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A modified endowment contract can provide funding source for long-term care expenses

by Alliance America
April 10, 2025

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The rising cost of long-term care has many Americans searching for creative funding solutions. Modified endowment contracts (MECs), while often viewed primarily as estate planning tools, can offer a strategic approach to long-term care planning when used thoughtfully. To determine if an MEC makes sense for your long-term care strategy, it's essential to understand both their unique advantages and potential drawbacks in this context.

What is a modified endowment contract and how does it work?

A modified endowment contract occurs when a life insurance policy receives more premium payments than permitted under the seven-pay test established by the Technical and Miscellaneous Revenue Act (TAMRA) of 1988. This legislation was enacted to prevent individuals from using life insurance policies primarily as tax-sheltered investment vehicles rather than for their intended death benefit purpose.

The seven-pay test determines whether a life insurance policy becomes an MEC by calculating the maximum premium that can be paid while maintaining the policy's tax advantages. This amount is based on the minimum premium required to fully fund the policy over seven years. If premiums exceed this limit, the policy becomes an MEC.

Material changes to the policy, such as death benefit increases or decreases, can restart the seven-year testing period.

What are the tax implications of a modified endowment contract?

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The tax treatment of a modified endowment contract differs dramatically from traditional life insurance policies. Let's say you have a life insurance policy with a seven-pay premium limit of $10,000 annually. If you pay more than $10,000 in any of the first seven years, you've exceeded the limit, and your policy becomes an MEC. This transformation fundamentally changes how your policy is taxed.

In a traditional life insurance policy, when you withdraw cash value, you can take out all the money you've paid in premiums (your basis) tax-free before touching any gains. Think of it like a layered cake where you can eat the bottom layer (your premium payments) before reaching the top layer (your gains).

MECs, however, flip this arrangement upside down through "last-in-first-out" (LIFO) taxation. Using our cake analogy, with a modified endowment contract, you must eat the top layer (gains) first, and these gains are immediately taxable as ordinary income. For example, suppose you've paid $100,000 in premiums into an MEC that now has a cash value of $150,000 and a death benefit of $300,000. The policy became an MEC because you paid more than the seven-pay test allowed. If you withdraw $50,000, the entire amount would be considered taxable gains, even though you've put in $100,000 of your own money.

The tax implications become even more significant if you're under age 59½. Let's say you're 55 years old and need to withdraw $50,000 from your MEC. Not only would you pay ordinary income tax on the entire $50,000, but you'd also face a 10% federal tax penalty. In a 24% tax bracket, this means you'd owe $12,000 in federal income tax plus a $5,000 penalty, reducing your $50,000 withdrawal to $33,000 after taxes and penalties.

While these withdrawals face strict tax treatment, the death benefit remains completely tax-free to your beneficiaries. In our example, when you pass away, your beneficiaries would receive the full $300,000 death benefit tax-free, regardless of how much you paid in premiums or how much the cash value has grown. This tax-free death benefit is a key feature that makes MECs valuable tools for estate planning, despite their restrictive taxation of withdrawals during your lifetime.

These tax rules make MECs generally more suitable for those who prioritize leaving a tax-free legacy and don't anticipate needing access to the cash value before age 59½. For individuals focused on estate planning or long-term care funding in their later years, the tax implications of withdrawals may be less concerning than for those who might need access to the funds during their working years.

How can MECs be used in long-term care planning?

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When it comes to long-term care planning, MECs offer several powerful advantages. Many policies provide access to accelerated death benefits, allowing you to tap into the death benefit if you require long-term care. The availability of hybrid long-term care riders enhances this functionality, providing a comprehensive approach to addressing potential care needs. These benefits for qualified long-term care expenses are typically tax-free, offering an efficient way to fund care without depleting other retirement assets.

Perhaps most importantly, using a modified endowment contract for long-term care planning can help protect your broader retirement savings strategy. Rather than risking the depletion of retirement accounts and investments to cover care expenses, an MEC with appropriate riders can provide a dedicated source of funds for these potential needs. This approach helps preserve your primary retirement assets while ensuring you have access to resources for long-term care if needed.

What are the advantages and disadvantages of MECs?

MECs offer advantages for certain financial situations. The death benefit remains tax-free to beneficiaries, and the cash value grows tax-deferred. For individuals who don't need access to the cash value before age 59½, MECs can provide efficient wealth transfer and estate planning benefits.

However, the primary disadvantages include the loss of tax-advantaged withdrawals and loans, potential early withdrawal penalties and reduced flexibility in accessing funds. These limitations make MECs less suitable for those who may need access to the cash value during their working years or early retirement.

Therefore, the suitability of an MEC for long-term care planning depends on your specific circumstances. For individuals who have sufficient retirement income from other sources and want to efficiently provide for both potential long-term care needs and a legacy for their beneficiaries, an MEC can be a savvy choice. However, those who may need access to funds before age 59½ or who have limited retirement assets should carefully consider the restrictions and tax implications before choosing this strategy.

Can a modified endowment contract be reversed?

Once a policy becomes an MEC, the designation is typically permanent and cannot be reversed. However, some insurance companies may offer a 60-day window to correct excess premium payments and prevent MEC status. This underscores the importance of careful premium payment planning and consultation with financial professionals before making decisions that could trigger MEC status.

Conclusion

A modified endowment contract represents a complex financial tool that can serve valuable purposes in retirement and estate planning when used strategically. While the tax implications of MECs may initially seem daunting, particularly regarding early withdrawals, their benefits for estate planning and long-term care funding can make them attractive options for the right situations.

Before making any decisions about MECs, whether you're considering one intentionally or trying to prevent your life insurance policy from becoming one, it's crucial to consult with qualified financial professionals who can evaluate your unique situation. They can help you comply with complex rules and understand tax implications and potential benefits while ensuring that any decisions align with your broader retirement, long-term care and estate planning objectives. With proper planning and professional guidance, MECs can be powerful tools for achieving your long-term financial goals while providing for both your future care needs and your legacy.

Alliance America can help

Alliance America is an insurance and financial services company dedicated to the art of personal financial planning. Our financial professionals can assist you in maximizing your retirement resources and achieving your future goals. We have access to an array of products and services, all focused on helping you enjoy the retirement lifestyle you want and deserve. You can request a no-cost, no-obligation consultation by calling (833) 219-6884 today.

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