Supplemental needs trust
Supplemental Needs Trust (SNT), also known as a Special Needs Trust, is a legal arrangement that allows a person with a disability or a beneficiary to receive benefits from a trust without affecting their eligibility for means-tested government programs such as Medicaid or Supplemental Security Income (SSI). These trusts are designed to provide for the extra and supplemental needs of the beneficiary, beyond what government benefits would cover, without disqualifying them from receiving those benefits.
Overview[edit | edit source]
A Supplemental Needs Trust is created to ensure that beneficiaries who are disabled or have special needs can enjoy the use of property which is intended to be held for their benefit. In the United States, these trusts are governed by both federal statutes and varying state laws. The primary purpose of an SNT is to maintain the beneficiary's eligibility for public assistance benefits by not counting the trust assets as resources under the programs' eligibility criteria.
Types of Supplemental Needs Trusts[edit | edit source]
There are generally three types of Supplemental Needs Trusts:
1. First-Party Supplemental Needs Trusts: These are funded with the beneficiary's own assets, typically received from an inheritance, legal settlement, or personal savings. They are designed to preserve the beneficiary's eligibility for public benefits, but upon the beneficiary's death, any remaining assets in the trust may be claimed by the state to reimburse for the cost of care provided.
2. Third-Party Supplemental Needs Trusts: Funded with assets belonging to someone other than the beneficiary, such as parents or other family members. These trusts can be used for the beneficiary's benefit during their lifetime without affecting their eligibility for government benefits. Unlike first-party trusts, remaining assets can be directed to other family members or beneficiaries upon the death of the primary beneficiary without repayment to the state.
3. Pooled Trusts: Managed by nonprofit organizations, these trusts combine the resources of many beneficiaries, and each beneficiary has a separate account. Pooled trusts are available for both first-party and third-party funding. They are an option for beneficiaries who may not have enough assets to justify the cost of creating an individual SNT or for those who lack a suitable trustee.
Key Considerations[edit | edit source]
When establishing a Supplemental Needs Trust, several important considerations must be taken into account:
- Eligibility: The beneficiary must be considered disabled under the guidelines of the government programs from which they are receiving benefits. - Funding: Decisions must be made regarding how the trust will be funded and the types of assets that will be placed into the trust. - Selection of Trustee: A reliable and trustworthy individual or institution must be chosen to manage the trust assets and make distributions on behalf of the beneficiary. - State Laws: Since SNTs are subject to state laws, it is crucial to understand how these laws may affect the trust, including any provisions for recovery by the state for benefits provided to the beneficiary.
Benefits[edit | edit source]
The primary benefit of a Supplemental Needs Trust is to improve the quality of life for an individual with disabilities by providing for expenses that are not covered by government benefits. These can include personal care attendants, out-of-pocket medical and dental expenses, education, transportation, and recreation.
Conclusion[edit | edit source]
Supplemental Needs Trusts are a critical tool for families and individuals planning for the long-term care and financial security of a loved one with disabilities. By protecting the beneficiary's eligibility for essential government benefits while allowing for the provision of supplemental needs, SNTs offer a balanced approach to supporting individuals with special needs.
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Contributors: Prab R. Tumpati, MD