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The Elder & Disability Law Center
Washington, D.C. • Tysons Corner, Virginia • Laytonsville, Maryland

Practice Areas

Supplemental Needs Trusts

Ensuring the Continuity of Public Benefits

Supplemental needs trusts are designed to supplement the public benefits, namely Medicaid, Supplemental Security Income (SSI), and Section 8 Housing, received by disabled children or adults. Public benefits typically provide only for a disabled person’s minimum benefits. A properly drafted supplemental needs trust can greatly increase and enhance the quality of life of an individual with a disability and limited resources.

Public Benefit Requirements and Limitations

Eligibility for public assistance programs generally requires that an individual be disabled as defined by the Social Security Administration and have very limited resources: usually less than $2,000. If an individual who receives public benefits holds resources in excess of $2,000, their eligibility for public benefits may be jeopardized.

A properly drafted supplemental needs trust allows a disabled individual to receive significant benefits that would supplement and not supplant public benefits, such that he or she can continue to be eligible for public benefits. At EDLC, our lawyers work with families to both maximize a loved one’s public benefits, such as Medicaid and SSI, and ensure that the individual also receives the maximum benefits from a supplemental needs trust. We assist trustees in the administration of the supplemental trust, and we often serve as trustee for clients who desire our assistance in this way.

What a Supplemental Needs Trust Can Do

A supplemental needs trust can take resources of a disabled loved one – resources that if kept by him/her would disqualify him/her from public benefits – and put the money into a trust. The trust can pay for supplemental care that is not provided by public benefits such as housekeeping; telephone service; personal items; entertainment; personal services; repairs and maintenance; disability/geriatric case management evaluation and services; luxuries; training; education; outings; vacations; fuel; travel and transportation; vehicles; costs to make vehicles and facilities accessible; companion services expenditures so that family and friends can visit; funeral and burial; dental care; and speech, physical and other therapies.

A supplemental needs trust is administered by a trustee. At EDLC, we specialize in assisting families in setting the goals of a supplemental needs trust, selecting the type of trust, drafting the trust, providing guidance and directions to the trustee and administering the trust.

Types of Supplemental Needs Trusts

There are different types of supplemental needs trusts. The basic distinction is between a supplemental needs trust created with resources of the disabled individual generally known as a d4A supplemental needs trust and a supplemental needs trust created with a third-party’s money, usually from a parent’s, child’s, grandparent’s or sibling’s resources. A third-party created trust is usually called a c2B supplemental needs trust.

In order to best understand the distinctions, requirements, and limitations, one should consult with an experienced Elder Law attorney. At EDLC, we can provide you with guidance to navigating through this complicated field. To schedule a consultation regarding a supplemental needs trust for your child or adult relative with a disability, contact us.

A pooled supplemental needs trust can also be utilized with a disabled individual’s resources. A pooled trust is generally established and run by a nonprofit organization dedicated to serving the disabled community. The pooled trust combines the resources of individuals who join the pooled trust. The disabled individual has a separate account, but the assets are combined and invested together. The investment trustee is usually a bank or financial institution and there is a master trust agreement. Each individual, or his/her guardian or parent, signs a joinder agreement to join the trust.

Selecting the appropriate type of supplemental needs trust, as well as understanding the administrative and reporting requirements can be a daunting task. On the other hand, it is a very effective tool for enhancing the life of an individual with a disability. Contact EDLC for either a one-time consultation or comprehensive representation to help you establish a supplemental needs trust.

The Elder & Disability Law Center
1111 19th Street, N.W., Suite 760
Washington, D.C. 20036
phone: 202-452-0000
fax: 202-463-2757

Virginia Office
1950 Old Gallows Road
Suite 700, Tysons Corner
Vienna, VA 22182

Maryland Office
5515 Riggs Road
Laytonsville, MD 20882

The Elder & Disability Law Center, with its main office in Washington, D.C., also has offices in Tysons Corner, Virginia, and Laytonsville, Maryland. We serve clients throughout the District of Columbia, Maryland and Virginia, including Fairfax, Arlington, Prince William, Stafford, Fauquier and Warren counties, and the cities of Alexandria, Falls Church and Vienna in Virginia; and Montgomery, Prince George's, Howard and Anne Arundel counties, and the cities of Bethesda, Silver Spring and Annapolis in Maryland.