Excuse me for how long this is, but I thought I’d answer as many potential questions now along with my thought process.
I have POA for elderly family members and handle all their finances now. Bills weren’t getting paid, tax returns weren’t being filed, etc., so I took over all those responsibilities because I’m seen by pretty much the entire extended family as “the responsible one” i.* 
I’ve finally gotten them all caught up on the past tax returns, but it’s come to my attention that the wife has a life policy on the husband for $200K and the policy is some kind of hybrid term policy that builds cash value which can be used to pay all or part of the premium, so they have been using the cash value to pay most of the premium for some time, but the cash value is about to run out and the payments will skyrocket from about $350 a month to about $1250 a month. They have the money, but the policy runs out in 5 years, and that means about $75K in payments that could go toward nothing if he lives longer than that, and he’s very health (physically) so that’s a distinct possibility.
My concern is that they both have memory issues and I know the cost of memory care is very expensive. From my research, assisted living with memory care in the area can cost as much as $150K per year. They have long-term care insurance. I’m not sure how much it covers, but I know it doesn’t cover THAT much and has a max of 5 years, so I worry about how much they could burn through in a few years at that rate if they both end up needing it (likely IMO), then he could pass while she still lives several more years needing full time care.
I’ve brought up looking into a very nice, newer independent living facility in the area that’s like a fancy hotel with assisted living and memory care if needed. The larger 2 bedroom units start at around $9K a month for two people (more if they need assistance or memory care), so it is not cheap, but their home is paid off and worth maybe $1.5 million (guessing). They have no interest in selling it, though, and they couldn’t sustain those payments forever without doing so.
Then I brought up renting the house thinking that might go over better psychologically as something less permanent in case they wanted to move back. There’s also a waiting list of up to a year to get in, so it’s not like they’d have to make a decision right away. Between the rental income and their SS, it would probably cover most of the cost. Add in savings on food and horrendous utility bills (from having the heat turned up close to 80 all the time and forgetting they left the water on outside somewhere for days), and it might actually be close to a wash. The wife was initially mildly receptive, but the husband was unwilling to consider it and she backed off the idea after that.
Both would prefer full time, in home care for the remainder of their lives if it comes to that, but from talking to others who have done this, that can still cost $80K or more a year for one person. I spoke a neighbor whose mother has Alzheimer’s and hasn’t known who anyone is for years. Her very healthy father was taking care of her until one day he had a massive heart attack and died. She said he let his life policies lapse thinking he didn’t need them anymore, but if he’d just kept them current, that would have taken a lot of the burden off the 5 kids who now all pitch in for in home, 24/7 care. They will recoup when the house is sold, but this has been going on for more than 5 years with no end in sight.
After hearing that, I’m not sure what to do about the life policy. Neither have any life threatening illnesses, no high blood pressure, etc. and the husband takes no meds except for memory, but I’ve noticed the memory issues really accelerate in the last year for both of them. I’m just worried that at some point they could have no choice but to sell the house, so all financial decisions I make are to preserve as much money as I can for them so they never have to. I’ve brought up reverse mortgages just to make sure they never HAVE to leave, but they are against those, too.
Yesterday, I spoke with the owner of an insurance agency who is someone I trust. He said he has a similar policy where the payments jump in the last 5 years and plans on just letting it lapse at that point because he said those policies are really meant to protect assets when people are younger, but it seems to me that it would be better to try to sell it than just let it lapse and have all the money they’ve paid in for 25 years be out the window.
I found an on line calculator for people of his age in excellent health with policies like these and it looks like it could be still be worth up to 20% of the policy amount, so that would be $40K (plus a potential $75K savings in payments over the next 5 years). The husband goes back and forth between wanting to pay it and letting it lapse, but knows he’s not really capable of making the best decisions right now and would go with whatever I decided.
Does anyone have any advice, thoughts, or experience selling policies? The agency owner said he has no knowledge of selling policies, so he can’t help me there.
