In 2024, the median household income in the United States was $83,730. However, the national average annual cost of 24-hour paid long-term care (LTC) for a retiree age 65 and older was more than $125,000, according to the Department of Health and Human Services. Moreover, one in five seniors will require care for more than five years.

Obviously, the math varies by household, but the reality is that the majority of older Americans who rely on paid caregiving will use much of their retirement savings and investments to pay for it. When considering insurance, there are presently two options: Long Term Care Insurance (LTCi) and Hybrid Life Insurance with an LTC component. Be aware that each policy offers a throng of variations and exclusions, so it is important to dig into the details of individual policies before making a decision.

Long Term Care Insurance

Purchasing a long-term care insurance policy can help offset the cost of caregiving for either in-home care (in some cases, even payouts for family caregivers) or care outside the home (e.g., adult daycare services, assisted living, memory care, nursing home). However, it’s important to understand the following about LTCi.

It can be quite expensive.

Premiums can range from $2,000 a year for a man in his 50s to more than $12,000 a year for a woman in her 70s. Furthermore, premiums increase annually until benefits begin (premiums cease while benefits are paid).

It may not cover the full cost of care.

Unless care is needed for only a few hours a day, long-term care policies generally do not cover the full cost of paid caregiving. For example, let’s say a policy pays $150 a day, but the owner needs care for eight hours a day. His in-home caregiver charges $30 an hour. That means his cost is $240 a day, so he’ll have to pay the additional $90 a day out of his own pocket. That’s

up to $2,790 a month or $32,850 a year. So, while LTCi can help defray the cost, someone who needs extensive care must have other assets to cover the rest of the cost. For an elderly person who needs 24-hour home care, the cost can be exponential.

Many new policies cover only a handful of years.

When you purchase an LTCi policy, you choose from various options that increase or decrease your premium. For example, coverage periods may range from two years to five years to life. You may also select a waiting period before coverage begins after purchase, which could range from 30 days to 365 days. The longer the wait period, the lower the premium. If you have an immediate need for coverage, you might be denied coverage altogether. That is why it’s best to purchase coverage when you are younger (50s) and presumably healthy.

You don’t get to choose when to start benefits.

LTCi coverage doesn’t kick in until you qualify, which generally means you are no longer able to independently conduct some or all of the prescribed daily living activities. The five primary qualifiers are bathing, going to the toilet, dressing yourself, feeding yourself, and the ability to move from bed to chair/wheelchair. Qualification to begin taking LTCi benefits usually requires physician verification.

The downside of a standalone LTCi policy is that it is a “use-it-or-lose-it” type of contract, much like auto or homeowner’s insurance. In other words, you may pay for it for decades but never actually use it, so all the premiums paid are lost.

Hybrid Life/Long Term Care Insurance

On the other hand, a hybrid insurance policy will pay out some portion of unused proceeds to beneficiaries upon the death of the policyowner. A hybrid policy is basically a life insurance policy with an LTCi rider or an accelerated benefit clause, which, either way, means it will cost more.

First and foremost, it works just like life insurance – once the owner passes away, the beneficiary receives a payout. However, if the owner needs money to pay for long-term care while he is still alive, he can tap the rider or life insurance payout to pay for the care. Then, when he passes away, his heirs receive any amount of the unused proceeds. With this type of policy, the owner doesn’t pay for LTCi coverage he does not need, but it’s available if he does need it.

Premiums for a hybrid policy, like any life insurance, depend on the age, gender, health, and amount of insurance proceeds desired, as well as any additional charge for the LTCi rider. Some policies include LTC benefits as a standard feature.

Employer-Sponsored Benefit

If your employer offers long-term care insurance as a voluntary benefit, it’s worth considering because group rates are generally cheaper than on the individual market. However, while employer-sponsored LTCi policies are usually portable – meaning you can keep paying for it after you leave your employer – your premiums may increase when no longer part of the group policy.

As always, reach out to a professional when it comes to planning for you and your family’s future care.

The rules for IRAs inherited after 2020 changed when Congress passed the Secure Act in 2019. The new rules eliminated the opportunity for non-spousal beneficiaries to “stretch” inherited IRA earnings over their own lifetime. Up until this year, required minimum distributions (RMDs) and associated penalties were waived while the IRS clarified the new rules; but in 2025, they are in full force for most inherited IRA beneficiaries.

For clarity: Non-spouses who inherited IRA assets after 2020 MUST take RMDs starting this year.

RMD Rules For Non-Spouses

For Traditional IRAs inherited after 2020, the first thing a non-spousal beneficiary must do is transfer the inherited assets into an inherited IRA under his own name. Note that RMDs are then required only if the original owner had reached their RMD age before dying. Under this scenario, the beneficiary must take required minimum distributions going forward, including any RMD not taken in the year the original IRA owner died. Over the next nine years, the new inherited IRA owner must take annual RMDs based on his own life expectancy and deplete the account within 10 years of the decedent’s death.

However, if the original account owner was NOT required to take minimum distributions as of the time he passed, the inherited IRA beneficiary is NOT required to take them – unless he reaches RMD age during the 10-year holding period(starting at age 73, or age 75 effective 2033). Either way, he still must empty the account and pay the requisite tax bill within 10 years of the original account owner’s death.

In addition to paying taxes owed on RMDs, inherited account owners are subject to a 25 percent penalty on any amount shy of that year’s required distribution. Should you miss an RMD, you may be able to reduce the penalty to 10 percent if the correct distribution is taken within two years.

RMD Rules For Spouse Beneficiaries

A spousal beneficiary of the original IRA owner has more options than a non-spouse. For starters, she can retain the original account under her own name. Similar to the non-spouse beneficiary, if the decedent spouse HAD reached his RMD age, the surviving spouse must take required minimum distributions as well, including any RMD not taken in the year the original owner died. However, RMDs thereafter will be calculated based on the surviving spouse’s life expectancy, and there is no requirement to deplete the account within 10 years.

If the original IRA owner had?NOT?started taking RMDs, then the spouse does not have to take RMDs until she reaches the age required to do so. At that point, the RMDs will be based on her own life expectancy.

A spousal beneficiary also has the option to transfer the inherited assets into her own IRA. Under this scenario, her RMD schedule is based on her own age. This option allows her to delay taking RMDs until she reaches RMD age, regardless of the RMD status of the deceased spouse. This strategy provides the opportunity for the inherited assets to grow longer, tax-deferred.

For clarity: the 10-year rule for full distribution does not apply to spouses.

Note that the rules discussed herein do not apply to Traditional IRAs inherited by Trusts or “Eligible Designated Beneficiaries” (EDBs), which refer to chronically ill or disabled beneficiaries, beneficiaries who are younger than the deceased account owner by 10 years or less, or minor children of the account owner.

It’s best to work with a financial advisor or IRA account custodian to choose the option best suited to your circumstances – and ensure you adhere to the appropriate rules.