Leveraging Special Needs Trusts to Obtain Public Benefits Crafting - - PowerPoint PPT Presentation

leveraging special needs trusts to obtain public benefits
SMART_READER_LITE
LIVE PREVIEW

Leveraging Special Needs Trusts to Obtain Public Benefits Crafting - - PowerPoint PPT Presentation

Presenting a live 90-minute webinar with interactive Q&A Leveraging Special Needs Trusts to Obtain Public Benefits Crafting First Party, Third Party, and Pooled Special Needs Trusts TUES DAY, MAY 15, 2012 1pm East ern | 12pm Cent


slide-1
SLIDE 1

Leveraging Special Needs Trusts to Obtain Public Benefits

Crafting First Party, Third Party, and Pooled Special Needs Trusts

Today’s faculty features:

1pm East ern | 12pm Cent ral | 11am Mount ain | 10am Pacific

The audio portion of the conference may be accessed via the telephone or by using your computer's

  • speakers. Please refer to the instructions emailed to registrants for additional information. If you

have any questions, please contact Customer Service at 1-800-926-7926 ext. 10.

TUES DAY, MAY 15, 2012

Presenting a live 90-minute webinar with interactive Q&A

Pat ricia E. Kefalas Dudek, Principal, Patricia E. Kefalas Dudek & Associates, Farmingt on Hills, Mich. S hirley B. Whit enack, Partner, Schenck Price Smith & King, Florham Park, N.J. Edward Zet lin, At t y, Edward Zetlin Law, Arlingt on, Va.

slide-2
SLIDE 2

Conference Materials

If you have not printed the conference materials for this program, please complete the following steps:

  • Click on the + sign next to “ Conference Materials” in the middle of the left-

hand column on your screen.

  • Click on the tab labeled “ Handouts” that appears, and there you will see a

PDF of the slides for today's program.

  • Double click on the PDF and a separate page will open.
  • Print the slides by clicking on the printer icon.
slide-3
SLIDE 3

Continuing Education Credits

For CLE purposes, please let us know how many people are listening at your location by completing each of the following steps:

  • In the chat box, type (1) your company name and (2) the number of

attendees at your location

  • Click the S

END button beside the box

FOR LIVE EVENT ONLY

slide-4
SLIDE 4

Tips for Optimal Quality

S

  • und Qualit y

If you are listening via your computer speakers, please note that the quality of your sound will vary depending on the speed and quality of your internet connection. If the sound quality is not satisfactory and you are listening via your computer speakers, you may listen via the phone: dial 1-866-961-9091 and enter your PIN -when prompted. Otherwise, please send us a chat or e-mail sound@ straffordpub.com immediately so we can address the problem. If you dialed in and have any difficulties during the call, press *0 for assistance. Viewing Qualit y To maximize your screen, press the F11 key on your keyboard. To exit full screen, press the F11 key again.

slide-5
SLIDE 5

Presented by Shirley B. Whitenack, Esq. SCHENCK, PRICE, SMITH & KING, LLP 220 Park Avenue Florham Park, NJ 07932 973-539-1000 115 West Century Road Paramus, NJ 07652 201-262-1600 sbw@spsk.com

5

slide-6
SLIDE 6

Means-Tested Benefits

 Supplemental Security Income (“SSI”)  Medicaid

6

slide-7
SLIDE 7

Supplemental Security Income

 SSI Federal Benefit Rate (FBR) is $698 per month in

2012 for individuals

 Some states have state supplements in addition to the

FBR that increase monthly check

 SSI is “means tested”  FBR changes every year according to cost of living  States sometimes increase base amount (adjusted each

year).

7

slide-8
SLIDE 8

MEDICAID

 Medicaid

 Medical insurance program  In many states, SSI is linked to Medicaid so that SSI

beneficiaries are automatically eligible for Medicaid benefits as well

 May pay for group homes, supported housing, assisted

living facilities and nursing homes

8

slide-9
SLIDE 9

SPECIAL NEEDS TRUSTS

A mechanism for sheltering resources to benefit individuals with disabilities.

9

slide-10
SLIDE 10

Objectives

 Provide assets for the disabled beneficiary’s special

needs so that the beneficiary can live a more productive and comfortable life

 Avoid having trust assets count as a resource to the

beneficiary

 Avoid having trust distributions count as income

to the beneficiary

10

slide-11
SLIDE 11

TRUSTS FOR THE BENEFIT OF A DISABLED BENEFICIARY

 Special Needs “Payback” Trust

U.S.C. 42§1396p(d)(4)(A)

 Third Party Special Needs Trust

Also known as supplemental benefits trust

 Sole Benefit Trust

Transfer of assets from person who needs Medicaid to trust for someone who needs Medicaid

 Pooled Trust

U.S.C. 42§1396p(d)(4)(C)

11

slide-12
SLIDE 12

CONTROL OVER THE TRUST ASSETS

 The beneficiary cannot be the trustee  The beneficiary cannot compel distributions

12

slide-13
SLIDE 13

GENERAL TRUST REQUIREMENTS

 Supplement, not supplant, government benefits  Definition of “special need” or “supplemental benefit”

 No definitive explanation

13

slide-14
SLIDE 14

What is NOT a Special Need

 Basic necessities of life

 i.e., food, shelter, utilities

 Incidental spending money (unearned income)  Gifts  Insurance on life of disabled beneficiary

14

slide-15
SLIDE 15

Special Needs “Payback” Trust

 Established with assets of disabled individual  Individual must be under 65 at time of the

establishment and funding BUT

 SSA says payments from structured settlement

beginning before age 65 and continuing thereafter are

  • k

 Individual must be disabled as defined in Social

Security Act

15

slide-16
SLIDE 16

SOCIAL SECURITY ACT DEFINITION OF “DISABLED”

“unable to engage in any substantial, gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than twelve months”

16

slide-17
SLIDE 17

DEFINITION OF DISABLED FOR CHILD UNDER 18

Child “suffers from any medically determinable physical or mental impairment of comparable severity” to adult

17

slide-18
SLIDE 18

ADDITIONAL REQUIREMENTS OF PAYBACK TRUSTS

 Trust may be established by

 Parent or  Grandparent or  Legal Guardian or  Court

18

slide-19
SLIDE 19

Medicaid “Payback” Trusts

 Certain regions require the trust of a competent

beneficiary to be “seeded.”

 The parent or grandparent nominally funds the trust

and the competent person then transfers his or her funds to the trust.

19

slide-20
SLIDE 20

PAYBACK REQUIREMENTS

 Medicaid agency entitled to reimbursement from any

assets remaining in trust upon death of beneficiary or trust termination for other reasons

 Reimbursement “dollar for dollar” up to amount paid

by Medicaid on behalf of individual

 Irrevocable

20

slide-21
SLIDE 21

Court-created Special Needs Trusts

 If trust is created or authorized by court may retain

  • versight in following areas:

 Accountings  Trustee’s commissions  Investments  Limitations on Purchases of Major Assets

21

slide-22
SLIDE 22

LIENS

 Medicaid

 Arkansas HHS v. Ahlborn, 2006 U.S. Supreme Court

decision

 Medicare

 Medicare, Medicaid, and SCHIP Extension Act of 2007

(MMSEA)

 Medicare Set Aside Trusts and other Arrangements

 State Department of Human Services  Workers Compensation  ERISA

22

slide-23
SLIDE 23

Structured Settlements

 Payments made directly to disabled beneficiary may

render beneficiary ineligible to receive means-tested government benefits

 Trust should be payee  Payments should “pour over” into trust  Contingent payee of guaranteed period must be the

special needs trust to preserve Medicaid’s reimbursement rights – not spouse or parents

23

slide-24
SLIDE 24

Structured Settlements

 Consider size of settlement in determining whether to

use a structure

 Factor into decision up-front cash needs, i.e., specially

equipped vehicle or house

24

slide-25
SLIDE 25

Use of special needs trusts in divorce

 SNT can be used where one of the parties is disabled,

has high medical expenses, is under age 65 and is receiving or may need to receive in near future SSI and/or Medicaid

 All of part of person’s share of property division and

alimony payments may be ordered to be made to trustee to hold assets and use for party with disability

25

slide-26
SLIDE 26

THIRD PARTY SUPPLEMENTAL BENEFITS TRUST

 Living trust or  Testamentary trust created by will  Revocable or  Irrevocable

26

slide-27
SLIDE 27

TRUSTS FOR THE BENEFIT OF A DISABLED BENEFICIARY

 Pooled trust

 Separate account for each person  Can be established by parent, grandparent,

guardian, court or individual with disabilities

 Remaining assets in account may be subject to

payback or retention

 Deposit into trust after age 65 may or may not

be uncompensated transfer

27

slide-28
SLIDE 28

28

Presented by Shirley B. Whitenack, Esq. SCHENCK, PRICE, SMITH & KING, LLP 220 Park Avenue Florham Park, NJ 07932 973-539-1000 115 West Century Road Paramus, NJ 07652 201-262-1600 sbw@spsk.com

slide-29
SLIDE 29

DRAFTING THE SPECIAL NEEDS TRUST

Edward E. Zetlin, Esq. Edward Zetlin Law (703)379-0442 ed@zetlinlaw.com

29

slide-30
SLIDE 30

Questions to be Answered in Establishing a self-settled trust?

30

  • Was the trust established with the assets of an individual

under the age of 65?

  • Was the trust established with the assets of an individual

with disabilities?

  • Is the individual with disabilities the beneficiary of the

trust?

  • Did a parent, grandparent, legal guardian, or court

establish the trust?

  • Does the trust provide specific language to reimburse the

state, upon the individual’s death for medical assistance paid?

slide-31
SLIDE 31

Irrevocability

31

 A second important difference is that a first-party SNT

must always be an irrevocable trust. A third- party SNT can be revocable. For example a parent establishing a third-party trust for his or her disabled child may be more comfortable with a revocable trust. The trust becomes irrevocable upon the death of the parent. But a first- party trust must always be irrevocable.

slide-32
SLIDE 32

Opening provisions for a First-Party Special Needs Trust

32

Declare how the trust came to be established whether by court, parent, grandparent or guardian.

Describe the nature of the trust and that it is established in accordance with state law and 42 U.S.C. § 13969(d)(4)(A).

Declare that the trust is irrevocable

slide-33
SLIDE 33

Distribution Provisions

33

 The trust should not direct that distributions be made for

the support, health, or maintenance of the beneficiary. Avoid any language that could interpret the trust as a support trust. Instead distributions are to be made for the beneficiary’s special needs.

slide-34
SLIDE 34

Give examples of special needs:

34

 Purchase of dental, rehabilitative or educational services.  Items that will enrich and make the beneficiary’s life

more enjoyable.

 Recreational opportunities.  Maintenance of contact with family members.  Advocacy, including personal care consultant.

slide-35
SLIDE 35

Termination Provisions

35

  • Fees and administrative expenses may be paid during

the life of the beneficiary as permitted by the trust document.

  • Some expenses may be paid at the individual’s death

before reimbursement of medical assistance to the state.

  • Payment to residual beneficiaries, debts due third

parties and funeral expenses may not be permitted before reimbursement of the state for medical assistance.

slide-36
SLIDE 36

Trustee Selection

36

 Often family members become trustees, but consider

whether the family member has financial experience and understands public benefits. Consider having an experienced and independent professional or corporate fiduciary serve as trustee or co-trustee.

slide-37
SLIDE 37

Prohibition of Contributions After Age 65

37

  • If assets are added to the trust after the beneficiary with

disabilities reaches age 65, the amount added will be treated as a countable resource for SSI and Medicaid. Therefore, the trust should be drafted to expressly authorize the trustee to refuse to accept additional contributions to the trust after the beneficiary attains age 65.

slide-38
SLIDE 38

Other common provisions

38

 Spendthrift Provisions.  Qualification & Public Accountings.  Grantor Trust Status. Because of the compressed tax rates

for trusts and the beneficiary’s normally low marginal income tax rate, consider drafting the trust as an ‘intentionally defective’ grantor trust.

slide-39
SLIDE 39

Drafting Third-party Special Needs Trusts

39

  • Attorneys often draft third-party SNTs for parents or

grandparents who have children with disabilities. They want the child to be eligible for needs-based benefits but they want to assure that resources are available to provide and protect the child upon their death. A person may also wish to establish a trust for a surviving spouse with disabilities who may be receiving needs-based benefits.

slide-40
SLIDE 40

In General

40

 The trust should explicitly state that the grantors (parents

  • r grandparents) intend that the trust assets are set aside

for the beneficiary’s special or supplemental needs. Avoid any language that enables someone to interpret the trust as a support trust or a discretionary trust with a support standard.

slide-41
SLIDE 41

Purposes Clause

41

 Use it to state that trust assets are set aside for the

beneficiary’s special, supplemental, or emergency needs.

 Provide Information about the Beneficiary – date of birth;

specific disability; public benefits received.

 Declare that the trust is fully discretionary.

slide-42
SLIDE 42

Non-Reduction Clause

42

 A non-reduction clause states that the trustee should only

use trust funds to provide for the beneficiary without reducing or eliminating services or financial assistance for basic maintenance, support, residential, medical or dental care that the beneficiary may receive in his or her own right from any local, state or federal government agency.

slide-43
SLIDE 43

Emergency Clause

43

 An emergency clause permits the trustee to contravene

the ‘non-reduction’ principle that trust assets should not be used if they would cause loss of public benefits. The trustee is given discretion to determine the existence of an ‘emergency’ which loosely defined would arise when available public resources were so inadequate the primary needs of the beneficiary could but be met without the intervention of the trustee.

slide-44
SLIDE 44

Day-to-Day Care

44

 Specific authority can be given in the trust for the Trustee

to engage the services of a care manager. A care manager is a licensed clinical social worker, geriatric care manger

  • r similar professional who can be hired to prepare a care-

plan and monitor the plan throughout the life of the beneficiary.

slide-45
SLIDE 45

Housing

45

 Authority should specifically be given in the trust to

allow the trustee to purchase a residence. If the beneficiary resides in the home and receives SSI he or she may face a 1/3 reduction in SSI benefits based on receipt of in-kind support and maintenance. If the beneficiary receives SSDI the 1/3 reduction does not apply.

slide-46
SLIDE 46

Trustee compensation and administrative fees

46

  • The trust should authorize the trustee to pay himself or

herself reasonable compensation in accordance with express provisions in the trust or an applicable statute. The trust should contain express authority for the trustee to pay reasonable legal fees, care management fees, taxes and administrative expenses form the trust.

slide-47
SLIDE 47

Retirement Plan Distributions

47

  • Because retirement plan accounts are frequently a

significant portion of the savings of parents with children having special needs, the parents will frequently designate the third-party SNT as the beneficiary of these accounts after both parents are ceased. The drafting attorney must take caution when dealing with this issue.

slide-48
SLIDE 48

Conduit versus Accumulation Trusts

48

  • A conduit trust, which simply passes the minimum

distribution from the trust to the beneficiary, is not suitable if the beneficiary is on SSI or Medicaid because distribution from the trust will be income for eligibility determination.

  • If the third-party SNT is the beneficiary of the

retirement plan benefits, it should be drafted as an ‘accumulation trust’. An accumulation trust permits the trustee to accumulate minimum required distribution in the trust principal and make distribution for the benefit of the disabled beneficiary in the trustee’s discretion.

slide-49
SLIDE 49

Planning to Obtain an Annual Exclusion for Contributions to the SNT

49

  • Unlike conventional Crummey Power planning, the SNT

beneficiary cannot be a recipient of the Crummey Power. The drafting attorney should instead name a person other than the SNT beneficiary such as a remainder beneficiary

  • f the trust in order to qualify for the gift tax exclusion.
slide-50
SLIDE 50

Remainder Beneficiaries

50

 Because there is no pay-back requirement include

remainder provisions if trust assets remain after the death

  • f the primary beneficiary. Even in the first-party trust

remainder beneficiaries should be included.

slide-51
SLIDE 51

Termination Clause

51

  • If the law changes that would make SNT assets available

resources, the trustee has the power to end the trust and distribute to the remainder beneficiaries. This power should be only in the trustee. The disabled beneficiary should not have the power.

slide-52
SLIDE 52

Bibliography

52

  • Hook, Andrew H.& Smith, Sandra L., Special Needs

Trusts, Chap. 6, Elder Law In Virginia, A Handbook for Lawyers (Virginia CLE Publications, 2011).

  • Zimring, Stuart D., Morgan, Rebecca C., Frigon, Bradley

J., Fundamentals of Special Needs Trusts (LexisNexis, 2011).

  • Frolik, Lawrence A. & Brown, Melissa C., Advising the

Elderly or Disabled Client (RIA, 2d ed. 2006 & Supps.).

  • Kruse, Clifton B. Jr., Third-Party and Self-Created Trusts,

Planning for the Elderly or Disabled Client (ABA 3d ed. 2002).

slide-53
SLIDE 53

Contact Information

53

 Edward Zetlin Law

Edward Zetlin 2921 A S. Woodstock Street Arlington, Virginia 22206 Tel 703-379-0442/Fax 703-379-7864 www.zetlinlaw.com

slide-54
SLIDE 54

BY PA TRIC IA E. KEFA LA S D UD EK

SPECIAL NEEDS TRUSTS

PATRICIA E. KEFALAS DUDEK & ASSOCIATES

30445 Northwestern Highway, Suite 250,

Farmington Hills, Michigan 48334

(248) 254-3462, www.pekdadvocacy.com

http://pattidudek.typepad.com/pattis_blog/welcome.html

slide-55
SLIDE 55

SPECIAL NEEDS TRUST

  • Mo re tha n 54 millio n Ame ric a ns ha ve a me nta l o r

physic a l disa b ility.*

  • Pub lic b e ne fit pro g ra ms a re usua lly limite d to the

fina nc ia lly ne e dy.

  • T

he ke y c o mpo ne nt o f a n SNT is tha t the funds in the trust do no t disq ua lify the b e ne fic ia ry fro m pub lic b e ne fit pro g ra ms b e c a use the funds a re no t c o nside re d to b e “a va ila b le ” to the individua l.

*Organization on Disability, available at www.nod.org.

55

slide-56
SLIDE 56

SPECIAL NEEDS TRUST

  • Pre se rve s Me dic a id a nd SSI

e lig ib ility

  • Pro vide s fo r q ua lity o f life
  • Pro vide s fo r truste e to a c t a s a dvo c a te

Child with a Disability (either minor or adult)

56

slide-57
SLIDE 57

WHY CREATE THE SPECIAL NEEDS TRUST NOW?

  • Po te ntia l pro te c tio n fo r a sse ts fro m lo ng -te rm

c a re e xpe nse s via ne w c la rifie d e xe mpt tra nsfe r rule (PE M 405 a nd PE M 260).

  • Ava ila b le to re c e ive a ny g ifts, pe rso na l injury

se ttle me nt, e tc . whic h ma y c o me to pe rso n with disa b ility.

57

slide-58
SLIDE 58

58

TRUSTEE SELECTION

slide-59
SLIDE 59

TRUSTEE REQUIREMENTS

  • F

amily vs. Pr

  • fe ssional vs. Counse l
  • Co mple xity - SSI

rule s, ta x re po rting , inve stme nt

  • Amo unt unde r ma na g e me nt
  • Co urt o ve rsig ht? Bo nd?
  • F

a mily re la tio nship

  • F

e e s

  • Co nflic t o f inte re sts
  • K

no wle dg e a nd e xpe rie nc e

  • T

e mpe ra me nt

59

slide-60
SLIDE 60

TRUSTEE’S BALANCING ACT

  • Ma king distrib utio ns tha t do no t vio la te the

“inc o me ” o r re so urc e rule s o f SSI , Me dic a id a nd

  • the r ne e ds b a se d b e ne fits; a nd
  • Pro viding g o o ds a nd se rvic e s to e nha nc e the

b e ne fic ia ry’ s q ua lity o f life

  • Ac ting in the b e st inte re st o f the b e ne fic ia ry is not

a lwa ys wha t the b e ne fic ia ry wa nts!!

60

slide-61
SLIDE 61

QUESTIONS TO ASK OF A PROFESSIONAL TRUSTEE

Bac kground

  • Ho w did yo u g e t invo lve d in se rving a s a pro fe ssio na l o r priva te truste e ?
  • Wha t is yo ur e duc a tio na l b a c kg ro und?
  • Wo rk e xpe rie nc e b e fo re b e c o ming pro fe ssio na l truste e ?
  • Ho w ma ny ye a rs a s a truste e ?
  • Wha t kind o f trusts do yo u ma na g e ?
  • Wha t kind o f insura nc e do yo u ha ve if yo ur e mplo ye e s ste a l fro m the trust?

Mate r ials pr

  • vide d with pe r

missio n fr

  • m Ke vin Ur

batsc h, Mye r s Ur batsc h, P.C., with Patr ic ia Ke falas Dude k adding he r two c e nts wo r th.

61

slide-62
SLIDE 62

QUESTIONS TO ASK OF A PROFESSIONAL TRUSTEE

  • Cur

r e nt Administr ative Pr ac tic e s

  • Ho w is c o mpa ny a rra ng e d? Sta ffing ?
  • Who a re o the r c o nta c t pe o ple a t yo ur c o mpa ny?
  • Ho w ma ny trusts do yo u c urre ntly ma na g e ?
  • Are a ny o f the se c o urt mo nito re d?
  • Ha ve yo u file d a c c o unting s with the pro b a te c o urt b e fo re ?
  • I

s the b e ne fic ia ry a b le to re vie w the re c o rds?

  • Ho w ma ny SNT

’ s do yo u ha ve ?

  • Do yo u ha ve a ny spe c ia l tra ining a s a n SNT

truste e ?

  • Wha t se rvic e s do yo u pro vide a s truste e ?
  • Ho w fa milia r a re yo u with the se rvic e de live ry pro vide rs?
  • Do yo u o b je c t to a trust pro te c to r?

62

slide-63
SLIDE 63

QUESTIONS TO ASK OF A PROFESSIONAL TRUSTEE

  • Inve stme nt De c isions
  • Ho w do yo u de te rmine inve stme nts?
  • Ca n the b e ne fic ia ry a ssist in the se de c isio ns?
  • Who pro vide s the fina nc ia l se rvic e s? Yo u o r a n o utside firm?
  • Wha t a re the fina nc ia l pe rso n’ s q ua lific a tio ns?
  • Ho w o fte n a re inve stme nt de c isio ns re vie we d?
  • Ca n the b e ne fic ia ry re vie w the re c o rds?
  • Will the trust b e a b le to ho ld re a l e sta te o r a ve hic le ?

63

slide-64
SLIDE 64

QUESTIONS TO ASK OF A PROFESSIONAL TRUSTEE

  • Proc e dure
  • As truste e , ho w wo uld yo u b e g in this pro c e ss?
  • I

s the re a b udg e t fo r distrib utio n?

  • Ho w o fte n is the b udg e t re vie we d?
  • Re que sting Distributions
  • Ho w wo uld the b e ne fic ia ry c o nta c t yo u fo r distrib utio n?
  • Wha t is the pro c e dure to de te rmine if re q ue st is wa rra nte d?
  • I

s the re a wa y to c o nta c t yo u a fte r ho urs fo r a n e me rg e nc y?

  • Who ha ndle s the ma na g e me nt dutie s whe n yo u a re

una va ila b le ?

64

slide-65
SLIDE 65

QUESTIONS TO ASK OF A PROFESSIONAL TRUSTEE

  • Re que sting Distr

ibutions (Co nt.)

  • Do e s yo ur b usine ss ha ve a suc c e ssio n pla n?
  • Ho w do yo u ma na g e re a l e sta te o wne d b y the trust?
  • F

e e s

  • Wha t do yo u c ha rg e fo r se rvic e s? Wha t is the fe e ?
  • Wha t is inc lude d in the fe e ?
  • Are the re a dditio na l c ha rg e s fo r inve stme nts? Ho w muc h?
  • Are the re a dditio na l c ha rg e s fo r ta x pre pa ra tio n?
  • Are the re a ny o the r a dditio na l c ha rg e s (i.e ., le g a l fe e s)?

65

slide-66
SLIDE 66

66

FUNDING THE TRUST

slide-67
SLIDE 67

HOW TO FUND A SNT

  • Will
  • L

iving trust

  • Gifts fro m g ra ndpa re nts a nd o the r fa mily

me mb e rs

  • Othe r
  • Be ne fic ia ry de sig na tio n
  • 529 Pla ns
  • Surprise s
  • Se ttle me nts

67

slide-68
SLIDE 68

HOW IT WORKS

Special Needs Trust

Housing Roommate Beneficiary

Family Community Support Services CMH (MEDICAID WAIVER) Support Services

  • Dept. of Community Health-

formerly FIA (MEDICAID STATE PLAN) Adult Home Help Services

68

slide-69
SLIDE 69

69

TRUSTEE DUTIES

slide-70
SLIDE 70

TRUSTEE DUTIES

  • Duty to c a rry o ut the te rms o f the T

rust Ag re e me nt.

  • Duty o f lo ya lty to the b e ne fic ia ry.
  • Duty to a c t a nd inve st prude ntly.
  • Duty to no t de le g a te T

ruste e re spo nsib ilitie s.

  • Duty to ma inta in the b o o ks a nd re c o rds a nd ke e p

the b e ne fic ia rie s re a so na b ly info rme d o f the T rust a dministra tio n.

70

slide-71
SLIDE 71

TRUSTEE DUTIES

  • T

r uste e must unde r stand:

  • T

ype o f distrib utio n sta nda rd

  • T

ype o f spe c ia l ne e ds trust a nd whe n “so le b e ne fit” rule a pplie s

  • T

ype o f pub lic b e ne fits SNT Be ne fic ia ry re c e ive s

  • Be ne fic ia ry’ s c urre nt a nd future ne e ds a nd b a la nc ing the se

ne e ds

  • Amo unt o f a sse ts he ld in the trust a nd inve stme nt a llo c a tio n
  • Wha t the future will ho ld a s fa r a s inve stme nt pe rfo rma nc e ,

b e ne fic ia ry’ s c o nditio n, pub lic b e ne fits funding , a nd ta x la w c ha ng e s

71

slide-72
SLIDE 72

TRUSTEE DUTIES

  • T

ruste e ha s to ma ke distrib utio ns tha t do no t vio la te rule s o f the a pplic a b le b e ne fit pro g ra m (typic a lly SSI a nd Me dic a id) while pro viding the b e ne fic ia ry with g o o ds a nd se rvic e s so the b e ne fic ia ry is no t living a t the po ve rty le ve l

  • Pa yme nt o f fo o d o r she lte r is c o unte d a nd will

re duc e SSI

  • http:/ / www.pe kda dvoc a c y.c om/ doc ume nts/ e sta te pla nning / Dutie s_a s_T

ru ste e _to_SNT .pdf

  • http:/ / www.pe kda dvoc a c y.c om/ wp-

c onte nt/ uploa ds/ 2012/ 03/ Be ne fits_Che c klist_3- 21- 12.pdf

72

slide-73
SLIDE 73

TRUSTEE REQUIREMENTS

  • Mic higan T

r ust Code § 700.1212

  • Be lo ya l
  • I

mpa rtia l

  • Use b e st judg me nt a t a ll time s
  • No c o mming ling
  • Prude nt inve sto r rule ; a nd
  • K

e e p the b e ne fic ia ry’ s se c re ts

73

slide-74
SLIDE 74

TRUSTEE REQUIREMENTS

  • Ge ne r

al Guide line s § 700.7814

  • K

e e p b e ne fic ia ry info rme d

  • Re spo nd pro mptly to b e ne fic ia ry’ s re q ue st fo r info rma tio n
  • Se nd c o pie s o f re le va nt te rms o f instrume nt
  • No tify b e ne fic ia ry a c ting a s truste e a nd pro vide c o nta c t

info rma tio n (63 da ys)

  • No tify b e ne fic ia ry o f rig hts
  • No tify b e ne fic ia ry o f fe e s a nd if the y c ha ng e
  • Annua l a c c o unting , inve nto ry, re c e ipts, de po sits a nd

distrib utio ns

74

slide-75
SLIDE 75

TRUSTEE REQUIREMENTS

  • Judge d by the F
  • llowing Standar

ds

  • Ca pa b ility a nd time to pe rfo rm
  • Pro pe r o ng o ing g uida nc e (le g a l, a c c o unting & fina nc ia l)
  • Ca re ful pre pa ra tio n a nd imple me nta tio n o f le g a l

do c ume nts

  • Ma inta in q ua lity re c o rds a nd re po rting
  • Re a dy a c c e ss a nd disc lo sure o f info rma tio n
  • Pre pa ra tio n a nd filing o f re po rts

75

slide-76
SLIDE 76

TRUST DISBURSEMENTS

76

slide-77
SLIDE 77

SNT DISTRIBUTION STANDARDS

T he r e ar e two c ommon SNT distr ibution standar ds:

  • Disc re tio na ry: T

his sta nda rd g ive s the truste e a b so lute disc re tio n to ma ke (o r no t to ma ke ) distrib utio ns, e ve n tho se tha t ma y re duc e o r e limina te b e ne fic ia ry’ s pub lic b e ne fits

  • Supple me nta l: T

his sta nda rd g ive s the truste e a b so lute disc re tio n to ma ke distrib utio ns, e xc e pt it do e s no t a llo w distrib utio ns tha t c a use a lo ss o r re duc tio n in pub lic b e ne fits

77

slide-78
SLIDE 78

BEWARE THE “SUPPLEMENTAL” STANDARD

Supple me ntal standar d is c ommon in olde r SNT s

  • No distrib utio ns a llo we d tha t ma y re duc e o r

e limina te pub lic b e ne fits

  • T

hus, pa yme nts fo r fo o d, she lte r o r me dic a l e xpe nse s c o ve re d b y g o ve rnme nt b e ne fits e xpo se truste e to po te ntia l b re a c h o f fiduc ia ry duty c la ims

  • So lutio n is to mo dify the e xisting trust sta nda rd to

a disc re tio na ry distrib utio n sta nda rd

78

slide-79
SLIDE 79

F irst Pa rty SNT T hird Pa rty SNT

  • Must b e fo r the “so le

b e ne fit” o f SNT b e ne fic ia ry

  • No pa yme nts to spo use
  • r de pe nde nts
  • E

xc e ptio n: c hild o r spo usa l suppo rt o rde r

  • Do e s no t ha ve to b e fo r

“so le b e ne fit”

  • Ma y inc lude two o r

thre e c urre nt b e ne fic ia rie s

  • Ma y a llo w fo r g ifts to

third pa rtie s

TYPE OF SNT ALSO AFFECTS SNT DISTRIBUTIONS

79

slide-80
SLIDE 80

WHAT IS “SOLE BENEFIT” OF BENEFICIARY

POMS SI 01120.201 de finition of “sole be ne fit” state s:

  • [I

]f the trust b e ne fits no o ne b ut tha t individua l, whe the r a t the time the trust is e sta b lishe d o r a t a ny time fo r the re ma inde r o f the individua l's life .

  • Ho we ve r, the trust ma y pro vide fo r re a so na b le c o mpe nsa tio n

fo r a truste e (s) to ma na g e the trust, a s we ll a s re a so na b le c o sts a sso c ia te d with inve stme nt, le g a l o r o the r se rvic e s re nde re d o n b e ha lf o f the individua l with re g a rd to the trust.

80

slide-81
SLIDE 81

EFFECT OF “SOLE BENEFIT” RULE

  • Pro b le ma tic whe n Be ne fic ia ry wishe s to ma ke

pa yme nts to :

  • Childre n – e spe c ia lly mino r c hildre n
  • Spo use
  • Pa re nts
  • F

rie nds

  • Sig nific a nt o the r
  • Ofte ntime s, the o nly wa y to ma ke pa yme nts o n

b e ha lf o f c hildre n is thro ug h c hild suppo rt o rde r

81

slide-82
SLIDE 82

BUYING AN AUTOMOBILE

  • Purc ha se o f a n a uto mo b ile (a nd e ve n distrib utio n o f

the a uto mo b ile to the SNT b e ne fic ia ry) will no t a ffe c t pub lic b e ne fits e lig ib ility a s lo ng a s it is the b e ne fic ia ry's o nly a uto mo b ile , b e c a use o ne a uto mo b ile o f a ny va lue is a n e xe mpt re so urc e

82

slide-83
SLIDE 83

HOLDING TITLE TO AUTOMOBILE

  • T

itle sho uld b e he ld b y so me o ne o the r tha n SNT truste e , typic a lly a pa re nt/ c a re g ive r, a ltho ug h SNT b e ne fic ia ry c a n a lso b e title ho lde r o f o ne c a r

  • T

ruste e o f the SNT sho uld still b e na me d a s a lie n ho lde r o n the a uto mo b ile so tha t the individua l with o wne rship c a nno t se ll o r b o rro w a g a inst the ve hic le

  • I

f first pa rty SNT , it ma y b e prude nt to g e t a c o urt o rde r a utho rizing tha t title b e he ld in the na me o f the individua l prima rily re spo nsib le fo r using the a uto mo b ile , b e c a use the purc ha se ma y o the rwise b e c o nside re d a g ift to the individua l

  • Ha ve truste e o r trust na me d a s se c o nda ry insure r so truste e is

no tifie d if insura nc e la pse s o r is c a nc e le d

83

slide-84
SLIDE 84

PAYING FOR VACATIONS

  • Va c a tio ns c a n b e pa id fo r fro m a n SNT
  • Pa yme nt fo r ho te l a nd re sta ura nts is no t c o nside re d I

SM if pe rso n is te mpo ra rily a b se nt fro m prima ry re side nc e fo r up to 30 da ys

  • L
  • g istic s c a n b e diffic ult; pre -pa id, a ll-inc lusive va c a tio ns

a re e a sie st to ma na g e , o the rwise po ssib le to re imb urse c o mpa nio ns, pa y c re dit c a rd e xpe nse s b ut c a nno t re imb urse SNT b e ne fic ia ry dire c tly

  • I

f SNT b e ne fic ia ry re q uire s a ssista nc e to tra ve l, SNT c a n pa y fo r c a re g ive r’ s time a nd e xpe nse s

84

slide-85
SLIDE 85

HOW ABOUT A TREADMILL?

  • E

xe rc ise e q uipme nt is g o o d, no t so g o o d if SNT b e ne fic ia ry c a nno t use it

  • One mo m re q ue ste d the purc ha se o f a tre a dmill fo r

he r so n, the SNT b e ne fic ia ry. He r so n use d a whe e lc ha ir fo r mo b ility; she wa nte d re imb urse me nt fo r he r purc ha se o f the tre a dmill b e c a use she sa id he r so n wa s like Christo phe r Re e ve a nd it wa s pa rt o f his the ra py. SNT truste e a ske d fo r a pre sc riptio n, mo the r re fuse d. SNT truste e re fuse d. Co -truste e re sig ne d whe n o the r c o -truste e (Mo m) b o ug ht it a nywa y.

  • Re me mb e r “So le Be ne fit Rule ”

85

slide-86
SLIDE 86

PURCHASING VIDEO GAMES AND CDS

  • Ce rta inly o k, b ut in o ne c a se :
  • SNT

b e ne fic ia ry ke pt a sking to spe nd T ONS o f mo ne y o n b lu- ra y CDs a nd g a me s

  • SNT

truste e wa s re a lly sta rting to think he wa s se lling the m o n the stre e t to use the mo ne y fo r o the r ite ms. T ruste e hire d a c a re ma na g e r to c he c k into it. He c o nfirme d tha t the b e ne fic ia ry ha d q uite a n e xte nsive c o lle c tio n o f g a me s a nd mo vie s in his ho me .

  • Be c a use o f the o ve ra ll va lue , SNT

T ruste e inc re a se d the c o ve ra g e o n re nte rs’ insura nc e po lic y to c o ve r e xpe nse o f c o lle c tio n re pla c e me nt

86

slide-87
SLIDE 87

PAYING FOR THE SNT BENEFICIARY’S FUNERAL

  • T

he re is po te ntia l diffic ulty in pa ying fo r fune ra ls in a first pa rty SNT whe n the b e ne fic ia ry re c e ive s SSI

  • SNT

truste e s ma y wish to e xplo re b e ne fic ia ry’ s tho ug hts o n b uria l a nd e nd o f life issue s

  • SNT

truste e ma y pre -pa y fo r fune ra l (b uria l plo ts o r b uria l insura nc e o f a ny a mo unt), b ut if se ts a side mo ne y fo r b uria l, c a n o nly a dd up to $1,500 (if in b e ne fic ia ry’ s na me )

  • Use irre vo c a b le pre pa id fune ra l trusts to g e t a ro und this,

b ut b e c a re ful; so me fune ra l dire c to rs a re g o ing o ut o f b usine ss, so ma ke sure it is tra nsfe ra b le

  • Se e k c o urt o rde r

87

slide-88
SLIDE 88

CAN I PURCHASE ALCOHOL OR CIGARETTES?

  • A c o mmo n re q ue st b y ma ny SNT

b e ne fic ia rie s is fo r purc ha se o f a lc o ho l o r c ig a re tte s

  • T

he o nly issue is whe the r suc h distrib utio ns a re c o nside re d fo o d. Do ub tful. But, e ve n if c o nside re d fo o d, it o nly a pplie s fo r SNT b e ne fic ia ry who is SSI re c ipie nt a nd the n wo uld b e I SM

  • Che c k the trust do c ume nt; so me T

hird Pa rty SNT s spe c ific a lly pro hib it the purc ha se o f suc h ite ms

  • T

ypic a lly, a dvise to use SSI

  • r SSDI

mo ne y fo r the se . T ry to ha ve SNT pa y fo r ite ms tha t b e ne fic ia ry use d to ha ve to purc ha se fo r him o r he rse lf, e .g . pho ne , c le a ning ite ms, e tc .

88

slide-89
SLIDE 89

LIST OF PERMISSIBLE DISTRIBUTIONS

SPE

CIAL NE E DS T RUST L IST OF PE RMISSIBL E DIST RIBUT IONS

T he T ruste e (s) o f a Po o le d Ac c o unt T rust ma y utilize a ny o f the fo re g o ing listing fo r e xpe nditure s fro m the T

  • rust. T

he fo llo wing list o f no n-suppo rt ite ms is pro vide d fo r purpo se s o f de sc riptio n a nd sha ll no t limit the T ruste e (s) in ma king o the r distrib utio ns fo r o the r ite ms o f a me nitie s tha t the truste e ma y b e lie ve a re in the b e st inte re st o f the b e ne fic ia ry. T ho se ite ms ma y inc lude , b ut a re no t limite d to :

  • 1. Auto mo b ile / Va n
  • 2. Ac c o unting se rvic e s
  • 3. Ac upunc ture / Ac upre ssure
  • 4. Alte ra tio ns o r me nding to c lo thing – sho e re pa irs
  • 5. Applia nc e s (T

V, VCR, ste re o . Mic ro wa ve , sto ve , re frig e ra to r, wa she r/ drye r a nd ma inte na nc e / re pa irs)

  • 6. Bo ttle d Wa te r o r wa te r se rvic e
  • 7. Bus pa ss/ pub lic tra nspo rta tio n c o sts
  • 8. Ca me ra , film, re c o rde r a nd ta pe s, de ve lo pme nt o f film, pho to a lb ums, sc ra pb o o ks a nd

supplie s

  • 9. Clo thing
  • 10. Club s a nd c lub due s (re c o rd c lub s, b o o k c lub s, he a lth c lub s, se rvic e c lub s, zo o , Ad vo c a c y

Gro ups, muse ums)

  • 11. Co mpute r ha rdwa re , so ftwa re , pro g ra m, ma inte na nc e / se rvic e

a . Inte rne t se rvic e

  • 12. Co nfe re nc e s a nd tra ve l re la te d to sa me
  • 13. Co urse s o r c la sse s (a c a de mic o r re c re a tio na l) inc luding supplie s
  • 14. Curta ins, b linds, dra pe s a nd the like
  • 15. De nta l wo rk no t c o ve re d b y Me dic a id, inc luding a ne sthe sia .
  • 16. Do wn pa yme nt o n ho me o r se c urity de po sit o n a pa rtme nt.
  • 17. Dry c le a ning a nd/ o r la undry se rvic e s a nd/ o r supplie s
  • 18. E

le c tive surg e ry

  • 19. F

itne ss e q uipme nt

  • 20. F

une ra l e xpe nse s

  • 21. F

urniture , ho me furnishing s a nd insura nc e

  • 22. Ga so line a nd/ o r Ma inte na nc e fo r a uto mo b ile
  • 23. Ha irc uts / Sa lo n se rvic e s

89

slide-90
SLIDE 90

LIST OF PERMISSIBLE DISTRIBUTIONS

  • 24. Ho lida y De c o ra tio ns, pa rtie s, dinne r da nc e s, ho lida y c a rds
  • 25. Ho me a la rm a nd/ o r mo nito ring / re spo nse syste m
  • 26. Ho me impro ve me nts, re pa irs a nd ma inte na nc e (no t c o ve re d b y Me dic a id), inc luding to o ls to pe rfo rm

ho me impro ve me nts, re pa irs a nd ma inte na nc e b y ho me o wne r

  • 27. Ho me Purc ha se (to the e xte nt no t c o ve re d b y b e ne fits)
  • 28. Ho use c le a ning / ma id se rvic e s/ la wn se rvic e s/ sno w re mo va l
  • 29. Inde pe nde nt Ca re Ma na g e rs/ Ca se Ma na g e rs
  • 30. Insura nc e (a uto mo b ile , ho me a nd/ o r po sse ssio ns)
  • 31. Insura nc e Co -Pa yme nts no t c o ve re d b y a ny o the r so urc e
  • 32. L

e g a l F e e s/ Ad vo c a c y

  • 33. L

ine ns, to we ls, b e dding a nd o the r ho use ho ld furnishing s

  • 34. Ma ssa g e , fa c ia ls a nd o the r simila r se rvic e s/ tre a tme nts
  • 35. Music a l instrume nts (inc luding le sso ns a nd music )
  • 36. No n-fo o d g ro c e ry ite ms (la undry so a p, b le a c h, fa b ric so fte ne r, de o do ra nt, dish so a p, ha nd a nd b o dy

so a p, pe rso na l hyg ie ne pro duc ts, pa pe r to we ls, na pkins, kle e ne x, to ile t pa pe r, a ny ho use ho ld c le a ning pro duc ts)

  • 37. Ove r the c o unte r me dic a tio ns (inc luding vita mins a nd he rb s, e tc .)
  • 38. Pe rso na l Assista nc e Se rvic e s no t c o ve re d b y Me dic a id
  • 39. Pe t a nd pe t’ s supplie s, ve te rina ry se rvic e s
  • 40. Physic ia n spe c ia lists if no t c o ve re d b y Me dic a id
  • 41. Priva te c o unse ling if no t c o ve re d b y Me dic a id
  • 42. Re pa ir se rvic e s (a pplia nc e , a uto mo b ile , b ic yc le , ho use ho ld, fitne ss e q uipme nt)
  • 43. Sno w re mo va l/ L

a ndsc a ping / L a wn Se rvic e

  • 44. Spo rting g o o ds/ e q uipme nt/ unifo rms/ te a m pic ture s/ tra ve l to g a me s/ to urna me nts
  • 45. Sta tio na ry, sta mps, c a rds, e tc .
  • 46. Sto ra g e Units
  • 47. T

a xi c a b

  • 48. T

e le pho ne se rvic e a nd e q uipme nt, inc luding c e ll pho ne , pa g e r, e tc .

  • 49. T

he ra py (Physic a l, Oc c upa tio na l, Spe e c h) no t c o ve re d b y Me dic a id.

  • 50. T

ic ke ts to c o nc e rts o r spo rting e ve nts (fo r b e ne fic ia ry a nd a n a c c o mpa nying c o mpa nio n)

  • 51. T

ra nspo rta tio n (a uto mo b ile , mo to rc yc le , b ic yc le , mo pe d, g a s, b us pa sse s)

  • 52. Utility b ills (dire c t T

V, c a b le T V, e le c tric , he a ting )

  • 53. Va c a tio n (inc luding pa ying fo r pe rso na l a ssista nc e to a c c o mpa ny the b e ne fic ia ry)

90

slide-91
SLIDE 91

LIST OF PERMISSIBLE DISTRIBUTIONS

  • 54. Sto ra g e Units
  • 55. T

a xi c a b

  • 56. T

e le pho ne se rvic e a nd e q uipme nt, inc luding c e ll pho ne , pa g e r, e tc .

  • 57. Any the ra py (physic a l, o c c upa tio na l, spe e c h) no t c o ve re d b y

Me dic a id – o r a ny o the r so urc e

  • 58. T

ic ke ts to c o nc e rts o r spo rting e ve nts (fo r b e ne fic ia ry a nd a n a c c o mpa nying c o mpa nio n, tra ve l)

  • 59. T

ra nspo rta tio n (a uto mo b ile , mo to rc yc le , b ic yc le , mo pe d, g a s, b us pa sse s a nd he lme ts)

  • 60. Utility b ills (dire c t T

V, c a b le T V, e le c tric , he a ting a s lo ng a s no t b a sic ne e ds)

  • 61. Va c a tio n (inc luding pa ying fo r pe rso na l a ssista nc e to

a c c o mpa ny the b e ne fic ia ry)

http:/ / www.pe kda dvoc ac y.c om/ doc ume nts/ e sta te pla nning / Poole dAc c ountT r ustL istofPe r missible Distr ibutions.pdf

91

slide-92
SLIDE 92

IMPERMISSIBLE DISTRIBUTIONS

E xample s of T r ust Distr ibutions whic h will Re duc e SSI Be ne fit:

  • F
  • o d
  • Ba sic she lte r re la te d e xpe nse s (Bo th c o unte d a s

I SM)

  • Ca sh fo r a ny purpo se (inc luding g a mb ling o r a dult

e nte rta inme nt)

E xample s of Impe r missible Disbur se me nts fr

  • m 1st

Par ty SNT ’s:

  • Pa ying fo r so me thing tha t is no t fo r the so le b e ne fit
  • f the b e ne fic ia ry.
  • Pa ying fo r a se rvic e a lre a dy pa id fo r b y a no the r

so urc e (duty to suppo rt is still the la w)

  • Distrib utio n no t in the b e st inte re st o f the

b e ne fic ia ry.

92

slide-93
SLIDE 93

LETTER OF INTENT

93

slide-94
SLIDE 94

LETTER OF INTENT

  • A L

e tte r

  • f Inte nt is o ne o f the mo st impo rta nt

do c ume nts a pa re nt c a n c o mple te fo r the c hild’ s future c a re -g ive rs.

  • T

his is no t a sta nd-a lo ne do c ume nt; it sho uld b e inc o rpo ra te d into a n e sta te pla nning pro c e ss.

  • Ca n b e use d whe n c a ring fo r pa re nts o r

g ra ndpa re nts a s we ll.

94

slide-95
SLIDE 95

LETTER OF INTENT

  • A L

e tte r o f Inte nt is a me tho d fo r the se ttlo r/ g ra nto r o f the trust to c o mmunic a te inte ntio ns re g a rding the trust b e ne fic ia ry to the truste e , suc c e sso r truste e s, o r a c o urt. It is no t a le g a lly b inding do c ume nt. Ide a lly, it sho uld inc lude pe rso na l info rma tio n a b o ut the b e ne fic ia ry tha t

  • nly the c re a to r kno ws. It sho uld inc lude fa c ts, ho pe s a nd dre a ms tha t

the c re a to r ha s fo r the trust b e ne fic ia ry. T he re is no re q uire d fo rma t. T he L e tte r o f Inte nt sho uld pro vide the truste e with g uida nc e a s to wha t “spe c ia l ne e ds” the b e ne fic ia ry ha s o r will ha ve a nd de fine the q ua lity o f life a s q ua lity me a ns diffe re nt thing s to diffe re nt pe o ple .

  • T

he L e tte r o f Inte nt sho uld b e fre q ue ntly upda te d a s the b e ne fic ia ry’ s ne e ds c ha ng e . An upda te d c o py sho uld a lwa ys b e ke pt with e sta te pla nning do c ume nts.

95

slide-96
SLIDE 96

SAMPLES OF LETTER OF INTENT

  • http:/ / www.pe kda dvo c a c y.c o m/ do c ume nts/ c lie ntinta k

e / L e tte ro fI nte nt.pdf

  • http:/ / pa ttidude k.type pa d .c o m/ pa ttis_b lo g / we lc o me .ht

ml

  • http:/ / www.pe kda dvo c a c y.c o m/ do c ume nts/ pa ttispub li

c a tio ns/ Re pre se nting / Att7.pdf

  • http:/ / www.pe kda dvo c a c y.c o m/ do c ume nts/ pa ttispub li

c a tio ns/ Re pre se nting / Att8.pdf

96

slide-97
SLIDE 97

LETTER OF INTENT

  • Be Specific!
  • E

duc a tio n

  • Ho using with pe rso n-dire c te d suppo rts
  • T

ra nspo rta tio n

  • Me dic a l c a re a nd e q uipme nt
  • Qua lity o f life , so c ia l, tra ve l, re c re a tio n, e tc .
  • Re a l e mplo yme nt

97

slide-98
SLIDE 98

LETTER OF INTENT

ME MORANDUM I t is my de sire tha t my disa b le d so n/ da ug hte r ______________________, re ta in re side nc e in o ur pre se nt ho me a t ____________________, Mic hig a n. He / She is c o mfo rta b le he re a nd is fa milia r with the ne ig hb o rho o d/ ne ig hb o rs a s the y a re with __________ Sinc e he / she do e s no t re a dily a da pt to c ha ng e it wo uld b e to the ir b e ne fit e spe c ia lly upo n my de a th. T he Spe c ia l Ne e ds T rust whic h I ha ve e sta b lishe d fo r _____________ is inte nde d to b e use d to ma inta in him/ he r in the fa mily ho me . Upo n my de a th it is like ly tha t ______________ will ne e d a g ua rdia n to a c t/ a dvo c a te fo r him/ he r. I re q ue st tha t pe rso n b e his/ he r b ro the r/ siste r ____________________. F

  • llo wing a re no te s, e c c e ntric itie s a b o ut ________________ whic h a g ua rdia n o r c a re g ive r sho uld b e a wa re o f:
  • Dislike s he ig hts
  • L

ike s sho we rs a nd swimming po o ls

  • Dislike s unde rwe a r a nd a ny c lo thing whic h is tig ht a ro und the wa ist due to his/ he r sc o lio sis
  • Will “ra id” re frig e ra to r a nd c upb o a rds
  • Will g o o utside the ho use in nig ht c lo the s
  • L

ike s to g o o utdo o rs in a ll type s o f we a the r with o r witho ut a ppro pria te c lo thing

  • Mo ve s thing s fro m pla c e to pla c e witho ut re me mb e ring whe re the y a re
  • Afte r fo ur ye a rs he / she sto ppe d ta king Pro za c a nd Ha ldo l in _______
  • Ha s a b uria l plo t ne xt to pa re nts a t _________Ce me te ry in __________
  • Ha s sa ving s a c c o unt a t _________________Ba nk a t _______________
  • Dislike s c o nfine me nt o f a ny kind
  • Ne e ds muc h c o a xing to pa rtic ipa te in a c tivitie s – pre fe rs to b e a n o b se rve r
  • Re q uire s a full size b e d a nd sturdy furniture , e tc .

98

slide-99
SLIDE 99

SNT DISTRIBUTION CONCLUSION

  • Issue s that ne e d to be c onside r

e d on e ac h distr ibution

  • Do e s the trust do c ume nt a llo w it?
  • Are the re suffic ie nt funds to c o ve r it a nd to c o mply with inte nt
  • f trust fo r the future ne e ds o f b e ne fic ia ry?
  • Will it inte rfe re with pub lic b e ne fits?
  • I

f it inte rfe re s, is it in b e ne fic ia ry’ s b e st inte re st to pa y?

  • Ho w will distrib utio n b e ma de ? Dire c tly/ o n-

line / re imb urse me nt/ o the r

99

slide-100
SLIDE 100

SNT TERMINATION ISSUES

100

slide-101
SLIDE 101

EARLY TERMINATION

  • T

rust e nds b e fo re the de a th o f the b e ne fic ia ry.

101

slide-102
SLIDE 102

REASONS FOR EARLY TERMINATION

  • Be ne fic ia ry no lo ng e r q ua lifie s fo r, ne e ds, o r wa nts

SSI

  • r Me dic a id.
  • T

rust no lo ng e r c o nta ins suffic ie nt a sse ts to justify c o ntinue d trust a dministra tio n.

102

slide-103
SLIDE 103

PROGRAM OPERATIONS MANUAL SYSTEM (POMS)

  • POMS SI

01120.199

  • E

xe mpts SNT whic h c o nta ins a n e a rly te rmina tio n pro visio n if c e rta in c o nditio ns a re me t.

  • POMS SI

01120.203(B)(3)

  • T

a xe s due to sta te a nd fe de ra l g o ve rnme nts due to trust te rmina tio n.

  • Re a so na b le fe e s a nd a dministra tive e xpe nse s a sso c ia te d with fina l

a c c o unting s a nd wra pping up a dministra tio n.

  • Afte r pa yme nt o f e xpe nse s a nd fe e s a nd pa yb a c k to the

sta te , re ma ining a sse ts ma y b e distrib ute d to the b e ne fic ia ry with the disa b ility (sta te Me dic a id a g e nc y o r pro b a te c o urt ma y a llo w diffe re nt o utc o me s).

103

slide-104
SLIDE 104

MEDICAID ONLY

  • Unle ss spe c ific a lly sta te d o the rwise , POMS’ rule s fo r

SSI pro b a b ly do no t a pply fo r b e ne fic ia rie s re c e iving

  • nly Me dic a id.

104

slide-105
SLIDE 105

POMS SI 01120.199D

  • Whe n inc luding te rmina tio n pro visio ns in a se lf-

se ttle d SNT , the dra fte r sho uld sho uld fo llo w the re q uire me nts unde r POMS SI 01120.199.

105

slide-106
SLIDE 106

ADMINISTRATION AFTER DEATH

  • Re vie w sta te sta tute s, re g ula tio ns a nd po lic ie s fo r

pro c e dure s g o ve rning no tific a tio n a nd pa yme nt to the sta te .

  • Re q ue st a writte n sta te me nt fro m the sta te

re g a rding the b a la nc e due a nd c la rific a tio n o f the fo rmula use d to e nsure tha t the fig ure s a re c o rre c t.

  • Se e Re c e nt c a se : E

state o f Ne lso n v Misso uri De pt.

  • f So c ial Se rvic e s (Mo Ct App, W Div, No WD73957

(Ma rc h 20, 2012))

106

slide-107
SLIDE 107

ADMINISTRATION AFTER DEATH

A Misso uri c o urt o f a ppe a ls rule s tha t in a sta te ’ s c la im fo r re c o ve ry o f Me d ic a id b e ne fits a g a inst a n e sta te , c o mpute rize d re c o rd s sho wing tha t c he c ks we re issue d to the Me d ic a id re c ipie nt’ s he a lth c a re pro vid e rs is insuffic ie nt e vid e nc e tha t pa yme nt wa s ma d e to the pro vid e rs, so the c la im must fa il. Whe n K a the rine Ne lso n d ie d , the sta te file d a c la im a g a inst he r e sta te fo r re imb urse me nt o f Me d ic a id b e ne fits pa id o n he r b e ha lf. As pro o f o f the c la im, the sta te pro vid e d c o mpute r re c o rd s o f e xpe nd iture s ma d e fo r Ms. Ne lso n’ s c a re . T he tria l c o urt d e nie d the c la im, ruling tha t the sta te d id no t pre se nt e vid e nc e tha t c he c ks it issue d to Ms. Ne lso n’ s he a lth c a re pro vid e rs we re in fa c t pre se nte d a nd pa id . T he sta te a ppe a le d , a rg uing tha t it ne e d o nly pro vid e pro o f tha t a c he c k wa s se nt. T he Misso uri Co urt o f Appe a ls, We ste rn Divisio n a ffirms, ho ld ing tha t the sta te ’ s e vid e nc e is insuffic ie nt b e c a use it d o e s no t e sta b lish tha t the c he c ks it issue d in pa yme nt o f Ms. Ne lso n’ s he a lth c a re se rvic e s we re e ithe r pre se nte d o r ho no re d . Ac c o rd ing to the c o urt, c o mpute rize d re c o rd s pro vid ing the d a te a c he c k wa s issue d a re no t suffic ie nt e vid e nc e o f pa yme nt.

F

  • r

the full te xt of this de c ision, g o to http:/ / tinyur l.c om/ e lr

  • ne lson

107

slide-108
SLIDE 108

FOLLOWING PAYBACK

  • T

ruste e should:

  • Pre pa re a nd file ta x re turns
  • Ma ke ta x pa yme nts
  • Do a n a c c o unting
  • Ma ke distrib utio ns to na me d b e ne fic ia rie s
  • Co nfirm pa re nt pa id c hild suppo rt

108

slide-109
SLIDE 109

THIRD-PARTY SNTS

  • E

a rly te rmina tio n a nd te rmina tio n a t de a th issue s a re g o ve rne d b y the trust do c ume nt a nd sta te la w.

  • SI

1120.199 a nd SI 1120.203(b )(3) do no t a pply to third -pa rty SNT s.

109

slide-110
SLIDE 110

TRUSTEE GUIDES

  • Administe r

ing a Spe c ial Ne e ds T r ust – A Handbook for T r uste e s

  • http:/ / c o nfe re nc e s.a ic pa .o rg / ma te ria ls/ do wnlo a ds/ 2008/ 03_K

ro o k s_PCW.pdf

  • Re pr

e se nting and Ac ting as T r uste e of a Spe c ial Ne e ds T r ust

  • http:/ / www.pe kda dvo c a c y.c o m/ do c ume nts/ pa ttispub lic a tio ns/ R

e pre se nting / Re pre se nting &Ac ting a sT ruste e o fa SNT .pdf

  • Be ne fit Che c klist
  • http:/ / www.pe kda dvo c a c y.c o m/ wp-

c o nte nt/ uplo a ds/ 2012/ 03/ Be ne fits_Che c klist_3-21-12.pdf

110

slide-111
SLIDE 111

PAT

RIC IA E. KEFAL AS DUDEK

& A SSO C IAT

ES

Attorne ys a t L a w

30445 No rthwe ste rn Hig hwa y, Suite 250

Fa rm ing to n Hills, Mic hig a n 48334

(248) 254- 3462

www.pe kda dvo c a c y.c o m http:/ / pa ttidude k.type pa d.c o m / pa ttis_blo g / we lc o m e .htm l

111