Get All Your Docs In A Row

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Get All Your Docs In A Row

Whether it’s for a parent, a spouse, or even ourselves, chances are all of us will face the complicated issues of elder care at some point in the near future. In the first article of this series, we talked about the importance of planning in advance. In this installment, we look at all the paperwork that can turn a minor complication into a major crisis if it’s needed and can’t be found.

written by William Markin, Editor of The Masonic Bulletin

Let’s Start at the Very Beginning  (A Very Good Place to Start)  I’m going to start making a very big assumption. I’m going to assume that you were born. Of course you were, you’re probably thinking. But can you prove when? And where?

To do that, you need a birth certificate. And if you don’t have one…or it can’t be located when it’s needed…it can be a major problem. A whole host of services and programs can require one, and there may be times when you or a relative will be required to submit copies to multiple places at the same time. And not just plain old photocopies. Oh, no! They want genuine certified copies.

Fortunately, if you were born in Ohio, you can probably get certified copies (with colorful pin-hole seals) at the Vital Records bureau in the basement of the Lucas County Health Department. They aren’t cheap, though. Currently, they’ll set you back $25 each, but it’s not a bad idea to have at least a couple copies on hand.

You may also need official copies of your marriage license or any divorce decrees. For these, you’ll have to make a trip down the street to the County Courthouse.  If you were born out-of-state, on the other hand, tracking down these documents can range from a few hours on the computer to days or weeks of correspondence and hunting.

Similarly, if you need a copy of your military discharge papers, they can be ordered on-line in a fairly simple process, but it can take from six to nine weeks to get them. There are services (the VA has a list of authorized ones) that can get you a copy of a DD-214 in a matter of days, but at a cost of a hundred dollars or more.

Your Very Own Paper Trail
The point is, the easiest and least costly time to get these documents together is long before you need them. And your birth certificate is just the beginning. There are a host of important documents that can be critical in case of a major medical event. The Area Office on Aging suggests a whole checklist full.

Pretty overwhelming, isn’t it? But believe me (from experience), if you or a loved one doesn’t know where these documents are, it can  be a real headache when you or someone you care about needs special care or assistance or, ultimately, goes to that Great Celestial Lodge in the Sky where we all know we’re headed but are never totally prepared for.

Ideally, all of these documents would be in single safe place, known to your family. A small, fire-resistance safe in a closet can be a great location…as long as someone else knows the combination. Similarly, a safe-deposit box at a bank works well, unless you lose or misplace the key.

One way to handle this is to get a simple notebook or journal, and write down exactly what papers you have and where they can be found. List your bank accounts and credit cards and numbers. And while you’re at it, write down the phone numbers from the back of your credit cards….the ones you’re supposed to call if they’re lost or stolen.

If possible, include copies of things like insurance policies, deeds, and stock certificates, as well as copies of your social security, Medicare and health insurance cards. If you don’t have a copier (and these days, you can get a combination copier-printer-fax for as little as $40), there are plenty of copy services around, including FedEx and UPS stores, Kinko’s and CopyMax (part of OfficeMax).

The Fabulous Five
All of these documents are important, but there are five that deserve special mention because you might not have misplaced them, but might never have had them. And you need them.

1) A Will. When I think of a will, I usually think of the scene in the movies where the family gathers together in a posh attorney’s office to hear the reading of Uncle Charlie’s will, and who will get his millions and who will get stuck with his beloved but incontinent cat.

If you have millions, you probably already have a will, or can afford an attorney or estate planner to help you get one. For most of us, though, our possessions, estates and bequests are fairly simple, so all we need is a simple will. Most attorneys will draw up a simple will for a few hundred dollars, although there are alternatives even to that, including computer programs that ask you questions, then compose them for you and web sites that do the same thing on-line.  There are even workbooks that will guide you through the process.

Then, just sign it and date it and presto, you have a valid will. Even if it’s just written on the back of an envelope, in case you have a Lincoln complex and are planning on attending the theatre tonight. Of course, your signature should be witnessed, and it wouldn’t even hurt to take it down to your local bank branch and have it notarized (assuming you wrote it on a large–enough envelope for the notary seal).

Even though a will is a legal document, it doesn’t have to be fancy. But unless you have a document that clearly specifies what you want to leave to whom, a judge may end up deciding that, and your beloved but incontinent cat end up with someone who really doesn’t fully appreciate her.

(Lest you think I’m joking – and alright, maybe I am a little -- if you have a pet, one of the most important things you need to think of in advance is what’s going to happen to that  pet if you are no longer able to keep and care for it.)

2) A Living Will. This somewhat misleadingly-named document, also sometimes called an “Advance Directive”, is simply a statement to a doctor about how far you want them to go to keep you alive if you develop a terminal or irreversible condition. I’m not going to try to advise you on what decision to make on this, because it’s really a very personal matter. If it’s for yourself, you may want to talk it over with your family first.  In the case of an elderly parent or grandparent, you definitely should discuss it with them in advance, and clearly understand their wishes.

It’s not an easy or very comfortable subject to broach with someone. “Oh, by the way, Grandpa, just the other day I was thinking about what happens if you’re laying in the hospital dying of an incurable disease…”, but it really should be discussed. If nothing else, use this article to start the conversation. Let them blame me. I can take it.

Again, standard forms are readily available for this purpose. Check on-line or call the Area Office on Aging and ask them for a copy.

3) Health Care Power of Attorney. Another misleadingly-named document, sometimes called a Durable Power of Attorney for Health Care, this simply gives someone else the power to make health care decisions for you if you are unable to make them for yourself, and really is a good idea. In fact, it’s best to name an alternate as well, in case the first-named person is unavailable, and discuss your wishes with both. And it goes without saying it’s probably best to name people who like you. At least a little.

4) Power of Attorney. This gives another person – not necessarily an attorney, but anyone -- the legal ability to make financial transactions for you if you are ill or unavailable. Depending on how it’s written, it can be a very sweeping document that grants broad powers to another person to do as they wish with your assets (although there are legal ramifications for misusing this power), so be careful who you pick for this one. Still, someone should have the ability to take care of your financial affairs if you can’t.

5) Consent for Release of Information. This is a fairly new addition to this list, so it may be – but shouldn’t be -- overlooked. You know those privacy statements you’re always being asked to sign every time you visit the doctor or hospital (unless you’re just visiting a friend, and even that wouldn’t surprise me)?

That’s because of something called HIPAA, which stands for the Health Insurance Portability and Accountability Act. It makes it illegal for doctors and hospitals to divulge any information about any patient to anyone without the patient’s permission. So in that classic movie scene where the doctor comes out of surgery into the waiting room, and a teary-eyed relative, “Doctor, are they okay?” his legally and politically correct answer would be, “Can I see your HIPAA Authorization for the Release of Confidential Medical Information, please?”

Again, it’s a simple thing, but one that is important for your loved ones to have, and for you to have in case it’s them in the hospital.

Make The Computer Your BFF
Before you non-techno-geeks let your imaginations run wild, BFF stands for Best Friend Forever, and if you’re comfortable with a computer and have internet access, it can be an enormous help in gathering the paperwork I’ve talked about. If you’ve never learned to use one, this could be a good time to start. Check at a nearby Senior Center. Chances are, they have whole classes full of people that are just as wary/confused/frightened/apprehensive/antagonistic about these little boxes as you are.

But even if you’ve lived ninety-seven years without touching a computer and don’t intend to now, I still have good news for you. Most true computer nerds just love to show off their abilities to others, and that includes doing a whole lot of on-line research and document retrieval for you. So all you have to do is find someone who has a computer for their BFF, or even OFE (Only Friend Ever), and make them your BFF!

The Long and Short of It
In short, pulling all these documents together, whether it’s for yourself or someone else, can be a long process. That’s why it makes so much sense to do it in advance, when you can take your time and work at your own leisure.

Doing it this way can save you – or someone you care about – a lot of grief and even money. It makes sense to get your docs in a row. Now.

Important Document Checklist (Courtesy of Area Office on Aging)

INSURANCE

• Medicare Card
• Secondary Health
• Life
• Special Care
• Long Term Care
• Catastrophic Illness
• Auto
• Home
• Other

LEGAL
• Auto Title
• Deeds
• Living Will
• Living Trust
• Power of Attorney
• Power of Attorney for Health Care
• Trust Papers
• Will

LIFE EVENTS
• Birth Certificate
• Burial Plot
• Funeral Arrangements
• Immigration/Naturalization Papers
• Marriage/Divorce Papers
• Military Papers
• Social Security Card

FINANCIAL
• Bank Notes
• Bank Savings Accounts
• Bonds
• Broker Name/Phone
• Certificates of Deposit
• Checking Account
• Credit Card List
• IRAs
• Mortgage Papers
• Mutual Funds
• Safety Deposit Keys/Combination
• Stock Certificates
• Tax Records

William Markin, Editor

The Masonic Bulletin, Copywrite 2011

 

Facts About the Flu

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Facts About the Flu

Though influenza can appear at any time, the typical flu season in the United States is during winter, with peak flu activity between November and March. Each season is unique, but each year, anywhere from 5 to 20 percent of the U.S. population gets the flu. Around 200,000 people are hospitalized due to its complications, and another 36,000 die from it. Yet, some myths still remain about its origination and transmission. It is important to be correctly informed about the disease in order to remain healthy during the flu season.

The flu is an infection of the respiratory tract caused by the influenza virus. It can cause mild to severe illness, and at times can cause complications leading to death. People who have the flu often feel some or all of these symptoms:

• Fever or chills
• Headache
• Fatigue
• Cough and/ or sore throat
• Runny or stuffy nose
• Muscle or body aches
• Stomach ailments such as nausea, vomiting and diarrhea (this is more common in children than adults)

How the Flu is Spread
The flu is spread primarily through germs when coughing, sneezing or talking close to others. It also can be spread if an individual touches a surface that was touched by an infected person, and then touches his or her own mouth, eyes or nose. People are typically contagious beginning one day before symptoms start and up to five to seven days after symptoms appear.

If Bitten by the Flu Bug
If you contract the flu, it is important to take good care of yourself. The Centers for Disease Control and Prevention (CDC) recommends:

• Stay home from work! It’s your best chance for recovery, and you will avoid   spreading the disease to others.
• Get lots of sleep.
• Drink plenty of fluids.
• Take over-the-counter (OTC) medications appropriate for your symptoms.
• Most people do not need medical care, but consult your doctor if you are concerned. Also, seek immediate medical attention if you have any of the warning signs discussed on the next page.

Prevention
It is possible for serious complications to arise from the flu, including bacterial pneumonia, ear infections, sinus infections, dehydration and worsening of chronic medical conditions. This is why it is crucial to do all you can to prevent the virus from attacking you in the first place.

These simple steps should be taken in order to avoid the flu:

1. Get a yearly flu vaccine. It is the most important step in protecting against the disease.
2. Take preventive actions. Cover your mouth when you sneeze or cough. Try to avoid close contact with sick people and avoid touching your eyes, nose and mouth. Wash your hands often or use alcohol-based hand sanitizer.
3. Take antiviral drugs if your doctor recommends them. These are prescription drugs that fight the flu by keeping the viruses from reproducing in your body.
4. Maintain a healthy immune system by not smoking, eating healthy food, exercising, taking a daily multivitamin, getting adequate sleep and controlling your stress level.

Flu Vaccination
In 2010, the CDC changed their recommendation regarding flu vaccination – previously they had suggested that children and high-risk individuals get vaccinated. Now the official CDC recommendation is that everyone 6 months of age and older get a yearly flu vaccine. Vaccination is especially important if you are at high risk for serious flu complications, such as young children, pregnant women, people with chronic medical conditions, and people 65 years and older.

The 2011-2012 seasonal flu vaccine will vaccinate against multiple strains of influenza, including H1N1. Thus, only one flu shot is needed to protect against both seasonal and H1N1 flu this year. The vaccine is available in a shot or a nasal spray.

Contrary to popular belief, you cannot get the flu from the flu vaccine – but sometimes side effects mimic those of the flu, such as a headache, low fever and/or runny nose. These will only persist for a day or less, however.

Certain people should NOT get a flu vaccine without first consulting their physician, including:

• Those with a severe allergy to chicken eggs
• Those who have had a severe reaction or have developed Guillain-Barre syndrome within six weeks of getting an influenza vaccination
• Children less than 6 months of age

Emergency Situations
Occasionally, the flu can cause serious medical complications. It is important to seek immediate medical treatment if someone with the flu displays any of these signs.

In children, emergency warning signs include:

• Fast breathing (or trouble breathing)
• Bluish skin color
• Not drinking enough fluids
• Not waking up or interacting
• Being so irritable the child does not want to be touched
• Flu-like symptoms improve but then return with fever and worse cough
• Fever with a rash

In adults, emergency warning signs are:

• Difficulty breathing or shortness of breath
• Pain or pressure in the chest or abdomen
• Sudden dizziness
• Confusion
• Severe or persistent vomiting
• Flu-like symptoms that improve but then return with fever and worse cough

This newsletter is for informational purposes only, and is not intended as professional advice. © 2008-2011 Zywave, Inc. All rights reserved

Low-Cost Wellness Resources for Small Businesses

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Low-Cost Wellness Resources for Small Businesses

In an effort to motivate us all to put "wellness" in the holiday equasion, I have decided to send you the following information about wellness programs geared toward small companies.

 

They can be as beneficial for smaller businesses as they are for large companies. In fact, small businesses have an upper hand on bigger businesses when it comes to wellness programs because they often achieve higher rates of participation and their programs are generally easier to implement. The key to developing wellness programs is keeping them simple and manageable.

 

Small companies need programs that are easy to use and do not require a lot of money. Use the low-cost resources identified in this article to help develop, implement and evaluate your worksite wellness program.

 

Please note: If you have trouble connecting to any of the following website links, please call our Marketing Department and they will help you get to the website of your choice.


Resources for Developing a Worksite Wellness Program
1. To get your program off the ground, our Ashley Group agents can provide you with the following educational articles: "Workplace Wellness: An Employer's Guide to Promoting Wellness at the Workplace" and "Workplace Wellness: Potential Legal Issues Associated with Workplace Wellness Plans."

2. The Worksite Health section of the Partnership for Prevention website offers several valuable resources for developing a wellness program: Click Here

Assessing Your Worksite
1. We can provide you with a sample wellness program survey.

2. Healthy Workforce 2010: Essential Health Promotion Sourcebook for Employers, Large and Small (pages 62-64): click here

Health Risk Appraisals
Many local health plans and health care systems have health risk appraisal or assessment programs for worksites. Contact your health plan or health care provider to see what services they offer.

1. Send employees to physicians as part of their annual physical.

2. Have The Ashley Group do worksite wellness appraisals on-site.

3. See the Wellness Council of America (WELCOA) for tips on picking the right health risk assessment: click here

General Health Education
1. Policies outlining the functions of a comprehensive worksite wellness program: Click Here

2. Health fair as a kick-off or celebration event, or an online health fair planning guide: Click Here

3. Designate specific areas to support employees such as diabetics and nursing mothers: Click Here & Click Here (Providing break time and accommodations for nursing mothers is now required by law.)

Resources for Recommended Physical Activity Strategies
1. Physical activity breaks during the workday: Click Here

2. Map out on-site trails or nearby walking routes: Click Here

3. Host walk-and-talk meetings: Click Here

4. We can provide you with exercise and physical fitness messages, and information directed to your employees.

5. Start employee activity clubs: Click Here

6. Offer on-site fitness opportunities, such as group classes or personal training: Click Here

7. Provide incentives for participation in physical activity and/or weight management and maintenance activities: Click Here

8. Aim for a Healthy Weight: Click Here

9. The President's Challenge: Click Here

10. Physical activity incentive campaign: Click Here

11. Stairwell use program: Click Here

Resources for Nutritional Strategies

1. Send healthy food messages to employees. Our Ashley Group agents can provide you with nutrition-related articles for your employees.

2. Offer appealing, low-cost, healthful food options, such as fruits and vegetables, juices, and low-fat dairy products in vending machines, snack bars and break rooms: Click Here

3. Make water available throughout the day: Click Here

Tobacco Cessation Strategies
1. General Resources:
· University of Wisconsin Center for Tobacco

· Research and Intervention: Click Here

· Employers Tools & Resource Index page: Click Here
· Quitnet: Click Here
· American Lung Association: Click Here

2. Policy prohibiting tobacco use anywhere on company property: Click Here

Evaluation Resources

1. Evaluating Your Wellness Program: Click Here

PKN 12/06
rev. SV 12/07, EB 4/08, SV 5/09, EB 11/09, AO 8/10

Content © 2006-2010 Zywave, Inc. All rights reserved.