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VA IMPROVED PENSION:
     An Overview

           Robert A. Mason, JD, CELA
           Mason Law, PC
           Asheboro, NC
           Savannah, GA




                                2
VA Benefits
        Improved Pension

• Overlooked


• Misunderstood




                           3
Improved Pension
           Actually 3 Levels

$   “Base” Pension
$$ Housebound Rating
$$$ Aid & Attendance Rating




                               4
Improved Pension
           BE METHODICAL!

           Analyze Step-By-Step:
1. Eligible Veteran? (Even if Deceased)
2. Meet the ADJUSTED Income Levels?
3. Meet the Asset Levels
         TAKE THESE IN ORDER!

                                          5
STEP I

Is the “Veteran” a QUALIFIED Veteran?




                                        6
VA Benefits
Service Eligibility Issues
                     • 90 Days Active Duty - 1
                     Day of Which Was During
                     “War Time Period”

             • Totally Disabled OR Over 65

             • Disability Not A Result Of Willful
             Misconduct

             • Limited Income and Assets

             • Signed Application




                                                 7
VA Benefits
Service Eligibility Issues
            “War Time Period” Defined:

               •  World War II - Dec. 7, 1941 -
               Dec. 31, 1946

               • Korean War - June 27, 1950 -
               Jan. 31, 1955

               • Vietnam War - Aug. 5, 1964 -
               May 7, 1975

               • Gulf War - August 2, 1990
               through date to be set by law by
               Presidential Proclamation


                                                  8
STEP II

 Does the Qualified Veteran or His/Her
Surviving Spouse Meet Income & Medical
        Expense Requirements?



                                     9
Calculating The Benefit
      The ACTUAL Benefit PAID

              EQUALS

Maximum Allowable Benefit Rate (MAPR)

               MINUS

        Adjusted Total Income
                                        10
Calculating The Benefit
   THREE Levels of Benefits:

       • Base Pension
   • Housebound Rating
 • Aid and Attendance Rating

 EACH Level Has Its Own MAPR


                               11
VA Benefits
       Base Pension - 2012
         (VA’s Version of SSI)

         MAPR - INCOME LIMITS
• $1,038 Vet
• $1,360 Vet + Dep
• $696 Widow




                                 12
VA Benefits
   Housebound Rating – 2012


Threshold: Veteran or Widow (NOT the
 Veteran’s Spouse) Must Be . . . .

Disabled & essentially confined to the
 home . . . “Housebound!”



                                         13
VA Benefits
    Housebound Rating – 2012
 (Disabled & essentially confined to the home)
         MAPR - INCOME LIMITS
• $1,268 Housebound Vet
• $1,591 Housebound Vet + Dep
• $851 Housebound Widow




                                             14
VA Benefits
 Aid & Attendance Rating - 2012
    Threshold: Veteran or Widow (NOT the
      Veteran’s Spouse) Must Meet One Of
                  Following:

• Blind, or
• Living in a nursing home/assisted living
  facility, or
• Unable to:
        – dress/undress or keep self clean and presentable
        – attend the wants of nature without assistance
        – has a physical or mental incapacity that requires
          assistance to live safely or hygienically
                                                              15
VA Benefits
 Aid & Attendance Rating - 2012
        MAPR - INCOME LIMITS

• $1,732 A&A Vet
• $2,054 A&A Vet + Dep
• $1,113 A&A Widow




                                  16
Calculating The Benefit
        REMEMBER:

   For Each Benefit Level:

  MAPR – Adjusted Income =
    ACTUAL Benefit Paid

   How Is Income Defined?

                             17
VA Benefits
  Definition Of “Income”


 GROSS INCOME – ADJUSTED!!

“Qualified” Medical Expenses Are
      Deducted From Income


                                   18
VA Benefits
       Definition Of “Income”
            Adjustments to Income:
–   Medical Expenses
–   Health Care and Insurance
–   Premiums/Deductibles
–   Prescriptions, hearing aids, transportation, etc.
–   Home Health Care
–   Assisted Living Facilities
–   Nursing Home Care



                                                        19
STEP III

Does the Qualified Veteran or His/Her
  Surviving Spouse Meet ASSET
          Requirements?



                                        20
VA Benefits
         Aid & Attendance
             ASSET ISSUES
• $80,000 “Ceiling”

• Countable vs. Noncountable

• No Transfer Rules - YET



                               21
VA Benefits
Applications – A HUGE
       Backlog          22
23
24
25
26
27
VA Benefits
          APPLICATIONS
           A Real Pain

By Federal Law Only The Vet, A VSO,
 State Agency, Licensed Attorney or
Accredited Advisor May Complete . . .
 And all must be “accredited by VA”

                                        28
VA Benefits

           APPLICATIONS
By Federal Law: No One May Charge A
         Fee For Completing
                BUT
    MAY Charge For Planning and
              Incidentals



                                      29
Attorneys Fees - Planning
• Attorneys can charge for VA Benefits
  Planning
 –Reviewing eligibility status
 –Devising a Plan to become eligible
 –Drafting necessary documentation to
  effectuate the Plan




                                         30
VA Benefits
        Aid & Attendance
             STRATEGIES
• Reduce Income With PCAs
• Move Assets to Trust
• Joint Accounts




                            31
Putting VA Benefits Together
      With Other Plans
There is more to it than knowing how
VA benefits work . . . An advisor MUST
know Medicaid, Special Assistance
and estate planning to be truly
effective.




                                         32
One Strategy
     (Many situations/Many strategies)

Example:
• Mom and Dad gift 100 acres worth
  $200,000 on February 1, 2012
• Dad a WWII vet
• On February 1, 2015 Dad goes to
  nursing home



                                         33
First: Medicaid Basics
          Transfer Penalties

•    Transfers Less Than FMV Within 60
           Months of Application
    • Penalty: 1 Month for each $6,300
                 Transferred



                                         34
Medicaid Basics
       Transfer Penalties

Resulting Penalty BEGINS On Date
Otherwise Financially Eligible AND in
           Skilled Facility




                                    35
Medicaid Basics
 • Transfers More Than 5 Years Old:
             IRRELEVANT

• Go To Nursing Home During 5 Years:
  Pay Remainder of 5 Years OR Undo
           Earlier Transfer



                                       36
5 Year Strategies
• Give Assets Away
  – Many Negatives

• “Income Only” Trust
  – Much Better Solution




                             37
Income Only Trust
• Irrevocable – Sort Of

• Income Continues

• Great Tax Advantages




                            38
Income Only Trust
• 5 Years To Be Fully Effective

• What Happens If Need NH Within 5
  Years?
  – Pay Difference Until 5 Years From Trust
    Set-up Has Elapsed
  – Remember: Difference Between Income
    and NH Cost


                                              39
In The Example Above . . .
• Mom and Dad incurred a 31.75 month
  penalty on February 1, 2012
• On February 1, 2015 Dad goes to
  nursing home (IF applies for Medicaid
  31.75 month penalty)
• The penalty is irrelevant in any event
  on January 1, 2017 (2 years after
  nursing home admit)

                                           40
In The Example Above . . .
• Mom and Dad have income of
  $2,500/mo
• Nursing home costs $6,500/mo
• Mom and Dad decide NOT to apply for
  Medicaid
• Mom and Dad realize they have to
  cover nursing home bill for 2 years

                                        41
Income Only Trust

• How Pay For Remainder of 5 Years?
  – Savings
  – LTC Insurance
  – VA Benefits? (Maybe as much as
    $2,054/mo)




                                      42
Now serving Central Carolina and Coastal Georgia
      Elder Law * Wills & Trusts * Guardianships
             All contents of this presentation © 2013 Mason Law, PC

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Overview of VA Improved Pension Benefit

  • 1. 1
  • 2. VA IMPROVED PENSION: An Overview Robert A. Mason, JD, CELA Mason Law, PC Asheboro, NC Savannah, GA 2
  • 3. VA Benefits Improved Pension • Overlooked • Misunderstood 3
  • 4. Improved Pension Actually 3 Levels $ “Base” Pension $$ Housebound Rating $$$ Aid & Attendance Rating 4
  • 5. Improved Pension BE METHODICAL! Analyze Step-By-Step: 1. Eligible Veteran? (Even if Deceased) 2. Meet the ADJUSTED Income Levels? 3. Meet the Asset Levels TAKE THESE IN ORDER! 5
  • 6. STEP I Is the “Veteran” a QUALIFIED Veteran? 6
  • 7. VA Benefits Service Eligibility Issues • 90 Days Active Duty - 1 Day of Which Was During “War Time Period” • Totally Disabled OR Over 65 • Disability Not A Result Of Willful Misconduct • Limited Income and Assets • Signed Application 7
  • 8. VA Benefits Service Eligibility Issues “War Time Period” Defined: • World War II - Dec. 7, 1941 - Dec. 31, 1946 • Korean War - June 27, 1950 - Jan. 31, 1955 • Vietnam War - Aug. 5, 1964 - May 7, 1975 • Gulf War - August 2, 1990 through date to be set by law by Presidential Proclamation 8
  • 9. STEP II Does the Qualified Veteran or His/Her Surviving Spouse Meet Income & Medical Expense Requirements? 9
  • 10. Calculating The Benefit The ACTUAL Benefit PAID EQUALS Maximum Allowable Benefit Rate (MAPR) MINUS Adjusted Total Income 10
  • 11. Calculating The Benefit THREE Levels of Benefits: • Base Pension • Housebound Rating • Aid and Attendance Rating EACH Level Has Its Own MAPR 11
  • 12. VA Benefits Base Pension - 2012 (VA’s Version of SSI) MAPR - INCOME LIMITS • $1,038 Vet • $1,360 Vet + Dep • $696 Widow 12
  • 13. VA Benefits Housebound Rating – 2012 Threshold: Veteran or Widow (NOT the Veteran’s Spouse) Must Be . . . . Disabled & essentially confined to the home . . . “Housebound!” 13
  • 14. VA Benefits Housebound Rating – 2012 (Disabled & essentially confined to the home) MAPR - INCOME LIMITS • $1,268 Housebound Vet • $1,591 Housebound Vet + Dep • $851 Housebound Widow 14
  • 15. VA Benefits Aid & Attendance Rating - 2012 Threshold: Veteran or Widow (NOT the Veteran’s Spouse) Must Meet One Of Following: • Blind, or • Living in a nursing home/assisted living facility, or • Unable to: – dress/undress or keep self clean and presentable – attend the wants of nature without assistance – has a physical or mental incapacity that requires assistance to live safely or hygienically 15
  • 16. VA Benefits Aid & Attendance Rating - 2012 MAPR - INCOME LIMITS • $1,732 A&A Vet • $2,054 A&A Vet + Dep • $1,113 A&A Widow 16
  • 17. Calculating The Benefit REMEMBER: For Each Benefit Level: MAPR – Adjusted Income = ACTUAL Benefit Paid How Is Income Defined? 17
  • 18. VA Benefits Definition Of “Income” GROSS INCOME – ADJUSTED!! “Qualified” Medical Expenses Are Deducted From Income 18
  • 19. VA Benefits Definition Of “Income” Adjustments to Income: – Medical Expenses – Health Care and Insurance – Premiums/Deductibles – Prescriptions, hearing aids, transportation, etc. – Home Health Care – Assisted Living Facilities – Nursing Home Care 19
  • 20. STEP III Does the Qualified Veteran or His/Her Surviving Spouse Meet ASSET Requirements? 20
  • 21. VA Benefits Aid & Attendance ASSET ISSUES • $80,000 “Ceiling” • Countable vs. Noncountable • No Transfer Rules - YET 21
  • 22. VA Benefits Applications – A HUGE Backlog 22
  • 23. 23
  • 24. 24
  • 25. 25
  • 26. 26
  • 27. 27
  • 28. VA Benefits APPLICATIONS A Real Pain By Federal Law Only The Vet, A VSO, State Agency, Licensed Attorney or Accredited Advisor May Complete . . . And all must be “accredited by VA” 28
  • 29. VA Benefits APPLICATIONS By Federal Law: No One May Charge A Fee For Completing BUT MAY Charge For Planning and Incidentals 29
  • 30. Attorneys Fees - Planning • Attorneys can charge for VA Benefits Planning –Reviewing eligibility status –Devising a Plan to become eligible –Drafting necessary documentation to effectuate the Plan 30
  • 31. VA Benefits Aid & Attendance STRATEGIES • Reduce Income With PCAs • Move Assets to Trust • Joint Accounts 31
  • 32. Putting VA Benefits Together With Other Plans There is more to it than knowing how VA benefits work . . . An advisor MUST know Medicaid, Special Assistance and estate planning to be truly effective. 32
  • 33. One Strategy (Many situations/Many strategies) Example: • Mom and Dad gift 100 acres worth $200,000 on February 1, 2012 • Dad a WWII vet • On February 1, 2015 Dad goes to nursing home 33
  • 34. First: Medicaid Basics Transfer Penalties • Transfers Less Than FMV Within 60 Months of Application • Penalty: 1 Month for each $6,300 Transferred 34
  • 35. Medicaid Basics Transfer Penalties Resulting Penalty BEGINS On Date Otherwise Financially Eligible AND in Skilled Facility 35
  • 36. Medicaid Basics • Transfers More Than 5 Years Old: IRRELEVANT • Go To Nursing Home During 5 Years: Pay Remainder of 5 Years OR Undo Earlier Transfer 36
  • 37. 5 Year Strategies • Give Assets Away – Many Negatives • “Income Only” Trust – Much Better Solution 37
  • 38. Income Only Trust • Irrevocable – Sort Of • Income Continues • Great Tax Advantages 38
  • 39. Income Only Trust • 5 Years To Be Fully Effective • What Happens If Need NH Within 5 Years? – Pay Difference Until 5 Years From Trust Set-up Has Elapsed – Remember: Difference Between Income and NH Cost 39
  • 40. In The Example Above . . . • Mom and Dad incurred a 31.75 month penalty on February 1, 2012 • On February 1, 2015 Dad goes to nursing home (IF applies for Medicaid 31.75 month penalty) • The penalty is irrelevant in any event on January 1, 2017 (2 years after nursing home admit) 40
  • 41. In The Example Above . . . • Mom and Dad have income of $2,500/mo • Nursing home costs $6,500/mo • Mom and Dad decide NOT to apply for Medicaid • Mom and Dad realize they have to cover nursing home bill for 2 years 41
  • 42. Income Only Trust • How Pay For Remainder of 5 Years? – Savings – LTC Insurance – VA Benefits? (Maybe as much as $2,054/mo) 42
  • 43. Now serving Central Carolina and Coastal Georgia Elder Law * Wills & Trusts * Guardianships All contents of this presentation © 2013 Mason Law, PC