ABA ELDER LAW COMMITTEE Newsletter April, 2007  
ABA General Practice, Solo and Small Firm Division  
Chairs - Kenneth Vercammen, Edison, NJ and Jay Foonberg, Beverly 
Hills, CA
In this issue:
ABA Elder Law Committee meeting
 Friday, May 11, 2007   12:10- 1pm  
Washington Court Hotel,   Chair's Suite
1.  ESTATE RECOVERY IN MEDICAID
2. Yearly Insurance Review
 3. Effective Business Succession Planning
_____________________________
      ABA Elder Law Committee meeting
 Friday, May 11, 2007   12:10- 1pm  
Washington Court Hotel,   Chair's Suite
Topic: Elder Law Practice- Changes in the law and ideas to Improve 
Your Practice by Giving Clients What They Want and Need, plus 
Marketing and Expanding an Elder Law Practice     
American Bar Association  General Practice Section, Elder Law 
Committee 
Chairs/ Speakers: 
Jay Foonberg, Beverly Hills, CA
-Kenneth A. Vercammen, Esq. ,  Edison, NJ  Chair- Elder Law 
Committee  
If you are attending, email Kenneth Vercammen, Esq. at 
Kenv@njlaws.com   
 Elder Law may be the biggest practice area of your career. 50,000 
baby boomers/ day turning 60 and soon to be on Medicaid and 
needing your help.
Topics: 
New Medicaid Law 2006- Protect yourself from inaccurate advice and 
malpractice
Getting referrals from other professionals
The aftermath of the Terry Schiavo case. 
Email newsletters
How to get more referrals and repeat business
How to manage telephone conversations with your clients
Marketing with written fee agreements
-Networking the Internet without backlash
-Ethics and marketing without violating the Rules of Professional 
Conduct
[Contact Kenneth Vercammen, Esq.  for program information 
732-572-0500]
1.  ESTATE RECOVERY IN MEDICAID
By: Thomas. D. Begley, Jr., Esquire  
   A state is entitled to recover for Medicaid payments correctly paid on 
behalf of the individual by use or real or personal property liens and 
recovery from decedents’ estates.  42 U.S.C. § 1396p(b)(1)(B); HCFA 
Transmittal 63; N.J.S.A. 30:4D-7.2 et seq.; N.J.A.C. 10:49-1 et seq.  
The state is required to seek reimbursement from an individual’s 
estate for the cost of nursing facility services.  42 U.S.C. § 
1396p(b)(1)(B).  However, no recovery may be made until after the 
death of the recipient’s surviving spouse, and only when there are no 
surviving children who are under age 21 or blind or permanently 
disabled.  
A.     Definition of Estate.  New Jersey seeks recovery from estates of 
deceased individuals.  While federal law only requires that states 
recover from the probate estate of the deceased Medicaid recipient, 
New Jersey has elected to expand the definition of an estate as 
follows:
“Estate includes all real and personal property and other assets 
included in the recipient’s estate as defined at N.J.S. 3B:1-1, as well 
as any other real or personal property and other assets in which the 
recipient had any legal title or interest at the time of death, to the extent 
of that interest, including assets conveyed to a survivor, heir or assign 
of the recipient through joint tenancy, tenancy in common, 
survivorship, life estate, living trust or other arrangement.”              
B.       Age 55.  With respect to an institutional level of care, estate 
recovery applies to all Medicaid payments made or services received 
after an individual is 55 years of age or older.  N.J.A.C. 10:49-14.1(c).  
Under federal and state law, in the case of a recipient who became 
deceased on or after April 1, 1995 for whom a Medicaid payment was 
made on or after October 1, 1993, a lien may be filed against, and 
recovery sought, from the estate of a deceased recipient for 
assistance correctly paid or to be paid on his behalf for all services 
received when he was 55 years of age or older.  42 U.S.C. § 1396p(b); 
N.J.A.C. 10:49-14.1(c). 
C.      De minimus Amounts.      Under N.J.A.C. 30:4D-7.2a, recovery 
cannot be made against the estate of a deceased recipient if the 
amount sought is less than $500 or the gross estate of the deceased 
recipient is less than $3,000. 
D.     Surviving Spouse or Child under 21 or Blind or Disabled.  No 
recovery shall be made if there is a surviving spouse or a surviving 
child who is under the age of 21 or is blind or permanently and totally 
disabled, except for assistance incorrectly or illegally paid or for third 
party liability recovery.  These exceptions to estate recovery are also 
incorporated in N.J.A.C. 10:49-14.1(a).   
E.     PAAD.  No estate recovery shall be made under the 
Pharmaceutical Assistance to the Aged and Disabled program 
(PAAD), unless the assistance was incorrectly or illegally paid.            
F.      Life Estates/Trusts.   
 •  Life Estate.  Life estates that expire upon the Medicaid beneficiary’s 
death are exempt from estate recovery. N.J.A.C. 10:49-14.1(n)(1). 
 •    Inter Vivos Trust.  An inter vivos trust established by a third party for 
the benefit of a deceased Medicaid recipient is not subject to estate 
recovery provided that the Medicaid recipient could not compel 
distributions from the trust and the trust contains no assets in which 
the Medicaid beneficiary held any interest within either five (5) years 
prior to applying for Medicaid benefits or five (5) years prior to the 
Medicaid recipient’s death.  N.J.A.C. 10:49-14.1(n)(2).  
 •   Testamentary Trust.  Testamentary trusts are exempt from estate 
recovery provided that the Medicaid recipient could not compel 
distribution and the trust contains no assets in which the Medicaid 
recipient held an interest within either five (5) years prior to applying for 
Medicaid benefits or five (5) years prior to the recipient’s death.  
Assets of the community spouse which formed a part of the 
Community Spouse Resource Allowance shall not be considered 
assets of the Medicaid recipient.  Any assets of the community spouse 
other than those that formed part of the CSRA allowance are 
considered assets of the Medicaid recipient if acquired from the 
Medicaid recipient with five (5) years prior to the date of application for 
the Medicaid benefits or five (5) years prior to the date of the death of 
the Medicaid beneficiary.  It is believed that the reference to assets 
acquired from the Medicaid recipient means assets acquired from the 
Medicaid recipient’s spouse.  
G.     Tracing.  N.J.A.C. 10:49-14.1(l) makes clear that estate recovery 
may be sought from trusts and annuities, even if established by a third 
party.  This applies to living trusts and testamentary trusts if the assets 
in the trust belonged to the Medicaid beneficiary as of five years prior 
to the beneficiary’s death.  N.J.A.C. 10:49-14.1(n).  This provision may 
be invalid since it appears to be more restrictive than either the federal 
or state statute, which limits recovery to “living trusts.”  However, in 
DeMartino v. Division of Medical Assistance and Health Services, 373 
N.J. Super. 210 (App. Div. 2004), the court held that such a trust was 
subject to Medicaid estate recovery. 
H.      Spouse.  New Jersey’s current regulations exempt the estate of 
the spouse from recovery.  N.J.A.C. 10:49-14.1(n).  
 An issue arises as to whether a state may recover from the estate of a 
spouse of a deceased Medicaid recipient.  In the case of Wisconsin v. 
Estate of Budney, 197 NW 2d 245 (Wis. Ct. App. 1995), the court held 
that the Wisconsin statute authorizing recovery from the spouse of a 
deceased Medicaid recipient is invalid.  In a California case, Demille v. 
Bleshe, 1995 WL 23636 (N.D. Cal. 1995), the court held that the state 
was free to impose liens on property of the deceased Medicaid 
recipient, after the recipient is dead, and that those liens become 
payable upon the death of the surviving spouse or upon sale of the 
property.  
  New Jersey has a policy of not forcing a sale while any family 
member is still living in the house.  This is documented in N.J.A.C. 
10:49-14.1(j).  Recoveries will not be pursued against property held by 
bona fide purchasers.  N.J.A.C. 10:49-14.1(k). 
   There may be an issue as to whether Medicaid can recover for 
payments made on behalf of the deceased Medicaid recipient prior to 
December 23, 1995, which is the effective date of the New Jersey 
statute. 
  New Jersey will exempt assets from estate recovery on a hardship 
basis only if the asset is the sole income-producing asset of the 
survivor, and recovery by the state would result in the survivor 
becoming a beneficiary of public benefits himself or herself. Thus, 
New Jersey’s tentative definition of “hardship” is very rigid. There is 
also a rebuttable presumption in New Jersey that there is no hardship 
if Medicaid planning was effected.  N.J.A.C. 10:49-14.1(h).  The 
representative of the estate of the Medicaid recipient has 20 days from 
the date of receipt of the notice of the State’s lien to file a request for a 
waiver or compromise of the claim. 
 Begley & Bookbinder, P.C. is an Elder & Disability Law Firm with 
offices in Moorestown, Stone Harbor and Lawrenceville, New Jersey 
and can be contacted at 800-533-7227.  The firm services southern 
and central New Jersey and eastern Pennsylvania. 
______________________
2. Yearly Insurance Review
By Ray Pavese & Mike McCormick
  Every year you should review your insurance policies to make sure 
you still have a policy that
meets your needs, as well as the needs of your family members and
loved ones. 
One of the policies that most often gets overlooked is the life
insurance policy. Since this is often a long-term policy, most
insured individuals assume they are stuck with the same policy,
no matter what. Usually this is not the case, although it will
depend on your policy and company as to whether you receive
penalties when changing your insurance.
Even if penalties occur, changing your life insurance policy may
be essential to keeping up with your family's financial needs for
the future.
If you don't review your life insurance policy every year, you
should at least review your policy under these circumstances:
* Marriage/Divorce - Needs change depending on your marital
status.  Keep this in mind as things change in your life. Even if
you don't want to change the value of your policy, you probably
want to change the beneficiary. 
* Children - If you ask the majority of life insurance agents,
the major reason for changing a life insurance policy is because
of children. This is because many adults never believe they will
need extra money after death until they realize that they will
have someone preceding them in death. Children will need money
for basic food and shelter until they are 18 and possibly for a
future college fund as well.  Keep that in mind, and tell others
you know that may be affected. 
* An Illness - Although waiting to change your insurance policy
until you have a long-term illness will mean paying higher
premiums, it is best to at least review your policy limitations
and make necessary changes if you find out you have a potentially
life threatening illness. 
If you have questions regarding a change you would like to make
on your life insurance policy, feel free to contact me anytime.
Sincerely,
Ray Pavese & Mike McCormick
Pavese-McCormick Agency, Inc.
mikem@pavesemccormick.com
______________________________
3. Effective Business Succession Planning
By Saul Simon
Business owners invest significant amounts of time and financial 
resources to make their enterprises successful. Quite often, due to 
the quick pace of day-to-day operations, planning for succession of 
ownership is relegated to a low-priority task. But there comes a point 
in the life cycle of any business when the owner is no longer able to 
manage the firm that he or she founded.  
Because the timing of death or disability is difficult to predict, it’s 
prudent to have a succession plan in place now to safeguard your 
family’s financial well being, and to provide your business with 
leadership during a transition period.
A Family Affair? 
One logical solution—and one that most entrepreneurs may want to 
choose—is to turn the reins over to their children. However, despite its 
emotional and intuitive appeal, the odds are stacked squarely against 
a business surviving a transfer down the bloodline. 
According to the U.S. Small Business Administration, two-thirds of 
family-run enterprises fail to make the successful transition to a 
second generation of ownership, and less than 15% survive into the 
third generation. Making a successful transition even trickier are 
issues brought on by divorce, blended families, or rivalries among 
children.  
The best course of action may be either to identify strong candidates 
within your company who can continue to run the business and 
provide a source of financial security for your family, or to look at the 
potential for selling the business to an outside party. 
“You have to be realistic,” says Jack Kaewpalug, Certified Financial 
PlannerTM Practitioner with Lincoln Financial Advisors Corp. in Irvine, 
Calif. “If you’re the person who is responsible for 80% of the firm’s 
sales, you’ll need to identify somebody who can assume that role if 
you want to keep the operation going.”
Transitional Steps 
Whichever course you eventually decide is right for your business, 
there are steps you can take now that will ease the transition.
* Groom new management. Who is best able to run the business in 
your absence?  Perhaps your children have spent years growing up in 
the business and have become capable managers in their own right. 
If not, look to your existing management team, and make your 
intentions known. Be sure that candidates are capable and interested 
in taking over.
* Determine a value. Work with a valuation specialist to get a fair 
assessment of what your business might be worth.  While valuation 
analysis may be an art as much as it is a science, you should place a 
value on your business in the event you decide to sell. There are 
several valuation methods, including book value, discounted cash 
flow, or you could hire a professional appraiser. If you decide to 
transfer the business to your children, a professional appraisal is 
generally required to withstand IRS scrutiny.
* Draft a buy-sell agreement. Depending on the structure of 
ownership, this document will be a binding agreement detailing the 
terms of ownership transfer between you and your offspring, you and a 
non-family successor, or you and your partners. Be sure to specify 
how the agreement will be funded. “Proceeds from a life insurance 
policy are frequently used as a way to fund a buy-sell arrangement,” 
says Kaewpalug, “Other options include loans from a bank or 
company earnings that are paid back through an ‘earn-out’ 
arrangement with your successor, whereby the loan is paid back in 
regular installments.
* ESOPs. If you have a large number of employees, another option is 
an Employee Stock Ownership Plan (ESOP), whereby a bank lends 
money to the ESOP to purchase your interest in the business, and the 
employees then buy the shares through regular payroll deductions.
 Planning for succession can be an unpleasant task, although the 
outcome can be even more unpleasant if you fail to plan. “You’ll have a 
lot more options if you start to plan when things are going great,” says 
Kaewpalug. “What you don’t want is a situation where your family is 
scrambling to salvage some value from the business after you’re 
gone.”
Simon Financial Group 
399 Thornall Street, 12th Floor 
Edison, NJ 08837 
Phone: (732)623.2078 
Fax: (732)623.2088 
www.saulsimon.com 
Your Editor  Kenneth Vercammen, Edison Attorney  was selected a 
2007 NJ Super Lawyer in the Criminal Law- DWI section for the 
second year in a row. Of over 79,00 attorneys in New Jersey, only three  
were selected as Super Lawyers in the Criminal Law- DWI category.  
HOW SUPER LAWYERS ARE SELECTED 
           Law & Politics performs the polling, research and selection of 
Super Lawyers in a process designed to identify lawyers who have 
attained a high degree of peer recognition and professional 
achievement. Super Lawyers is a comprehensive and diverse listing 
of outstanding attorneys, representing a wide range of practice areas, 
firm sizes and geographic locations. Only 5 percent of the lawyers in 
each state or region are named Super Lawyers 
http://www.njlaws.com/superlawyer.htm
_____________________________
 Send us your articles & ideas
 To help your practice, we feature in this newsletter edition a few 
articles and tips on marketing and improving service to clients. But 
your Editor and chairs can't do it all. Please send articles, suggestions 
or ideas you wish to share with others.
General Practice, Solo and Small Firm Division: 
Elder Law Committee and the ESTATE PLANNING, PROBATE & 
TRUST COMMITTEE
Who We Are
 This committee focuses on improving estate planning skills, 
substantive law knowledge and office procedures for the attorney who 
practices estate planning, probate and trust law. This committee also 
serves as a network resource in educating attorneys regarding Elder 
Law situations.
   To help your practice, we feature in this newsletter edition a few 
articles and tips on marketing and improving service to clients. But 
your Editor and chairs can't do it all. Please send articles, suggestions 
or ideas you wish to share with others.
        Let us know if you are finding any useful information or anything 
you can share with the other members. You will receive written credit 
as the source and thus you can advise your clients and friends you 
were published in an ABA publication. We will try to meet you needs.  
 We also seek articles on Elder Law, Probate, Wills, Medicaid and 
Marketing. Please send your marketing ideas and articles to us. You 
can become a published ABA author.   
________________________________________
 The Elder Law Committee of the ABA General Practice Division is 
directed towards general practitioners and more experienced elder 
law attorneys. The committee consistently sponsors programs at the 
Annual Meeting, the focus of which is shifting to advanced topics for 
the more experienced elder lawyer.
 This committee also focuses on improving estate planning skills, 
substantive law knowledge and office procedures for the attorney who 
practices estate planning, probate and trust law. This committee also 
serves as a network resource in educating attorneys regarding Elder 
Law situations.
Kenneth Vercammen, Esq.  co-Chair 
Jay Foonberg, Beverly Hills   Co-chair, Author of Best Sellers "How to 
Start and Build a Law Practice" and "How to get and keep good 
clients', Beverly Hills, CA        jayfoonberg@aol.com>
Jay Foonberg
Please Note New Mailing Address:
9461 Charleville Blvd., #416
Beverly Hills, CA. 90212-3017
Same Tel: 310-652-5010
Same Fax: 310-652-5019
  We will also provide tips on how to promote your law office, your 
practice and Personal Marketing Skills in general. It does not deal with 
government funded "legal services" for indigent, welfare cases. 
 KENNETH  VERCAMMEN & ASSOCIATES, PC
ATTORNEY AT LAW
2053 Woodbridge Ave.
Edison, NJ 08817
(Phone) 732-572-0500
 (Fax)    732-572-0030
Kenv@njlaws.com