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Title: Resources: Supplemental Security Income


1
Resources Supplemental Security Income
  • Presented by
  • John Benbow
  • ERI/WDBN
  • October 15, 2009

2
Resources for SSI
One of two need criteria in determining SSI
eligibility
  • A persons countable resources need to be within
    certain limits
  • General expectation is that individuals or
    couples whose resources exceed the applicable
    limit will use excess to meet their needs before
    becoming eligible for SSI benefits
  • POMS SI 011

3
Resources and Assets
  • An asset is any item of economic value owned by
    someone
  • Not all assets are resources for SSI

4
Resources and Assets
  • Resources for SSI are
  • cash and
  • personal and real property that a person owns,
    can convert to cash, and cannot legally be
    restricted from using for support and maintenance
  • Some resources are not countable for SSI

5
Property as Resource
  • Property of any kind (including cash) cannot
  • be an SSI resource unless person has
  • Legal ownership interest, and
  • Legal right to access (right to spend or convert
    property), and
  • Legal right to use property for own support and
    maintenance

6
Value of Resources
  • Value of a resource is normally amount of
    persons equity in it.
  • Current Market Value (CMV) of a resource is going
    price for which it can reasonably be expected to
    sell on the open market in particular geographic
    area involved.

7
Value of Resources
  • Equity value (EV) is the CMV of a resource minus
    any encumbrance on it.
  • Encumbrance is a legally binding debt against a
    specific property.

8
SSI Resource Limits
  • Countable resource limit -
  • 2,000 for single recipient, 3,000 for couple
  • 1619(b) recipients subject to same limits.
  • Resources in excess of limit on first moment of a
    month will make recipient ineligible for all SSI
    cash benefits for that month.

9
Resource Limits contd
  • Ineligibility will continue until resources fall
    below limit on 1st of a following month.
  • If excess resources continue for twelve (12)
    consecutive months, new application needed to
    become eligible for SSI again.

10
Children and Deeming
  • Resources of ineligible parent(s) deemed to child
    even if not made available to child
  • Limit is 2000 plus 2000 (one parent) or 3000
    (two parents)

11
Children and Deeming
  • If more than one SSI eligible child in household,
    value of deemed resources divided equally among
    them
  • Normal exclusions apply
  • Pension funds of ineligible parent(s) excluded
    from resources for deeming

12
Resource Limit Exception
  • If an overpayment is caused solely by countable
    resources (including resources deemed to the
    individual) exceeding the limit by 50 or less,
    SSA presumes without fault.
  • Neither without fault nor a waiver of the
    overpayment will be granted if individual
    willfully and knowingly failed to report the
    value of the resources accurately and timely.

13
Conditional Payments
  • If resources exceed limit but include non-liquid
    ones that may take months to convert to cash for
    support and maintenance.
  • All other eligibility factors must be met.
  • Countable liquid resources cannot exceed resource
    limit of 2000 or 3000.

14
Conditional Payments
  • Must agree in writing to refund all SSI money
    received at the end of a certain period
  • normally 3 months for personal property
  • 9 months for real property
  • Payments are overpayments to be repaid

15
Types of Countable Resources
  • Non-home real property lands, buildings,
    immovable objects on such land
  • Life estates
  • Checking, savings accounts, time deposits
  • Stocks, bonds, notes
  • Life insurance with cash surrender value

16
Home
  • Persons home is excluded regardless of value
  • Includes shelter in which person lives and its
    land and related buildings
  • Must be principle residence if gone, intends to
    return or dependent relative still there

17
Home
  • If excluded home sold, proceeds are excluded if
    another home purchased within 3 months.
  • If recipient has made reasonable efforts to sell,
    exclusion continues for as long as person tries
    to sell it.
  • If home used for self support activities, it is
    still excluded.

18
Jointly Owned Real Property
  • When ownership of home shared and recipient
    moves, value of ownership interest in property is
    excluded for as long as sale of property would
    cause undue hardship to co-owner
  • Uses the property as his or her principal place
    of residence, and
  • Would have to move if the property were sold, and
  • Has no other readily available housing.

19
Vehicle
  • One automobile per household excluded regardless
    of value if used for transportation
  • May be car, truck, cycle, boat, animal as long as
    used for transportation
  • Recreational only or junked vehicles not
    excluded (these are not personal items either)

20
Vehicle
  • If multiple vehicles owned, exclusion applied in
    way most advantageous to recipient
  • Equity value of other vehicles count as resource
    if not excluded otherwise (PASS, PESS,
    Conditional Payments)

21
Personal Belongings - Excluded
  • Household items - personal property found in or
    near the home, used on a regular basis and items
    needed by householder for maintenance, use and
    occupancy of the premises as a home
  • Personal effects - personal property ordinarily
    worn or carried by the individual and articles
    otherwise having an intimate relation to the
    individual
  • NOT items acquired or held because of their value
    or as an investment

22
Retirement Funds
  • Countable if can be withdrawn as lump sum (even
    though not eligible for periodic payments)
  • If periodic benefits available, must apply for
    those benefits to be eligible for SSI
  • If choice between periodic benefits and lump sum,
    must choose benefits
  • Not countable if recipient must terminate
    employment to obtain
  • Deemors retirement funds excluded

23
Grants, Scholarships, Fellowships
  • Excluded for 9 months if used for tuition, fees,
    and other educational expenses (not for food and
    shelter)
  • Student financial aid received under HEA Title IV
    or BIA programs is excluded from income and
    resources regardless of use PELL, Work-Study,
    Federal loans, others

24
Life Insurance
  • Life insurance with Cash Surrender Value (CSV)
    may count as resource.
  • Life insurance is excluded if Face Value (FV)
    total is 1,500 or less.
  • If FV of life insurance over 1500, CSV is a
    countable resource.
  • Term life insurance not counted toward 1500 FV
    total.
  • Dividends of excluded life insurance excluded as
    income.

25
Burial Funds
  • Up to 1,500 can be set aside for burial expenses
    for recipient and also for spouse does not need
    to be in irrevocable form
  • Pre-burial expenses embalming, cremation,
    flowers, funeral home staff, etc.
  • Counting toward 1,500 limit is face value of
  • life insurance
  • burial insurance
  • burial contract funded by life insurance
  • prepaid revocable or irrevocable burial
    contracts for burial funds

26
Burial Spaces
  • In addition to burial funds
  • Recipient may have burial space agreement that
    is the purchase of space held for burial
  • Excluded regardless of value
  • Includes space, vault, markers, containers,
    arrangements opening/closing grave
  • May include only one item that serves the same
    purpose per person
  • Space exclusion applies to deemors and members of
    immediate family

27
Trusts
  • Property held by individual or entity called
    trustee who uses the property for beneficiary.
  • Trusts established with assets of an individual
    (or spouse) will be considered a resource for SSI
    with certain exceptions, e.g. irrevocable trusts
    with specific restrictions on use.
  • If trust is not resource, disbursements may or
    may not be income for SSI depending on the nature
    of the disbursements e.g. cash would be,
    household goods would not.

28
Medicaid or Special Needs Trusts
  • For disabled person under 65
  • Set up by a parent, grandparent, legal guardian
    or a court for benefit of person
  • Disbursements from trust may be countable income
  • Must provide that state will receive all amounts
    remaining in the trust at persons death up to
    the amount of total medical assistance paid on
    behalf of the person
  • May be part of pooled trust

WisPact www.wispact.org
29
Individual Development Accounts
  • For person receiving TANF
  • Earned income put in IDA is deducted from
    countable income in SSI payment computation
  • Deposits to IDA matched by TANF
  • Money in IDA excluded from resources for SSI
  • Disbursements from IDA must be used for
    postsecondary education, business,
    capitalization, or first home purchase
  • WISCAP agencies administer

30
Property Essential to Self Support(PESS)
  • Certain business property can be excluded as a
    resource if used for recipients self support
  • Property recipient owns and uses
  • - in a trade or business (e.g. inventory) or
  • - for work as an employee (e.g. tools)

31
PESS
  • No limit on value
  • Other uses of property do not matter
  • Property must be in current use, or a reasonable
    expectation that use will resume within 12 months

32
PESS
  • Up to 6,000 of non-business property excluded
  • If used to produce goods/services for daily
    living needs, or
  • If property yields an annual income of at least
    6 of its value

33
Plan to Achieve Self Support (PASS)
  • SSI recipient plan to set aside money for
    specific work goal excluded as income
    resource
  • Must have income other than SSI (T2, work)
  • Expenses must be directly related to job goal
  • Be in writing and signed (Form SSA-545-BK)
  • Goals must be specific, feasible, viable
  • Show what income or resources will be used to
    reach the work goal
  • Approved initially and reviewed for progress
    periodically by SSA (St Paul cadre)

34
PASS
  • Goal for SSDI beneficiary must be independence
    (SGA), for SSI recipient to reduce dependency
  • Any set aside monies must be clearly identifiable
    from other funds
  • Retroactive start date possible only if past
    expenditures/funds clearly identified as being
    for PASS goal

35
PASS
  • Plan must have specific timeframe start date,
    end date, and target dates in between for
    reaching milestones
  • Resources or income of deem or set aside for PASS
    are excluded after deeming
  • Recipient in supported employment can have PASS
    with goal to achieve stabilization in job, work
    more, or work with less support

36
PASS
  • Job coaching expenses limited to assistance
    directly pertaining to job
  • Recipient can have only one PASS at a time
  • No limit to the number recipient can have
  • Aged recipient with SSI disability month before
    turning 65 can have PASS

37
Income and Resources
  • Cash or in kind items received during a month is
    subject to income-counting rules in that month
  • Item kept into month following receipt,
    resource-counting rules apply
  • Certain types of income do not become resource
    the next month
  • SSI or Title II back pay - 9 months
  • Dedicated account for past due payments - no
    limit
  • Disaster assistance - 9 to 18 months

38
Transfer/Disposal
  • Transferring ownership of resource for less than
    fair market value can result in SSI ineligibility
    for up to 36 months.
  • Uncompensated value of resources transferred for
    less than fair market value divided by FBR is
    the number of months of ineligibility.
  • Transfer of income in month received considered
    transfer of resource if income would have been
    considered resource in the following month.

39
Transfer/Disposal
  • SSA must notify Medicaid about resource transfers
  • Fair Market Value (FMV) is Current Market Value
    (CMV) of resource at time of transfer
  • CMV of resource is going price on open market in
    geographic area involved

40
Transfer/Disposal
  • The period of ineligibility does not apply to
    recipient who spends down cash resources and gets
    FMV in return.
  • Giving away cash does not get FMV in return, so
    period of ineligibility results.
  • Using cash to buy something for another person
    does not get FMV in return, so a period of
    ineligibility results.

41
Transfer/Disposal
  • Exceptions to period of ineligibility after
    transfer
  • Home if to
  • spouse, or
  • child (under 21 or disabled), or
  • upon institutionalization, to child who provided
    care and had 2 years residence there, or
  • upon institutionalization, to sibling with
    ownership interest and 1 year residence there
  • Non home resource if to
  • spouse, or
  • disabled child

42
Transfer/Disposal
  • More exceptions to period of ineligibility after
  • a transfer
  • Transfer resource returned in same month
  • Certain trusts (e.g. special needs)
  • For purposes other than for SSI eligibility
  • Undue hardship
  • failure to receive SSI payments would deprive
    person of food or shelter, and
  • total available funds do not equal or exceed FBR

43
Questions?
44
  • Presented by -
  • Wisconsins Disability Benefits Network (WDBN)
  • John Benbow, Employment Resources, Inc.
  • More about the WDBN online at
  • www.eri-wi.org/WDBN.htm
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