Daily Financial Intel

Residence Transfer Subject to Life Estate: Medicaid Planning for Fortune 500 Employees and Retirees

Written by Kevin Won of The Retirement Group | Jul 29, 2024 7:00:00 AM

 

"Incorporating a life estate into estate planning allows Fortune 500 employees and retirees to retain their right to live in their homes while also potentially preserving assets for future generations, but it is crucial to understand both the benefits and the tradeoffs, including possible state-specific recovery and tax implications." – Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement Group.

"Utilizing a life estate can be an effective strategy for Fortune 500 employees and retirees to preserve their home and potentially reduce Medicaid ineligibility periods, though it is important to weigh the loss of control over the asset and the possible state-specific estate recovery." – Patrick Ray, a representative of The Retirement Group, a division of Wealth Enhancement Group.

In this article, we will discuss:

  1. How a transfer subject to a life estate can help preserve a residence and increase Medicaid eligibility.

  2. The benefits of using a life estate to preserve home ownership for beneficiaries and avoid probate.

  3. The tradeoffs and challenges associated with using a life estate, including potential Medicaid estate recovery and loss of control over the property.

Introduction

Our Fortune 500 clients frequently face the challenge of preserving their residences while also qualifying for Medicare. A transfer subject to a life estate can be used to preserve your residence and increase your Medicaid eligibility. You transfer the ""remainder interest"" in your home to your offspring (or other beneficiaries) and retain a ""life estate"" for yourself using this estate-planning device. As a matter of convenience, you deed the property to the remainder beneficiaries and include language in the deed to retain your life estate. The life estate grants you the legal right to reside in the residence for the remainder of your life. As the ""life tenant,"" you remain responsible for paying all ordinary and necessary property maintenance costs, such as property taxes, insurance, utilities, and routine repairs. The home transfers to the remainder beneficiaries upon your passing.

The benefit of this arrangement is that you can remove a significant portion of your home's value from your financial profile for Medicaid eligibility purposes and abbreviate any period of ineligibility while retaining your right to reside in the home. Many of our Fortune 500 customers have found success with this potent retirement tool.

How Does It Work?

Remainder Interest Not Countable As Available Asset for Medicaid Eligibility Purposes

In order to qualify for Medicaid, both your income and the value of your other assets must fall below state-specific limits. In determining your Medicaid eligibility, a state may only consider the income and resources legally available to pay for your medical expenses.

A transfer subject to life estate can help you qualify for Medicaid by rendering your home's remainder interest unavailable to you (and, therefore, to the state) once any period of ineligibility expires. Nonetheless, the life estate is considered an available asset. Medicaid employs a ""Life Estate and Remainder Table"" to determine the value of your life estate based on your life expectancy and the value of your residence. In addition, because you retain an interest in the property, any period of ineligibility will be shorter than if you had completely conveyed the property.

Caution: if you (or, if married, both you and your spouse) enter a nursing home, the life estate still grants you the right to reside in the home for the remainder of your life. If you are unable to return home, however, the residence could (and perhaps must) be rented, and the net rental income would be applied to your nursing home expenses.

Preserves Home for Your Beneficiaries

In addition to helping you qualify for Medicaid, a life estate may also help you preserve the home for your heirs. The home transfers directly to the remainder beneficiaries upon death; it is not part of the decedent's probate estate, and states cannot typically seize it under estate recovery theories. Numerous Fortune 500 clients have deemed this to be desirable.

Caution: Some states have adopted a broader definition of an estate that includes non-probate assets in which you have an ownership interest at the time of your demise. These states place a lien on your home to collect the value of your life estate just prior to your demise.

Shortens Any Period of Ineligibility

Despite the fact that the residence transfer subject is a powerful instrument for Fortune 500 employees and retirees, there is an ineligibility period. As with any transfer of assets for less than fair market value, a gift of the remainder interest in your property can result in a waiting period or period of ineligibility prior to Medicaid eligibility. When you register for Medicaid, the state has the right to review your (and your spouse's) finances for a period of months preceding the date of your application. The look-back period for transfers made on or after February 8, 2006 is sixty months. Therefore, if you give away a house (or a remainder interest in the house) within 60 months of the date you register for Medicaid, you may be ineligible for Medicaid for a set number of months, determined by a state-mandated formula. This formula can be described as the value of the remainder interest (from actuarial tables) divided by the average monthly cost of nursing facilities in your area, with the quotient representing the number of months for which you will be ineligible for Medicaid benefits. Because only the valuation of the remainder interest is factored into the calculation, the period of ineligibility will be shorter than if the entire property had been transferred.

Strengths

Preserves Your Right to Live In the Property for Life

Numerous Fortune 500 employees and retirees place a high priority on preserving their legal right to reside in their own residence. If you give your home to your offspring without reserving a life estate, you forfeit the right to continue living there. Consequently, if your children divorce or owe money to creditors, the house will be sold and you will be left without a place to reside. By contrast, reserving a life estate preserves your right to reside in the home. Even if your child sells his or her remainder interest in the property, the buyer cannot assume possession of the property until your demise.

Avoids Probate

The property transfers directly and automatically to the remainder beneficiaries upon your death, thereby avoiding the expense and delay of probate.

Preserves Assets for Your Loved Ones (In Some States)

Many states seek reimbursement from your estate for Medicaid benefits they paid on your behalf after your demise. In certain jurisdictions, ""estate"" refers exclusively to your probate estate. Since any assets transferred pursuant to a life estate arrangement would be removed from your probate estate, these states would be unable to seek title to those assets. Therefore, the assets would be preserved for your family. This eliminates a major concern of many Fortune 500 employees and retirees, namely that the state will seize the assets they wish to pass on.

Helps You Qualify for Medicaid

A transfer subject to a life estate helps you qualify for Medicaid by rendering your remainder interest in your home unavailable to you (and, therefore, to the state) for Medicaid eligibility purposes once any period of ineligibility expires. Additionally, any period of ineligibility is reduced because the value of your retained interest is excluded from the calculation.

Minimizes Gift Tax on the Transfer

If you deed your property and retain a life estate, your gift of the remainder interest will be complete. The value of the gift is the home's fair market value at the time of the gift, less the value of your life estate. However, you may not actually be required to pay federal gift tax if it can be mitigated by your exclusion amount.

Provides Your Children with a Stepped-Up Basis

The tax benefits that transferring a residence to a life estate can bring to a beneficiary in the future is an additional factor that is frequently considered by Fortune 500 employees and retirees. Your offspring (or whoever you name as remainder beneficiaries) are treated as if they inherited your property for income tax purposes. In other words, your children may use the property's fair market value on the date of your death as the premise for calculating their capital gain on a subsequent sale. This type of basis is known as a stepped-up basis.

Assume John paid $70,000 for his residence twenty-five years ago. He reserved a life estate in the property and granted Mary the remainder interest. The value of John's property upon his demise is $250,000. There will be no capital gain if Mary sells the property for $250,000, as she will have a ""stepped-up"" basis of $250,000. Mary's basis would be $70,000 if John had merely given the house to her without reserving a life estate. She would report a $180,000 capital gain.

Tradeoffs

Loss of Control Over Asset

Your donation of the remainder interest cannot be revoked. This means that once the property has been transferred, you no longer have legal control over its ultimate disposition.

Value of Life Estate May Be Subject to Medicaid Estate Recovery in Some States

After your death, your state may seek reimbursement from your estate. For Medicaid purposes, the word ""estate"" has traditionally been interpreted by the majority of states as your probate estate; that is, it has been interpreted by the majority of states as excluding assets that pass by beneficiary designation or by operation of law. However, some jurisdictions have adopted a definition of estate that includes non-probate assets as well. These states may exercise their authority to collect the value of your life estate just prior to your passing.

Sale of the Home During Your Lifetime May Be Problematic

Your percentage of the sale proceeds may be considered an ""available resource"" for Medicaid eligibility purposes, disqualifying you from benefits.

How to Do It

Gather Your Medicaid Eligibility Information Before Consulting An Attorney or Other Financial Professional

Prepare a list of all your assets (and those of your spouse) that includes the manner in which title is held, the tax basis, and the purchase price. Prepare an inventory of all of your (and your spouse's) sources of income. Indicate whether your resources are exempt, non-exempt, or inaccessible for Medicaid purposes. Compile an inventory of all assets transferred within the past sixty months, whether by gift, trust, or other means. Indicate the transfer date, recipient, purpose, and consideration (what you received in exchange).

Consult a Medicaid Law Attorney

Many Fortune 500 employees and retirees find it difficult to comprehend Medicaid laws on their own. Medicaid laws have endured a number of changes in recent years. Given that certain planning vehicles have been eliminated and the majority of rules have been tightened, it is reasonable to anticipate that additional changes will occur in the coming years.

Sources:

1. Use Trusted Financial Websites: Look for articles on established financial advisory sites, such as Fidelity Investments, Vanguard, or Charles Schwab. These companies often offer insights on estate planning, Medicaid eligibility, and tax planning.

2. Government or Legal Websites: Medicaid.gov and IRS.gov would provide official guidance on life estates, Medicaid eligibility, and tax implications. Legal websites such as Nolo or FindLaw can also be beneficial for understanding life estate laws and Medicaid planning.

3. Tax and Estate Planning Blogs: Seek expert blogs from tax advisors or estate planners such as Kiplinger, The Balance, or Wealth Management which frequently cover Medicaid planning strategies and life estates.

4. Academic or Research Papers: Sites like Google Scholar or universities’ law or tax departments often publish research on topics like Medicaid eligibility and estate planning, which may help back the legal and tax aspects of your article.

5. News Publications: Major publications such as The New York Times, Washington Post, or Wall Street Journal often cover legislative changes that could impact Medicaid or tax planning, offering in-depth analysis of changes in state laws regarding estate recovery and life estates.