Attorney Barbara Jackins' book is a must have resource for parents of children with special needs and the professionals and advocates who assist them. In an easy-to-read, conversational style, she covers the essential elements of SSI, guardianship, and estate planning when there is a child with a disability in the family.

The 2010 Edition includes the 2009 changes in Massachusetts law pertaining to guardianship.

Although some of the materials are specific to Massachusetts, most of the strategies she discusses are valid in any state.

Don't live in Massachusetts? Then you can simply ignore the fine points about that state's guardianship laws and procedures. The rest of the book--her practical estate planning strategies and SSI pointers-- will get you on track no matter where you live. 


Summary

In a relaxed, conversational style, Attorney Barbara D. Jackins explains the essential elements of SSI, guardianship, and estate planning when there is a child with a disability in the family. You will find the information you need to:

  • Obtain SSI Benefits for your own son or daughter who is 18 or older.
  • Contribute to your adult son's or daughter's financial support without reducing SSI.
  • Understand the court process for guardianship, including what must be done if your son or daughter takes any antipsychotic medication.
  • Learn about the alternatives to guardianship.
  • Protect your son's or daughter's inheritance from being lost of mismanaged while assuring continued public benefits.
  • Coordinate your life insurance and retirement assets with your overall estate plan.


Table of Contents

 

About the Author ............................................................................…………………...........v

Acknowledgments ........................................................................………….………….......vii

Foreword by Theresa M. Varnet, L.C.S.W.,J.D……………………………………….......xv

Introduction ..........................................................................……………….………….....xvii

 

PART I: Supplemental Security Income

Introduction to SSI Section .............................................................………………….......3

Chapter 1:          Overview of Supplemental Security Income………………………..............7

                            What is SSI?     
                            Benefit Amounts
                            Automatic Medicaid Entitlement           

Chapter 2:          Qualifying for SSI .....................................................…………….........…11

                            Who is Eligible?
                            Qualifying as Blind
                            Qualifying as Disabled
                            Resource Limits
                            UTMA Accounts
                            Income Limits
                            Child Support
                            Children under Age 18
                            Children in Residential Schools

Chapter 3:          Reducing Assets to Qualify ....................................………………............23

                            The Waiting Period
                            Strategies to Reduce Assets

Chapter 4:          Applying for SSI ......................................................……………….........29

                            When to Apply
                            The Application Process

Chapter 5:          Representative Payment .........................................………………........…33

                            Should You Become the Representative Payee?
                            How to Get Appointed
                            Bank Accounts
                            Responsibilities
                            Where to Learn More

Chapter 6:          SSI Appeals ..............................................................………………........37
        
                            Why Appeal?
                            Getting Legal Help
                            Reconsideration
                            Administrative Review
                            Appeals Council
                            Federal Court
                            Re-applying for Benefits

Chapter 7:          Managing the SSI Benefit .......................................…………………...…45

                            Avoid Repaying SSI
                            Appeals of Overpayments
                            Repaying SSI
                            Useful Strategies
                            What Can SSI Be Used to Pay For?

Chapter 8:          Supplementing SSI .................................................………………...........53

                            SSI and Independent Living
                            Sending an Allowance is not the Answer
                            Three Useful Strategies
                            Supplementing SSI

Chapter 9:          Work and SSI  .........................................................……………….....…61

                            Excluded Student Earnings
                            Earned Income Exclusion
                            Impairment Related Work Expense
                            Plan to Achieve Self-Support (PASS)

Chapter 10:        SSDI, Medicaid, and Related Programs .............………….……….......…67

                            Social Security Disability Income (SSDI)
                            Medicare
                            Medicaid (MassHealth)
                            Adult Family Care Program
                            Personal Care Attendant Program     

 

PART II:  Guardianship

Introduction to Guardianship Section ...........................................………….......………85

Chapter 11:        Guardianship Basics ........................................…………………........…..87

                            What is Guardianship
                            Deciding Whether Guardianship is Necessary

Chapter 12:        Alternatives to Guardianship……………………………….........………..91

                            Release and Authorization for Medical Information
                            Health Care Proxy
                            Durable Power of Attorney             

Chapter 13:        Legal Requirements to Obtain Guardianship .................………..........……97
 
                            Legal Standards
                            Limited and General Guardianship
                            Will Both Parents be the Guardians?
                            The Public Benefits Dilemma

Chapter 14:        The Court Process ................................................…………………......103

                            Getting Legal Help
                            Court Forms
                            Filing the Paperwork
                            Legal Notice
                            The Hearing
                            The Decree

Chapter 15:        Special Situations…………………………………………….....………111

                            Antipsychotic Medications
                            The Rogers process
                            Extraordinary Medical Procedures
                            Emergency Guardianship

Chapter 16:        The Guardian’s Responsibilities .........................……………….......……117

                            Reporting to the Court
                            Protection
                            Giving Informed Consent
                            Record Keeping 
                            Guardianship Fees
                            Protecting Yourself

Chapter 17:        Financial Management…………………………………......……………125

                            Single Transactions Authorized by the Probate Court
                            Representative Payment for Government Benefits
                            Joint Bank Account
                            Durable Power of Attorney
                            Special Needs Trust

Chapter 18:        Conservatorship…………………………………….......………………129

                            Conservatorship Basics
                            Reporting to the Court
                            Responsibilities to the Person under Conservatorship

Chapter 19:        Frequently Asked Questions about Guardianship…………............……...133

                    

PART III:  Estate Planning

Introduction to Estate Planning Section ......................................…........……………..139

Chapter 20:        Why Plan? ............................................................……….........……….141
 
                            What Could Happen if You Do Not Plan?
                            Plans That Don’t Work

Chapter 21:        Estate Planning Basics for Special Families ..……….............……………147
 
                            Don’t Leave Any Property Directly to Your Minor
                            Children or Your Child with a Disability
                            Who Will Receive Your Property
                            Depends on How You Own It
                            Estate Planning with Assets that Have Beneficiaries
                            A Coordinated Plan Works Best
                            Ten Steps to Sound Planning

Chapter 22:        Using a Will to Plan Your Estate  .......................…………..........………159

                            The Contents of a Will
                            What Information Does Not Belong in a Will?
                            Limitations of a Will

Chapter 23:        Using a Special Needs Trust to Plan Your Estate…….………….........…165

                            How Does a Special Needs Trust Operate?
                            Personalizing Your Special Needs Trust
                            Pooled Trusts: An Alternative to Special Needs Trusts
                    

Chapter 24:        Communicating Your Personal Instructions for Your Son’s
                            or Daughter’s Care ..........................................……………….....…….175

                            Directions Book
                            Side letter to the Special Needs Trust
                            Letter of Intent

Chapter 25:        Planning For Your Own Incapacity  ..................…………….........……..181
 
                            Avoiding Guardianship and Conservatorship
                            Incapacity Documents
                            How Will You Get By Financially?
                            Special Needs Trusts and Nursing Home Expenses

Chapter 26:        Beyond the Basics ................................................…………….......……191

                            An Unfunded Revocable Trust Can
                            Protect Minor Children
                            A Living Trust Can Reduce Probate Costs
                            A Bypass Trust Can Reduce Estate Taxes
                            An Irrevocable Life Insurance Trust
                            Can Reduce Estate Taxes
                            A Family Limited Partnership
                            Can Reduce Estate Taxes

Chapter 27:        Life Insurance ......................................................…………........………201

                            How Much Life Insurance Do You Need?
                            What are the Different Kinds of Life Insurance?
                            Life Insurance and the Child with Special Needs
                            Life Insurance Trusts

Chapter 28:        Money Matters .....................................................………….......……...209

                            Working With a Financial Planner
                            Protecting Your Home
                            Money and the Child with a Disability
                            A State-Sponsored Savings Plan May
                            Be Coming to Massachusetts

 

PART IV:  Loose Ends

Chapter 29:        Registering for the Selective Service ..................……………...........……223

Chapter 30:        Massachusetts Identification Cards ...................…………….........……..225

Chapter 29:        Chapter 688 Transition Planning for Adult
                            Services………………………………………………………....……227 

 

APPENDICES

Appendix A:       Massachusetts Legal Services Offices and
                            Advocacy Organizations that Assist People with
                            Disabilities ………………………………………………….......……..231

Appendix B:       Aging Service Access Points (ASAP) Participating
                            Agencies………………………………………………………......…..241

Appendix C:       Antipsychotic and Other Medications used to
                            Treat People with Mental Illness ...................................................…….253

Appendix D:       Medical Release and Authorization  .............………………...........…….257

Appendix E:       Authorization for Guardian to Delegate to
                            Caretaker………………………………………………......………….261

Appendix F:       Pooled Trusts in Massachusetts……………………………...........……..265

Resources…………….......................................................................................…………269

Glossary…………….................................................................................…........………275

Index .................................................................................………….......……........…….281

 

Excerpts

From the Foreword by Theresa M. Varnet, J.D., ACSW

I am delighted and honored to have been asked to write the foreword…Barbara Jackins’ efforts to better educate parents of children with special needs is timely and very useful…

Like Barbara, I am the parent of a young adult challenged with developmental disabilities…[book] is easy read, thorough, and comprehensive…

While writing a will is important, it is absolutely essential that any will include
a special needs trust! Our children should not lose critically needed government
assistance programs at a time when they need them the most. Barbara’s book goes
beyond the importance of special needs trusts, however.

Barbara reviews several important topics: how to save money for your child’s
future in a way that will not jeopardize government benefits, and why it is so
important for your child to have a guardian, an agent under a durable power of
attorney, or other personal representative to help your child negotiate the system
after he or she reaches adulthood at age eighteen. She also does an excellent
job in helping families better understand the SSI and SSDI programs. These two
programs can be quite intimidating. Barbara explains the differences between
these two benefit programs, including the eligibility requirements, the application
process, and the appeals rules. Both SSI and SSDI can play a crucial role in
our children’s future, and every advocate needs to thoroughly understand these
programs.

Legal Planning for Special Needs is an excellent planning guide. Parents of
children with special needs and the individuals we hope will look out for and
advocate for our children when we are no longer able to care and advocate for
them will benefit by having this book at hand.

 

From the INTRODUCTION

THIS BOOK IS FOR PARENTS of children with special needs. It is intended to explain in practical terms how you can develop a sound plan for your son’s or daughter’s future.

It doesn’t matter how old your son or daughter is. He or she could be a young child, getting ready to graduate from special education, or settling into a comfortable middle age. When you have a child with a disability, you can’t leave things to chance. There is too much at stake.

I have had a disability-related law practice for over 25 years. During that time, I have seen
firsthand how the failure to adequately plan can cause unnecessary cost, anxiety, and delay.

I first became interested in planning issues many years ago when my son, who has developmental disabilities, was a young child. Like many parents in my situation, I quickly became immersed in the world of disabilities. As time went on—as happens with many parents—my personal circumstances came to influence the kind of work I chose to do. Eventually my law practice became almost completely centered in areas of the law that are important to families like ours: disability, public benefits, and estate planning.

Legal Planning for Special Needs in Massachusetts represents what I have learned in my law practice. Why SSI, guardianship, and estate planning? Because those areas of the law concern almost every family that has a child with a disability, and all of them require advance planning.

Consider Supplemental Security Income (SSI). Most people with disabilities will first qualify for this government benefit program at age 18. But if a person has more than $2,000 in assets, he or she cannot get benefits. With birthday checks, cash gifts, and our own diligent savings efforts, it doesn’t take much to put your child over the $2,000 limit. Start planning early to find the proper ways to save money so that your son or daughter will not lose any benefits when he or she reaches age 18.

Guardianship is another area that can benefit from advance planning. Guardianship may not be appropriate for every family. But if you do decide to seek guardianship, you should have the legal authority in place on or shortly before your son’s or daughter’s 18th birthday. That way, you will be able to act immediately if there is an emergency.

Estate planning is another important area. Almost every family can benefit from having an estate plan. Having a proper plan in place can help assure a son’s or daughter’s financial security when we are no longer here.

The book is divided into four parts.

  • Part I (Chapters 1 through 10) covers SSI. Part I includes the program basics, how to apply, and how to manage the SSI benefits after the checks begin to arrive.
  • Part II (Chapters 11 through 19) covers guardianship and conservatorship. This part addresses the decision to seek guardianship, how to get appointed, and the guardian’s responsibilities. Part II also covers the new Massachusetts guardianship law that took effect on July 1, 2009.
  • Part III (Chapters 20 through 28) covers estate planning. This part includes information about wills, the special needs trust, and other important estate planning documents. I also explain the correct way—and the wrong way—to save money for your son or daughter with a disability.
  • Part IV (Chapters 29 through 31) ties up some loose ends: registration for the Selective Service, Massachusetts identifications cards, and the Chapter 688 transition process.

I also want to explain what Legal Planning for Special Needs in Massachusetts is not. It is not intended to be a substitute for the services of qualified professionals. Instead, this book is a guide to working with professionals such as attorneys, financial advisors, accountants, and tax consultants. Legal Planning does not attempt to address every conceivable situation that could come up. All families are unique, and different circumstances require different approaches.

Another point: the laws and procedures in this area are quite complicated. Questions are bound to arise, and you will probably need qualified professionals to answer some of them. Be sure not to hire just anyone. Ensure that the person is knowledgeable about special needs and experienced in working with families like ours.

How can you find a qualified professional? Start by asking your family and friends. Perhaps someone has worked with someone they can recommend. The Arcs (formerly called Associations for Retarded Citizens) and other organizations that assist families can be another good referral source. There are also some suggestions in the Resource section.

A last point: This book explains the current laws and procedures. Of course, those laws and procedures may change over time. I will update this book periodically to reflect those changes. Another way for you to stay on top of new developments is to attend some of the informative workshops sponsored by the Arcs and other organizations that assist people with disabilities. You can find an Arc in your area by contacting the Arc of Massachusetts (http://www.arcmass.org, telephone 781-891-6270).

I hope the information in this book is useful to you. If you have any questions about what you have read, don’t hesitate to seek the advice of a qualified attorney. You can benefit from developing a relationship with someone who can assist you and your family. After all, there is no substitute for sound personal legal advice.

 

Published Reviews

Reviews, 2006 Edition

“Attorney Jackins has extensive legal experience in disability, public benefits, Medicaid and estate planning, and personal experience as a parent of a child with developmental disabilities. Her comprehensive planning guide offers easy-to-understand explanations of the essential elements of SSI, guardianship, asset protection and estate planning for all families who have a disabled child.”

ElderLaw News, December 4, 2006

“As a long-term administrator and advocate for supports and services that promote a high quality of life for individuals with developmental disabilities, I highly recommend that this book be included in the library of every parent, guardian or other supporter of individuals with special needs.” 

  1. Michael Bloom, Former President, Massachusetts Chapter

American Association on Intellectual and Developmental Disabilities

 

 

Reader Reviews

Reviews, 2006 Edition

“This book is a “must have” reference manual for all parents who have children, teens, and adults with Asperger Syndrome.”

Dania Jekel, Executive Director, Aspergers Association of New England

“This easy-to-read guide answers the questions you didn’t know you needed to ask.”

Susan Nadworny, Chairperson, Families Organizing for Change

“The author’s expertise, empathy, and easy writing style all combine to create the relaxed intimacy of a conversation over coffee with a very good, knowledgeable friend.”

Carol Beard, member, DMR Citizen Advisory Board,
DMR Citizen Review Board, past President, Greater Boston Arc

“This comprehensive guide is an amazing resource. You are going to see this book on the shelf of every professional advocate in the state.”

Jerry Silbert, Autism Society of America National Board
President, ASA Massachusetts Chapter

Email your review to reviews@disabilitiesbooks.com

Meet The Author

Barbara D. Jackins practices law in Belmont, Massachusetts. Her practice centers on areas of the law that affect people with disabilities and their families, such as estate planning, Medicaid planning, government benefits, guardianship, and trust administration. She has served on the Governor’s Commission on Mental Retardation: Task Force on Public-Private Partnerships. Barbara currently serves on the Boards of Directors of several local agencies that provide services to individuals with developmental disabilities. She is a member of the National Academy of Elder Law Attorneys and a 1978 graduate of Suffolk Law School. She is married to Attorney John L. Mason, Jr. and is the parent of an adult son with developmental disabilities.

In 2004, she co-authored Special Needs Trust Administration Manual: A Guide for Trustees (DisABILITIESBOOKS).  In 2010, she co-authored a revision: Managing a Special Needs Trust: A Guide for Trustees (DisABILITIESBOOKS, 2010). In 2006, the first edition of her book Legal Planning for Special Needs in Massachusetts: A Family Guide to SSI, Guardianship, and Estate Planning (DisABILITIESBOOKS) was published.