Inside Dentistry
March 2009
Volume 5, Issue 3

Get It in Writing—the Role of Alternate Decision Makers

Scott Kleiman

Estate planning is mostly about putting mechanisms in place to ensure that your assets are distributed according to your wishes once you are gone. Yet there is another aspect to the process that centers on appointing others to manage your affairs during your lifetime.

What would happen if you became incapacitated and couldn’t handle your financial affairs? Who would act on your behalf to pay bills, watch over investments, and deal with the paperwork that accompanies collecting insurance and other benefits? Who would make arrangements for your medical care and see that your wishes for treatment were carried out? Without advance planning, a court would make these critical—and highly personal—decisions for you.

Fortunately, you can work with an attorney to make arrangements that allow your affairs to be managed by people you choose. Before you talk to a lawyer about naming alternate decision makers to carry out your wishes, you can save time by understanding the types of issues such individuals may be charged with addressing.

For Financial Affairs, a Power of Attorney

A power of attorney is a legal document that gives another person authority to act on your behalf with regard to legal, business, or financial affairs, which can help prevent your loved ones from having to go to court to request guardianship over your financial affairs if you become incapacitated. This arrangement can also give the person you designate the ability to pay your debts, manage investment transactions, and even make charitable gifts that may reduce your estate taxes. Power-of-attorney agreements end at your death unless you also name this person as the executor of your estate.

It is important to update a power of attorney at least every 5 years—otherwise, some financial institutions may not accept the document as valid. Other institutions may not accept the document regardless of the date, so check with each institution that you deal with regarding their policy. (You may need to draw up more binding agreements via your financial advisor.)

For Medical Concerns, Healthcare Directives

The two most common forms of healthcare directives are a living will and a healthcare proxy. A living will is a document presented to an attending physician that explains the care that you wish to receive (or avoid) in the event you are incapacitated by a terminal illness or serious accident. For instance, it can express your wishes for controlling pain, receiving nutrition, or making life-support decisions.

A healthcare proxy allows you to designate someone to make medical decisions for you. In some states you may even be able to combine a healthcare proxy and a living will into a single document. Hospitals and nursing homes are required to ask about the existence of any such documents when you are admitted. In most states, a healthcare proxy does not take effect until you can no longer make medical decisions for yourself; until then, only you can legally consent to any treatment. In addition, you can always change or cancel the document as long as you are mentally alert. If you decide to make changes to any of these documents, be sure to do so in writing.

A comprehensive healthcare advance directive combines both a healthcare proxy and living will into one document. Organizations such as the American Association of Retired Persons, American Bar Association, and the American Medical Association have joined forces to create a simple, yet comprehensive, form.

It is important to note that while healthcare directives are not financial documents, it is quite possible that during a visit with an attorney to discuss financial and estate planning affairs, such documents may be packaged together with other estate planning items.

Planning Eliminates Confusion

Informing loved ones and doctors about the types of alternate decision makers you would choose in a wide variety of situations can eliminate confusion and help those most concerned with your well being carry out your wishes.

This material was prepared by Standard and Poor’s and is not intended to provide specific investment or tax advice for any individual. Please consult your tax advisor or me if you have any questions. For legal questions, please consult your legal advisor.

About the Author

Scott Kleiman
SJK Wealth Management
Fort Washington, Pennsylvania

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