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 Providing for Your Disabled Child in Your Estate Plan   |   PDF VERSION

By: Barbara A. Isenhour and Sean R. Bleck

One of the biggest worries for parents of a disabled child is how to protect and provide
for the child after both parents have died. In addition to worrying about who will care for
your child and what your child’s quality of life will be without you to provide for him or
her, you need to plan for how to pay for care your child will require when you are no
longer there.

In addition to your own assets that you plan to set aside to care for your
child there may be important government benefits that will be part of your overall plan to
protect your child. If your child is currently receiving SSI or Medicaid benefits (or may
be eligible for those benefits at age 18) it is very important that your estate plan take into
account the SSI and Medicaid eligibility rules.

Qualifying for SSI and Medicaid
The SSI program is a cash benefit program available to disabled individuals. Even if
your child is able to work in a sheltered workshop environment, he or she may still
qualify for SSI benefits to supplement earnings. The SSI program is intended to be a
safety net for disabled individuals to provide a minimum monthly income. The SSI
benefit amount for 2005 is $579 per month.

Medicaid is a very important health benefit for many disabled individuals. Medicaid can
pay for hospital care, physician services, durable medical equipment (wheelchair,
hospital bed, etc.), medications, group home care, in-home caregivers, nursing home care
and respite care for parents. For some individuals the cost of the care paid by Medicaid
can come to several thousand dollars per year. People who receive SSI will
automatically receive Medicaid benefits.

To qualify for SSI or Medicaid the assets that your child owns directly cannot exceed
$2,000. There are a few assets that are not included in this $2,000 amount including a
car, a residence, household furnishings and certain burial arrangements. If your estate
plan leaves your disabled child an outright bequest at your death the result is that your
child will not longer be eligible for SSI or Medicaid benefits.

Special Needs Trust
There is a way to provide for your disabled child in your estate plan while still preserving
your child’s SSI and Medicaid benefits. If you leave the bequest for your disabled child
to a special needs trust instead of directly to your child, SSI and Medicaid eligibility will
not be threatened. If the special needs trust is properly drafted the assets in the trust will
not be considered to be owned by your child and therefore not included in the $2,000
asset limit for SSI and Medicaid eligibility.

A special needs trust directs the trustee to supplement government benefits received by
the disabled person, not replace those benefits. The trustee cannot be required to support
the trust beneficiary and instead must be given absolute discretion to make distributions

 

 Isenhour Bleck P.L.L.C.
Suite 2020, 1200 Fifth Avenue  Seattle, WA 98101 Tel: (206) 340-2200  Fax: (206) 382-9109