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When You Should Consider Using a Special Needs Trust for a Client

Key Takeaways

  • Consider a Special Needs Trust when a settlement would otherwise cause needs-based benefits loss.
  • Use an SNT to preserve Medicaid and SSI eligibility while allowing supplemental support.
  • Establish the trust before settlement distribution to avoid disqualifying transfers.
  • Coordinate settlement structure and trust funding to ensure compliance and protection.

Meet the Author

Greg Maxwell, Esq. CFP®

Greg Maxwell is an attorney, Certified Financial Planner, and settlement planner. He specializes in settlement tax planning, government benefits planning, and financial planning for plaintiffs and plaintiff attorneys.

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Understanding Special Needs Trusts and Government Benefits

If you have a client who is disabled and receives Medicaid or Supplemental Security Income (SSI), some planning needs to be done before settlement to make sure the client maintains eligibility for those needs-based government benefits.

One of the most popular settlement planning options for disabled clients is to place the settlement funds into a special needs trust. A special needs trust is an irrevocable trust established for the benefit of the client who receives Medicaid and SSI eligibility.

When a Special Needs Trust Is the Right Choice

As a plaintiff attorney, it's important to know when to consider a special needs trust for a client with a settling case. It is an excellent option for clients who can't or don’t want to spend down their settlement proceeds on allowable items in the calendar month the funds received (this approach is often referred to as a “spend-down”).

Funds placed into a special needs trust are not counted by Medicaid and SSI when determining ongoing eligibility for those benefits. 

The types of distributions allowed from a special needs trust are quite broad. The basic underlying principle is that the funds should be used for the benefit of the beneficiary (the disabled party for whom the trust was established). Read more about special needs trust distribution guidelines in our separate post.

Generally speaking, the funds in a special needs trust can pay for most everything that the client needs — except for food and shelter expenses. Food and shelter expenses are to be paid by the funds received from SSI. 

Knowing when to consider a special needs trust for a client can help keep the government benefits they are receiving even after obtaining a settlement. If you have a client on Medicaid or SSI, give us a call. We can walk you through the specifics of special needs trusts, see if it may be a good fit for your client, and provide expert guidance on trusts and asset management.

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