Page Reviewed / Updated - Apr. 2015
A life insurance conversion is the sale, by the policyholder, of their life insurance to a 3rd party in exchange for a defined amount of long term care services such as an assisted living, home or Alzheimer's care or home modifications to allow aging in place. The program is specifically structured to allow participants to gain Medicaid eligibility. Should the policyholder pass before the defined amount of elder care services has been exhausted, any remaining monies go to a beneficiary designated by the original policyholder.
This is a relatively new option and the nomenclature surrounding it is still fluid. One might also hear it referred to as Life Care Assurance, a Long Term Care Benefit Plan, a Medicaid Life Settlement or simply Life Care Funding, which is the name of the primary organization responsible for this program's development.
In this program, the owner of a life insurance policy sells the policy to a 3rd party for an agreed upon dollar value of elder care services. The buyer of the policy takes over the monthly premium payments, pays the care providers' monthly fees for the policyholder and collects the death benefits when the policyholder passes.
The major benefits to the policyholder are:
1) They immediately receive funding for elder care services.
2) They receive a greater economic value for their policy than they would if they were to take the cash surrender value or engage in a life settlement.
3) They maintain the option of to receive Medicaid assistance if and / or when their resources expire (a life settlement does not maintain this option).
4) The family is freed of making monthly payments to maintain the policy as well as of the administrative tasks of managing it.
The major drawback is that the family does not receive the death benefit from the life insurance and the value they do receive is less than death benefit amount would have been. Calculating an exact value is not possible as one does not know how long the policyholder would live and therefore how many additional monthly premium payments would have been made. Typically families receive the equivalent of 20% - 50% of the death benefit amount.
As with any funding source for elder care such as selling a home, a reverse mortgage or taking a loan, there are situations when the option does not make sound economic sense. Life insurance conversions are no exception. For this program, if the life expectancy of the policyholder is relatively short and the family can possibly afford to pay for care from some of other source of funding such as a family loan, they should do so.
A policyholder has dementia and needs care. They also have a life insurance policy with a face value of $150,000. A life insurance conversion provides the family with 35% of the face value ($52,500) in care services. The family hires a home care worker at the cost of $2,000 per month. After one year, the individual requires a higher level of care and moves into an assisted living community, the monthly cost is $3,000. After six months in assisted living, the individual passes. All the home care ($24,000) and the assisted living ($18,000) has been paid for by the agreement and $10,500 remains in the account. This money is then paid to a beneficiary designed by the policyholder, typically an adult child or spouse.
Life insurance is considered a countable asset when applying for Medicaid, meaning if the face value of the policy exceeds Medicaid's limit (approximately $2,000), then the applicant is not eligible. Therefore, in order to qualify for Medicaid, the applicant must allow their policy to lapse and they will not be able to collect their death benefit.
Engaging in a life insurance conversion will provide the policyholder with funds for care after which time those funds have been spent, the applicant can then qualify for Medicaid. This process is referred to as a Medicaid qualified spend-down. Were the applicant to take the cash surrender value for the policy or engage in a life settlement, it is unlikely they would be able to qualify for Medicaid.
Medicaid eligibility is very complicated and it is recommended that those considering Medicaid as an option should consult with an eligibility expert prior to making a decision.
Life Insurance Policy Requirements - All types of in-force life insurance policies are eligible provided they have a minimum face value of $50,000. This includes Universal Life, Group Life, Straight Term, Convertible Term and Whole Life policies.
Age Requirements - There are no declared age restrictions for this program. However, the age of the individual may affect the amount of care value or even cause them to be denied. Older individuals in poor health can expect to receive higher amounts for care than younger applicants in good health.
Disabilities / Health Requirements - To participate in this program an individual must have a need for ongoing care. Their health status may impact the value of the settlement amount.
Marital Status - There is no marital status or other family requirements. Since a family exchanging their life insurance policy for care payments does not receive the death benefit from their policy, this option is more appropriate for single individuals or those that do not have dependent children.
Other Requirements - There are no minimum and maximum income or assets requirements for the program. One veteran's discharge status or geographic location within the US has no impact on eligibility.
The benefits from life insurance conversions come in the form of payments made directly to the care service providers. These can be home care, assisted living, nursing homes, adult day care, hospice or used to make home modifications to enable aging in place. There are no restrictions other than the benefits must be used for the care of the policyholder and / or their spouse.
Typically, a pre-determined amount to set to be paid to care providers on a monthly basis. However, lump sums are also available to pay off incurred debt to care providers. The care providers and monthly amounts can be changed at any time given 30 days notice.
Policyholders and their families usually receive between 20% - 50% of the face value of the life insurance policy. The average amount received is 35%. This percentage is nearly always higher than would be received in a life settlement or by taking the cash surrender value of the policy.
Using a life insurance policy to pay family members for the care services they provide a loved one is a highly attractive component of this program. Some explanation is required on how this works. The proceeds from converting one's life insurance policy go into an irrevocable FDIC insured bank account. From there, payments for care are made on a monthly basis to the care provider of the policyholder's choosing. The spouse or adult child of the policyholder simply becomes a licensed home care worker and they are hired to provide care and are paid for the account.
In order to maintain future Medicaid eligibility, it is important to make sure the legal paperwork has been done correctly, individuals are only paid for the hours they work, they are paid the market rate and taxes are paid on the income they receive. For more information, complete the form below.
There are no fees associated with the Life Care Funding program. However, when determining the true cost of the program one must consider that participants typically receive 20% - 50% of the death benefit amount. Therefore to determine the true cost of the program, participants must consider the expected lifespan of the policyholder and the monthly premium payment amounts they would be required to make for the remainder of their lives.
Life insurance policyholders that are interested in applying for this program should be prepared to provide the following information.
-Copy of the life insurance policy
-Current policy illustration
-Signed HIPPA authorization
-Life Insurance Information Release Form
-Last 2 years Medical Records
-Proof of Power of Attorney (if necessary)
Once all the necessary paperwork has been received, 4-8 weeks are required to process the application and arrange payment with the long term care service providers.
There are no charges or fees to apply for this program.
To learn more about this program, individuals with life insurance policies valued at $50,000 or more should complete the form below or visit this webpage.