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Concierge Long-Term Care

A policy analysis for ultra-high-net-worth families seeking concierge-level coverage — $40,000 per month per insured, guaranteed death benefit, and a single one-time premium.

Figures based on a policy illustration dated June 7, 2026, for insureds aged 55, Preferred Non-Tobacco, California. Individual results will vary.

The Policy at a Glance

This single-premium hybrid LTC policy is designed for families who want concierge-level care — private rooms, private-duty nursing, and facility choice without restriction — funded by a one-time capital repositioning rather than ongoing premiums.

$523,878
Single Premium (One-Time)
$40,000
Monthly LTC Benefit — Per Insured
$960,000
Guaranteed Death Benefit
$436,122
Guaranteed Gain Embedded in Death Benefit
$28.8M
Maximum LTC Benefits (Age 55’85, Joint)
$273,869
Immediate Cash Surrender Value

Win Either Way — Age 85 Comparison

This policy produces a guaranteed positive outcome in every scenario:

Scenario A — If LTC Is Never Needed

Single premium paid$523,878
Guaranteed death benefit$960,000
Guaranteed gain over premium+$436,122

Income-tax-free to heirs. The premium is not an expense — it becomes a larger legacy.

Scenario B — If LTC Is Needed

Monthly LTC benefit per insured$40,000/mo
Joint monthly benefit$80,000/mo
Maximum total benefits (30 yrs)$28,800,000

All LTC benefits received income-tax-free. No benefit cap — coverage continues for life.

The Self-Insurance Question

High-net-worth families often assume wealth alone solves the LTC problem. The arithmetic says otherwise:

At $80,000/month in joint concierge care costs, the entire $523,878 premium would be consumed in 6.5 months of self-funded care. The policy provides protection for up to 30 years — at the same cost.

Cash Flow Analysis

For a C Corporation owner, the LTC premium portion of $283,244 may be fully tax-deductible. At a 30% effective rate, this produces an estimated tax saving of $85,000, substantially reducing the effective capital deployed:

Cash Flow ItemAmount
Single Premium$523,878
Less: Immediate Cash Surrender Value($273,869)
Net Capital at Risk$250,009
Less: Income Tax Savings on LTC Premium of $283,244 (C-Corp est.)($85,000)
Net Capital at Risk After Tax Benefit$165,009
The Capital at Risk in Perspective: Even the $165,009 net capital at risk is not truly "at risk" — because if care is never needed, the policy pays a guaranteed death benefit of $960,000 to beneficiaries. The premium is effectively repositioned, not spent.

Key Policy Features

  • Concierge-level coverage: up to $40,000 per month per insured ($80,000 jointly) in LTC benefits
  • Guaranteed death benefit of $960,000 — if care is never needed
  • Guaranteed policy gain of $436,122 embedded in the death benefit
  • Premiums guaranteed not to increase after issue
  • Immediate cash surrender value of $273,869
  • Potential C-Corporation tax deduction on $283,244 of LTC premium
  • Lifetime LTC protection for both insureds
  • No "use it or lose it" — unused benefits pass as a legacy to heirs

The Wealth Preservation Argument

High-net-worth families often assume wealth alone solves the LTC problem. In practice, an uninsured extended care event at concierge rates does not merely reduce net worth — it disrupts retirement income, eliminates legacy assets, and places the financial burden of care decisions on the family rather than a professional insurer.

A $523,878 premium securing up to $28,800,000 in potential benefits over 30 years — with a $960,000 guaranteed floor if care is never needed — is not an insurance expense. It is a precision capital allocation.

“I would be pleased to walk through a personalized illustration of concierge care. The discussion typically takes 20 minutes.”
— Withbert W. Payne, CPA, CGMA, FCA  •  (925) 708-6501

Ready to see a personalized illustration for your situation? Contact us today — all reviews are complimentary.

Disclaimer: This illustration is for educational purposes only. All figures are drawn from a policy illustration dated June 7, 2026, for insureds aged 55, Preferred Non-Tobacco, California, and are not guarantees of future performance. C-Corporation tax savings are approximate; consult your tax advisor. All guarantees subject to the claims-paying ability of the issuing carrier. LTC benefits are generally received income-tax-free under current IRC §7702B provisions; death benefits are generally income-tax-free to beneficiaries. The $28,800,000 maximum benefit figure represents $80,000/month jointly for 30 years and assumes continuous care for both insureds from age 55 to 85. Past results do not guarantee future outcomes. This is a solicitation for insurance. CA License No. 0E90257.

Concierge Care — Built for Those Who Expect the Best

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