What Is Nursing Care Plan

>> cindy: today's webinar is entitled longterm care planning 101 the basics. our presenter today is susan suben, president of long termcare associates and elder care planning. long term care associates is an independent brokerin central new york that can talk specifically about long term care planning strategies.elder care planning provides ongoing care consultations for families dealing with along term care illness. susan has a bachelor's degree in sociology,a master's degree in education and counseling, a certificate in gerontology and she is alsoa certified senior advisor. susan has 20 years of experience in long term care planning andis personally familiar with the issues faced by families confronted with a long term carecrisis.

formerly vice president of a leading new yorkcity legal personnel agency and director of programs and services for the alzheimer'sassociation, susan combines her business acumen and counseling skills to serve her clients.the mission of her agency is to provide objective information and guidance about long term careissues and response to the emergence of long term care as a significant component of responsibleretirement and estate planning. and with that, susan, welcome, and let's getstarted. >> susan: thank you, cindy, and thank you,all, for tuning in today to the webinar. and we're going to be talking, as cindy said,about long term care planning. this is the topic that many of you, unfortunatelymight avoid, especially when you're healthy

and vibrant, but a long term care illnesscan have dire consequences for your family financially, emotionally and socially.it is actually the greatest threat to your retirement savings.i hope that this webinar will prompt you to plan for long term care and have what i callthe conversation with your family. there are many strategies to choose from,depending upon your goals, and i hope that you will gain the knowledge of what is bestfor you. so, let's begin.long term care planning can be a very complicated and confusing issue. and that's why many ofyou might shy away from it. but i'm hoping to make it as easy for you to understand todayas possible, and i welcome your comments and

questions in the chat box.so, as you can see from the screen, we have a lot of objectives to go over. and i willdeal with each of them and go over what long term care insurance is and other strategiesthat are available to you. so, long term care is a challenge that manyof us are sharing now or might be sharing in the future. at least 70% of people overthe age of 65 will need long term care services and support at some point. and another veryinteresting statistic is that 42% of people under the age of 65 are now receiving longterm care services. so, again, while we're healthy and vibrantwe don't think it's going to happen to us. and if it does, a lot of you might feel thatyour children will take care of you, or a

spouse or partner will take care of you, butthat puts a lot of undue stress on them. and i know this personally, because i havebeen a caregiver for both of my parents. and it was a very, very difficult situation forme. one that i didn't shy away from, but certainly it would have been easier if my parents hadhad a long term care plan in place. so we're all living longer. and that mightbe good or bad (laugh), because as we live longer i'm sorry, gang, the slide moved alittle bit. as we live longer, there's more of a realitythat we might need long term care, that we might come down with a chronic illness, suchas alzheimer's or parkinson's, severe arthritis, but back in the '40s and '50s, there are somany medical advances today that we will live

with these various conditions.but living longer, and living longer with chronic conditions does not always mean thatwe're going to have good quality of life. and that's the key to long term care planning,is to give us quality of life, and give us the ability to plan to remain as independentas possible for as long as we can. so, if we do become ill, the questions thatyou have to ask yourself is where do you want to receive care? how will you pay for this?and how will this impact your family and your finances?so, what is long term care? basically, it is the assistance or supervisionthat may be needed, because you cannot perform your activities of daily living, because youhave a chronic illness.

and a chronic illness can be a stroke, again,alzheimer's disease. you might need care because you were in an accident.you as you age, buck more frail, and that might require you to need long term care.and where you receive it could be anywhere. it could be in your home, it could be in thecommunity, for example, as an adult day care center, an assisted living facility, or anursing home. think of what you do when you get up in themorning. and those are going to be your activities of daily living. and this is considered custodialcare. so when you get up in the morning, you'regoing to transfer out of bed. you're going to go to the bathroom. you'll take a bath.you'll get dressed. you'll prepare a meal

and eat.if you're unable to do these activities of daily living, that might require you to needlong term care. so, it doesn't necessarily have to be skilledcare that you need, it could be custodial care.it's important to note that most people, when they need long term care are not receivingit in a nursing home. the average amount of time people stay ina nursing home right now is around 1, 1.5 years.if we look at the claims history of people with long term care insurance we see thataround 80% of the claims occur at home or in an assisted living facility.so, a nursing home is the last resort when

people are really ill, and they need skilledcare, they will access that type of service. but if you need custodial care, more oftenthan not, it's going to be provided to you in your own home. and that's important toknow. so when you plan for long term care, you'replanning on trying to stay at home for as long as possible. and staying at home willbring you a lot of comfort and more independence than going to a nursing home.so, again, we talked about we're going to talk about different levels of care. and custodialcare is help with your activities of daily living. it could also be non instrumentalcare, and that's, you know, having someone do your laundry, prepare your meals, cleaningthe house.

intermediate care might require a therapistto come in, to help you with physical therapy or respiratory therapy. it's rehabilitativein nature. let's say that you had a knee or hip replacement, and you might need some therapyafter you've had that operation. skilled care, which is the most intensivetype of care, is care that you will need, basically, in a nursing home.and if you get to that point, where you do need skilled care, it is easiest on your familyfor you to, perhaps, consider entering a nursing home, so that you are safe and properly takencare of. the most important thing that i can reallyproject to you today is that planning for long term care, you're really helping yourfamily deal with the consequences of a long

term care illness.because when you are disabled, you're not going to be able to take care of yourselfas well as you would like to. and it's the people around you with your familyand friends who are going to be the primary caregivers for you.and it would be better for them to be able to supervise your care as opposed to actuallydoing all the hands on work. and i really want to encourage you to havethis conversation. so, you have there are several things foryou to consider when in terms of the support and money you're going to need, if, in fact,you do, you know, become disabled and have a long term care illness.so, from a support point of view, you can

look to family, friends, and other peoplein the community. there are generally a lot of local resources, your area agency on aging,your church or temple, meals on wheels provides, you know, meals if you're homebound. generally,a lot of communities have transportation for people who need to get to doctors.but the other component is the funding for long term care. where are you going to getthe funds to pay for your long term care needs? and that could come from your income, yoursavings, your care savings that you might have in a cd, your retirement savings or otherassets that you've accumulated over the years for your retirement.because we're transcript we're coming from the rochester area i do have the cost of carein rochester. it's generally lower across

the country, based on where you reside, buta nursing home stay here on average is around 137,000 and change. a.assisted living is 48,000 a year. and if you have eight hours of care, seven days a week,$25 an hour for a home health aide is going to cost you around $16,000 a year.statistically speaking, most people run out of money to care for themselves in around13 months. so, it's not an inexpensive expense. and that'swhy it could have a really big impact on your retirement savings.so it's very good to be aware of the cost of care in the area that you reside.you have to forgive me. i have a bit of a cold and i'm trying really hard not to cough,but if i do, i apologize.

so there are many different long term carefunding options that you can kind of rely upon.there are public programs. there's private or family support. self funding and long termcare insurance options. we're going to go over each of these.so, from a public point of view, you have once you're over the age of 65, you can relyupon medicare to a limited extent. medicare, if you've been in a hospital forthree full days, as an admitted patient, not someone under observation. so you have toif you are if you have a family member who's been in the hospital or is going to rehab,they must be admitted into the hospital and stay there for three days. and then if theygo to a nursing home for rehab, medicare will

pay for the first 20 days in full. and thenthe next 80 days there's a co pay of around $155 a day.now, if you have health insurance from your employee or in your retirement planning, orif you have a medigap policy or a medicare advantage plan, those particular health insurancepolicies should cover that co pay. but after 100 days, medicare does not payfor anything. and if you enter a nursing home on a permanentbasis, once medicare determines that you've reached a plateau, in terms of getting better,medicare will not pay for anything. so, on average, people you have around 37days of medicare payment. from a home care point of view, medicare onlypays for skilled care. for a limited amount

of days and a limited amount of hours perday. so if you need custodial care, which is whatmost people need when they require long term care, medicare does not pay for custodialcare. you have to need skilled care. and as an optionof that, medicare will pay for some custodial care if an aid comes in that's providing skilledcare. medicare does not pay for adult day care anddoes not pay for assisted living. so those two settings would not be fundedby medicare. medicaid is a federal and state healthcareprogram. and it's usually tapped into by people who have limited assets and income.and in order to qualify for medicaid, you

have to spend down your assets.so, for an individual, you would have to spend your assets down to $14,850. and for a couple,you would spend your assets down to approximately $117,000 and change.the person in the in the nursing home would only be allowed to keep $50 a month for theirexpenses. medicaid does not pay for adult day care.and medicaid does not pay, generally, for assisted living.and those places those assisted living facilities that do accept medicaid are very, very differentfrom a sifted living facilities that take private payer, long term care insurance.so you have to be very cognizant of the fact that these public programs require certainguidelines that you have to adhere to, and

they're very limited in scope when it comesto paying for long term care. so you can rely upon your family for supportand, perhaps, funding; but, again, your family might not live nearby. many of our adult childrenlive in different states and will be long distance caregivers.many of our adult children have families. it would really catch them up in what we callthe sandwich generation. so they'd be taking care of your needs and the needs of perhapstheir children. and, again, i took care of both of my parents.and it was a very time consuming, physically tiring, emotionally stressful time for me.so, yes. if your family is around, they are going to do as much as possible for you, butdo you want to put that burden on them?

and if so, if they are around, why wouldn'tyou want to make it easier for them by having a plan in place?you can self fund, but so you can go into your resources. maybe you would go into yourretirement savings or an ira account. but you have to think of the tax implicationsthat doing that might have for you. and you might and you also have to think of the howthat will affect the standard of living of the wealth of your partner. if you tap intoall the resources that you've accumulated over the years, how is that going to affectyour spouse? and if your spouse needs long term care in the future, how is he or shegoing to pay for that? the other thing that it might affect if youself insure is the legacy that you might want

to leave to grandchildren or your children.so you might deplete that legacy that you had in mind for your family.so these are things to think about. and again, your self funding can come from any of thesesources, but, again, you have to think of the consequences of relying upon them.so, how do you plan for long term care? one, most the most popular way is a traditionallong term care insurance policy or a stand alone long term care insurance policy.and you have to think of, before you decide to purchase long term care insurance, youhave to question the suitability of it for your own need.so more often than not its middle class people with some assets and a fairly decent amountof income coming in that look into this strategy.

because once you decide to buy a long termcare insurance policy, you're going to pay the premiums every year. it's like your carinsurance or your homeowner's insurance. you're not building up any equity in the policy.it's just a payment that you will make every year.and once you start that payment, you don't want to have to stop, because you can't affordthe premiums anymore. so that is a very big consideration. you donot want to buy long term care insurance if it's going to compromise your standard ofliving, and you can't take a vacation or buy a new car, because you have to pay your premium.if you're almost eligible, if you're at that level where you're almost eligible for medicaidor you're on a very fixed income, it also

might not be the right strategy for you.so just bear that in mind that you need to be able to manage the premium.so long there are other considerations for long term care insurance. the factors thataffect the premium are your age and gender. also, underwriting the benefit payment, thebenefit period, the elimination period and the inflation protection. and we're goingto go over all of these things. and the other thing that you have to bearin mind is, each company treats home care can differently.and that's you have to be very aware of the home care features of the policies that youlook into and what's going to serve your needs, knowing your own personality and your goals.so, most people will buy long term care insurance

between the ages of 45 and 65. however, youcan be insurable from age 18 to 85. it gets more difficult to get the coverage when you'reolder, because underwriting plays a very key factor in your ability to be insured.so the older you are, the more expensive it is. and the older you are, you might havemore illness that would prevent you from obtaining the coverage.so that's why we suggest that the younger you are, the more viable it is for you tolook into this. but i will say that the underwriting has becomestricter. there are certain conditions that are uninsurable. if you've already been diagnosedwith alzheimer's or parkinson's, you are you would be uninsurable. if you've had knee replacement,hip replacements, forms of cancer, you would

have to go through certain waiting periodsin order to be eligible. so it's very important when you're talkingto an agent to disclose all of your health conditions, to make sure that this is viable.in the last year, we've seen gender based pricing. and us women were up in arms aboutthat. because women are charged more because we live longer and we stay on claim longer.so a single woman is going to pay more, and a woman who is married but whose spouse isuninsurable will also pay a higher premium. and that's something that you need to be awareof, as well. so policy design is very crucial when you'rea single woman or a woman whose spouse cannot apply with you.so, again, we have four major features to

a long term care insurance policy. the dailybenefit, the length of coverage, or the benefit period, the elimination period or deductible,and inflation protection. so your day you can select a daily or monthlybenefit in a long term care insurance policy. so it's very important to be aware of whatthe cost of care is in your geographic location, so that you know what daily benefit to select.no one really covers the full risk of long term care. it's basically a cross sharingfactor. so, for example, here in rochester if the average cost of care in a nursing home,we go with nursing home, because nursing home is the most expensive, if the average costof care is $375 a day, people might select a $300 a day daily benefit and know that theywill cross share the rest, because you really

want to keep that premium affordable.but you can also select a monthly benefit. so you could select $200 a day times 30, andthat would give you $6,000 a month. so it's important to know the cost of carein your area. and many of the long term care insurance companiesdo provide cost of care surveys across the country.so you can go to john hancock, gen worth's website, mutual of omaha and they will giveyou the cost in their area. the next feature that you have to select toyour benefit period. so how many years do you want that policyto pay for your care on average, people select three years of coverage. so you get when youbuy long term care insurance, you're basically

buying a pool of money. so that you don'thave to use your money to pay for your care. so, once so in this example, once you selectlet's say your monthly benefit, and let's say it's $5,000 a month times 48 months or4 years, your pool of money is going to be $240,000.so you can see that most of the insurance companies will give you the ability to taketwo to maybe up to ten years of long term care insurance coverage.so if you multiply your monthly benefit with the amount of months or your daily benefitwith the amount of years, you will get your pool of money.and that's the amount of money that you can use to pay for your care in any setting ofyour choice, whether it be home care, nursing

home care, adult day care, or assisted living.the policies also cover hospice care. and they will also provide you with funds forcare coordination, so that when you become ill, you will be connected to a care coordinatorthat will help you plan on your course of action, to make sure that you remain safeand independent. the elimination period is considered the deductibleperiod. and it's the amount of time that you pay out of pocket before the policy kicksin. so you can select calendar days or servicedays. so with a calendar day and let's go to thenext slide. and we're trying. oh, with a calendar day,even if you don't receive care on a specific

day, you will get credit towards that eliminationperiod that you've selected. with a service day, a day is credited to yourelimination day every time you've had a service. so it's going to take you a longer periodof time to get through a service day elimination period as opposed to a calendar day.and this can be very meaningful if you plan on using your policy to stay at home for aslong as possible, because it will take you a longer period of time before you receiveyour benefits your home care. so just bear that in mind.inflation protection is very, very important. it's been determined by a lot of the companiesover a five year time frame that nursing home costs are going up 4.1% per year. assistedliving, around 3.5% a year. and home care

is a bit flat around 1 to 2% a year.so when you buy a long term care insurance policy, you want it to have value when you'regoing to use it. and most people use it when they're around 82 to 85 years of age, is whenmost people go on claim. so you want to have inflation protection.and there are many, many different inflation protections to choose from.it could be 3% compound, 5% compound, 2% compound, 5% simple. it gets a little overwhelming,but if you work with an agent that is aware of what your financial situation is and howmuch of the cost sharing you would like to do, you should be able to select an inflationfactor that will work for you and also, again, keep the premium affordable. but it's veryimportant to have some sort of inflation protection.

otherwise, when you need the care, the policybenefits are going to remain flat, and you're going to have to pay more out of pocket.so home care is very important. and most of the services that the companies provide arehomemaker services, home health care aides, social workers, physical therapy, respiratorytherapy. so it's a combination of unskilled or custodialcare and skilled care. where the companies differentiate is thatsome companies only allow you to use an agency, which limits the type of people that you cancall upon to take care of you. and other companies will allow you to useindependent people, as well as an agency, but the independent people must be licensed,certified, or trained properly.

so if, for example, you know a nurse who wouldcome in and take care of you on their own, not going through an agency, some companieswill allow you to do that. we still some of the companies still havea cash benefit that will allow you to have anyone take care of you, such as family andfriends, but a lot of the companies offer some bizarre reason, i don't know why, orgoing away from that type of scenario. so it's very difficult to find a company thatwill allow you to have family or friends take care of you.but just bear in mind that each company treats long term care or the home care benefit alittle bit differently. so, in new york state and nationally we havewhat were he call partnership programs. and

in new york state, we have total asset protectionpolicies and partial asset protection policies. there are five programs in new york state,three of which are total asset protection plans. and that means that if you buy oneof these programs, and you use up all of your assets, you can actually apply for medicaidwithout spending down any of your assets. you'd only have to spend down to that $14,850.you don't have to, as a couple, you don't have to spend down to that $117,000.so, the new york state partnership plan is a great program if you want to have a totalasset protection policy. for people in new york state who might havemore modest assets, say that your home is you’re most valuable asset, you might lookinto the partial asset protection policy,

which means that assets protected will equalthe amount of benefits paid by the policy. so let's say that your home is worth $150,000.that's your biggest asset. you can design a policy that will protect that total assetfor you or that asset for you, for your family, to leave as a legacy.so, again, working with an agent that's aware of these different options is very important.new york state is the only state that i'm aware of that does provide total asset protectionpolicies. you can use your your new york state your new york state total asset protectionpolicy anywhere in the country and have benefits available to you.outside of new york state, the partnership plans are all partial asset protection policies,which means that the assets protected are

going to equal the amount of benefits paidby the policy. there are certain guidelines that you haveto follow in order for the policy to be considered a partnership plan.so if you're between the age of 60 if you're 60 or younger, across the country you're requiredto have a compound inflation factor. if you're between the age of 61 to 75, any type of inflation,compound, simple, or cpi, which is consumer price index inflation, that's acceptable.75 and older, inflation is discretionary. so if you live out of new york state, youcan create a partnership plan, but it has to follow certain guidelines. and, again,you can talk to an agent in your area, and they would be able to advise you about that.so, what is your next step?

i've given you an option of long term careinsurance, but there are many other strategies to consider.so, you can't really shy away from long term care planning, because i'm giving you so manyoptions to consider. and we're going to go over them right now.so, let's say that you don't want to buy long term care insurance, for whatever reason,but you do want to protect your assets. you can go to an attorney and do a what we calla medicaid trust or an irrevocable trust. and that's when you place your assets intoa trust. you will not have access to the assets that you put in the trust. and you have torealize that you can't put in any qualified money, such as 401(k)s or pension plans. youhave to get through a five year look back

period in order for the trust to remain viable.and that means that if let's say, in 2015, you create a trust, and then three years fromnow, you need to go on medicaid, medicaid is going to look back five years and say,well, you didn't get through the five year look back period. so we're going to, you know,get access to that trust. you can receive income from the trust, butyou basically cannot receive any of the principal anymore.so if you feel comfortable giving up control of some of your assets, a medicaid irrevocabletrust is definitely something to consider. a lot of people put their homes in a medicaidtrust, so that they could they're able to protect that asset.and so that's another choice.

you can give away all your money, but, again,there is that five year look back period. and if you do that, and you need to go onmedicaid, medicaid can actually go back to the people that you've given your money awayto and ask them to give it back. so, again, there's that issue of the fiveyear look back period. and what if you gift your money, say, to achild or yeah, and the child goes through a divorce, and then you're all the assetsthat you've accumulated are now part of a divorce settlement. so you have to reallythink that through as far as gifting away your assets.a new strategy that's come around a few years ago is a life insurance policy with a longterm care rider.

many people object to a stand alone long termcare insurance policy, because if you don't use the policy, you're basically wasting yourpremium dollars, though, because you're losing all that money that you've paid out in premium.well, the life insurance policy with a long term care rider are generally universal orwhole life policies. and they have a rider in it that's similar to a stand alone longterm care insurance policy. it's a very good strategy if you're concernedabout wasted premium dollars. the only concern i have with it is some of these policies don'thave inflation protection. some of them require a single premium, so that you might have toreallocate money, like take perhaps a cd and use that money to fund the long term careinsurance or a hybrid policy.

the good thing about it is that someone isgoing to take advantage of it, because if you don't use it as a living benefit, thenyour heirs will inherit the life insurance portion of the policy tax free when you passaway. another strategy is the life insurance policywith an accelerated death benefit. i should go back. wait. one thing i shouldgo back to is that the hybrids do require double underwriting. so if you're not insurablefor a stand alone long term care insurance policy you're not going to be able to takethis particular you won't be insurable for this particular policy.a life insurance policy with an accelerated death benefit is viable for someone who maynot be insurable for a stand alone long term

care insurance policy. basically, its oneset of underwriting for life insurance, and you can accelerate the death benefit to payfor your long term care needs. the life insurance policy with a chronic illnessrider is also viable for someone who might be uninsurable for a stand alone long termcare insurance policy. the underwriting is the same for both of these.the chronic illness rider plans might have some more administrative cost to it once youtrying to into the policy to use your life insurance death benefit for your long termcare needs. so there might be more administrative costswith the chronic illness rider. if you have a family member who is going intoa nursing home, there is actually still another

long term care plan that or strategy thatthey can tap into, and that's a promissory note. and you would have to go to an attorneyto do that. and basically, what that is, is lending moneyto, let's say your adult children as a loan. and they have to pay it back to you, so thatyou're trying to protect around 50% of your asset base.but i won't go into that, because i'm not an attorney. but just be aware, if an emergencysituation should arise for you or a family member, you can go to an attorney and talkabout putting together a promissory note. reverse mortgage is another long term carestrategy, if you're 62 or older, and you own your own home, you could use the equity inyour home to pay for long term care.

and finally, a life settlement is a way tosell a life insurance policy that you don't need anymore, that has a cash build up toa third party. you will receive an amount less than the deathbenefit but more than the cash value. and this will be another way for you to pay forlong term care. so, hopefully you have a lot of strategiesnow available to you that you can think about. i encourage you again and urge you again totalk to your family members, your spouse, and your adult children. it's not an easytopic, but if you have a plan in place, it will make it easier for those you love totake care of you should the time arrive when you do need some long term care. so, thankyou for listening today and if there are any

questions i'd be happy to answer them.>> cindy: susan, thank you. that was quite a lot of really great information. and i knowshe's going to start coughing. so, if you hear her, ignore it.we do have a very specific question from mike. and if others have questions, please typethem into the chat panel. i know i have is a bunch. but but i have accessto susan so i can ask her after the webinar. so the question is very specific to the protectionpolicy. he's curious as to how it works. do you need to apply here in new york state becausei'm guessing he's here in new york state. and where can he get more information?>> susan: okay. the total asset protection policies are a policy in new york state.you can go to any agent who sells long term

care insurance. (coughing). i can't believei got this far without coughing. who will be able to give you information?there are certain companies that sell the new york state partnership plan. they aregenworth, met america, met companies and new york life. so you can go to any one of thosecompanies and gather information. >> cindy: thank you.other questions? feel free to type them in. susan, you might have covered this, but, again,when do you think is the best time for someone to think start thinking about long term care?and is there an age that we get to, where it might be too late to start thinking aboutlong term care insurance? >> susan: well, definitely, you should startto think about it when you're in your 40s.

because the premiums are going to be muchreasonable much more reasonable. and because you're younger, you might be able to put morebenefit on into the policies or more riders into the policies that will cover you moreeffectively. underwriting does become an issue, as youbecome older, and even though you can obtain a policy up to the age of 85, the companiesare much more stringent about your cognitive capabilities. and they will look at all yourmedical records, which they generally do any way.so, the younger you are, the better it is for you to look into the coverage.>> cindy: okay. thank you. i know that you said that you can get a policyfor long term care insurance through an insurance

agent, but i assume you can also get it throughan employer. and if you get it through an employer, is it portable if you change jobs?>> susan: usually, it is portable. and many companies are starting to offer long termcare insurance to their employees. you have to be very careful about the programthat you select, because often times, employers will use pre packaged plans. there might notbe enough inflation protection. there might not be any inflation protection. the dailybenefits might not be large enough. so it's important for you to ask your employerabout any plans that are available, but it would be equally important for you to actuallytalk to an agent, meet with an agent that's representing the company's plan, so that youcan sit down and talk about the different

features that are available.because i've seen many employer plans that where people buy into it as a young age, andthen don't have any inflation protection. the premiums are very low, and they think,hey, this is great. and it is good that you're planning, but you again, you want the policyto have value when you need it later on. so i think it's commendable that employersare offering it. there's a voluntary benefit more often than not. but it's equally importantto make sure that what you're purchasing through your employer is going to have value.>> cindy: thank you. i there are no more questions coming in. butwe still have some time remaining. so if there are any questions, please type them into thechat box.

(pause.)>> cindy: i think something is coming. yes. >> susan: let's go back to mike for a minute.you into he had to apply in new york state or a new york state partnership plan. butif you live out of new york state, you apply to that particular state's partnership plans.>> cindy: christine has a question, susan. what policies do you recommend for adequateprotection for someone who already has a chronic illness?>> susan: you would probably need to look into a life insurance policy with a chronicillness rider or an accelerated death benefit, because you wouldn't if you already have achronic illness, and you need some type of long term care now, you might look into alife insurance policy, because the underwriting

is very different for life insurance as opposedto long term care insurance. but i would go in the direction of a life insurance policywith a chronic illness rider. >> cindy: hopefully that's helpful, christine.is there any other questions? please check them in. otherwise, we will.>> susan: we will say thank you for listening. >> cindy: exactly:nope. all righty. well, if you do come up with a question later, please feel free toemail us at ritalumn@ rit.edu, or if you're have a passion for twitter you could tweetyour questions to @rit_alumni with the hashtag #merit webinars. we will get your questionsto susan, and get you answers straightaway. again, thank you to susan for being our speakertoday. i hope that you have learned a lot

more about long term care strategies and thankyou to all of you in the rit community for joining us today.our next webinar is tuesday, october 13th, that's next week, where frank romano willpresent: what's news? a news show about what is new and trending in the print industry.