discapacidad. Después de tres años, Felipe finalmente fue vencido por la enfermedad. Tenía 47 años.
Más de 700 personas asistieron al funeral. Su amor por la vida había impactado en muchos miembros de la comunidad. Sin embargo, su familia estaba en el centro de ese amor. El seguro de vida les garantizó el bienestar financiero y permitió que sus hijos pudieran ir a la universidad. “El seguro de vida es algo que se paga, pero que nunca se espera usar” dice Lissete. “Pero aquí estoy y no puedo imaginar vivir sin este apoyo”.
In the early years, James had helped the Mollicones with retirement plans as well as life, disability and health insurance, all of which they had to address on their own because each was self employed. Joe owned an excavation business, and Theresa ran a clothing boutique.
As Joe approached his 65th birthday and his disability insurance was about to expire, James suggested long term care insurance. The Mollicones were initially hesitant, but neither wanted to be a burden to the other or to their two adult children, so they purchased policies.
Less than six months later, Joe suffered a massive stroke that left him paralyzed on the right side and unable to speak. Three months after the stroke, the long-term care insurance policy started paying the maximum daily benefit and has been just enough to cover Joe’s homecare needs. Four years later Joe reached his payout limit, but continues to receive benefits because of his policy’s shared-care rider, which allows him to tap into the benefits from Theresa’s policy. To date, the insurance company has paid out more than $400,000 in benefits.
“If we didn’t have this insurance, caring for Joe would have depleted all the savings we had,” Theresa says. “Now I’m not afraid of running of out money.”