Best Asset Protection Strategies for Doctors | White Coat Investor (2024)

Best Asset Protection Strategies for Doctors | White Coat Investor (1)By Dr. James M. Dahle, WCI Founder

Want to get the attention of doctors? Start talking about asset protection. While this is a topic I, historically, have rarely addressed on this site (for reasons you'll read below), it is one of intense interest to financially naïve doctors. As I've been around the speaking circuit, it is always a sure-fire attention-getter. Unfortunately, that same interest also leads doctors to spend a lot of money on less-than-ideal solutions to their asset protection worries—and a lot of sleepless nights.

Asset protection is actually an interesting ethical dilemma when you really think about it. You're trying to figure out a way NOT to pay someone that you have hurt what you owe them. The idea is to discourage lawsuits, cover any possible payouts with someone else's money, and/or declare bankruptcy and stiff your creditors without losing anything. Most doctors don't care, though. They view it as “not losing their hard-earned money to a stupid system.”

Before we start, there are two principles of asset protection that are critical to understand. The first is that all tort law is state-specific. With asset protection, we're talking about civil law (money), not criminal law (jail). This is tort law. When someone hurts you, you sue them. If you win, the other person pays you; they don't go to jail. These laws are all passed by state legislatures and, thus, are different in every state. When putting together your asset protection plan, it is critical that you understand the relevant laws in your state. It's best to read the actual laws for where you live and to pay attention to any possible changes, but here are some quick summaries that are mostly accurate in my experience:

You, of course, can also read The White Coat Investor's Guide to Asset Protection, which details every state law about asset protection.

The second principle is that any asset protection moves you make have to be done in advance and usually have to be done for a reason OTHER than asset protection. The reasons are typically for easier estate planning or better business management. All right. Let's get into it.

Best Ways to Protect Your Assets

Here are the top 16 ways to prevent other people from taking away your money, ranked from best (generally most effective, simplest, cheapest) to worst.

#1 Date Night

Weren't expecting this one at the top of the list, were you? It turns out you are far more likely to lose assets to your spouse than you are to your patient. The divorce rate for a couple where one member is a physician is 24%. That's actually better than most professions, and it gets even lower if you marry another doc. But that number is still three orders of magnitude larger than your risk of being sued above policy limits. If you look at 1,000 situations where doctors lost money to another person, 999 of them were divorces—not being sued successfully for an amount above policy limits.

Best Asset Protection Strategies for Doctors | White Coat Investor (3)

Of course, a good asset protection plan also provides some comfort during those five years of sleepless nights while you go through a typical malpractice lawsuit, but the likelihood of a complex, expensive asset protection plan actually being needed is so close to zero that it can almost be ignored.

So, your best asset protection move is actually to make sure that your marriage lasts your entire lifetime. Make it your highest priority and spend plenty of time together. Date night may very well be your best asset protection move.

#2 Prenuptial Agreement

On the same subject, a prenup is a very good idea for a physician. Certainly, it is a no-brainer for anyone looking at a second marriage, anyone who already has kids, or anyone who has already accumulated substantial assets prior to marriage. However, even for the young and poor, it gives you a chance to have control over how assets are divided in that 24% of the time the marriage ends in divorce. You get to make these decisions while you still love each other without interference from the state. You might be surprised what your spouse would want in a divorce. I know I was. It turned out that what each of us views as “fair” are two very different things. You can do a postnup, but it's a little tougher to get what you want since you're no longer negotiating from a position of strength.

#3 Malpractice Insurance

In any lawsuit, insurance is your first line of defense. It pays for any judgments that may result, but it also pays for your defense (often a six-figure amount). “Going bare” is not a great idea given that the costs of the vast majority of lawsuits are completely covered by malpractice insurance. Nearly every doctor will get sued, and many will have a judgment against them. Malpractice isn't about your skills and competence; it's about a transfer of money. Make sure you're playing this game with someone else's money. Buy a policy as large as that of others in your specialty and state.

#4 Umbrella Insurance

Just like malpractice insurance covers work-related liability, personal liability coverage (inherent in renter's, homeowner's, and auto insurance but also including an “umbrella” policy stacked on top of those insurances) covers non-work-related liability. The good news is that a typical umbrella policy costs <5% of what your malpractice policy costs and works just as well.

#5 Tenants by the Entirety

This is one of the coolest asset protection “tricks” out there. In half of states, a married couple can title their home as “William and Mary Jones, Tenants by the Entirety” (or sometimes “William and Mary Jones, Husband and Wife”). In fact, in a number of states, you can title your personal property (like brokerage and bank accounts) as tenants by the entirety. When you title your property as tenants by the entirety, it means both you and your spouse each own the entire property by yourselves. So, if only one of you is sued, that asset cannot be taken away by your creditor because the spouse who wasn't sued owns the whole thing. I know, it sounds weird, but that's the way it works. This is a nearly free, very simple, and very powerful asset protection technique.

These states allow tenants by the entirety titling for all property: Arkansas, Delaware, Florida, Hawaii, Illinois, Maryland, Massachusetts, Michigan, Mississippi, Missouri, New Jersey, Oklahoma, Pennsylvania, Rhode Island, Tennessee, Vermont, Virginia, and Wyoming.

These states allow tenants by the entirety titling for real estate only: Alaska, Indiana, Kentucky, New York, North Carolina, and Oregon.

#6 Retirement Accounts

In most states, retirement accounts like 401(k)s and IRAs (including their Roth equivalents) receive exceptional asset protection. Sometimes, the amount protected is limited to an amount that a judge thinks you need to support yourself, which is probably less than you think you need to support yourself. In some states, 401(k)s receive significantly more protection than IRAs do.

This protection allows for a fair number of asset protection techniques. The first is simply to max out your retirement accounts before investing in a taxable account. The second is, in states where it helps, to roll IRAs into 401(k)s. This may also facilitate doing Backdoor Roth IRAs. The third is to do Roth conversions. From an asset protection standpoint, on an after-tax basis, a Roth conversion allows you to take an unprotected asset (the cash used to pay the conversion tax bill) and place it into an asset-protected account. It might not make sense from a tax perspective, but it almost always makes sense from an asset protection perspective.

Bear in mind that other tax-protected accounts, such as HSAs and 529s, provide much more limited asset protection. Know your state laws.

#7 Give Your Money Away

Here's another great way to protect assets from your creditors—give them to someone else. If you don't own it, your creditors can't take it from you. This technique often leads to the classic physician asset protection move of titling everything in your spouse's name. While that is hard to recommend given that the risk of divorce is so much higher than the risk of a judgment above policy limits, it probably is an effective means of stymying your creditors. Also, if you're planning to give something to your kids anyway, just give it to them now. Within a year or two, that asset is no longer available to your creditors. If you wish to still maintain some control over the asset, consider using UTMA/UGMA accounts (a taxable investing account for your kids that becomes theirs at age 18-21) or an irrevocable trust. Obviously, this technique doesn't work for assets you actually want to use for you. Also keep gift tax laws in mind, although it is rare for a doc to have a federal estate tax problem anymore.

#8 Asset Protection Trusts

A domestic asset protection trust is an irrevocable trust where you are both the trustee and the beneficiary (i.e., self-settled). This can be a good option, particularly in the states that allow these but do not allow tenants by the entirety titling (in bold below). Downsides include the cost of setting it up, funding it, and maintaining it, among others.

The following states offer some form of domestic asset protection trust: Alaska, Delaware, Hawaii, Michigan, Mississippi, Missouri, Nevada, New Hampshire, Ohio, Oklahoma, Rhode Island, South Dakota, Tennessee, Utah, Virginia, West Virginia, and Wyoming.

#9 Limited Liability Companies and Corporations

ALimited Liability Company (LLC) and a corporation are business structures that are separate entities from the owners of the business. They can be used to shield “toxic assets” from the personal assets of the owner. A toxic asset commonly owned by physicians is a rental property, which is best placed in an LLC. Like everything else in asset protection, LLC law is state-specific but generally provides both internal (protects the assets in the LLC from malpractice lawsuits against an owner) and external asset protection (protects the personal assets of the owners from lawsuits associated with the rental property). The best protection occurs when there are multiple non-spouse owners of the LLC, but in some states, even a single-member LLC provides some protection.

#10 Stealth Wealth

This is a simple, cheap, and possibly effective asset protection technique, although it has some downsides. The idea here is that you simply try to avoid letting people know you're wealthy. If you aren't viewed as having deep pockets, then maybe there will never be a lawsuit in the first place. This doesn't work so well for malpractice, but it may work great for personal lawsuits. This can be as simple as avoiding vanity license plates (“Plastics MD” or “Orthopod” are probably bad ideas) to as complex as placing assets inside revocable trusts. While a revocable trust provides no protection against a lawsuit once discovered, it is possible that a superficial search for your assets may not uncover it. Living in a small house, driving a beater, parking your boat somewhere else, dressing like a slob, and whining about your terrible financial condition may all help give the impression that you are far poorer than you actually are. As you can tell as we progress down this list, my enthusiasm for each technique is dropping dramatically.

#11 Avoid Risky Situations

Here's another method of avoiding lawsuits in the first place—don't do or have anything that brings on lawsuits. No trampolines, pools, boats, jet skis, 4-wheelers, second homes, dogs, alcohol, or rental properties. Drive the speed limit. Move close to work. Install excellent outdoor lighting, and use ice melt. Don't live and practice in litigious places like Florida and Illinois. Don't let your teenagers drive. Carried to an extreme, this technique might make your life rather dull, but it probably does have serious asset protection benefits.

#12 Whole Life Insurance

Regular readers know I'm no fan of this hybrid insurance/investment product and its cousins, universal and variable life insurance. But in about half the states, there is at least some asset protection provided for its cash value. If you value the asset protection benefit more than the higher returns available in real investments (and you probably shouldn't), then go ahead and buy some whole life insurance. Just don't blame me if you end up regretting your purchase.

#13 Family Limited Partnerships

We're getting down to that place on the list where these techniques are getting more and more complex and expensive. A family limited partnership is technically an estate planning technique with secondary asset protection benefits. The asset protection benefits come from the fact that, like an LLC, non-family members (like creditors) can't own or control the assets inside the partnership. Attorneys love these things, but they have a serious conflict of interest. There are downsides, so make sure you know them before going down this route.

#14 Annuities

In a few states, the cash value of an annuity is protected from creditors. This is much less commonly protected than permanent life insurance cash value, so be sure your state actually protects annuity cash value before buying one for asset protection. Annuities have serious downsides, too.

#15 Equity Stripping

Some states protect large amounts of home equity from your creditors via “homestead laws.” In those states, it often makes sense from an asset protection standpoint to pay off the mortgage rather than invest in a taxable account exposed to your creditors. Equity stripping is done in states with weak homestead laws. Basically, you borrow out your home equity and place it somewhere else that is protected from creditors, such as retirement accounts or whole life insurance.

Other similar techniques can be invented once you know your state asset protection laws. If retirement accounts are protected but whole life insurance isn't, perhaps you can borrow against your whole life cash value (or surrender the policy) and use it to max out retirement accounts or do Roth conversions. Or if whole life insurance is protected but 401(k)s aren't, you can borrow against your 401(k) and buy whole life insurance. The variations are endless and generally come with a downside, such as paying interest. Given the very low risk of a judgment above policy limits, it's tough to recommend most of these techniques for any but the truly paranoid.

#16 Offshore Trusts

Moving assets overseas involves a lot of cost and hassle, but it may keep creditors from both discovering and acquiring your assets. One previous guest poster even advocated for a “portable” offshore trust, where you don't move the assets overseas until you're actually sued. Like every other asset protection technique, this one isn't ironclad and it has serious downsides making it hard to recommend to the typical physician.

The best asset protection plans are simple, inexpensive, and effective. Treat your spouse, patients, and neighbors well; buy lots of liability insurance; max out your retirement accounts; use tenants by the entirety titling where available; place rental properties into LLCs; and learn your state's asset protection laws. If you have more than $1 million in assets not protected in some other way, consider some of the more “advanced” asset protection techniques discussed above, such as asset protection trusts, family limited partnerships, or whole life insurance.

As you accumulate wealth, you need a way to protect your assets. WCI’s newest book is The White Coat Investor's Guide to Asset Protection, and it provides the techniques you can use to safeguard your money AND the most comprehensive list of state-specific asset protection laws ever published. Pick up the book today and protect your wealth!

What do you think? What is your asset protection plan? Have you ever been sued successfully above policy limits? Do you know anyone who has? What happened? Comment below!

[This updated post was originally published in 2019.]

Best Asset Protection Strategies for Doctors | White Coat Investor (2024)

FAQs

How can doctors protect their assets? ›

Doctors can set up their practices as professional corporations under California law. This allows doctors to shield their personal assets from business debts, commercial lease obligations, and vendor contracts.

How to protect your assets from medical bills? ›

Setting up an irrevocable trust can help protect your assets from medical expenses, as the assets covered by the trust cannot be claimed by creditors. Another way to protect your home can be by transferring the ownership to a family member. This can protect your home from being seized to pay medical bills.

What is the strongest asset protection? ›

The absolute best asset protection strategies include:
  • Offshore asset protection trusts.
  • Family limited partnerships.
  • Certain insurance policies.
Oct 5, 2023

What is the best business structure for asset protection? ›

Corporation. A corporation provides significant protection for personal assets because it creates a “wall” between you, the person, and your business (and its liabilities) by creating a new and separate entity.

What is the most valuable asset of the medical practice? ›

Intangible assets are not always easily identified, but are commonly the most valuable assets within a medical practice. For most closely-held medical practices this is usually a product of the personal goodwill of the provider or the enterprise goodwill of the practice.

How do you safeguard physical assets? ›

These solutions include:
  1. Physical storage and barriers.
  2. Asset tracking.
  3. Surveillance systems.
  4. Motion detection and alarm systems.
  5. Access control systems.
  6. Immobilizers.
  7. Security lighting.

Can Medi-Cal go after a trust? ›

The Department will not recover the value of a deceased Medi-Cal member's property if it transfers to a different owner by survivorship, by trust, or by payment or transfer on death of the deceased Medi-Cal member.

How to protect a 401k from Medi-Cal bills? ›

Top 5 Steps to protect your Assets from catastrophic medical expenses:
  1. Secure a Health Savings Account Qualified (HSA) medical plan.
  2. Fund the tax deductible HSA to the maximum allowed by law.
  3. Purchase a critical illness product.
  4. Purchase a Long Term Care (LTC) policy.

How do I protect my assets from being sued? ›

The 8 Ways To Protect Your Assets From A Lawsuit You Should Know About
  1. Use Business Entities. ...
  2. Personal Insurance Ownership. ...
  3. Utilizing Retirement Accounts For Asset Protection. ...
  4. Homestead Exemptions. ...
  5. Titling. ...
  6. Annuities And Life Insurance. ...
  7. Transfer Assets To Your Loved Ones.

What is the best asset protection tool? ›

Creating Trusts

Trusts are one of the strongest asset protection tools you can use. They can protect your assets from creditors, legal claims, and anything else threatening your estate or business. A trust is defined as an agreement that allows a third party to withhold assets on behalf of the beneficiary.

What type of trust is best for asset protection? ›

Irrevocable trusts

This can give you greater protection from creditors and estate taxes. As stated above, you can set up your will or revocable trust to automatically create irrevocable trusts at the time of your death.

What are the disadvantages of asset protection? ›

However, they can also be very vulnerable to economic fluctuations, or lawsuits if things go wrong. They can also sometimes be too lucrative, in that they disqualify a person from getting certain kinds of help when they need them most.

What is the best state to form an LLC for asset protection? ›

Nevada: Shielding Your Assets with Strong Protections

Nevada's pro-business stance is reflect in its low tax burden, absence of corporate and personal income taxes, and protection against personal liability. The state has strong asset protection laws, which is a considerable advantage for LLCs.

What is a company's most valuable asset that must be protected? ›

The Most Valuable Asset In an Organization Is People

Any business needs to protect it's most valuable assets. Too often though, we might get caught up in thinking about assets in a purely financial or material way. Always remember that people are the most valuable asset in an organization.

Which type of business gives the most liability protection? ›

Limited liability company (LLC)

LLCs protect you from personal liability in most instances, your personal assets — like your vehicle, house, and savings accounts — won't be at risk in case your LLC faces bankruptcy or lawsuits.

What are examples of healthcare assets? ›

They include:
  • Machinery.
  • Equipment.
  • Medication.
  • Medical waste.
  • Employees.
  • IT hardware.
  • Patient documents.

How can healthcare professionals protect themselves against malpractice suits? ›

To protect yourself against a malpractice lawsuit, you can use three powerful tools: documentation, compliance with policies and procedures, and malpractice insurance.

What are fixed assets in healthcare? ›

Fixed assets include both tangible and intangible assets. Tangible assets most commonly transacted include medical equipment, furniture, office equipment, information technology (IT) equipment, supplies, software, and leasehold improvements.

How can doctors avoid medical malpractice? ›

The elements to consider including are:
  • Well-defined job responsibilities and expectations.
  • Sufficient malpractice insurance, including claims-made and occurrence policies.
  • A culture of safety and accountability, not blame.
  • Thorough documentation practices.
  • Clear error reporting guidelines.
Nov 21, 2023

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