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If You Are a Single Woman, Long Term Care Insurance Is a Good Bet

Q.  I am 60 years old.  My financial advisor is strongly urging me to buy Long Term Care Insurance (before Sept. when Genworth is raising their rates.) 

    My mortgage is paid off. Present home value $325K.  My investments and retirement portfolio stand at $350K.  My income is $35K with minimal liquid cash.  I plan to work indeterminately and am healthy, though I will need to buy health insurance upon 'retirement'.
    
    Though I understand the benefits of LTC, it's difficult to part with hard earned money acknowledging it's going nowhere until when and if it's needed.  

     I've found it difficult to research this subject.  Financial advisors and insurance companies naturally want you to buy this product; others advise selling your home at the crucial point. 
 I'd appreciate your thoughts.

              ---J.F., by email from Boston, MA
       
    A. The best candidates for long term care insurance are single women like you. You are likely to live long enough to need long term care. More important, you don’t appear to have alternatives to institutional care--- such as a daughter who lives less than an hour away.
This is the dilemma millions of women face as they age. So I think you are a good candidate for this insurance, in spite of doubts I have expressed about LTC insurance in the past.

    Another way to think about LTC insurance is to consider it as “portfolio insurance” on your net worth. With your net worth of $675,000, a policy that cost $2,500 a year would cost about 0.37 percent of your net worth a year.  It would provide you with some assurance that you won’t go broke and even a 3-year coverage period would allow plenty of time for an orderly liquidation of assets in the event you needed more than 3 years of care.

    Preserving assets, of course, is only important if you want to leave some money to children or charity.

     Just remember, when establishing limits on the policy, that you will have ongoing income from other sources--- so the policy doesn’t need to cover the entire cost. Do get inflation protection.

    And, finally, don’t take all the sweet talk about “home care” as an alternative to institutional care too seriously. This is a powerful marketing tool because no one--- absolutely no one--- likes the idea of paying money to insure for the privilege of staying in a nursing home. But if you examine your policy closely you’ll find that you don’t qualify for coverage until you can’t perform several of the five Activities of Daily Living (ADLs). When this happens you’ll probably need more than an 8 hour visit from a non-nursing person every day of the week. A nursing home is likely to be the most workable solution.

    One alternative that you may not have examined is the idea of moving to a continuing care community (CCC) when you are somewhat older. These communities offer care that ranges from independent living with some community meals (No more cooking!) to assisted living and nursing care--- all in one facility. Because you enter before you are disabled, these communities offer a broader network of supportive peers as well as professional care.

    Q. I am offering my limited experience to a 43 year old in switching his 403(b) account at Fidelity to a Margarita Portfolio.  Don't wish to transfer the account to Vanguard at this time although Vanguard's Inflation Protection Fund may be a better choice.  Would it be advisable to fill the entire one-third IP slot with Fidelity's IP Fund or divide it with another Fidelity offering?  It seems to me that the Margarita Portfolio is far superior to the Fidelity Freedom Funds and perhaps a better choice than Vanguard's Target Retirement Funds for this relatively young man who is not inclined to make investment choices.  Your comments?

 ---------M.J., by email  

    A. It may be possible to get a close approximation of the Margarita Portfolio using existing Fidelity Funds.  A young person could start with an initial investment in Fidelity Four in One Index fund (ticker: FFNOX). This fund is 55 percent domestic large cap stocks, 15 percent extended U.S. market, 15 percent international stocks, and 15 percent U.S. bond index. Then, if it is available in his plan, he could add equal amounts of Fidelity Spartan International fund (ticker: FSIIX) and Fidelity Inflation Protected Securities fund (ticker: FINPX). Over time this would being his equity allocation down from the 85 percent in Four-in-One to the less aggressive 66 percent of the Margarita Portfolio.

    The Fidelity Inflation Protected Securities fund is actively managed but its expense ratio is only 0.45 percent.

    As the portfolio grows it would be a good idea to add further asset classes--- like the expansion of the Couch Potato Building Block portfolios on my website--- and this can be done by opening a brokerage window in the 403(b) plan, if one is available.
 

Only published comments... Aug 22 2007, 04:30 PM by scottb


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About scottb

Scott Burns has covered the changing world of personal finance and investments for nearly 40 years. Today, he ranks as one of the five most widely read personal finance writers in the country. Scott began his career as a newspaper columnist at the Boston Herald in 1977 where he was also the financial editor. Nationally syndicated in 1981 and now distributed by Universal Press, the column appears in newspapers from Boston to Seattle. In 1985 he joined the staff of the Dallas Morning News where his column quickly became one of the most widely read features in the paper. He left the Dallas Morning News in 2006 to become one of the founders of AssetBuilder and its Chief Investment Strategist. Burns is a graduate of Massachusetts Institute of Technology (1962). He has written four books, including "The Coming Generational Storm" (MIT Press, 2004) coauthored with economist Laurence J. Kotlikoff. His fourth book, also coauthored with Kotlikoff, was published in 2008 by Simon & Schuster. The paperback edition will be available in January, 2010.  "Spend Til' the End" uses consumption smoothing to demonstrate the errors of conventional financial planning. His business experience includes working as a staffer for a major consulting company and service as a director and audit chairman of a NASDAQ listed manufacturing company. He and his wife now live in Dripping Springs, a "hill country" town about 25 miles outside of Austin.


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