We work with families who have a loved one with a disability to create an estate plan that provides funds to enrich the quality of that loved one’s life, while preserving their eligibility for public benefits through the use of carefully-crafted supplemental needs trusts.

We also co-counsel with other law firms that have expertise in estate planning, but not in supplemental needs trusts, to assist them with the supplemental needs planning aspect of their clients’ estate plans.

For those who are new to supplemental needs trust planning, we invite you to review the following content to help prepare for a consultation.

Doug Tomlinson photography

Helpful Post-Planning Links

Engaging in thoughtful supplemental needs planning is one of many tasks in arranging for your loved one’s future. There are a few other resources you might find helpful in facilitating the future care of your loved one.

Prepare for a supplemental needs planning consultation

If your child has a disability that is expected to last 12 months or longer and that renders them (or might render them as an adult) unable to support themselves, or live fully independently, they might be eligible to receive public benefits now or in the future.  Public benefits can be divided into two categories: entitlement benefits and need-based benefits.  Entitlement benefits, including SSDI (Social Security Disability Insurance) and Medicare, are based upon the prior work record of a disabled person or their deceased, disabled, or retired parent, and such benefits do not have asset limitations.  Need-based benefits, including SSI (Supplemental Security Income) and Medicaid, require that a person with a qualifying disability have only limited assets (generally less than $2,000, excluding certain exempt assets, such as a home and personal effects) and limited income.

Historically, if parents wished to leave assets in excess of $2,000 for the benefit of their child with special needs, there were only two choices. They could leave assets directly to the child or to a traditional health, support, and education trust for the child’s benefit, in which case the child would be disqualified from SSI and Medicaid until those assets were exhausted. Alternatively, in the hope of preserving needs-based government benefits, parents could leave assets to a sibling of the child with special needs or to another close family member or friend, with the hope that the recipient would use those assets for the child’s benefit. However, the recipient would be under no legal obligation to use the assets for that purpose.

Over the last few decades, a better solution has been developed and enshrined in federal law and the law of most states, including Illinois. Funds for the benefit of an individual with special needs can be set aside in a supplemental needs trust, to be used to enrich the individual’s life without disqualifying the individual from receiving SSI or Medicaid. Supplemental needs trusts come in two varieties, third-party supplemental needs trusts and first-party supplemental needs payback trusts.

A third-party supplemental needs trust (also known as a “third-party SNT”) is created and funded during life or at death by the individual’s parents or other third parties. Trust funds are to be used to enhance the individual’s quality of life by providing goods and services not covered by government benefits. Upon the individual’s death, the government is not entitled to reimbursement from the trust, and the remaining assets in the trust pass to other beneficiaries who were designated by the creator of the trust. A third-party SNT may be funded at the time the trust is created or at a later date, such as the death of the surviving parent.

A supplemental needs payback trust (also known as a “(d)(4)(A) trust” or “OBRA trust,” in reference to the applicable federal statute, a “payback trust,” or a “first-party SNT”) is a way to preserve public benefits if an individual with a disability has or acquires assets in their own name. A payback trust may be created by the individual, the individual’s parent, grandparent, or legal guardian, or by a court, and the individual’s own assets may be transferred to the payback trust before the individual reaches the age of 65 without incurring a penalty for purposes of Medicaid or SSI eligibility. Like the third-party SNT, a payback trust may be used to enhance the individual’s quality of life by providing goods and services that are not covered by public benefits. However, unlike the third-party SNT, if trust assets remain at the individual’s death, Medicaid must be reimbursed from those trust assets for any benefits it provided to the individual during their life.

Even if your child with special needs presently has no assets of their own, they might acquire funds in the future. For this reason, it may be appropriate to create both a third-party SNT and a payback trust.

When creating a supplemental needs trust, you first need to determine how that trust will be funded.

In the case of a payback trust, funding is primarily done with the assets of the child with special needs before their application for Medicaid or SSI. However, if the payback trust is created by a parent or grandparent, the Social Security Administration requires that the parent or grandparent fund (“seed”) the trust with a small amount of their own assets (for example, $20) before the child’s assets are contributed to it.

In the case, of a third-party trust, the options are more varied.  If you are a parent of a child with special needs and one or more other children, you should consider whether you wish to treat your children equally for inheritance purposes, or whether you wish to direct a larger share of your estate to the supplemental needs trust for your child with special needs. Some parents choose to obtain a separate life insurance policy payable to the supplemental needs trust to ensure that the trust has at least a certain minimum level of funding at their death. We would be happy to discuss the various alternatives with you when we meet.

The trustee is responsible for investing trust assets, making distributions from the trust for the benefit of the child, maintaining records of all trust income and expenditures, and doing required tax reporting, all in accordance with the terms of the trust agreement and applicable law. The trustee must be careful to administer the trust in a manner that will not cause a reduction or loss of the child’s public benefits.

As a result, one of the most important choices in doing supplemental needs planning is selecting a succession of trustees that have the time, trustworthiness, and financial savvy necessary to serve effectively.

We can help you discuss trustee alternatives when we meet.

In general, because public benefits are intended to provide for basic food, shelter, and medical care, supplemental needs trust funds should not be used for these purposes unless the child’s public benefits, if any, have first been exhausted. In addition, the trustee should not distribute trust assets directly to the child, but should instead use those funds to pay for goods and services that will enrich the quality of the child’s life. For example, the trustee may pay for the child’s dental care, education expenses, home electronics, recreational programs, and travel costs, among many other expenses.

The trust should name persons or charities to receive any remaining assets upon the child’s death, subject to Medicaid reimbursement in the case of trusts funded with the child’s own assets (as discussed in the “Supplemental Needs Payback Trust” section).

In order for a supplemental needs trust to accomplish its intended purpose, it must be coordinated with your other estate planning documents, including wills and living trusts, as well as with your life insurance and retirement plan beneficiary designations, so that any assets you are leaving for the benefit of your child with special needs will not be distributed to them directly but will instead be directed into the supplemental needs trust. Likewise, if other family members or close friends wish to leave an inheritance to that child, it will generally be advantageous to have them direct that inheritance to the supplemental needs trust.

In addition to preparing supplemental needs trusts, we assist families with comprehensive estate planning, including the review and creation of wills, living trusts, insurance trusts, powers of attorney, and other estate planning documents, and could work with you to integrate your overall estate planning with the supplemental needs trust.

Under the Achieving a Better Life Experience Act passed in 2014, individuals with a qualifying disability that commenced before age 26 may benefit from tax-free savings accounts for their “qualified disability expenses” without interfering with their eligibility for means-tested public benefits. These accounts are known as ABLE accounts.

The ABLE Act was patterned after the prior law authorizing 529 college savings plans, and, like with 529 college savings plans, each state may enact its own ABLE program and may choose to offer that program both to residents of that state and to residents of other states. Illinois and most other states have established ABLE programs. The ABLE National Resource Center summarizes the different state ABLE programs and provides tools to compare those different state programs.

ABLE accounts are subject to certain restrictions, annual funding limits, and administrative requirements, and, in most cases, they are not a complete substitute for supplemental needs trusts. However, for many families that have a child with disabilities, an ABLE account can be a very useful tool.

This chart compares the attributes of ABLE accounts with those of third-party supplemental needs trusts, first party supplemental needs trusts, and pooled trusts.

Our process

Step 1.

Click below to complete a short inquiry form.

We will review your information, run a conflict check to confirm there are no conflicts, and then contact you to schedule an initial consultation.

Step 2.

Once we have connected with you (but before your initial consultation), complete our confidential estate planning questionnaire.

Step 3.

Locate any existing wills, trusts, real estate deeds, and other estate planning documents you have previously signed and either send copies to us before (or bring them to) your initial consultation.

Step 4.

To help prepare for your initial consultation, review background information on estate planning and supplemental needs planning.

Step 5.

Begin contemplating the decisions you will need to make as part of the planning process.

Decisions

In order to make the most out of your initial consultation, we recommend that you spend a little time prior to the consultation considering some of the primary estate planning and supplemental needs planning decision points.

Often the most difficult aspect of estate planning is choosing your desired guardians, executors, trustees, and agents for your financial and medical affairs. The following describes these various roles, and we can discuss the duties associated with each of them in more detail when we meet:

Health Care Agent

The person who will make health care decisions for you in the event of your incapacity.

Guardians

The person or persons who will care for your minor children or adult disabled children if you are deceased or incapacitated.

Executors, Trustees, and Property Agents

The person, bank or trust company, or combination of the two that will handle your financial affairs in the event of your death or incapacity. Although married couples may have different financial decision-makers, it is often advantageous for them to coordinate those choices.

There are different schools of thought regarding the relationship between guardians and trustees. One school favors naming the same choices for each to simplify trust administration. Another school favors purposely naming different choices for each in order to have checks and balances.

We generally recommend an alternative approach: select your best choices for each role, without consciously trying to make them the same or different.

In addition to determining who will manage your affairs in the event of your death or incapacity, you will, of course, need to determine how you want your assets to be distributed at your death.

The following are some of the primary questions for you to answer in determining the distribution of your assets:

  • At your death, do you want to make any gifts of cash or other assets “off the top” to any individuals outside of your immediate family or charities?
  • If you are married:
    • Do you want all of your remaining assets to pass to or for the primary benefit of your spouse, or would you prefer to divide the remaining assets between your spouse and your children?
    • Would you prefer that assets pass to your spouse outright (so that your spouse can simply add those assets to their own) or in trust?  Leaving them in trust, while adding complexity, might help minimize estate tax at the second death, provide some creditor protection to your spouse, and increase the likelihood that the remaining assets will pass to your children at your spouse’s later death.
    • At your spouse’s death do you want to make any gifts of cash or other assets “off the top” to any individuals outside of your immediate family or charities?
  • If you have children other than your child with special needs:
    • Would you want a trustee to hold the assets in a single fund for all of your children (including your child with special needs) until the oldest or youngest reaches a certain age or instead to immediately divide those assets into separate shares for your children?
    • When assets are divided among separate shares for your children, would you want those shares to be equal or in some other proportion (for example, would you want your child with special needs to receive a double share)?
    • Have your children (other than your child with special needs) reached an age at which you would want them to receive their inheritance outright or would you prefer that their inheritance be retained in trust?
    • At what age or ages would you want your children (other than your child with special needs) to gain control of their inheritance either by having withdrawal rights or becoming their own trustee? When we meet, we can discuss the relative advantages and disadvantages of granting each of your children withdrawal rights versus allowing them to become their own trustee.

Even though it might be intended that your property ultimately will pass to your spouse (if you are married) or descendants, you should determine whom you wish to name as contingent beneficiaries. Contingent beneficiaries are those individuals or charities that will receive any remaining trust property if, at some point in the future, you are not alive and you have no living spouse or descendants.

Some common choices are as follows:

  • Assets divided among a list of individuals and/or charities, either equally or with different percentages among them.
  • Assets divided among family members (or, for married couples, with one-half going to each side’s family), and then further divided between parents, siblings, and/or nieces and nephews.
Special thank you to nature photographer Doug Tomlinson for allowing us to use his artwork throughout this site. All imagery is copyrighted by the artist and may not be reproduced.