A PLANNING GUIDE
April 2007
Prepared by the Senior Adult Council
Bryn Mawr Presbyterian Church
Copyright 2007 by the Bryn Mawr Presbyterian Church.
This material may be reproduced for non-profit use only.
TABLE OF CONTENTS
Page Nos.
I. Introduction I
- 1-2
II. Personal
and Financial Information
A. Family Information II
- 1
B. Knowledgeable and Trusted People II - 3-5
C. Location of Important Documents II - 6-7
D. Property and Financial Holdings
Locations II - 8
E. Financial Obligations lI - 9
III. Health
Insurance and Living Arrangements
A. Medicare, Medigap and Long Term Care
Insurance III - 1-3
B. Nursing Homes III
- 4
C. Home Health Care III -
5
D. Life Care Communities III
- 6
E. Assisted Living Homes and Communities III - 7
F. Hospice III
- 8
G.
Professional Helpers III
- 9-10
IV. Pertinent
Legal Documents
A. Durable Power of Attorney IV
- 1
B. Guardianship IV
- 2
C. Health Care Power of Attorney and
Advanced
Health
Care Declaration IV
- 3-4
D. Will IV
- 4
E. Revocable (Living) Trust IV
- 5
F. Beneficiary Designation in Contracts IV - 6
G. Other Considerations IV
- 7
V. Spiritual
Planning and Resources
A. Practical Considerations V
- 1-3
B. Data and Preferences V
- 4
C. Religious Services V
- 5-12
This guide,
published by the Senior Adult Council of Bryn Mawr Presbyterian Church, has a
very important central aim. We want you to plan ahead! To do so is to be
absolutely consistent with our Christian heritage. Because we believe that
death is not the end, we are able to face it with courage -- with a sense of
responsibility to those loved ones who carry on after our own death. Because we
love them, we want to have our “affairs in order.”
We
hope that you will take advantage of the resources and information in this
manual. And, we hope you will benefit from the many resources available in this
Church and the community to help you maintain a high quality of life in the
time that lies ahead.
Preparing
for the future calls for clear and intentional time dedicated to praying, thinking,
talking with knowledgeable people, talking with those we love, and taking
actions consistent with the information we have and the commitments we want to
keep. We won’t take this time unless we are willing to face the uncertainties
of our future, potential situations that will be hard to face, and the
inevitable end of our own lives. To plan for, and thus to think about, these
things is an act of courage – and of love. And we cannot do it confidently
unless we are also assured that we are loved, and that what we do matters to
our loved ones and to God.
Sections
III, IV, and V of this guide each provide brief background information and make
suggestions for further investigation. More materials are available in the
Senior Adult Office and in the church library. Bill Arnold, Associate Pastor
for Senior Adults, and Beth Ann Force, Administrative Assistant for Senior
Adult Ministry, will be glad to help in any way possible. Information contained
in these sections is believed to be accurate, but when expert assistance is
needed, we certainly encourage you to retain the services of a competent
professional.
Please
note that Section II is arranged for you to record vital information for those
who may need to see to your affairs when you are unable to do so. We hope that
this centralized place for recording information appropriate for you will be
useful and simplify the task. Don’t try to do it all at once! Thought and
research are sometimes necessary. We suggest that you make copies of the
information and make them available to selected family members and trusted
professionals.
We
also suggest that you consult with your loved ones and a pastor to make plans
for your memorial service. Further suggestions on this topic are made in
Section V. Copies of your preferences can be maintained in a confidential file
in the church office.
I - 1
NEXT STEPS
You are urged to complete the forms
in Part II, listing personal, financial and spiritual matters, and arrange for
the execution of any pertinent legal documents.
Admittedly, the task may look formidable, but take the first steps now.
Where should you keep documents
after they are executed? The originals of your will, any trusts and durable
power of attorney should be kept in your safe deposit box or other secure
locations. Originals of health care
power of attorney or advance medical directives should be kept at home with
copies to your physician and family members. Family members should know the
location of the originals.
Most importantly, we suggest you
keep copies of important documents and other relative papers in this loose leaf
binder, noting on each where the original is filed. This binder will facilitate periodic reviews,
at least every two years, and will make "picking up the pieces" a lot
easier for members of your family.
Planning
ahead is an act of love!
I-2
II.
PERSONAL
(Note: If additional space is needed, use back of form or
separate sheet.)
A. FAMILY
INFORMATION
1.
Individual
Name _____________________________________________________
Address
___________________________________________________
_______________________________________________________
Phone
Number ____________________
Date
and place of birth _____________
___________________________________________________________
Social
Security Number _______________________
2.
Spouse or
other primary personal contact
Name _____________________________________________________
Address
___________________________________________________
__________________________________________________________
Phone
Number _____________________
(If spouse)
Date
and place of birth ________________________________________
Date
and place of marriage ____________________________________
__________________________________________________________
Social
Security number _______________________________________
3. Deceased or Prior Spouses - (if applicable)
Name _____________________________________________________
Address
___________________________________________________
__________________________________________________________
II-1
Date and place of:
Marriage_____________________________________________
Divorce
______________________________________________
Death
_______________________________________________
Social
Security Number __________________________
4. Children or significant persons
·
Name and
Relationship _____________________________________
Address
_________________________________________________
Phone
Number _________________________________________________
·
Name and
Relationship _____________________________________
Address
_________________________________________________
Phone
Number _________________________________________________
·
Name and
Relationship _____________________________________
Address
_________________________________________________
Phone
Number _________________________________________________
5. Pets
Instructions
for disposition of pets ______________________________
_________________________________________________________
II - 2
B. Knowledgeable and Trusted People
1. Physician
_________________________________________________
Address
__________________________________________________
_________________________________________________________
Phone
Number ____________________________________________
2. Attorney
__________________________________________________
Address
__________________________________________________
_________________________________________________________
Phone
Number ____________________________________________
3.
Accountant/Tax Preparer
_____________________________________
Address
__________________________________________________
_________________________________________________________
Phone
Number ____________________________________________
4. Durable Power of Attorney
Person
named to act ________________________________________
Address
__________________________________________________
_________________________________________________________
Phone
Number _____________________________________________
5. Health Care Declaration/Living Will
Person
named to act ________________________________________
Address
__________________________________________________
_________________________________________________________
Phone
Number ____________________________________________
II
- 3
6. Executor of your Will
________________________________________
Address
__________________________________________________
_________________________________________________________
Phone
Number _____________________________________________
7. Trustees
of any trust for you ___________________________________
Address
___________________________________________________
__________________________________________________________
Phone
Number ______________________________________________
8. Insurance
Agent _____________________________________________
Address
___________________________________________________
Phone
Number ______________________________________________
9. Stockbroker
______________________________________________________
Address
____________________________________________________
___________________________________________________________
Phone
Number _______________________________________________
10. Investment Advisor
____________________________________________
Address
_____________________________________________________
____________________________________________________________
Phone
Number _______________________________________________
11. Banker
_____________________________________________________
Address
____________________________________________________
___________________________________________________________
Phone
Number _______________________________________________
II
- 4
12. Pension Fund Payer
Address
____________________________________________________
___________________________________________________________
Phone
Number _______________________________________________
13. Others to notify:
II
- 5
C.
LOCATION OF
IMPORTANT DOCUMENTS
Document Location
1. Will ______________________________________
2. Durable
Power of Attorney
______________________________________
3. Advanced
Health Care Directive ______________________________________
4. Trust
Agreements ___________________________________________
5. Birth
Certificate ___________________________________________
6. Marriage
Certificate ___________________________________________
7.
Passports/Naturalization
papers _____________________________________
8. Adoption papers ___________________________________________
9. Military
discharge papers ___________________________________________
10. Social
Security card ___________________________________________
11. Medicare card ___________________________________________
12. Medicaid card ___________________________________________
13. Title to real
estate property/
Mortgage
papers ___________________________________________
14. Titles to
automobiles ___________________________________________