The Golden Rule Becomes the Fiduciary Rule

The Golden Rule Becomes the Fiduciary Rule

New federal requirements could mean a different relationship between you and your financial adviser.

New federal requirements could mean a different relationship between you and your financial adviser.

“Do unto others …” is not only a good idea to maintain healthy relations with friends, neighbors and acquaintances, it’s also at the heart of most of the world’s major religions. When it comes to professional relationships, such as those between fee-based financial advisers and their clients, the golden rule becomes the fiduciary rule. Now the Department of Labor (DOL) has expanded the reach of the fiduciary rule to include any adviser, regardless of credentials or licenses, who recommends moving money into, out of or between retirement plan resources. This includes IRA, IRA rollovers, Roth plans and even Health Savings Accounts. Also, the new rule applies even if your adviser recommends not moving money.

Rationale Behind the New Rule

Perhaps you’re already working with a financial adviser who puts your interests above their own and whose compensation is reasonable. That’s the basic standard for a fiduciary, as put forward in the DOL’s new mandate, which goes into effect in spring 2017. (See sidebar, “What’s a Fiduciary?”) But if you are working with more than one adviser or broker, or are not sure about their legal obligations or how they are paid for their services, here is what this big change might mean for you.

What’s a Fiduciary?

A fiduciary is someone who holds a legal or ethical relationship of trust with another person (or group), typically responsible for money or other financial assets. In addition to putting your interests ahead of their own, a fiduciary acts with “prudence” and uses the skill, knowledge, care, diligence and good judgment of a professional. A fiduciary doesn’t mislead clients, but in fact goes out of her way to provide conspicuous, full and fair disclosure of all important facts. A fiduciary avoids conflicts of interest, if possible, and discloses and fairly manages in the client’s favor any unavoidable conflicts.

Before the new rule, commission-based stockbrokers and insurance agents have been subject to a suitability standard with the products they recommend and sell. That means they’re supposed to match your circumstances (income, assets, tax bracket, financial lifestyle, time horizon and risk tolerance, among other criteria) to a range of compatible investment and insurance options, including annuities. The suitability standard means that the broker must have a reasonable basis for the recommendation that is offered to you. But suitability doesn’t mean lowest cost, and a suitability standard doesn’t prevent a potential conflict of interest between the recommendation and the broker/agent who makes the recommendation. Brokers and agents have not typically been required to give your best interest their first consideration, although many do as a matter of their professional commitment to their clients.

At the other extreme are fee-only Registered Investment Advisors (RIAs). Individual advisers working for such firms are referred to as Investment Advisor Representatives (IARs), and they and their firms for many years have been governed by the fiduciary standard—where they are required by laws and rules to put your interest first.

If you had a choice between advisers working as commissioned agents, and not previously held to a best-interest standard, versus advisers working solely by fee, why wouldn’t you want to work exclusively with a fee-only, best-interest adviser?

Fee-only advisers typically don’t “sell” or manage annuities or life insurance, and only a few insurance companies make their products available directly to consumers. That’s for good reason: annuities and life insurance are complicated financial assets that need professional assessment of your situation and explanation to your satisfaction that they’re right for you. An insurance agent is an intermediary, an individual licensed by a state insurance department and authorized by the insurance company to sell its life insurance and annuities.

Fees and commissions—and the disclosure of these costs—are only one part of the overall structure of any investment or insurance, whether it’s a mutual fund or an annuity or a life insurance policy. Often the expenses are “baked in” and may not be easy to define or describe. With insurance products, commissions are paid by the insurance company and are not subtracted from your account unless you surrender the policy within the surrender charge period, which can range from 5 to 15 years. The major issue should be that if you need an annuity, what are the benefits, and does it help make you financially more secure, less anxious and/or comfortable that you’ve made a good decision?

How Will This New Rule Affect Me?

Insurance companies and stock brokerage firms are already working to conform to the rules that are now less than half a year away. Bank of America’s Merrill Lynch, for example, recently became the first major firm to announce it would no longer pay commissions for investment recommendations made for IRA accounts; rather, its brokers will be compensated by ongoing fees through its advisory platform. Other options may include self-directed (i.e., do-it-yourself) accounts and even artificial intelligence-powered “robo” advisers. If that latter option sounds like science fiction, it isn’t. Computer-driven robo advice is one of the hot innovations in financial services, propelled even more quickly because of the changes needed to accommodate the new fiduciary rules. While some seniors may prefer to self-direct or automate their own way through a volatile stock market, many more clients will likely be comfortable with human, professional-to-client advice, compensated through a small percentage of assets assessed annually to the portfolio. This would presumably allow the focus to be on advice rather than just selling investment and insurance products. However, if you don’t have at least $50,000-$100,000 of retirement assets to invest, you may not readily find a qualified adviser willing to work with you, and “robo” may be your only option.

What’s Best Interest? What’s Reasonable Compensation?

In 1,023 published pages, the new DOL regulation does not explain “client’s best interest,” and it’s likely something that means different things to different people at different times. The concern is that along with the requirement that advisers receive only reasonable compensation, it may take years of litigation through state and federal courts to better define these new standards.

So consider: if you believe you have been well-served in relationships with financial service professionals, what was it that made you feel that way? Ideally it was a sense that the adviser listened and understood your circumstances and issues. The adviser likely addressed things that you wanted to fix, accomplish or avoid and brought to your attention planning ideas and investment or insurance products that would help you reach your objectives. In other words, such an adviser provided enough relevant information and guidance that you could make a decision you believed was in your best interest. As for compensation, ask yourself: if you are well served through a relationship of financial intimacy with a qualified financial professional, how important is it to you what the adviser is paid?

What Can You Expect From a Financial Adviser?

If you’ve been working with a commissioned insurance agent or stockbroker, some products fitting under the broader umbrella defined by the DOL will require a written contract between you and the financial institution. If nothing else, this gives you a more explicit understanding of what to expect from the agent and her institution. It’s also likely that more stock brokerage firms will follow the Merrill Lynch initiative and only offer managed funds as opposed to mutual funds or individual stocks for IRA and similar retirement plans. Either way, here are some questions you may want to explore with your existing or new adviser:

  • When these new rules kick in, what will be different in the way you work with me? And how will that affect my portfolio from the standpoint of costs and products?
  • What are my options for receiving information and services and acquiring any products you recommend, and how will you get paid?
  • How should I evaluate this new process? What are reasonable benchmarks to measure if I’m achieving my goals? How will I be able to evaluate if this is working for me?
  • (For the adviser choosing to meet narrow exceptions in order to continue to receive commissions while still held to a fiduciary standard), “What will be different?”
  • (For the financial planner charging fees and selling no products), “How will you evaluate my need for insurance and/or annuity solutions and how will you provide me with access to those solutions?”

Although the new fiduciary rule is being challenged in court, the inherent customer focus of fiduciary standards will likely ultimately survive. To this end, it’s important for seniors to talk to their current advisers and, regardless of current or future rules, assure themselves of services and products that meet their needs.

Seniors Biggest Users of Opioids

Seniors Biggest Users of Opioids

The crisis with painkiller abuse affects older adults for many reasons. For one, aging brings on more aches and pains.

The crisis with painkiller abuse affects older adults for many reasons. For one, aging brings on more aches and pains.

It seems every day we read headlines about the increasing use and abuse of opioids—strong painkillers such as OxyContin, Percocet and Vicodin. They are often prescribed after surgery to relieve severe pain or for chronic conditions such as back pain. According to the Centers for Disease Control and Prevention, more than 19,000 Americans died from prescription opioid overdoses in 2014.

While we might picture the typical opioid addict as a young adult slumped over in a vacant doorway, older adults are the biggest users and abusers. An article in JAMA Psychiatryfound Medicare beneficiaries had the highest and most rapidly growing rate of “opioid use disorder.” Six out of every 1,000 Medicare recipients struggle with the condition, compared with one out of every 1,000 patients covered through commercial insurance plans. According to the study, more than 300,000 Medicare recipients battle with opioid use disorder, and hospitalizations due to complications caused by opioid abuse or misuse increased 10 percent every year from 1993 to 2012.

Efforts are being made to check this crisis. In recent years, states have instituted laws that monitor people’s medication use to ensure they are not getting more drugs than their doctor prescribed. The state of Washington, for example, has a website that a pharmacy or doctor can check to make sure a patient isn’t acquiring medications from more than one pharmacy. If so, they may limit patients’ doses, prescribe fewer pills or cut them off altogether.

Seniors More Affected by Opioids

Seniors are more susceptible than the rest of the population to addiction, and the consequences can be more serious for several reasons:

  • Older adults have more pain, in general, and rely on opioids to relieve the pain. In fact, chronic pain is cited as the main reason for taking opioids, compared to younger people, who may take them for relaxation.
  • Seniors have more issues with memory, so they are more liable to forget they took a dose and retake it. For certain medications, that can be fatal.
  • Falls are more likely for seniors on opioids, significantly raising their risk for potentially serious fractures.
  • Seniors take more prescription medications, as well as over-the-counter drugs, than other age groups—consuming one-third of all prescription drugs in this country. In addition, because most older adults take more than one medication, the risk of harmful interactions is high.
  • Diagnosing addiction is more difficult because seniors have medical issues, such as fatigue or confusion, which can hide the symptoms of addiction.
  • As we age our liver function decreases, and it can be harder to filter medicines from our bodies. Because we metabolize synthetic drugs at different rates, some seniors can become addicted or overdose easily.
  • Alcohol abuse is a serious problem among seniors, thereby raising the risk for a sometimes deadly combination of alcohol and painkillers.
  • For conditions such as spinal stenosis, surgery is not an option for some elderly, because of the risks, so painkillers are the only solution.

Alternatives to Opioids

At first, physicians prescribed opioids primarily for short-term relief immediately after surgery or an accident. But increasingly, the drugs are being used for long-term chronic pain. Unfortunately, there are not a lot of good alternatives to ease acute pain, especially for older adults.

Under Medicare Part D, the only effective drug therapy for opioid use disorder is buprenorphine-naloxone, but few doctors prescribe it because of cumbersome government regulations, including having to take an eight-hour class. In 2013, according to JAMA Psychiatry, doctors wrote far fewer prescriptions for buprenorphine-naloxone than for opioids.

A non-prescription medication, acetaminophen has been shown to work with opioids, so patients can use less of the opioid. The active ingredient in Tylenol, acetaminophen, can also be combined with nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, making opioids more effective. However, patients often need to limit use of over-the-counter drugs like Tylenol and Advil. Too large a dose over a period of time can cause long-term problems, especially in older adults, such as liver or kidney damage.

Opioid Use Continues After Hospital Visit

It’s a common scenario: Someone checks into a hospital for surgery or an illness and leaves with a prescription for an opioid painkiller, opening the door to long-term use and dependence. A recent study examined this pattern and found the prescriptions are used and renewed more often than you might imagine.

Researchers analyzed the pharmacy claims of a random sample of more than 623,000 Medicare beneficiaries who were hospitalized in 2011. They only included people who did not have a prescription claim for opioids for at least 60 days before being hospitalized.

The results, first published online in JAMA Internal Medicine in June, showed that 14.9 percent of the hospitalized beneficiaries filled a prescription for an opioid within a week after being discharged. Of those who filled the first prescription, 42.5 percent had another pharmacy claim for an opioid painkiller at least 90 days later.

“Presumably, they were prescribed it and continued on it because of some sort of chronic pain,” said Dr. Anupam Jena, associate professor of health care policy at Harvard Medical School and the study’s lead author. Still, there are many ways to treat pain, Jena noted, and hospitals are supposed to look at other approaches.

Source: Reprinted from “Despite Opioid Concerns, Seniors Often Exit the Hospital With Prescription: Study,” July 15, 2016, Kaiser Health News.

Others treatments are available to ease pain:

  • Anti-depressants inhibit serotonin, which transmits signals between nerve cells in the brain, and can lessen nerve pain.
  • Muscle relaxants can relieve muscle spasms and low-back pain.
  • Radiofrequency ablation decreases pain signals, especially from ailments such as arthritis. This technique places a needle close to the nerve that is sending pain signals to your brain and then sends an electrical current through the needle.
  • Anticonvulsants, which primarily treat epilepsy, can also soothe neuropathic pain, migraine headaches and fibromyalgia by suppressing the flow of pain signals from the brain.
  • Steroids, such as prednisone, ease inflammation, but the pain returns once you stop getting the shots, and steroids have serious side effects. Other injections for pain include nerve and epidural.
  • Massage, acupuncture and other alternative therapies can be combined with other treatments to lessen the use of opioids, although studies of their effectiveness for pain management are scarce. Also, health insurance rarely covers alternative treatments.

People who visit hospital emergency rooms come mainly because of severe pain, so hospitals tend to be the starting point for those who become addicted to opioids. However, one hospital, St. Joseph’s Regional Medical Center in Paterson, N.J., has opted to take a different route. Instead of treating patients who come in for migraine or kidney stone pain, for example, with opioids, the emergency department, one of the country’s busiest, has provided alternatives that include nonnarcotic infusions and injections, ultrasound guided nerve blocks, laughing gas, “energy healing” and a harpist, according to the New York Times.

Take action in the fight against Alzheimer’s.

Take action in the fight against Alzheimer’s.

In this year’s election, Americans across the country spoke up to let candidates know that Alzheimer’s disease is an escalating concern. We must keep that momentum going so that Alzheimer’s continues to be a national priority.
Please sign this petition to urge our policymakers to address the Alzheimer’s crisis.
As the leading advocate for federal Alzheimer’s disease research funding and caregiver support, the Alzheimer’s Association and its tireless advocates have made it a longstanding legislative priority to increase funding for Alzheimer’s research at the National Institutes of Health (NIH).
Actions from supporters like you have made a significant impact. For example, in 2015, Congress approved a historic $350 million increase for Alzheimer’s disease research at the National Institutes of Health (NIH), thanks to Alzheimer’s Association advocates.
But our work is far from over. Unless we make significant advances, by 2050, the number of people with Alzheimer’s disease may triple from more than 5 million to a 16 million. We can’t allow this to happen.
Policymakers can help us move closer to our vision of a world without Alzheimer’s disease by passing legislation that will enhance care and support services and increase federal research funding. But we need your help to continue to raise concern and awareness of Alzheimer’s among elected leaders.
Take a stand in the fight against Alzheimer’s. Sign the petition today.

Give the gift of hope this season. – Alzheimer’s disease

Give the gift of hope this season. – Alzheimer’s disease

During this season of togetherness, we honor those fighting Alzheimer’s disease. The Alzheimer’s Association offers resources to families facing Alzheimer’s disease, and we are working to advance research toward methods of treatment, prevention and, ultimately, a cure. And we need your help today.
I hope you’ll make a generous, tax-deductible donation to our 2016 Holiday Drive and help us support these families throughout the holidays and year-round. Any amount you give today will help advance innovative research projects and fund critical care and support services.
In this season full of hope, we’re so grateful for your support. Thank you for standing by our side in the fight against Alzheimer’s.
Best wishes to you and yours,

 

Banner year for ALZ Stars

Banner year for ALZ Stars

For the Bank of America Chicago Marathon there were 187 runners from 29 states and Canada on the team! Money is still coming in – but right now we are just under $325,000. Our top fundraiser: Chuck Aron – ran 73 races, at the age of 70 and raised $24,139! Registration for 2017 is open now…secure your entry today!

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Join ALZ Stars for the 2017

Bank of America Chicago Marathon  

Because the first survivor is out there

Make your miles matter by training for and completing the Bank of America Chicago Marathon while raising valuable funds to advance the care, support and research efforts of the Alzheimer’s Association. Whether you’re a first-time marathoner or a seasoned veteran, you know the power of running. 
Every mile of training will be more powerful when you are doing it for a reason that matters to YOU. 

Don’t take chances, GUARANTEE YOUR ENTRY today!

Fundraising Minimum Requirements:

Participation Types:  Fundraise at the level that’s right for you.

OPEN Guaranteed Entry: When choosing OPEN Guaranteed Entry participation type, you are securing your entry into the Bank of America Chicago Marathon between October 25th and November 29th,  at the lowest fundraising minimum of  $1,000. 

OPEN Guaranteed Entry + Localized Training:  When you choose OPEN Guaranteed Entry + Localized Training participation type, you are securing your guaranteed entry into the Bank of America Chicago Marathon between October 25th and November 29th, + free summer marathon training with our partners at the fundraising minimum of  $1,200.  

Participants must sign and return an application/waiver before their guaranteed entry will be approved. 

For More Information:  Contact Sharri Scott at 847.324.0378, or by email, sscott@alz.org.

RETURNING ALUMNI: Don’t forget to use your discount code!

Team benefits

  1. We will provide you with a fully supported fundraising page, including fundraising emails to personalize and send to all your supporters!
  2. Training Options and Access to Experts: You will have opportunities to participate in training and clinics on injury prevention, race day preparation, nutrition and fundraising as led by coaches and other professionals! 
  3. Eligible for marathon entry fee reimbursement. (restrictions apply)
  4. ALZ Star technical gear: Receive your exclusive ALZ Star singlet to train in and wear on race day.
  5. Opportunities for group runs! If you can’t find one where you live – just ask me to help!
  6. Team Pre-race pasta dinner! Get excited & inspired for race day while carbo-loading with your teammates!
  7. Pre & Post race access to exclusive ALZ Star event space with lots of amenities for you and your supporters, including restrooms, gear check and post-race massage!
  8. MOST IMPORTANTLY, the camaraderie of a team that is striving for the same vision – a world without Alzheimer’s.

Running changes everything!  Let’s change the course of Alzheimer’s disease – together!

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