While the overwhelming number of long-term
care insurance policies sold in America today are to individuals,
a growing number of companies are participating in long-term
care programs and with good reason. “The greatest financial
influence on how much income an individual will have for retirement
is not how he or she invested beforehand, but how much he
or she will have to spend on health care after the age of
65,” notes Susan Jacobs, a long-term care specialist
with NYC-based Kornreich-NIA, an NIA Group company. A recent
Department of Labor statistic noted that approximately one
out of every two individuals over the age of 65 will require
long-term care. Currently, less than ten percent of the population
is covered by long-term care insurance.
“Long-term care insurance is a smart investment for
people who have assets to protect but not enough liquid assets
to pay for ongoing, out-of-pocket health expenses like nursing
homes or home care, which can cost between $50,000 to $100,000
or more per year,” says Jacobs. “Individuals who
would not qualify for Medicaid assistance until all of their
assets are depleted are usually the best candidates for this
type of coverage.”
Unlike most individuals, employers have the flexibility to
pay for long-term care either through their business or out
of their personal funds. There are several benefits for employers
and their employees who participate in a company program versus
an individual long-term care policy.
Employees caring for elderly family members have high stress
levels, which can result in stress-related illness, lost productivity
and missed work time. This can impact a company’s overall
efficiency and profitability, as well as its health insurance
premiums. “It makes economic sense for employers to
provide long-term care insurance to employees and their families,”
says Jacobs. “It’s an attractive, value-added
benefit that can help keep top talent on board.”
Employer-sponsored plans also provide key financial and tax
benefits that individual programs cannot offer. Employers
may be able to deduct the cost of providing long-term care
coverage in a similar manner as they deduct health insurance
premiums now. Most employees who pay premiums for qualified
long-term care insurance may claim a credit against their
personal income tax. In addition, benefits received under
an employer-sponsored program are not taxable to the employee
under IRS Section 105(b).
While long-term care plans can vary in plan design, most insurance
companies pay a fixed dollar benefit per day that one receives
care. Advisors like Susan Jacobs can provide an unbiased opinion
and considerable professional experience in helping employers
choose from among several different types of plans.
For example, some plans lump all employees together, while
others may have one or more qualifying questions that can
be asked to eliminate employees with a disabling or potentially
disabling disability or disease. Other plans are modeled after
individual long-term care plans, but feature group discounts
for a select group or class of employees. Premium payments
generally will be fully tax-deductible when the class is based
on factors such as a corporate officer's status, salary grade
or length of service. These plans are preferential because
they can be designed as 10-year paid-up policies that are
tax-free to the employee and tax deductible to the employer.
“Needs are going to vary based upon the size and make
up of a specific business,” notes Jacobs. “Working
with a long-term care specialist can help employers make the
right decisions for themselves, their families and their businesses.”
Employers interested in learning more about their long-term
care options can contact Susan Jacobs
at 212-850-0135 or by email at sjacobs@niagroup.com.
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