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Best Practices: Matters of Trust
Best Intentions
Danna Voth
12/01/2004

Robert and Evelyn Hausslein of Lexington, Mass., knew within a few years of their son Tommy’s birth that he was mentally retarded. “We became aware of the need to build wills and estate planning around that,” Robert recalls. Hausslein and his wife were happy that they had the means to care for Tommy, but they nonetheless needed to be sure that their help did not jeopardize his government benefits, such as Medicaid. The health insurance provided by Medicaid was important, despite the family’s affluence, Hausslein explains, “because medical expenses are just open-ended. You never know what’s going to happen.”

“With a special-needs trust I’m able to help her to have a lifestyle that’s more than just being maintained.”
To remain eligible for government benefits, Tommy could not personally own assets worth more than $2,000. In fact, he once lost his benefits, and the family spent months regaining his eligibility. “I was so frustrated,” Hausslein says. “I said, ‘Do you mean that if he has $2,000.01 he is disqualified, but if he has $1999.99, he’s OK?’ The answer was ‘Yes.’ ”

By establishing a third-party, special-needs trust, the Haussleins were able to secure their son’s financial future. This legal instrument, a fiduciary tool that holds and disburses funds for the benefit of a child with special needs, can supplement government benefits the child may receive without putting them at risk.

With a carefully designed special-needs trust, we can find some gratification in knowing those who depend on us will be well cared for after we die. Andrew Crim of Ashland, Mass., has set up such a trust for his daughter, Carolyn, who has cerebral palsy and is mentally retarded. The trust will be funded upon his death; he says having it is critical to his peace of mind. “With a special-needs trust, I’m able to help her to have a lifestyle that’s more than just being maintained,” he explains.

The Benefit of Benefits
As the Haussleins discovered, monetary gifts and awards that we make to our children—anything more than $2,000 a year in value—can disqualify them from receiving essential government benefits. Theresa Varnet, an attorney with Spain, Spain & Varnet in Chicago, who has a daughter with special needs, says, “Unfortunately, most of our kids, mine included, will never be able to get health insurance on their own. Depending on the magnitude of the medical condition that the child has, it’s almost impossible to self-insure.”

In addition to securing access to public programs such as Medicaid, special-needs trusts protect a child’s right to services and equipment needed by people with disabilities that are only available through government programs. Certain items may even be unattainable without public assistance. “Agencies might have better access to some kinds of durable medical equipment than someone who wants to pay for them,” says John Nadworny, a certified financial planner with Bay Financial Associates in Waltham, Mass., who advises parents on establishing special-needs trusts. Nadworny notes that even when we insist on paying the costs of our child’s special-needs care, we may not have that option. “Some agencies are not set up for private pay.”

To maintain our children’s eligibility, our wills, retirement accounts, legal settlements and insurance policies should list the trust—and not our children—as the beneficiary. All of our friends and relatives, our child’s caregivers and people assisting us with fiduciary documents should understand the necessity of keeping assets out of our child’s name. Our child cannot receive any checks or cash from the trust, even if it is only pocket money.
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