EXAMPLE
1: A special needs trust contains an early termination provision stating that, upon
early termination, all assets remaining in the trust will be distributed to the trust
beneficiary. The provision gives the trustee or the trust beneficiary the power to
terminate.
Treatment: This early termination provision is unacceptable for two reasons. First, upon early
termination, the trust does not provide first for reimbursement to the State(s) for
the amount of medical assistance paid on behalf of the trust beneficiary. Second,
the early termination provision gives the trust beneficiary the power to terminate
the trust.
EXAMPLE 2: A pooled trust established in State X contains an early termination provision stating
that, upon early termination, State X will receive all amounts remaining in the trust
up to an amount equal to the total amount of medical assistance paid on behalf of
the individual under the State X Medicaid plan. After reimbursement to State X, any
remaining funds will be distributed evenly among the other sub-accounts in the pooled
trust. The provision gives the trustee the power to terminate.
Treatment: This early termination provision is unacceptable for two reasons. It restricts Medicaid
payback to State X rather than requiring payback to any State(s) that paid medical
assistance on behalf of the trust beneficiary. It also allows for individuals or entities
other than the trust beneficiary (i.e., the other pooled trust sub-accounts) to benefit
from the early termination.