While they're alive
The Essential Legal Documents
The core paperwork every adult needs: Durable POA, Health Care Proxy, HIPAA Release, POLST, and Will vs. Living Trust.
Do this first
Check if your loved one already has a signed Durable Financial Power of Attorney and Health Care Proxy. Without these two documents, you cannot pay their bills or talk to their doctors if they become incapacitated without expensive guardianship court proceedings.
The 5 core documents you need in place
Durable power of attorney for money
- What it does: Allows a named agent to pay bills, access bank accounts, file taxes, and manage real estate if the person is unable to.
- Crucial Rule: The word "Durable" means it survives mental incapacity. All Powers of Attorney expire immediately upon the person's death.
- What happens without it: If someone develops severe dementia or suffers a stroke without a DPOA, the family must petition a court for Adult Guardianship or Conservatorship (a guardianship case), which costs money and can take months.
Health Care Proxy (Medical Power of Attorney)
- What it does: Designates one person to make medical decisions if the person is unconscious or unable to communicate.
- Backup Agents: Always name a primary and an alternate in case the primary is unavailable.
HIPAA Authorization Release
- What it does: Gives doctors and hospitals legal permission to disclose medical condition and test results to listed family members.
Living Will / Advance Directive
- What it does: Expresses explicit wishes regarding ventilators, feeding tubes, dialysis, and cardiopulmonary resuscitation in end-stage conditions.
Will vs. Revocable Living Trust
- Will: Must go through probate court before assets transfer. Becomes public record.
- Revocable Living Trust: Completely bypasses probate court. Assets transfer privately and immediately under the direction of your named successor trustee.
When it's only money: beneficiary forms may do the job
Many people think the only choices are a will or a trust. But if your loved one owns no house, land or other real estate, and nearly everything is in financial accounts, there is often a simpler path: name a beneficiary on each account.
These accounts can pay out straight to a named person at death, without probate and without a trust:
- Bank accounts (checking, savings, CDs): ask the bank for a payable-on-death (POD) form.
- Brokerage and investment accounts: ask the firm for a transfer-on-death (TOD) form.
- Retirement accounts (IRA, 401(k), 403(b)) and annuities: these already use a beneficiary form.
- Life insurance: paid to the beneficiary named on the policy.
- U.S. savings bonds: a beneficiary can be added through TreasuryDirect or on the paper bond.
Why this can be simpler than a will or a trust
- Usually free. Most banks and firms add a beneficiary with a short form, often online. No attorney is needed to fill it in.
- No court. The beneficiary usually needs only a certified death certificate and ID. With a will, the same account would wait for probate.
- Nothing to "fund". A revocable living trust only works for property that is moved into it. A beneficiary form sits on the account itself.
- Full control while alive. Your loved one keeps using the account as before and can change or remove the beneficiary at any time. The beneficiary has no right to the money until the death.
- It wins over the will. Whatever the beneficiary form says is what happens, even if the will says something different.
What beneficiary forms don't do
Beneficiary forms are not a full plan on their own. Look at these gaps before deciding they are enough:
- They do nothing during life. If your loved one can no longer manage money, a beneficiary has no power to pay their bills. A durable power of attorney is still needed. (A trust can also cover this, through the successor trustee.)
- A beneficiary may die first. If the only named person has died, that money usually falls back into the estate, and the estate may need probate. Name a backup (contingent) beneficiary on every account that allows one, and ask the bank what happens to a share if a beneficiary dies first.
- Young or vulnerable beneficiaries. A child under 18 cannot take the money directly, and a court may have to appoint someone to manage it. Money left outright to a person with a disability can end their SSI or Medicaid. A trust, or a custodian named on the form where the firm allows it, is often used instead. These are good reasons to talk to an attorney.
- Bills and funeral costs. Accounts that go to beneficiaries are not available to the executor to pay the final bills or the funeral. If every account has a beneficiary, someone may need to agree ahead of time to cover those costs.
- Keeping it fair. Each account goes only to the people named on that account. If one child is named on the large account and another on the small one, the split is not equal. If the wish is equal shares, name everyone on every account, with the same shares.
- Leftover belongings. A car, furniture, a last paycheck or a tax refund has no beneficiary form. In many states a small estate affidavit can handle small amounts like these without full probate.
- Medicaid. In some states, Medicaid estate recovery can reach accounts that pass by beneficiary form.
- Married people's retirement plans. A 401(k) or similar workplace plan usually must go to the spouse unless the spouse signs a written consent. Community property states have their own rules too.
Joint ownership is not the same thing
Adding a child as a joint owner of an account is a different step with bigger risks: the money can be reached by the child's creditors or divorce, and it may go only to that child at death, leaving siblings out. A payable-on-death beneficiary avoids those risks. See the risks of adding a child to an account.
Most people still keep a simple will
Even when beneficiary forms cover almost everything, a short will is a low-cost backup. It names the executor and says who gets anything that was missed. If no one is named, state law decides (see intestate).
When a trust may still be worth a look
A trust is often considered when there is real estate (especially in more than one state), a beneficiary who is a minor or has a disability, a blended family, a wish to pay out money over time instead of all at once, or a concern about who will manage money during a long illness. The trust builder and its screening questions can help you think this through. For accounts that skip probate after a death, see assets that skip probate.
Checklist
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Make sure it was drafted under current state statutes.
Give a signed copy to their primary care clinic.
Hospitals will refuse to speak to children not listed on the form.
Named beneficiaries take precedence over wills and bypass probate.
Check that the names and shares on all the accounts, added together, match your loved one's wishes.
Signing a will in your state
Sources
- American Bar Association Commission on Law and Aging
- National Academy of Elder Law Attorneys
Last reviewed: September 28, 2026