Self Funded Payback Trust 2

The Life’sPlan, Inc. Self Funded Payback Trust was created in January of 1997 to provide individuals with disabilities, the elderly and their families with a mechanism for meeting the supplemental needs of the individual. The Self Funded Payback Trust is an individual or pooled trust which is available to individuals with disabilities, the elderly, and their families to permit them to use assets of the individual or the individual’s spouse to supplement services for the individual while maintaining or becoming eligible for state and federal entitlements. The Trust operates through individualized Life Care Plans to arrange for supplemental services for the individual. The Self Funded Payback Trust is available to any individual with a disability and the elderly who has assets which they would like to place in a trust.

Medicaid and other government benefit programs consider the resources and income of an individual for purposes of determining eligibility for assistance and the amount of such assistance. A supplemental needs trust may be established for an individual with a disability and the elderly without jeopardizing the individual’s eligibility for Medicaid and other government entitlements.

How does the trust operate?

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The Self Funded Payback Trust enables an individual to place assets, savings, investments, real estate, insurance payments or settlements, etc. in a protected mechanism which will result in the individual being able to maintain or become eligible for Medicaid benefits. The funds in the Trust can then be used to supplement the lifestyle of the individual with a disability and the elderly by providing extras to meet personal needs, leisure time activities, training, clinical services, and transportation.

The Trust accepts, holds, and invests the assets of each family participating in the Trust.

Life’sPlan, Inc. Pooled Trusts
Life’sPlan, Inc. Pooled Trusts assets are commingled in a pooled portfolio for investment purposes with all returns on investments credited proportionately to each “private subaccount.” All funds received by the Life’sPlan, Inc. Board of Trustees are invested in a conservative Growth and Balance income portfolio offered through the financial institution that provides investment services for Life’sPlan, Inc.’s pooled trust. Expenditures for specific individuals are charged against that individual’s subaccount.

Trust Asset Consideration
An individual’s participation in the Trust can be financed by making a transfer of cash or other assets, either immediately, or over time as through a structured settlement. Assets an individual receives as a result of a personal injury settlement or inheritance could be placed in the Trust.

What are the fees?
An initial enrollment fee of $775.00 is charged for the initiation of an account and the development of the initial individualized Life Care Plan disbursement agreement. An annual fee of $750.00 is charged each year thereafter.

An Annual Bank Management Fee and an Annual Asset Value Fee are charged on all accounts to cover the usual and customary services of the account

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How does participation affect public benefits?
The Health Care Financing Administration (HCFA) of the United States Department of Health and Human Services has provided that assets of an individual which are placed in a trust of this nature will not count in determining Medicaid eligibility for the individual.

These assets will not count as resources in determining eligibility under the Supplemental Security Income (SSI) program of the Social Security Administration and for Medicaid eligibility under the Centers for Medicare/Medicaid (CMS) and the Illinois Department of Healthcare and Family Services. (IDHFS).

These two federally funded public benefits are the primary means-tested support programs to people with disabilities and their families.

What happens to the funds remaining in the trust when the individual dies or terminates their participation?
With Life’s Plan, Inc. Individual Self Funded Payback Trust the assets remaining in the Trust Fund are first distributed to any State to the extent necessary to provide for reimbursement of expenditures (to the extent such expenditures have not already been reimbursed from any other source) on behalf of the individual by the Illinois Department of Healthcare and Family Services and the Illinois Department of Human Services, or other applicable State agency.

The balance to the account for the individual is distributed to the State of Illinois, or any other State, to the extent necessary to provide for reimbursement of expenditures (to the extent such expenditures have not already been reimbursed from any other source) on behalf of the individual by the Illinois Department of Healthcare and Family Services and the Illinois Department of Human Services, or any other applicable State agency.

The balance to the account for the individual is distributed to the State of Illinois to the extent necessary to provide for reimbursement of expenditures (to the extent such expenditures have not already been reimbursed from any other source) on behalf of the individual by the Illinois Department of Healthcare and Family Services and the Illinois Department of Human Services.

The balance of the account is distributed as designated in the instrument of transfer into the Trust or as the individual may appoint or if no direction is made then to Life’sPlan, Inc.

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Please Note:
The average cost for private pay in a nursing home today is nearly $86,000 per year. The average cost to support an individual with a disability in the community is approximately $50,000 per year. Unless the individual has a sizable trust it is very likely that the payback lien imposed by the Illinois Department of Healthcare and Family Services and the Illinois Department of Human Services will exceed the balance of the account in the trust.

Opting to have the balance of the account retained by the pooled trust to support not for profit entities that provide services to indigent individuals with disabilities may be a more preferred option over the state.

Summary
The Self Funded Payback Trust allows individuals to use their assets to provide for supplemental services or supports, while maintain eligibility or meeting qualification for means tested programs such as Supplemental Security Income (SSI) and Medicaid.