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How to navigate premium increases for long-term care insurance

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Supporting aging parents is an extremely difficult situation that comes with both emotional and financial complications.

The cost of long-term care insurance is a prime example.

This insurance, essential for covering costs not typically included in standard health insurance or Medicare, such as nursing home stays or in-home support, can be a financial lifeline. However, it’s not without challenges, especially when faced with an unexpected premium increase.

I know this situation all too well, having purchased long-term care policies for both of my parents in 2000.

For my dad, who was 68 at the time, I purchased 5% simple inflation protection, which accrues interest only on the original benefit. By the time my dad needed in-home care starting in 2014, his daily benefit had grown from $125 to $212.50.

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Given our family history of longevity, and because my mom purchased her policy when she was a young 54 years old, we selected 5% compound inflation protection. The daily benefit with compound inflation grows quickly because the interest earns interest.

Now, with that compound inflation protection, her daily benefit has increased from $125 to $403.

But her costs have increased, too, in part because that compound inflation protection costs more. Since 2000, my mom’s long-term care insurance premium has jumped 54%, from $1,224 to $1,885 per year. Along the way, we have experienced three rate increases.

How much can long-term care insurance increase?

While rate increases can be expected, most people are shocked by how much rates can go up over the long term, specifically for policyholders who have had their policies for a decade or more. It’s not uncommon for rates to increase by 50%. However, the National Association of Insurance Commissioners has reported rate spikes as high as 500%.

For those with limited financial means, a significant premium increase can be overwhelming and devastating, often forcing people to choose between financial security and compromising their parents’ quality of life and access to quality care.

We all want what’s best for our aging parents. Here are some ways I recommend clients navigate premium increases to protect their long-term care coverage.

3 ways to handle long-term care insurance premium hikes

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A significant premium increase can threaten your or your parents’ financial stability, but so does not having the right insurance coverage. It’s a catch-22 that often leaves people feeling trapped. I don’t believe that people should be forced to choose between simply accepting the increase or dropping the policy.

The good news is that you have options that don’t result in an all-or-nothing choice.

As a certified financial planner professional, I often encourage my clients to start by exploring three options — accepting the rate increase, freezing benefits or adjusting policy terms.

1. Accepting the rate increase

In some situations, the best course of action is to do nothing. If your parents’ financial situation allows them to comfortably absorb the higher rate, accepting the premium increase can ensure continuous coverage without sacrificing any benefits.

From my personal experience, this was the best choice for my mother’s situation. Despite a 54% premium increase, we chose to accept the rate rather than settle for fewer policy benefits. I know all too well the cost of in-home care, as my dad had Parkinson’s disease for nine years and needed 24-hour care the last four months of his life.

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2. Freezing the benefits

If you have financial concerns about a higher premium, you may be able to eliminate or reduce the rate increase by electing to freeze your benefits. When this happens, you agree to pause the inflation protection benefit for a predetermined time frame in exchange for a lower rate. Freezing benefits helps to keep premium costs down without losing coverage altogether. It can be a good choice for parents in their early to late 80s, especially if the premium increase exceeds 20%.

Recently, I advised one of my clients to freeze their benefits when faced with a 22% premium increase since they are in their late 70s and the cost difference wasn’t a good fit for their situation. This change allowed them to maintain the current daily benefit amount but forgo future increases, helping manage costs while still providing some coverage.

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3. Finding a middle ground

Sometimes, the full premium increase isn’t manageable, but you’re not ready to freeze benefits completely. If you’re able to accept some but not all of the premium increase, it’s best to call your insurance company to negotiate your rates.

For example, if the cost is going up 15% but you can only afford 10%, discuss it with your insurer. You could uncover alternatives that an adjusted premium might offer, like a shorter benefit period, longer elimination period or reduced daily benefit amount. However, reducing daily benefits should be a last resort because it decreases the insurance payout and can increase out-of-pocket costs for your parents’ care.

Making the best long-term care insurance decisions

Age is just a number, but so is the cost of long-term care insurance. Begin by having transparent conversations with your parents and siblings, so you can work together to ensure that everyone’s needs and concerns are met. This discussion should cover everyone’s perspectives and financial considerations, especially the needs and preferences of your aging parents.

This can be a difficult conversation to navigate.

If you’re feeling stuck weighing the long-term implications of your available options, it’s important to seek guidance from a financial professional for clarity and insight. A financial expert can go over the specifics of your situation, offer tailored advice, and even suggest alternatives you might not have considered.

In the end, the decision should balance financial foresight with the care and comfort of your loved ones.

 — By Marguerita (Rita) Cheng, a certified financial planner and the CEO of Blue Ocean Global Wealth in Gaithersburg, Maryland. She is also a member of the CNBC Financial Advisor Council.

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Personal Finance

What tariffs could mean for car prices

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President-elect Donald Trump has been vocal about potentially raising tariffs on imported goods, which experts say could bump up car prices.

Trump has talked about implementing an additional 10% tariff on Chinese imported goods, as well as adding tariffs of 25% on all products from Mexico and Canada. On Friday, Trump told the European Union it must reduce its trade gap with the U.S. by purchasing oil and gas, or it could face tariffs as well.

Tariffs are taxes on imported goods, paid by U.S. companies that import those goods.

Tariffs have the potential to disproportionately affect auto prices because materials used to assemble a vehicle come from different parts of the world. Some components even cross U.S. borders multiple times before they even get to the factory, according to Ivan Drury, director of insights at Edmunds.

“There’s no such thing as a 100% American vehicle,” said Drury. “There’s so much complexity, even though it’s a seemingly straightforward thing.”

Component tariffs could add $600 to $2,500 per vehicle on parts from Mexico, Canada and China, according to estimates in a Wells Fargo analyst note. Prices on vehicles assembled in Mexico and Canada — which account for about 23% of vehicles sold in the U.S. — could rise $1,750 to $10,000.

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If tariffs are enacted, the sticker price drivers pay at the dealership will eventually go up, experts say. But carmakers and sellers may have to bear some of the costs, too. 

“The cost will spread across all stakeholders: automakers, dealers and consumers,” said Erin Keating, executive analyst at Cox Automotive. “No one company is going to dump all of that expense directly on their consumers.” 

Here’s what to know.

Why cars may incur more tariffs than other goods

The automotive sector’s supply chain is unique because some pieces move back and forth across international borders while the part is built and assembled, experts say.

“People don’t really know where their vehicle is built and how it’s assembled from parts across the entire globe,” Drury said.

Take a steering wheel, for example. Electronic sensors or other parts that go into the steering wheel come to the United States for assembly from countries like Germany, Drury said. The steering wheel is then sent to Mexico for stitching, only for it to come back to the U.S. to be installed in the vehicle.

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Vehicles could have “incrementally more tariffs applied” compared with other products, given the supply chain, said Keating.

If tariffs add to the manufacturing cost, automakers can’t risk passing on the entire tab to the shopper, experts say.

Carmakers and dealers may have to “bear some of the burden,” Drury said. “If you look at how expensive vehicles could get with those tariffs, there’s no way they’re going to be able to move as many [cars].”

There is, however, a silver lining — a lot of cars that will be on the lots in early 2025 have already been assembled or are currently being made, further adding to next year’s available supply, Keating said.

What car shoppers can expect in 2025

As of December, average auto loan rates for new cars are at 9.01% while borrowing costs for used vehicles are at 13.76%, per Cox Automotive. The average rates for both types of loans are down about a full percentage point from a 24-year high earlier this year.

“We expect that consumers may see even lower rates by spring, which would create the most normal and favorable buying environment since 2019,” Jonathan Smoke, chief economist at Cox Automotive, wrote in the report.

For now, experts are optimistic for the auto market next year as inventory and deal opportunities grow.

“Tariffs or no tariffs, there will be more incentives,” Drury said.

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How much Mariah Carey makes from ‘All I Want For Christmas Is You’

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Mariah Carey performs “All I Want for Christmas Is You” at the 2023 Billboard Music Awards. 

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“I don’t want a lot for Christmas / There is just one thing I need / An answer to just one question / An estimate of Mariah Carey’s song royalties, please?”

No, my makeshift lyrics aren’t as catchy as the opening lines of Carey’s “All I Want for Christmas Is You,” the 1994 jingle that became practically ubiquitous over the airwaves around holiday season.

But they do pose a question that probes into the black box of music-industry economics: How much money does the song earn for Carey, the song’s performer and so-called “Queen of Christmas,” each year?

Revenue estimates by Billboard suggest she made perhaps $2.7 million to $3.3 million in 2022, for example, from song downloads and on-demand streaming. It excludes other potentially lucrative revenue streams like Christmas TV specials.

But it’s hard to know a precise sum, largely because contractual details between Carey, her music label and song publishers aren’t public, experts said. The pop star’s publicist, Chris Chambers, didn’t return a request for comment submitted to his firm, The Chamber Group, about her royalties.

“Whatever it is, it’s a lot of money,” said Natasha Chee, a music, entertainment and intellectual property attorney at law firm Donahue Fitzgerald.

The song may have earned $103 million since 1994

“All I Want for Christmas Is You” is a yuletide juggernaut.

Spotify announced this month that the anthem was the first-ever holiday song to surpass 2 billion global streams. It has been the No. 1 song globally on Christmas Day each year since 2016, Spotify said.

The tune’s popularity has only grown: Total U.S. audio streams rose to 249 million in 2023, up about 49% from 167 million in 2019, according to Luminate, which tracks music industry data.

(As of Dec. 12, total U.S. streams of the song this year were down 8% relative to 2023, Billboard estimated. That’s partly a function of the shorter holiday season from a late Thanksgiving, experts said.)

The song “is a money machine,” said George Howard, a professor at the Berklee College of Music and former president of Rykodisc, an independent record label. “It’s a real phenomenon,” he said.

Mariah Carey performs onstage during her “All I Want For Christmas Is You” tour at Madison Square Garden on Dec. 15, 2019 in New York City. 

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Howard, who also does consulting work to value music copyrights, estimates the chart-topper makes $2 million to $4 million in annual gross revenue.

Similarly, Manatt, Phelps & Phillips, which specializes in music industry law, estimates the hit generates $3.4 million a year.

Over its 30-year existence, the song has made about $103 million in earnings, the law firm estimates. The projections include global streaming and non-streaming revenue sources, according to Manatt, which created Billboard’s royalty calculator.

The song’s 2 billion global Spotify streams alone earned $9.8 million in royalties, according to the calculator.

But Carey only gets a portion of those earnings.

Why Carey is likely getting paid ‘six ways to Sunday’

Mariah Carey performs during the opening show of Mariah Carey: All I Want For Christmas Is You at Beacon Theatre on Dec. 5, 2016 in New York City. 

Jeff Kravitz | Filmmagic, Inc | Getty Images

The ecosystem of music royalties is notoriously convoluted.

Money flows to many contributors, like writers, performers, producers, sound mixers and record labels. Payouts to each person can vary from song to song, depending on contractual terms, experts said.

The terms of Carey’s royalty deals aren’t public knowledge.

“Whatever it is, it’s a lot of money,” said , a music, entertainment and intellectual property attorney at law firm Donahue Fitzgerald.

Natasha Chee

senior counsel at Donahue Fitzgerald

The singer is likely getting a “bigger chunk” of revenue than most artists, Howard said. That’s because of Carey’s multiple credits on the song: She’s listed as the sole performer, as well as its co-writer and co-producer. (Walter Afanasieff is the other co-writer and co-producer.)

Such a multitude of credits is unusual to see, Howard said. And it’s an important factor in Carey’s ultimate take-home pay.

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Music royalties are different from those of other works like books or photography.

That’s because there are two distinct royalty streams — one for music composition and another for sound recording, said Jordan Bromley, partner and head of Manatt Entertainment. Think of the former like the sheet music sitting on your piano (the songwriting), and the latter as the recorded song that you hear, he said.

Each has its own royalty structure. The royalties for music composition are received by songwriters and publishers, while those for sound recording are paid to song performers and their labels, Howard said.

Carey “has both the copyright to the song and the sound recording, so she’s getting paid on both sides,” Howard said.

“She’s getting paid six ways to Sunday,” he said.

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A song’s writers and publishers — and not its performers — get the royalties when a song plays in a public space, such as on TV and radio, or in restaurants and retail stores, experts said. The U.S. is one of the few countries to have such a rule, Howard said.

This means that Carey (and Afanasieff, her co-writer) gets royalties whenever a cover version of “All I Want for Christmas Is You” plays in the public domain. Over 150 performers have covered the song, according to ASCAP, a performing rights organization.

Carey and Afanasieff split their writing credits with publishers including Universal Music, Sony Music and Kobalt Songs Music Publishing, according to ASCAP.

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However, song recording generally brings in four to five times the revenue of songwriting, Bromley said.

“If you’re a songwriter with no record revenue, it’s hard to make a living even if you’re making hits,” he said.

The artist’s take of the recording revenue relative to the label’s can swing widely, anywhere from 20% up to 90%, depending on the contract, Bromley said. “All I Want for Christmas Is You” was released by Columbia Records, which is owned by Sony Music.

Afanasieff, Sony Music and Kobalt Songs Music Publishing didn’t return requests for comment. Universal Music Publishing Group declined comment.

Why Carey may have made over $2.7 million in 2022

Santa Claus and Mariah Carey during a pre-tape performance for NBC’s Christmas tree lighting at Rockefeller Center on Nov. 27, 2012 in New York City.

James Devaney | Wireimage | Getty Images

Experts note that earnings from record sales and licensing can vary greatly from year to year, while revenue from streaming and performance is more predictable.

Of the aforementioned estimated $8.5 million in global revenue and publishing royalties that “All I Want for Christmas Is You” earned in 2022, the Carey master recording brought in $5.3 million and publishing royalties accounted for the remaining $3.2 million, Billboard said.

What was Carey’s cut?

She made about $1.9 million of the master recording revenue, Billboard estimated, while her label, Sony, kept the other $3.4 million.

She’s getting paid six ways to Sunday.

George Howard

professor at the Berklee College of Music

Carey also earned an estimated $1.6 million of the publishing, assuming she and Afanasieff split the writing 50-50. But her take-home pay would have been less, depending on her publishing deal — perhaps ranging from about $795,000 to $1.4 million, Billboard said.

All told, these estimates suggest Carey may have made about $2.7 million to $3.3 million from recording and publishing in 2022.

This excludes revenue from any financial arrangements for soundtracks from Christmas TV specials, which are likely lucrative, according to Billboard. It also excludes cover versions of the song.

“There’s a ton of revenue that opens up” for a pop star who is almost “co-branded” with Christmas, including deals for brand endorsements, live performances, cosmetics, home goods and apparel, Manatt Entertainment’s Bromley said.

The gift that keeps giving

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The song is the gift that will keep keep on giving for years, experts said.

The copyright for works published after Jan. 1, 1978, generally remains intact for the author’s lifetime, plus 70 years after the author’s death, according to Chee of Donahue Fitzgerald.

In the case of a joint work with two or more authors, such as “All I Want for Christmas Is You,” the rule applies to the last surviving author.

That means Carey’s estate will likely rake in royalties for decades, until the song eventually passes into the public domain, she said. When that happens, the song would join the ranks of Christmas classics like “Jingle Bells” and “We Wish You a Merry Christmas,” which can generally be freely shared and adapted.

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Why mortgage rates jumped despite Fed interest rate cut

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Homebuyers touring a house with a real estate agent.

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The Federal Reserve on Wednesday cut interest rates for the third time in 2024. Despite the move, mortgage rates increased.

The 30-year fixed rate mortgage spiked to 6.72% for the week ending Dec. 19, a day after the Fed meeting, according to Freddie Mac data via the Fed. That’s up from 6.60% from a week prior.

At an intraday level, the 30-year fixed rate mortgage increased to 7.13% on Wednesday, up from 6.92% the day before, per Mortgage News Daily. It notched up to 7.14% on Thursday.

The Fed ‘spooked the bond market’

The Fed’s so-called “dot plot” this week showed fewer signs of more rate cuts in 2025, according to Melissa Cohn, regional vice president of William Raveis Mortgage in New York. 

The dot plot, which indicates individual members’ expectations for rates, showed officials see their benchmark lending rate falling to 3.9% by the end of 2025, equal to target range of 3.75% to 4%. After the latest rate cut, it’s currently at 4.25%-4.5%.

When the Fed made its first rate cut in September, it had projected four quarter-point cuts, or a full percentage point reduction, for 2025.

“That, in conjunction with Trump’s desired policies on tariffs, immigration and tax cuts — which are all inflationary — spooked the bond market,” Cohn said.

Mortgage rates also tend to move in anticipation of what the Fed is going to do in its upcoming meetings, said Jacob Channel, a senior economist at LendingTree.

For instance, mortgage rates declined this summer and early fall, in anticipation of the first interest rate cut since March 2020.

Therefore, mortgage rates might not do “anything particularly dramatic” in the face of the Fed’s actual meeting, he said. 

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