Bringing it All Together – Organizing Your LTC Toolbox FOR BROKER/DEALER USE ONLY—NOT FOR USE WITH THE PUBLIC NFM-11295AO (12/12) Brought to you by the.

Bringing it All Together – Organizing Your LTC Toolbox

FOR BROKER/DEALER USE ONLY—NOT FOR USE WITH THE PUBLICNFM-11295AO (12/12)

Brought to you by the

Nationwide® Advanced Consulting Group

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Some Things You Should Know

•This presentation was not intended by the author to be used, by anybody for the purpose of avoiding any penalties that may be imposed on you pursuant to the Internal Revenue Code. The information contained herein was prepared to support the promotion, marketing and/or sale of life insurance contracts, annuity contracts and/or other products and services provided by Nationwide Life Insurance Company.•Federal tax laws are complex and subject to change. Neither the company nor its representatives give legal or tax advice. Please talk with your attorney or tax advisor for answers to your specific questions.•Investing involves risk, including possible loss of principal•Keep in mind that as an acceleration of the death benefit, the LTC rider payout will reduce both the death benefit and cash surrender values. Care should be taken to make sure that your clients' life insurance needs continue to be met even if the rider pays out in full. There is no guarantee that the rider will cover the entire cost for all of the insured's long-term care as these vary with the needs of each insured.

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Some Things You Should Know

• When evaluating the purchase of a variable annuity, your clients should be aware that variable annuities are long-term investment vehicles designed for retirement purposes and will fluctuate in value; annuities have limitations; and investing involves market risk, including possible loss of principal.•This information assumes that the life insurance is not a modified endowment contract, or MEC. As long as the contract meets the non-MEC definitions of IRC Section 7702A, most distributions are taxed on a first-in/first-out basis. Surrender charges may apply to partial surrenders. Loans and partial surrenders from a MEC will generally be taxable, and if taken prior to age 59 ½, may be subject to a 10% tax penalty. Loans and partial surrenders will reduce the cash value and the death benefits payable to your beneficiaries, and withdrawals above the available free amount will incur surrender charges. If your contract were to lapse with a loan outstanding, the loan amount in excess of basis will be treated as a distribution and all or a portion will be subject to income tax.•The underlying investment options to a variable annuity or life insurance product are not publicly traded mutual funds and are not available directly for purchase by the general public. They are only available through variable annuity/variable life insurance policies issued by life insurance companies.

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Some Things You Should Know

•As your clients’ personal situations change (i.e., marriage, birth of a child or job promotion), so will their life insurance needs. Care should be taken to ensure these strategies and products are suitable for long-term life insurance needs. You should weigh your clients’ objectives, time horizon and risk tolerance as well as any associated costs before investing. Also, be aware that market volatility can lead to the possibility of the need for additional premium in the policy. Variable life insurance has fees and charges associated with it that include costs of insurance that vary with such characteristics of the insured as gender, health and age, underlying fund charges and expenses, and additional charges for riders that customize a policy to fit your clients’ individual needs.•Not all Nationwide products and services are suitable for all clients or situations. There may be products, issued by other companies, which better suit your clients’ goals. Be sure to consider your clients’ objectives, their need for cash flow and liquidity, and overall risk tolerance when using any strategy.•This information was developed to promote and support products and services offered by Nationwide. It should not be taken as tax advice. It was not written or meant to be used by any taxpayer to avoid tax penalties, and it cannot be used by any taxpayer for that purpose.•Life insurance and annuities are issued by Nationwide Life Insurance Company or Nationwide Life and Annuity Insurance Company, Columbus, Ohio, member of Nationwide Financial®. The general distributor for variable insurance products is Nationwide Investment Services Corporation, member FINRA. In Michigan only: Nationwide Investment Svcs. Corporation.

Not a deposit Not FDIC or NCUSIF insured Not guaranteed by the institution Not insured by any federal government agency May lose value

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Some Things You Should Know

•None of the long-term care products mentioned guarantee that the entire cost for all of the insured's long-term care expenses will be met as these vary with the needs of each insured.•Traditional Long-term Care policies mentioned come with risk of price increase•LTC Riders may have an additional charge and these products should be purchased first and foremost for the purpose of life insurance. Death benefits are reduced dollar for dollar by the amount accelerated for benefits (more than dollar for dollar with some products). Take care the underlying life insurance need is still met should benefits for long-term care or chronic illness be accelerated•Case studies are hypothetical and do not represent a specific client or clients

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Agenda

• Approaching Clients – Who and How?

• Organizing a Plan – Gathering Data

• Misconceptions Your Client May Have

• Preparing Clients for Realistic Costs

• Helping Clients Choose a Solutions to LTC Costs

• Elder Care Issues

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• Clients with assets to protect• Clients under age 651

– 81% of purchasers under age 65– 56% of purchasers between 55 - 64

• Married clients1

– 77% of purchasers are married

• Women1

– 66% of policies purchased on women

• Affluent clients– Insuring risk is more cost effective

Approaching Clients – Who?

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1AALTCI- American Association for Long-Term Care Insurance Sourcebook 2012-2013

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• Don’t start with words “long-term care”– Many clients associate long-term care with Nursing Homes

• Most clients would prefer to receive care at home– 50% of LTC claims are for Home Health Care1 – Discuss “staying in your home longer” with the client

• Use analogies – Average cost of a home in U.S. is $187,3003

– Average cost of a Home Health Care claim - $196,5602

– Average cost of Assisted Living Claim - $187,7582

– Average cost of a nursing home claim - $218,0872

Approaching Clients – How?

1AALTCI- American Association for Long-Term Care Insurance Sourcebook 2012-20132Source: Market Survey of long-term Care Costs, Market Mature Institute, 3October 2011. National Association of Realtors – August 2012

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• Gather Data– Marital Status– Adult Children available for support (physical or advocate)– Current Assets– Current income sources– Income sources in retirement– Where clients will live in retirement– Debts, Home Mortgage (paid off home?), etc.

• Confidential Health Care Fact Finder– Pertinent information for the LTC calculator

Organizing a Plan

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• Make sure the right people are at the appointments– Both spouses– Adult children and parents if the children are

purchasing the plan

• Be Flexible– LTC discussions can be delicate and emotional– Patience and understanding

Organizing a Plan

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According to studies, Americans erroneously believe the following sources pay LTC expenses:

Client Misconceptions

Long-term Care Insurance: A Piece of the Retirement Puzzle, Prudential 2011 Study

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Prepare Your Client for Realistic Costs

Considerations include:

•Current health condition of clients•Marital status•Geographical location•Historical LTC inflation factors

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Prepare Your Client for Realistic CostsClient Fact Finder

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Long-term Care Assessment

•John is age 60 at time report is generated•John is estimated to need LTC services at age 80 and need care for approximately 7 months

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• l

Long-term Care Assessment

•Jane is age 60 at time report is generated•Jane is estimated to need LTC services at age 88 and need care for approximately 2 years and 7 months

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Be prepare to customize solutions • Read the report ahead of time• Look at client’s file for information that might influence

success of an alternative care choice– What sources of income will be available in retirement?– What assets are available to liquidate for the surviving

spouse?

• Find out additional facts such as– Do client’s have children living in town?– What capacity to do the children have to give support?

• Upon assessing information, a plan can be considered

Avoid Client “Sticker Shock”Total estimated LTC cost for this couple nearly $500,000!

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– Traditional LTC Policies• Flexible, cost efficient, helps preserves assets to leave to heir

– Asset Based LTC• Help preserve assets to leave to heirs

• Avoids “loss of premium” objection

• Single pay provides “return of premium anytime” guarantee

– Life Insurance Riders offering Living Benefits for LTC or Chronic Illness

• Helps preserve assets to leave to heirs

• Avoids “loss of premium” objection

• Provides flexible payment options

• May enhance inheritance if LTC not needed or partially used

• Important differences exist between LTC and Chronic Illness riders

– Annuities with LTC Rider• Provides least coverage, but may be available to the uninsurable

Potential Solutions for LTC Coverage

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Financial Check List

Health Care Check List

Parent's Advisors Basics

Wills Living Will Financial Advisor Driver's License or State ID

Trusts Health Care Power of Attorney

Lawyer Insurance Cards

Durable Financial Power of Attorney

DNR (Do not resuscitate order)

Accountant/Tax Advisor

Medicare, VA,Medicaid cards

Life Insurance and Annuities

HIPAA Release Form

Religious Council Phone numbers of friends

Investments Health Insurance policies

Doctors Safe Deposit Box

Bank Accounts Long-term Care Insurance

Copies of birth & death certificates

Charge Cards List of Medications Marriage records

Burial Plots & Pre-paid funerals

End of Life Wishes (discussion)

Military records

Elder Care Check List

• Clients should think about a full Elder Care Plan• Suggest they visit appropriate professionals to implement a plan

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Independent Dealer: 1-800-321-6064Financial Institutions: 1-800-893-5399Wirehouse/Regionals: 1-800-720-1511Nationwide Agents: 1-888-333-4202Nationwide Financial Network: 1-877-223-0795Brokerage General Agency: 1-888-767-7373

Questions?

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