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 PM2002-10-02: Prepaid Funeral Agreements and PM2003-04-01: Policy Memo: Converting liquid resource to exempt burial
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withdrawn shall be considered as a nonexempt resource and, if transferred,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 (10) 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. See 5200(5)b.
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.
6. Contracts
for Care -
a. 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).
b. 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
ES-3169, Irrevocable
Assignment of Benefits of Life Insurance/Annuity Policy is 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 PM2002-10-02, Prepaid
Funeral Agreements . 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 - 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- Irrevocable Collateral Assignment of Life Insurance Proceeds form.
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.
19. Reserved
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.
23. Reserved
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.