Aaron Charles Gregg

How Does the Caregiver Tax Credit Work?

“There are actually several tax credits and deductions available to adult children who help look after their aging parents or other relatives.”

Family caregivers who support loved ones are eligible for several tax credits and deductions. It’s not just for taking care of parents; other relatives may be covered as well, notes a recent article “If you are a caregiver of elderly parent, you may be eligible for tax breaks” from The Oklahoman. The IRS has different options and certain requirements must be met.

When a dependent mother lives with an adult child who pays for more than half of her living expenses—food, housing, utilities, health care, repairs, clothing, travel, and similar necessities—and if the mother’s gross income is under $4,300—the child can claim the mother as a dependent. The tax credit, which is nonrefundable, can be as much as $500.

When siblings are cooperative and everyone contributes to mom’s expenses, only one can claim the mother as a dependent. It has to be the adult child who pays for at least 10% of support costs. The IRS calls this a “multiple support agreement.” There’s information on the IRS website to help you figure out if you qualify for a “Credit for Other Dependents.”

Medical deductions are another credit. If an adult child claims a parent as a dependent and also pays medical, dental, and/or long-term expenses that are not reimbursed by insurance, the expenses in excess of more than 7.5% of the adult child’s Adjusted Gross Income (AGI) can be deducted.

For example, if the adult child’s AGI is $80,000, anything after the first $6,000 of the parent’s medical bills—7.5% of the AGI—could be deductible. If the parent’s medical bills were $8,000, $2,000 would be deductible. When calculating the total, include medical expenses for you and your spouse.

AGI thresholds vary by state, so if your state has a lower AGI, you might get a break on state income taxes, even if you do not qualify on federal income taxes.

What about in-home care or adult day care costs? They might also be covered, under the Dependent Care Tax Credit, and could be worth as much as $4,000. To qualify, the dependent parent must have been physically or mentally incapable of taking care of themselves and have lived with you for more than six months.

There is also the possibility of using funds from a Health Savings Account (HSA) or a Flexible Savings Account (FSA) from your employer to pay for a loved one’s medical expenses, as long as she is a qualified dependent. One caveat: if you use the funds from an HSA or FSA to pay for a dependent’s medical costs, you cannot take a tax deduction on the expenses.

Reference: The Oklahoman (Jan. 25, 2022) “If you are a caregiver of elderly parent, you may be eligible for tax breaks”

Can You Protect Yourself or Loved Ones from Financial Elder Abuse?

“Recent studies estimate that 39.6% of Americans 65 years of age or older are victims of financial abuse.”

In 2021, more than 6.2 million people in America live with some form of Alzheimer’s disease and need some type of memory care. At the same time, financial abuse and scams, especially those targeting people 65 and older, are on the rise, says the Better Business Bureau.

Individuals suffering from Alzheimer’s and other forms of dementia face unique challenges when it comes to financial elder abuse and scams, according to a recent report “Protecting you or a loved one from financial elder abuse and scams” from Idaho News 6. The increasing number of Alzheimer’s diagnoses increases chances of needing in-home, memory care or skilled nursing care at some point, making it increasingly important to plan ahead. When there is no advance planning, financial devastation and family stress occurs.

Planning starts with an experienced estate planning attorney who can help the family prepare these four basic documents:

• Last Will and Testament
• Financial Power of Attorney
• Health Care Power of Attorney
• Living Will/Advanced Directive

There are additional documents, depending upon the individual’s situation, including a Durable Power of Attorney, used to give another person the ability to make decisions for property, business and financial matters. In cases of future incapacity, this is extremely important.

Power of Attorney: This appoints an “agent” who can make financial decisions on behalf of the “principal.” The POA creates a fiduciary relationship between the agent and their principal, wherein the agent must act in the best interest of the principal, above their own interest. The selection of a POA is very important, since it is a big responsibility.

The Principal should also name a successor agent, in case the primary agent is not able or willing to take on their role. Understand the possibility of abuse of power by the agent before finalizing any documents. An agent who abuses their powers or reaches beyond their powers can be prosecuted.  However, it is best to make a good choice from the start and try to avoid problems.

Most of us get all the right protection in place for our homes, cars and have health insurance in place. However, the chances of needing long-term care for a dementia are actually higher than having your house burn down.

Planning for incapacity and protecting yourself and your family can be accomplished with the help of an estate planning attorney. Have the conversations with your attorney and your family early and get going.

Reference: Idaho News 6 (Sep. 14, 2021) “Protecting you or a loved one from financial elder abuse and scams”

What Steps to Take when Diagnosed with Alzheimer’s

“Obviously, the first step is to work with your doctor to slow the progression. However, there are legal steps you need to take as quickly as possible.”

A diagnosis of Alzheimer’s or any serious progressive disease takes some time to absorb. However, during the days and weeks after the diagnosis, it is important to take quick steps to protect the person’s health as well as their legal and financial lives, advises the recent article “What to do after an Alzheimer’s disease diagnosis?” from The Indiana Lawyer.

Here are the legal steps that need to be taken, before the person is too incapacitated to legally conduct their own affairs:

General Durable Power of Attorney—A person needs to be appointed to perform legal and financial duties when the time comes. This can be a family member, trusted friend or a professional.

Health Care Power of Attorney—A person must be entrusted with making health care decisions, when the patient is no longer able to communicate their wishes.

HIPAA Authorization—Without this document, medical care providers will not be able to discuss the person’s illness or share reports and test results. An authorized person will be able to speak with doctors, pick up prescriptions and obtain medical reports. It is not a decision-making authorization, however.

Living Will—The living will explains wishes for end-of-life medical care, including whether to prolong life using artificial means.

Funeral Plans—Some states permit the creation of a legally enforceable document stating wishes for funerals, burials or cremation and memorial services. If a legal document is not permitted, then it is a kindness to survivors to state wishes, and be as specific as possible, to alleviate the family’s stress about what their loved one would have wanted.

Medicaid Planning—Care for Alzheimer’s and other dementias becomes extremely costly in the late stages. A meeting with an elder law attorney is important to see if the family’s assets can be protected, while obtaining benefits to pay for long-term and dementia care.

After the patient dies, there may be a claim against it from the state to recover Medicaid costs. By law, states must recover assets for long-term care and related drug and hospital benefits. All assets in the recipient’s probate estate are subject to recovery, except if surviving spouse, minor children, blind or disabled child is living or where recovery would cause hardship.

With good planning and the help of an experienced elder law attorney, the family may be able to mitigate claims by the government against the estate.

Reference: The Indiana Lawyer (Jan. 6, 2020) “What to do after an Alzheimer’s disease diagnosis?”

Preparing for the Impact of Alzheimer’s Disease

“It is estimated that by 2040, the number of Americans living with Alzheimer’s, dementia or other cognitive disorders is expected to double to close to 12 million due to the aging population, according to a recent study by RBC Wealth Management and Aon.”

The impact of these diseases will not just be on the individuals, but on their spouses and families. Surveying 1,000 mass affluent and high net worth families currently caring for relatives with cognitive decline, the study found that the lifetime direct and indirect costs can be more than $750,000. A recent article from Think Advisor, “4 Things Advisors Should Know About Cognitive Disorder Caregiving,” explains how families can prepare for this challenge.

Expect expenses to grow over time. Most people with cognitive decline problems live for five to fifteen years, with an average cost of $750 per month early on. However, as the disease progresses, those expenses increase, to as much as $1,200 per month. Families need to work with an experienced estate planning attorney to apply for Medicaid as soon as the individual is diagnosed, or as soon as possible. Failing to plan may mean spending down all assets to qualify.

Cognitively impaired adults mismanage finances. This is often the first symptom that something is wrong. The study found that 80% of people with dementia experience financial mismanagement. Bills go unpaid, spending patterns change dramatically and they are often victims of financial elder abuse. If multiple calls concerning the same question are made to a family member, that should be treated as a warning signal that something is wrong.

Women continue to carry most of the caregiving responsibilities. Women make up about 66% of family caregivers. The impact on their ability to earn wages, from leaving the workplace for a time period, retiring early or leaving the workforce permanently, takes a huge toll on their income and savings. This also hurts future income, with losses to 401(k) plans, pensions and Social Security benefits.

Estate planning attorneys, CPAs and financial advisors are important resources for caregivers. The financial and emotional stress on caregivers, loss of income and pressure to avoid their own problems means that caregivers need support from family, friends and professionals. Planning for the legal and financial impacts of caregiving needs to happen proactively. Professionals are also in a position to help through their networks of colleagues, like geriatric social workers, nursing homes, etc.

Most people are happy to plan for college, retirement and vacations. No one likes to plan for difficult events, like disability and death. However, planning as early as possible allows the family to have more control during a difficult period of time. Allowing trusted professionals to become part of the support network can lessen some of the burden.

Reference: Think Advisor (Oct. 13, 2020) “4 Things Advisors Should Know About Cognitive Disorder Caregiving”

Five Estate Planning Mistakes to Avoid

“Five of the most common mistakes are easy to avoid with the right information and support, as well as a little creativity.”

While it’s true that no estate is completely bulletproof, there are mistakes that people make that are big enough to walk through, while others are more like a slow drip, draining retirement finances in a slow but steady process. There are mistakes that can be easily avoided, reports Comstock Magazine in the article “Five Mistakes to Avoid When Planning Your Estate.”

1. Misunderstanding Estate Law. Some people are so thrown by the idea of an estate plan, that they can’t get past the word “estate.” You don’t need a mansion to have an estate. The term is actually used to refer to any and all property that a person owns. Even modest people need a plan to help beneficiaries avoid unnecessary costs and stress. Talk with an estate planning attorney to learn what your needs are, from a will to trusts. Make sure that this is the attorney’s key practice area. A real estate or personal injury attorney won’t have the same knowledge and experience.

2. Getting Bad Advice. It takes a team to create a strong estate plan. That means an estate planning attorney, a financial advisor and an accountant. Be wary of firms that focus entirely on selling trusts. There’s definitely a role for trusts in estate plans, but there are many other tools that are needed. Buying an insurance policy or an annuity is not an estate plan.

3. Naming Yourself as a Sole Trustee. Naming yourself as a sole trustee puts you and your estate in a precarious position. What if you develop Alzheimer’s or are injured in an accident? A trusted individual, a family member, a longstanding friend or even a professional trustee, needs to be named to protect your interests, if you should become incapacitated.

4. Losing Track of Assets. Without a complete list of all assets, it’s nearly impossible for someone to know what you own and who your heirs may be. Some assets, including retirement funds, life insurance policies, or investment accounts, have named beneficiaries. Those people will inherit these assets, regardless of what is in your will. If your heirs can’t find the assets, they may be lost. If you don’t update your beneficiaries, they may go to unintended heirs—like ex-spouses.

5. Deciding on Options Without Being Fully Informed. When it comes to estate planning, the natural tendency is to go with what we think is the right thing. However, unless you are an estate planning attorney, chances are you don’t know what the right thing is. For tax reasons, for instance, it may make sense to transfer assets, while you are still living. However, that might also be a terrible idea, if you choose the wrong person to hold your assets or don’t put them in the right kind of trust.

Estate planning is still a highly personal process that depends upon every person’s unique experience. Your family situation is different than anyone else’s. An experienced estate planning attorney will be able to create a plan and help you to avoid the big, most commonly made mistakes.

Reference: Comstock Magazine (Dec. 2019) “Five Mistakes to Avoid When Planning Your Estate”

How Did Alzheimer’s Impact the Estate Planning of These Famous People?

“In honor of Alzheimer’s Awareness Month - and the more than five million Americans living with the disease - we highlight our Top 7 Celebrity Estates impacted by Alzheimer’s disease…”

Forbes’ recent article, “Top 7 Celebrity Estates Impacted By Alzheimer’s Disease” looks at seven celebrity estates that were affected by Alzheimer’s disease.

1. Rosa Parks. The civil rights icon died at 92 in 2005. She was living with Alzheimer’s disease. Legal battles over her estate continue to this day. Her estate plan left her assets to a charitable institution she created. However, her nieces and nephews challenged the validity of her will and trust, due to her mental deficiencies and allegations of undue influence. That claim was settled, but there have been fights over broken deals and leaked secrets, claimed mismanagement of her estate and assets, allegations of bribery and corruption and a battle over Rosa’s missing coat that she wore at the time of her famous arrest at the Alabama bus stop in 1955.

2. Gene Wilder. Wilder’s widow–his fourth wife, Karen–and his adopted daughter didn’t fight over Gene’s estate after he died, which shows good estate planning. Wilder makes the list because of how his widow used her husband’s struggle—which she kept private while he was alive—to bring attention to the terrible disease, including permitting his Willy Wonka character to be used in a campaign to raise awareness.

3. Aaron Spelling. The Hollywood producer left behind a reported fortune worth $500 million. His death certificate listed Alzheimer’s disease as a contributing factor. Spelling changed his estate plan just two months before he died, reducing the share to his daughter, actress Tori, and his son, Randy, to $800,000 each.

4. Etta James. Legendary blues singer Etta James passed away in 2012, at 73. Her family said she had been living with Alzheimer’s disease for several years, and her illness ignited an ugly court battle between her husband of more than 40 years and her son from a prior relationship, over the right to make her medical and financial decisions, including control of her $1 million account. Her husband, Artis Mills, alleged that the power of attorney she signed appointing her son as decision-maker was invalid, because she was incompetent when she signed it. Mills sued for control of the money to pay for Etta’s care. After some litigation, Etta’s leukemia was determined to be fatal, which led to a settlement. Mills was granted conservatorship and permitted to control sums up to $350,000 to pay for Etta’s care for the last few months of her life.

5. Peter Falk. The Lieutenant Columbo actor died at 83 in 2011, after living with Alzheimer’s disease for years. His wife Shera and his adopted daughter Catherine fought in court for conservatorship to make his decisions. Shera argued that she had power of attorney and could already legally make Peter’s decisions for him, which included banning daughter Catherine from visits. The judge granted Shera conservatorship, but ordered a visitation schedule for Catherine. However, a doctor, who testified at the hearing, said that Falk’s memory was so bad that he probably wouldn’t even remember the visits.

6. Tom Benson. The billionaire owner of the New Orleans Saints and Pelicans was the subject of a lengthy and bitter court battle over control of his professional sports franchises, and hundreds of millions of dollars of other assets. Prior trusts, that he and his late wife established, left the sports franchises and other business interests to his daughter and two grandchildren. One of granddaughters operated the Saints as lead owner, until she was fired by her grandfather. Tom decided to take the controlling stock of the teams out of the trust and substitute other assets in their place, taking over control of the teams. However, his daughter and grandchildren fought the move. A 2015 court ruling declared Benson to be competent, despite allegations he suffered from Alzheimer’s disease. Benson then changed his will and trust and left everything to his third wife, Gayle. They all settled the dispute in 2017, leaving other assets to the daughter and grandchildren—but ultimately leaving Gayle in control of the Saints and Pelicans, after Benson’s death in 2018 at age 90.

7. Glen Campbell. Campbell’s 2007 estate plan left out three of his adult children. They sued to challenge their disinheritance after he died. They dropped the case in 2018, without receiving a settlement. The fact that Campbell’s final will was drafted several years prior to his Alzheimer’s diagnosis was a critical factor in the outcome of the lawsuit.

The estate planning of these celebrities shows the importance of proper estate planning, before it is too late. Wills and trusts that are created or changed after someone is diagnosed with Alzheimer’s disease, dementia, or similar conditions are more apt to be challenged in court.

Reference: Forbes (November 25, 2019) “Top 7 Celebrity Estates Impacted By Alzheimer’s Disease”

New Dementia Education Now Required for Physicians and Nurses

Connecticut has taken a big step in requiring that nurses and doctors are mandated to have training in recognizing and treating dementia, authorizes a plan to build dementia-capable programs and creates a portal for background checks on employees who work with the elderly.

Connecticut Senate Bill 827 adds continuing medical education training on Alzheimer’s and other types of dementia for nurses and physicians in the state, according to a recent article from McKnight’s Senior Living, “New state laws emphasize dementia training, background check database access.” This is good news for the 78,000 people living with the disease in the state. The goal is to give these medical professionals the resources they need to identify the signs and symptoms of dementia in the patients they are caring for.

Effective January 1, nurses renewing their licenses are required to take two contact hours of training or education about diagnosing and treating cognitive or mental health conditions such as Alzheimer’s disease, dementia, delirium, related cognitive impairments and geriatric depression. And physicians who are applying to renew their licenses may count toward their training requirements two hours of continuing medical education in these areas.

“With no cure for Alzheimer’s, it is imperative that we detect the signs of this disease earlier, enabling us to improve the quality of life of those with this disease,” said state Sen. James Maroney (D), who co-chairs the state Aging Committee. “This legislation makes great progress towards ensuring just that,” he added, noting that the state has the seventh oldest population in the U.S.

The new law also authorizes an update of the Connecticut Alzheimer’s Plan to build dementia-capable programs. Under the law, the executive director of the state Commission on Women, Children, and Seniors is to create a working group to find any issues in the implementation of a task force’s recommendations and to make recommendations on best practices for Alzheimer’s Disease and dementia care.

Connecticut’s governor also signed into law Senate Bill 832. This legislation mandates that the state Commission on Women, Children, and Seniors provide a portal on its website with links to publicly available databases, and the professional licensure verification database maintained by the state Department of Public Health (used for background checks of those who work with the elderly).

“Elder abuse and criminal action against those with disabilities are unacceptable, and the public should be aware who those perpetrators are in order to protect their family and friends from future act of crime against our most vulnerable populations,” commented state Senator Tony Hwang.

In addition, the new law expands the Department of Public Health’s background check program for those working in the long-term care field. In the past, people who had been convicted of certain crimes against older adults were not included in the program. Those who have been convicted of other crimes are no longer permitted to work in long-term care facility.

Reference: McKnight’s Senior Living (July 22, 2019) “New state laws emphasize dementia training, background check database access”

Montana's Elder Exploitation Law is Too Vague, Judge Says

“A state judge has ruled that Montana's elder exploitation law is too vague and doesn't require evidence of criminal intent to prosecute.”

US News & World Report explains in its article “Judge Rule's State's Elder Exploitation Law Is Vague” that the judge’s ruling came last week in the case of an 80-year-old woman, Rose-Marie Bowman of Missoula.

She’s charged with taking money from an account for which she was a co-signor, after the other co-signor gave her control of his finances in 2012. The victim, Lanny Franzen, has been diagnosed with Alzheimer's disease. Missoula County Prosecutors say she manipulated Franzen into putting money into the account.

Attorneys for Bowman asked for the elder exploitation charge to be dismissed, arguing the law could be used to prosecute innocent actions. District Judge Robert “Dusty” Deschamps agreed, holding that the statute "is so broad and devoid of any requirements for proof of a criminal state of mind by the accused, a person is left to guess what specific acts might be allowed or prohibited by statute."

The prosecutors have several days to decide if they want to appeal the judge’s ruling to the Montana Supreme Court, file charges under another law, or drop the case. Missoula County Attorney Kirsten Pabst says she's consulting with the state attorney general's office.

Pabst commented that judges have previously struck down statutes, because of vagueness but this situation is still "unusual."

This type of exploitation, according to the statute, happens when someone knowingly “obtains or uses” an older, incapacitated, or developmentally disabled person’s “funds, assets, or property with the intent to temporarily or permanently deprive” the respective victim. In a motion to dismiss the case, Bowman’s attorneys argued that the vagueness of the statute lets prosecutors to pursue a son who accepts a gift from his elderly mother.

The issue hinges on the words “obtain” and “use.” These terms are not clearly defined by the state legislature concerning criminal exploitation.

Reference: US News & World Report (August 24, 2018) “Judge Rule's State's Elder Exploitation Law Is Vague”

What’s the Difference Between Dementia and Alzheimer’s?

“’To be called dementia, the disorder must be severe enough to interfere with your daily life,’ says Constantine George Lyketsos, M.D., director of the Johns Hopkins Memory and Alzheimer’s Treatment Center in Baltimore.”

The terms “dementia” and “Alzheimer’s” have been around for more than 100 years. That means people probably have been getting the two terms confused for a century.

However, understanding the difference between dementia vs. Alzheimer’s is important. AARP explains this in its June article, “Dementia vs. Alzheimer’s: Which Is It?” While Alzheimer’s disease is the most common form of dementia (accounting for an estimated 60 to 80% of cases), there are several other types. The second most common form is called vascular dementia. This form has a very different cause, which is high blood pressure. Other types of dementia include alcohol-related dementia, Parkinson’s dementia and frontotemporal dementia. Each type also has different causes. In addition, certain medical conditions can cause serious memory problems that resemble dementia.

The right diagnosis means the proper medicines, remedies and support. Correctly identifying Alzheimer’s, instead of another type of dementia, may result in a prescription for a cognition-enhancing drug rather than an antidepressant. A patient may also be eligible to participate in a clinical trial for Alzheimer’s, if he or she has been specifically diagnosed with the disease.

Dementia is a nonreversible decline in mental function. It’s a catchall phrase that encompasses several disorders that cause chronic memory loss, personality changes or impaired reasoning. Alzheimer’s disease is just one of them.

Alzheimer's is a specific disease that slowly and irreversibly destroys memory and thinking skills. There’s no cure.  However, researchers have identified biological evidence of the disease: amyloid plaques and tangles in the brain. They can be seen microscopically, or more recently, using a PET scan that employs a newly discovered tracer that binds to the proteins. The presence of these proteins can also be detected in cerebral spinal fluid, but this method isn’t used often in the U.S.

Dementia is diagnosed by a doctor who must find that you have two or three cognitive areas in decline. These areas include disorientation, disorganization, language impairment and memory loss. To make that diagnosis, a doctor or neurologist will administer several mental-skill challenges.

There’s no definitive test for Alzheimer's. Physicians usually rely on observation and ruling out other possibilities. This guessing game is still used today in diagnosing the disease. It’s accurate between 85 and 90% of the time. The new PET scan may be 95% accurate, but it’s usually only recommended to identify Alzheimer’s in patients who have atypical symptoms.

Reference: AARP (June 25, 2018) “Dementia vs. Alzheimer’s: Which Is It?”

Professor Researching the Brain to Find Location of Financial Competency Issues

The National Institute on Aging has announced that scientists are now using magnetic resonance imaging of the brain to examine those parts associated with money managing abilities. Because aging makes seniors more vulnerable with financial decisions, those with Alzheimer’s or dementia are at special risk—even in the early stages.

“Can we actually see a picture of this?” asks Forbes in its article, “Will Brain Images Tell You If Your Aging Parent Can't Handle Money Any More?”

The NIA report cites a prominent researcher, neuropsychologist and lawyer, Dr. Daniel Marson, who says that it’s “the $18.1 trillion problem.” Dr. Marson, a professor of neurology at the University of Alabama at Birmingham, is referring to an estimate of household wealth held by U.S. adults age 65 and older.

Although they haven’t yet found a way to pinpoint an exact spot in the brain that says a person is or isn’t competent with finances, the report details the efforts using MRIs to find out more about the brain and financial capacity. The professor says that changes in some parts of the brain are linked to loss of financial capacity.

The report also cites director Nina Silverberg, who commented that “Novel neuroimaging studies, along with studies involving cognitive measures, are providing intriguing data on why older adults—even those who were previously quite savvy about finances—may lose their money-managing abilities.” Silverberg is the program director of the Alzheimer’s Disease Centers at NIA’s Division of Neuroscience.

Here are some takeaways to help with an aging parent who has signs of dementia or related illness:

When the first indications of a memory issue arise with your loved one, try to be more involved in monitoring their spending and money management. Get online access to their bank accounts—even if you just watch what comes in and goes out. That way you can intervene if a problem arises.

You can also offer to pay bills for your aging parents, and it may even be a relief for them. Handling money can be confusing when a parent declines cognitively, serving as a sign of cerebral impairment.

Get to know your aging parent’s financial advisor, attorney and others involved in his or her financial life, and ask your parent for written permission to talk with them. A notarized power of attorney or a letter granting you access to financial information would be required. Tell these professionals about any concerns you have and keep in touch. An ethical professional will want what is best for the client.

A piece of that $18.1 trillion Dr. Marson cited may include some of your potential inheritance, so you’ll want to act to help preserve it. Don’t assume that if your aging parent is okay now that it will stay that way. Even without the science, you should realize that some folks will experience cognitive disorders as they get older—your aging parents just might need your help now and in the future.