Special Needs or Supplemental Needs Trusts

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Special Needs or

Supplemental Needs
Trusts
Jerry L. Basford
November 8, 2010

What is a trust?
A trust is a legal document containing
instructions directing the management and
distribution of the resources placed in the
Trust.
Grantor-person creating or funding the
trust
Beneficiary-person receiving the benefit or
on whose behalf the trust was created.

1993 Omnibus Budget and


Reconciliation Act
Title 42 of the United States Code
Section 1396(d)(4).
If the trust meets the U.S. Code
requirements, the trust is not a
countable resource for SSI or Medicaid
qualification purposes.
Neither will a transfer of assets to a
d(4)(A) trust give rise to a period of
ineligibility for either SSI or Medicaid.

What is a Special Needs


Trust?
a special needs trust (SNT) is a legal
document that is created for a person
who, because of physical or mental
disability, or chronic or acquired
illness, at under age 65, is receiving
federal and state government benefits
for medical care and daily living
needs.

What is the Purpose of a


Special Needs Trust
Provides a source of funds without
disqualifying the beneficiary from
receiving government benefits.
Inheritance or gifts could reduce or
eliminate the beneficiarys eligibility for
such benefits because he or she may
only have a maximum of $2,000 in his
or her own name to qualify for them.

When should a Special


Needs Trust be
established?
Generally no later than the
beneficiarys 65th birthday.

Who can establish a


Special Needs Trust?
Three main types of SNTs
1. Family-Type Trust
2. Pooled Trust
3. Court Ordered Trust

Family-Type Trust (Third


Party Trust)
Any third party can establish a trust, but usually
the parents provide the money to set up the
trust.
The only person that cannot place money into
this type of trust is the disabled person.
Disadvantage:
the money cannot be used for housing, food, or
clothing.
Pay-back provision may apply for Medicaid
services provided during the life of the
beneficiary.

Pooled Trust
Anyone, including the individual with the disability can put
money into a pooled trust, however, it must be established by a
non-profit association.
The trust pools the funds of many beneficiaries, manages and
invests them. Each individual has his/her own account.
Advantages:
They are willing to handle much smaller accounts than a bank or
trust company
Disadvantages:
the money cannot be used for housing, food, or clothing.
Non-profit has control of the disbursements.
Any money left in the trust after the beneficiary dies stays in the
trust to help others with disabilities.

Court-Ordered Special
Needs Trust
Used in special situations where the disabled
person has inherited money or received a court
settlement and that money would otherwise
disqualify them from receiving government
benefits.
Disadvantage:
Remaining funds will be used to pay back the
state of residence for whatever medical
assistance the government provided to the
individual after the trust was set up.

How to fund SNTs


Funding can come from savings,
investment in stocks, bonds, or mutual
funds, Certificates of Deposits,
Individual Retirement Accounts, real
property or standard government
benefits.
Family members or friends can name
the trust as a beneficiary in their will.

Special Needs Trust Funds


may not be used for basic
needs
Housing, medical treatments
covered by Medicaid, food or
clothing may not be
purchased with SNTs

Allowable purchases using


trust funds
The money can be used to purchase a
home, which can then be rented to the
beneficiary. The trust can pay for furniture,
medical and health costs not covered by
Medicaid, vacations, summer camp, trips,
travel companions, or other recreation or
entertainment. It can be used to buy
sporting equipment, computers, haircuts,
camera, bowling shoes (but not regular
clothing), emergency legal costs, and
funeral and burial expenses.

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