Special Needs Planning
A Special Needs Trust (SNT), or Supplemental Needs Trust, is a valuable tool used for taking care of a disabled loved one, and ensuring that they remain eligible for government programs.
SNTs are designed to supplement the means-tested government benefits available for a disabled loved, by paying for items and services which are not covered by programs like Medicaid and Social Security.SNTs are designed to supplement, and not supplant means-tested government benefits. This distinction is important for determining Medicaid and Social Security eligibility. If the benefits are considered “resources” of the beneficiary, which may be used to pay for things already covered by government programs, Medicaid and Social Security benefits might be reduced or terminated. As such, SNTs are set up to ensure that benefits received from the trust are not counted as the beneficiaries own resources for determining eligibility. That way, your disabled loved one can continue to receive the benefits offered by Medicaid and Social Security, but also supplement those benefits with benefits of the trust.
Photo credit: Stuart Miles
Trust terms
Settlor/Grantor: Refers to the person(s) or organization who establishes the trust. The settlor establishes a trust by transferring funds to a trustee and designating a specific beneficiary to receive the benefits from the trust.
Trustee: This is the person chosen to safeguard trust funds and be responsible for distributing monies for the benefit of the beneficiary. The position of trustee carries with it the highest level of fiduciary duties; the trustee must not act selfishly and must only act in ways which will benefit the beneficiar(ies)
Beneficiary: May be one or multiple people, or an organization which receives the benefits from the trust. In other types of trusts the beneficiaries may have some control over how the funds will be spent, and in other cases only the trustee holds that discretion. However, with an SNT it is crucial that the beneficiary does not have any direct control over the trust funds, so that the money will not be counted as a resource when determining eligibility for means-test government benefits.
Self-settled or first-party SNT
A self-settled SNT is one which is funded with the disabled beneficiaries own funds which he or she is receiving from an inheritance, a settlement or personal injury award. The funds are transferred to a trustee to be used for the beneficiary’s needs which are not covered by means-tested government benefits.
These trusts are authorized by federal law and may not be established by the disabled beneficiary. They can only be established by a parent, a guardian, or a court order.
In a general sense, supplemental needs are usually those that do not fall under the categories of food, shelter, or clothing, as these are the areas paid for by governmental programs. Perhaps the most important part of a self-settled SNT to be cognizant of is that fact that once the trust terminates (e.g. upon the death of the beneficiary), the trust funds must first be used to repay Medicaid for all medical expenses paid by Medicaid.
Third party SNT
A third party SNT is established with funds of people other than the beneficiary – usually a family member wanting to provide for a disabled loved one through their will, or donors who want to provide for the comfort of one who has experienced a sudden disability.
Just like a self-settle SNT, third party trust funds must only be used to supplement government benefits, and may not be used to pay for items or services already covered by government programs. Otherwise, the beneficiary risks having his or her government benefits reduced or terminated.
Unlike a self-settled SNT, however, third party trusts do not have to pay back Medicaid when they terminate.
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