08-17
5430 Exempt Personal Property - The resource value of the following classifications of personal property shall be exempt. However, if such property is transferred to a trust, it loses its exempt status as the trust becomes the legal owner of the property.
"See Policy Memo #02-10-02 re: "Prearranged funeral and burial agreements and excess funeral funds".
Burial Funds - Burial funds of up to $1,500
each (plus any interest that has accumulated in that fund beginning
with the month of application but no earlier than November 1, 1984)
for members of the assistance plan which are separately identifiable
and clearly designated as set aside for each member's burial expenses
are exempt.
Burial funds are defined as revocable burial contracts
and trusts as well as other revocable burial arrangements. They also
can include cash, financial accounts (e.g., savings or checking accounts),
or other financial instruments with a definite cash value (e.g., stocks,
bonds, C.D.'s, cash surrender value of life insurance policies, etc.).
Such instruments do, however, need to meet the "separately identifiable
and clearly designated" criteria below.
A fund shall be considered separately identifiable
if it is set up in a separate account and not commingled with any
other funds except funds for burial purposes such as a prepaid contract
fund for burial merchandise as described in item (2)
below. It shall meet the "clearly designated" requirement
if the account is noted "for burial purposes only" or if
the client provides a signed written statement attesting to the fact
that the funds have been set aside and are intended for burial purposes
only. Failure to meet either of these conditions shall result in the
fund not being excluded under this provision. If the fund is exempted
and the client withdraws all or a portion of the funds, the amount
withdrawn shall be considered as a nonexempt resource and, if transferred,
subject to provisions of 5700.
This provision is not applicable to any irrevocable
funeral agreements (e.g., $7,000 agreement established per K.S.A.
16-303) as such agreements are already exempt due to their legal unavailability
per item (9) below. However, the $1,500 amount which
can be exempted under this provision must be reduced by the amount
of any such irrevocable agreements except to the extent that it represents
excludable burial spaces (see item 2), as well as
the face value of all life insurance policies which do not exceed
the $1,500 face value limitation in accordance with 5430
(15)). The face value of life insurance policies which exceed
this $1,500 limit shall not reduce the amount that can be exempted
for burial purposes. Thus, for example, an individual could own a
non-exempt $7,000 face value life insurance policy and also have an
exempted $1,500 burial fund in addition.
Burial Spaces - Burial spaces are totally
exempt for each member of the assistance plan. Burial spaces are defined
as conventional grave sites, crypts, mausoleums, caskets, urns, and
other repositories which are traditionally used for the remains of
deceased persons. Vaults, headstones, and grave markers would also
be included in this definition as well as monies set aside for opening
and closing the grave. Burial spaces purchased through a revocable
or irrevocable prepaid contract would be exempt under this provision
including the account in which the funds are deposited under the contract
and the interest that accrues on such funds.
Cash
Assets -
Cash assets which may be traced to income exempted as income and a
resource per 6410 (applicable subsections)
are exempted.
Reserved
Monies paid as part of a prospective
agreement to receive medical or assistive services from an unlicensed
individual or entity are considered an available resource, unless
the criteria below are met. The entire amount of funds paid under
the contract are considered available. However, the countable
value is reduced by the cost for services that have been provided
and documented since the beginning of the contract.
Examples of services provided under such a contract
include, but are not limited to: health and welfare monitoring;
case management; medication management; and long term care. Contracts
providing for similar services are also considered under the provisions
of this section.
The contract is considered fully countable unless
all of the following exist:
A written contract is
executed prior to providing or paying any service. The
contract must specify services to be provided and the
rates of such services.
The contracted amount
paid for services is consistent with the market rate for
such services. If there is no established rate, the federal
minimum wage shall be used.
The provider of the
service is reporting all monies as income to the appropriate
state and federal governmental revenue agencies as required
by law (e.g., IRS).
Any amounts due under
the contract are paid after the services are rendered.
The agreement is revocable.
Upon the death of the
individual, the contract ceases.
Contracts which meet item (iv) above, but do not meet the
other criteria may be subject to transfer of property
penalty. Services provided outside of a contract may also
be considered an uncompensated transfer (see 5721
(9)).
- Monies paid to a licensed health care professional or facility, including those paid to a continuing care retirement community (CCRC), for purposes of gaining entry into a facility or community, or securing services are considered an available resource if all of the conditions listed below are met:
- The entrance fee can be used to pay for care under the terms of the entrance contract should other resources of the individual be insufficient;
- The entrance fee, or remaining portion, is refundable when the individual dies or terminates the contract and, if living in a facility or CCRC, leaves the facility; and
- The entrance fee does not confer an ownership interest in the business or CCRC.
The entire amount of the entrance fee or prepayment paid under the contract is countable if these three conditions are met. However, the countable value is reduced by the cost for services that have been delivered and paid strictly by the entrance fee, if such services can be documented.
Payments made as part of the provider's normal billing cycle are not considered available. For example, a payment made to a nursing facility billing residents early in the month for care provided in that month are not considered countable under this provision.
NOTE: The entrance fee is an unavailable resource if the three conditions listed above are not met. In addition, payment of an unavailable, non- refundable entrance fee shall not be considered an uncompensated transfer. It shall be assumed under this provision that the individual received fair market value for payment of the entrance fee.
Contract
Sales, Promissory Notes and Loans -
A contract sale, promissory note, loan or other agreement to repay
a debt is exempt only if the proceeds are considered as income and
the income is consistent with the repayment terms and conditions set
forth in the written contract.
If the debtor is not meeting the terms and conditions of the contract,
the debt is considered a potential resource and the individual is
required to pursue recovery per 2124.1.
For LTC requests, these and similar agreements must be evaluated under
the transfer of property provisions of 5722
(6). In the absence of an enforceable contract, the transfer is
considered a gift.
Escrow Accounts - Escrow accounts established for families participating in the Family Self-Sufficiency Program through the Department of Housing and Urban Development. Interest earned on such accounts shall also be exempted as income.
9. Essential for Employment - Property which is essential to the employment or self-employment of the individual is exempt. This would include property such as tools of a tradesman, farm machinery, livestock and inventory of self-employed person that are reasonable and necessary in the production of goods or services, vehicles, business checking account, or other business property where the person is still actively involved as a manager. Income from such property would usually be considered as earned income.
If the property is not in current use, it
may be exempted under this provision as long as the individual expects
to resume its use within 1 year of the date of last use. This period can
be extended an additional year if the individual has a disabling condition
which prevents him or her from resuming the activity within the first
year. Documentation is required. If the individual does not expect to
resume use of the property, it shall be counted in full.
Property essential to the self-employment of a household member engaged
in farming shall continue to be excluded for one year from the date the
household member terminates the self-employment farming.
10. Funeral
Agreements - Irrevocable funeral agreements and trusts as
specified in K.S.A. 16-303. This statute permits individuals to establish
such agreements for payment of designated burial space items (see item
2) and up to $7,000 for basic funeral services. All
items and services must be clearly identified in the contract. Amounts
designated for services in excess of $7,000 are revocable under the law
and would be considered available. No limits are applicable for the burial
space items but the cost for each item must be clearly indicated. The
accumulated interest and earnings from the total amount established (including
amounts exceeding $7,000) are also irrevocable and would be considered
exempt.
As the statute did not become effective until July 1, 1982, prearranged
funeral agreements entered into prior to this date are to be regarded
as revocable unless they were amended after this time to make the first
$7,000, plus the total interest and earnings which have accumulated since
the date of the amendment, irrevocable. Amounts in excess of this remain
revocable. If such amendment has not been made, the agreement would have
to be viewed under the $1,500 burial exemption referenced in item (1)
above.
The law applies not only to specific funeral agreements but also to such
things as burial or life insurance policies which irrevocably assign proceeds
to the funeral home for the specific purpose of funding the funeral. This
would include specific burial policies (such as Pierce National Life and
Purple Shield) as well traditional life insurance policies. The assignment
must include a statement acknowledging excess funds not used following
payment of the actual funeral must be paid to the estate recovery unit
in accordance with K.S.A. 16-304. The Irrevocable Assignment of Benefits
of Life Insurance/Annuity Policy generally used to accomplish the
assignment. However, the transfer of assignment is not considered complete
until documentation is received back from the insurance company. Alternate
forms may be considered, but are to be approved by KDHE Policy and Estate
Recovery staff prior to acceptance. In lieu of irrevocable assignment
ownership rights may be irrevocably assigned to the funeral home. Also
see Policy Memo 02-10-02
. However, in all situations, a formal funeral agreement with a funeral
home specifying the type and value of funeral services to be provided
must be verified.
NOTE: Irrevocable funeral agreements from other states are to be
honored regardless of the amount and, therefore, would not be considered
as an available resource. However, because some states do not require
an itemized statement, this may not be available.
It is important to note that if the individual owns more than one funeral
agreement, only the first $7,000, plus total interest and earnings that
have accumulated under all of the agreements, may be made irrevocable.
The excess amount obtained by summing all of the monies in the accounts
is revocable.
11. Gift
Cards and Certificates – Gift
cards and gift certificates are exempt as a resource if the card or certificate
cannot be sold or converted to cash. This does not include
prepaid debit cards from credit card companies (Visa, Mastercard, American
Express, etc.) or other financial institutions as those cards function
like cash
and therefore are a countable resource. See 6410 (27).
12. Home Consumption Items - Items for home consumption - These items consist of produce from a small garden, a small flock of chickens or other fowl, a cow, a pig, or other animals used to meet the food requirements of the family.
13. Home
Sale Proceeds - The proceeds from the sale of a home
are exempt if the proceeds are conserved for the purchase of a new home
and the conserved funds are expended or committed to be expended within
3 months of the sale. Any of the proceeds so conserved that are used
for any other purpose shall be considered under the transfer of property
provisions for persons in institutional or HCBS living arrangement. See
5720.
14.Household
Goods - Household equipment and furnishings in use or only temporarily
not in use. These consist of such items as dishes, tableware, cooking
utensils, canning equipment, bedding, and household linens, beds, mattresses,
stoves, and refrigerators.
15. Income Producing
Property - Property (other than cash assets), which produces income
consistent with its fair market value is exempt in full, even if used
only on a seasonal basis. This would include property such as vehicles,
farm equipment or business inventory which are rented or part of an ongoing
business where the individual is no longer actively involved in the management
of the business. Inventory also includes livestock or grain in storage
which are sold on a regular basis as the market permits. Generally income
from such property would be considered unearned income. See 6313
(1) regarding self-employment income.
When it is necessary to determine if the property is producing income consistent
with its fair market value, local realtors, tax assessors, the Small Business
Administration, or other similar sources may be contacted to determine
the prevailing rate of return (e.g., square foot, rental, etc.) for similar
usage of the property is the area. If it is determined that the property
is not producing income consistent with its fair market value (for instances,
the property is being leased for a token payment), such property would
be counted as a resource. However, if the property was leased for a return
that was comparable to other property in the area leased for similar purposes,
it would be considered as producing income consistent with its fair market
value and would not be considered a resource.
If the property is not in current use, it may be exempted under this provision
as long as the individual expects its use to resume within 1 year of the
date of last use. If the individual does not expect use of the property
to resume, the property shall be counted in full.
16. Individual Development Accounts (IDAs) - IDAs which meet the guidelines specified in 6410.
17. Insurance shall be considered as follows:
Insurance with no potential
cash surrender value (such as term insurance, burial insurance,
or potential Veteran's, OASDI or railroad retirement death benefits)
is totally exempt.
Other life insurance not exceeding $1,500 face value, owned by any applicant or recipient family member is exempt. Face value does not include and is not increased by accumulated dividends, but is considered to be decreased by an outstanding policy loan. If the total face value of all nonexempt life insurance policies owned by any one individual exceeds $1,500, the total cash surrender value of those policies is a nonexempt resource. Cash surrender value does not include accumulated dividends or interest and is decreased by an outstanding policy loan.
An otherwise resource disqualifying life insurance policy that has been
assigned to the state shall be considered an exempt resource for medical
assistance. The policy must meet the following conditions to be exempted
under this policy:
iv. The policy has been irrevocably collaterally assigned to the state Medicaid program via the ES-3171 assignment form or by another form approved by KDHE-DHCF.
18.
Kansas Investments Developing Scholars (K.I.D.S.) Match Grant Program
- K.I.D.S. is a form of a Learning Quest 529 account available
to a limited number of participants with earnings below 200% of the poverty
level. A Participant Account and a Match Account are established through
Learning Quest. The amount in both the Participant Account and in the
Match Account are exempt as resources. Refer to 6410
Educational Income.
20. Pension Plans
- Pensions plans shall be considered as follows:
Reserved
Reserved
Medical
Programs - The cash value of pension plans or funds
are exempt if any of the following applies:
The value of
the fund is exempt if the person would have to terminate employment
in order to obtain any payment. Plans which can be converted
to periodic payments are exempt if they are converted to periodic
payments by the month following the month they are eligible
for conversion.
The value of
any pension fund is exempt if the person is not retired or
claiming permanent disability.
Work-related pension
funds, Keough plans, and IRA’s owned by an applicant/recipient's
spouse or parent are exempt if the spouse or parent is not
applying for or receiving MS, QMB, LMB or QWD.
For Working Healthy, pension and retirement funds of the applicant/recipient are exempt. For other eligibility plan members -spouse or parent(s) - the fund is only exempt if items (i), (ii) or (iii) above apply.
EXCEPTION: If the pension
plan or fund does not meet one of the above criteria, the plan
or fund is not exempt. In addition, if an individual is retired
or claiming disability and not drawing benefits to which they
are entitled, the cash value of the pension plan or fund is countable.
For any non-exempt fund, the cash value is the amount that can
be withdrawn after any penalty deduction. Deductions for tax payments
do not reduce the cash value. Each plan must be evaluated to determine
if the money can be withdrawn and the cash value.
Example: A client has $5,000 in a non exempt
fund. If cashed out, the value, including the penalty for early withdrawal
is $4,800. The cash value to count towards resources is $4,800.
NOTE: Loans taken against
401(k) plans are treated in accordance with 6410.
21. Personal Effects - Personal effects and keepsakes are exempt. Personal
effects are items such as a watch, clothing, books, comb and brush. Personal
keepsakes are items such as gifts kept for the sake of the giver, items
with sentimental value, and the like. Family pets are also exempt under
this provision.
22. Social
Security and SSI Benefits - For MS, QMB, LMB, and QWD, a retroactive
Social Security or SSI benefit received by the applicant/recipient or
an excluded legally responsible person is exempt for the 9 months following
the month of receipt.
24. Tools - Tools in use. Tools consist of such items as hammers, saws, wrenches, planes, pliers, hoes, rakes, and similar articles necessary for the maintenance of house, garden, or yard.
25. Vehicles - See 5500 and subsections.