ELDER LAW
HOW
ARE INCOME CAP TRUSTS USED?
An Income Cap Trust is a technique that is used to make a person
"income" eligible for Medicaid by assigning that person's income to the
Trust. The Income Cap Trust does not require any advance planning, it is
not a long range planning tool, and is typically used in a crisis
situation when the person applying for Medicaid requires care.
WHO CAN CREATE AN INCOME CAP TRUST?
If the person applying for Medicaid benefits is too ill or disabled to
sign a trust, his or her agent under a Durable Power of Attorney can
create the trust. If the person is too disabled to understand that he or
she is creating a trust, and has not appointed an agent to act as power
of attorney, it will be necessary to have the court issue a protective
order or appoint a conservator to establish the trust.
HOW DO I ESTABLISH THE INCOME CAP TRUST ACCOUNT?
Once the trust is established, the next step is to create a bank account
in the name of the trust. Only the income of the person receiving
Medicaid (known as the trust "Beneficiary") can be placed in the
account. It may not contain any other resources.
HOW ARE THE FUNDS IN THE INCOME CAP TRUST SPENT?
Complex federal and state rules govern how the income in the trust is to
be spent. In Oregon, during the life of the Beneficiary, the income in
the trust is used each month to pay the following expenses, in the
following order of priority:
A. Personal Needs Allowance/ Maintenance Standard: A fixed amount
to the Beneficiary for the Beneficiary's personal needs plus, for people
receiving in-home care or assisted living or foster home care, an amount
for room and board, which may be payable to the care facility.
B. Administrative Costs: $50 per month to cover the
administrative costs associated with the maintenance of the trust. These
costs may include any bank service charges,
trustee fees, preparation of yearly tax returns, copy charges, postage,
or tax preparer fees, and any income tax attributable to income placed
into or generated by the trust.
C. Spouse and Family: A monthly support allowance for the spouse
and family.
D. Health Insurance: The health insurance premium for the
beneficiary and the beneficiary's spouse.
E. Other Reserves: Other incurred medical care costs that are not
reimbursed by a third party.
F. Patient Liability: Any remaining funds are paid to the
facility. This is the amount of Beneficiary's income to be paid toward
his or her care.
When the beneficiary dies, any remaining funds in the Trust must be paid
to the State.
WHAT IS THE COST TO CREATE AN INCOME CAP TRUST?
Like most things, the amount of time and effort involved in setting up
the Income Cap Trust will effect the cost. The cost can vary, especially
if court time is involved to establish the trust or to have a
conservator appointed. Also adding to the cost is the time the attorney
spends drafting the trust and creating a distribution schedule that
complies with the above mandatory distribution standards. Establishing
an Income Cap Trust is not an inexpensive proposition. However, using a
"cost versus benefit analysis," even though the process involves an
up-front cost, making the person eligible for benefits will repay the
costs of establishing the trust in a very short period of time.
WHERE CAN I GET MORE INFORMATION OR HELP WITH AN INCOME CAP TRUST?
An Elder Law Attorney or an attorney experienced in Medicaid can answer
any questions you have and determine if this type of a trust is an
option for you
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SOCIAL SECURITY LAW
WHAT IS SOCIAL SECURITY DISABILITY?
Social Security Disability is a complex group of programs that provides
financial and medical benefits for qualifying individuals who are unable
to work before their normal retirement age.
WHAT PROGRAMS ARE AVAILABLE?
The main programs are:
-
Adult Disabled Child (DC).
-
Social Security Disability (SSDI).
-
Supplemental Security Income (SSI).
-
Widows and Widowers benefits.
WHAT DOES IT TAKE TO QUALIFY FOR THE DIFFERENT DISABILITY PROGRAMS?
Generally, the requirements for these programs are:
-
Adult Disabled Child.
(DC):
A deceased or disabled parent and proof of disability before the age
of 22.
-
Social Security
Disability. (SSDI) Disability:
forty quarters of work, and disability beginning within five years
of the qualifying work.
-
Supplemental Security
Income. (SSI) Disability:
resources of less than $3000 ($2000 for a single person) and no
substantial income from other sources.
-
Widows and Widowers.
Disability, the marriage lasting over two years and being over the
age of 50.
ARE
THERE ANY BENEFITS FOR MY CHILDREN?
Auxiliary benefits, now about $400 per month, may be available for your
children. These benefits are not available with all of the disability
programs. Additionally, child¬ren with severe physical or mental
problems may be able to draw Supplemental Security Income on their own.
CAN I GET DISABILITY IF I AM STILL WORKING?
Generally, full time work precludes a finding of disability. Part-time
work and work with wages below certain levels, about $800 per month in
recent years, may still allow the person to obtain disability. A
Supplemental Security Income recipient can also earn wages but the SSI
benefit is reduced approximately one dollar for every two dollars
earned.
DO I REALLY NEED A LAWYER TO GET MY BENEFITS?
The approval rate for disability suggests that the majority of
applicants do not get disability when they first apply. In 2003,
approximately 3'/2 million Americans applied for either Social Security
Disability or Supplemental Security Income benefits. Almost 63% were
denied benefits. Of those that appealed the denial, 85% were again
denied benefits. However, over 60% of those who appealed to an
Administrative Law Judge were granted disability benefits
(Source, Social Security Forum, February, 2004).
WHAT IF I CAN NOT AFFORD A LAWYER?
Maybe a better question is, "Can you afford not to have a lawyer?."
Remember, you have to win your case before you can receive any money
from Social Security.
WHAT IF I DON'T HAVE ANY MONEY NOW?
You do not need to pay any money up front to a lawyer to help you.
Social Security lawyers get paid on the "contingency" fee basis. This
means the lawyer only gets paid for the time spent on your case if you
are awarded disability benefits. The legal fee then is only 25% of the
money that is owed to you from the date you are found disabled. A lawyer
does not get any payment from your monthly benefit after he or she has
won your case.
HOW SHOULD I PICK A LAWYER TO REPRESENT ME?
One thing to consider is how much time the lawyer spends on Social
Security law. Generally, the more cases a lawyer does, the better he or
she becomes in that area. Lawyers specializing in Social Security
Disability typically do 50, 60 or more Social Security hearings each
year.
I AM STILL NOT SURE. WHAT SHOULD I DO NOW?
Call a lawyer. Social Security lawyers will not charge you anything to
discuss your case. There is simply too much at stake for you not to get
the best help available. Your Social Security Disability payment, and
your future financial wellbeing, depend on what you do now. Don't gamble
with your benefits.
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ESTATE PLANNING
What
is probate?
Probate involves the process that transfers legal title of property (the
probate estate) from the person who died (the "decedent") to his or her
beneficiaries. The probate process also provides for paying outstanding
debts and taxes of the estate. Probate sets a deadline for filing claims
by creditors against the probate estate. This forecloses any old or
unpaid creditors from hounding heirs or beneficiaries after the probate
estate is closed. Probate then allows for distribution of the remainder
of the probate estate's property to one's rightful heirs. The expense
and delays of probate can often be avoided with a properly drafted
trust. However, in cases where probate is necessary, we can guide you
through the process.
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Estate Planning...
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