Why work with a CPA for long-term care insurance planning?

Most LTC insurance representatives have only a sales background. Withbert W. Payne is a Certified Public Accountant (CPA), Chartered Global Management Accountant (CGMA), and Fellow of Chartered Accountants (FCA) — in addition to being a licensed insurance broker. He applies financial analysis, including tax-qualified deduction strategies, C-corporation premium funding, and estate planning integration, to LTC policy design. His career spans Price Waterhouse (London), Blue Cross Blue Shield, CNA Life Insurance Company, and New York Life — with no obligation to any carrier.

What does long-term care insurance cover?

Long-term care insurance pays for care services when you can no longer perform two or more activities of daily living (ADLs) — such as bathing, dressing, eating, toileting, transferring, or continence — or when a licensed healthcare provider certifies a cognitive impairment. Covered care settings typically include your home, adult day care centers, assisted living facilities, memory care units, and skilled nursing facilities (nursing homes).

What is the difference between traditional LTC insurance and a hybrid or asset-based policy?

Traditional (standalone) LTC insurance pays a monthly benefit if care is needed. Premiums not used for care are not returned — they are use-it-or-lose-it. Hybrid or asset-based policies combine a life insurance or annuity chassis with an LTC benefit rider. They typically involve a single premium or fixed-payment period and guarantee a death benefit to beneficiaries if LTC benefits are never used. The right structure depends on your age, health, assets, liquidity, and estate planning goals.

Are long-term care insurance premiums tax deductible?

Yes. Qualified LTC insurance premiums are deductible as a medical expense on IRS Schedule A, subject to annual age-based limits. Business owners who fund premiums through a C-corporation may deduct 100% of premiums as a business expense with no AGI limitation — a significant advantage over personal deductions. Withbert W. Payne can structure your policy to maximize available tax deductions.

How much does long-term care cost in the United States?

The U.S. Department of Health and Human Services estimates that 70% of people turning 65 will need some form of long-term care. National median costs include approximately $9,733 per month for a private room in a nursing home, $5,350 per month for assisted living, and $6,292 per month for home health aide services. California costs typically exceed national medians significantly.

Are consultations and illustrations from LTCCPAs.com free?

Yes. All consultations, policy reviews, and carrier illustrations from Withbert W. Payne are provided at no charge. He is compensated only if you purchase a policy through him — there is never a fee for analysis, illustrations, or advice. You can reach him at (925) 708-6501 or through the contact form at ltccpas.com.

Objective Long-Term Care Planning by a CPA

Independent Long-Term Care Planning by a Certified Public Accountant

Former Price Waterhouse (London) · CPA (California) · CGMA · FCA (England & Wales)

Helping partners at the Big 4, executives, business owners, and affluent families make better long-term care decisions through objective, carrier-neutral analysis.

Request Your Personalized Illustration

Why Clients Contact Me

You Are Probably Here for One of These Reasons

Clients typically contact me when they want to:

Review existing long-term care or life insurance
Compare today’s policy designs to coverage they bought years ago
Protect retirement assets from an extended-care event
Coordinate insurance with their estate plan
Evaluate tax-efficient premium strategies
Obtain a second opinion before making a major insurance decision

A Simple Path Forward

Your First Three Steps

Request Your Illustration

A customized analysis built around your objectives, not a sales quota.

Receive Your CPA Review

An independent evaluation of available strategies and any existing coverage.

Choose With Confidence

Carrier-neutral recommendations designed around your financial goals.

The Difference

Why Clients Choose a CPA

No competing insurance website can make this claim as convincingly.

Independent — not tied to one carrier

Tax-aware planning

Estate-planning coordination

Business-owner premium strategies

Objective review of existing policies

Underwriting analysis

A long-term perspective — not product-driven

Every review personally conducted by Bert Payne

Clientele

Who I Work With

Partners at the Big 4 approaching mandatory retirement

Corporate executives

CPAs and attorneys

Business owners

Affluent families

Trustees and family offices

Veterans and their families (HelpVet Advisor)

Advisors coordinating on behalf of clients

★ Appointed HelpVet Advisor (2026–2028)

I am honored to help veterans and their families receive complimentary, objective insurance reviews through my appointment as an Appointed HelpVet Advisor.

The Financial Reality in California

What Long-Term Care Costs Here

$15,000+

Semi-private room, per month

$20,000

Private room, per month

8–10 yrs

Typical dementia care duration

$1.5–$2M+

Potential total family exposure

Planning is far easier before care is needed. Good health creates choices; waiting often removes them.

What Happens Next

What Your Personalized Review Includes

Independent multi-carrier analysis

Customized illustrations

Review of any existing policies

Premium comparisons

Tax-planning considerations

Trust-ownership guidance

Business-owner planning strategies

A clear explanation of your options

Two Different Starting Points

CPA-Led Review vs. a Product-Focused Sale

	CPA-Led Review	Product-Focused Sale
Analysis	Independent	Product-focused
Carrier selection	Multiple carriers	Usually limited
Tax considerations	Included	Limited
Estate coordination	Coordinated	Usually separate
Business-owner planning	Considered	Often omitted

This is not a criticism of insurance agents — it simply describes two different places to begin.

Background

A Disciplined, Independent Approach

Most financial assets are reviewed regularly. Insurance portfolios are often left untouched for years. As a California CPA, a Fellow of the Institute of Chartered Accountants in England & Wales, and a former Price Waterhouse auditor in London, I apply the same independent analytical discipline to life and long-term care insurance that auditors apply to financial statements.

“Every significant insurance policy deserves a second opinion.”

Ready to Begin?

Whether you are evaluating new coverage or reviewing policies you have owned for years, an independent CPA review can help you make a more informed decision.

Speak With Bert

Schedule a confidential, no-obligation conversation about your existing life insurance or long-term care coverage. I manage every inquiry personally.

(925) 708-6501

[email protected]

Prefer to begin online? Access the application.

✓ Independent✓ Objective✓ Complimentary✓ No Obligation✓ Personally Conducted by Bert Payne

This website is for informational purposes only and does not constitute personalized insurance, legal, or financial advice. Insurance products and availability vary by state. Withbert W. Payne is a licensed insurance broker (CA License No. 0E90257). Policy illustrations and hypothetical results shown are for illustrative purposes only and are not guarantees of future performance. Results will vary based on individual health, age, carrier underwriting, and policy design. Insurance decisions should be coordinated with your tax, legal, and financial advisers when appropriate. All consultations are complimentary.