Estate Planning Documents
There are certain basic documents that we rely upon for anyone 18 or older when it comes to estate planning to address an emergency that should arise while we’re alive. And certainly with the virus, it shines a light on the unexpected.
1. The first document is a Durable Power of Attorney.
So this document is where you name someone who you’ll often hear referred to as an “Agent” or an “Attorney in fact” – but the point is you’re naming someone who can make decisions for you, who can take actions for you with regard to your legal, financial, personal affairs. So, for example, if you are unexpectedly ill and can no longer manage your own affairs, you still have bills to pay, you probably still need to have access to funds, maybe you have a family to support, maybe you have a business that you’re trying to run. We need a POA in place to allow someone to be able to quickly and easily step in and fill that role if you can’t take those actions for yourself.
With a POA, these instruments are typically written so they are effective the day they are signed. So what that means is we’re not relying on a doctor or any third party speaking to whether you have capacity or not. Let’s say you’re sick and your spouse goes down to access a bank account that’s only in your name. When they present a durable POA, there’s no question as to whether there’s been an incapacity or any other requirement that has to be met before the bank is going to honor the use of that document. So POAs become very important in an emergency situation, and we recommend, as I mentioned previously, anyone over 18 should have a POA in place.
Now you certainly want to use precaution as to who you’re naming on the Durable POA because of the fact that you’re giving them a significant amount of power over your affairs and your assets. So you want to think about whether the person, of course, is trustworthy, reasonably responsible, responsive – those are qualities to have in a POA.
If you are able to and you have another person who you feel equally as comfortable with, I do recommend that you go ahead and name a back-up, as well – especially as we’re living through a global pandemic. If you become sick, it is reasonable to be concerned that whoever you name as your agent could become sick, as well. So naming a backup becomes all the more important.
2. We also recommend that everyone have in place Advanced Directives.
If you live in another state you may have heard this referred to as a “Health Care Proxy,” which is essentially the same thing, but it is a document where you are naming someone (again, an Agent) who can make decisions on your behalf with regard to your medical care.
Now, unlike the POA, the Health Care Proxy is only triggered if you have been deemed incapacitated by your doctor. The purpose of the Advanced Directive is to put an agent in charge to become your decision-maker. That’s why it’s so important that you’re having these sometimes difficult conversations with your loved ones, but specifically about what kind of care you would want in an end-of-life situation. It’s really important that they’re aware, and that’s why having these really difficult conversations is so important.
Within the Advanced Directive itself in New Hampshire, there are certain questions that we proactively initial our choices next to relating to that care. Our job is to walk you through those questions. But certainly you can also call upon your healthcare provider if you questions there, as well, and there’s literature that we can provide, too. Other states – Massachusetts being one of them – have more of a broad document, where it simply has you appoint an agent to make decisions for you and it doesn’t have as many choices within the document itself.
But it’s important, with regard to the Health Care Proxy, that your wishes be known, whether it be in writing in the document itself or verbally communicating with your loved one who’s going to be your agent – or ideally both.
It’s important that those wishes be known for two reasons:
- The first reason is because we want to make sure that you receive the kind of care that you would have wanted to receive had you been able to communicate that wish yourself.
- The second is that it’s a sort of comfort measure for your loved one. It is really difficult being the person who is tasked with making a difficult decision regarding end of life care for someone who they love. When it is well-known to them what the wishes of their loved one would be, they can be less of a burden and be very comforting.
It can also go a long way to preserving the relationship between your agent under the Health Care Proxy and your other family members. So that is one of our concerns when we’re engaging in some type of estate planning – wanting to be sure we’re doing what we can to protect and preserve the relationships of the ones that you love when you’re not here.
3. Another document that we use as part of these basic documents is designed to get at the root of that issue, as well. So in addition to our Advanced Directive, we also have everyone sign what’s called a HIPAA Release, or a HIPAA Patient Authorization.
This is a separate document that states anyone listed in that document has access to your medical information and can speak with your doctors. If a medical care provider is meeting with the agent under the Advanced Directive, trying to make a difficult decision when you are unable to make that decision yourself, the parties listed on that HIPAA Release can be privy to the conversation. So that can go a long way to making other family members and loved ones feel included and involved in this difficult decision process. When some family members feel shut out from the process, that can breed that kind of discord amongst your family members that we are trying to avoid.
The other reason for a HIPAA Release, which can be very valuable, is you may not be deemed medically incapacitated – meaning a doctor would state that you can still communicate your wishes. However, with something like the coronavirus or another illness, you may be extremely ill. So it may be very useful to have a HIPAA Release in place, which allows a loved one, a child, a parent to be able to pick up the phone, call a doctor, get information about a prescription, report as to your condition. When we have this document in place, we eliminate the barriers to that kind of communication that can exist due to the HIPAA confidentiality rules.
So the HIPAA Release works alongside the Health Care Proxy and the Durable POA. Those three documents are designed to – in an emergency, as I said before – allow for someone to quickly, easily, and efficiently take over, manage your affairs, help you until you are better and able to manage your own affairs again.
It’s important with regard to those specific three documents to keep those current. So you want to refresh those documents if not every year, then every couple of years. They don’t expire, per say, by their terms, but the older those documents are, the increased likelihood that we meet some resistance – either from a lender, a bank, a hospital, a medical care provider. And the reason they might push back is out of concern that perhaps you had executed a newer one at some point, and they frankly have no way of knowing if that’s the case. Keeping them current helps to ensure these documents will work when we need them to, and also ensures that your wishes are met.