Question
               Whether claimant S~’s structured settlement agreement with the Allstate Life Insurance
                  Company (Allstate), governed by New York’s Structured Settlement Protection Act (SSPA),
                  is a resource for purposes of Supplemental Security Income (SSI) eligibility under
                  § 1613(a) of the Social Security Act (the Act).
               
               Opinion
               SSPA, N.Y. Gen. Oblig. Law §§ 5-1701 et seq., allows transfer agreements in which
                  the payee obtains an immediate lump sum payment in exchange for the rights to future
                  guaranteed settlement payments. However, the need for judicial approval of the transfer
                  restricts the payee’s legal right to access the future structured settlement payments
                  under Program Operations Manuel System (POMS) SI 01120.010. Therefore, a settlement agreement that permits such transfers would not be counted
                  as a resource.
               
               Background
               1. Claimant S~’s Structured Settlement Agreement
               Claimant S~ entered into a structured settlement agreement with the Allstate in 2004,
                  when she was 16 years old. The agreement stipulates that Allstate will make three
                  payments to S~. The first of these payments, totaling $5,000 was paid on November
                  17, 2010. The agreement calls for further payments of $10,000 on November 17, 2014
                  and $42,059.14 on November 17, 2019. In addition, the agreement describes the process
                  by which a payee may transfer her rights to future settlement payments in order to
                  receive an immediate lump sum through a program known as the Allstate Advanced Funding
                  Exchange:
               
               . . . Allstate Settlement Corporation, in certain circumstances, will consider permitting
                  an arrangement whereby a structured settlement payee may obtain an immediate lump
                  sum payment (based on a specific discount rate) in exchange for the rights to future
                  guaranteed structured settlement payments. . . . Only those Advanced Funding Exchanges
                  that are approved by a court or applicable administrative authority are permitted.
                  An Advanced Funding Exchange is only an option in states that have a structured settlement
                  transfer act. . . . Allstate Settlement will consider each Advanced Funding Exchange
                  request on a case-by-case basis and reserves the right to decline any request.
               
               According to information received from Allstate, in order to obtain Advanced Funding,
                  an individual payee must first request such funding from Allstate. The company has
                  a minimum requirement of $25,000, and the same amount has to be available in the structured
                  settlement. Proof of need must be shown in order to gain approval by Allstate. If
                  all these criteria are met, Allstate may agree to provide Advanced Funding using an
                  8% annual discount rate to calculate present value. The company will then petition
                  the court on behalf of the individual payee to approve the transfer, and will charge
                  a $2,500 attorney fee. Depending on the state where the payee resides, the process
                  of obtaining court approval for this transfer could take 4-6 months.
               
               S~ is currently applying for SSI benefits as an adult. As far as we are aware, she
                  has not taken any action to exercise the options described in the Allstate Advanced
                  Funding Exchange.
               
               2. New York’s Structured Settlement Protection Act (SSPA)
               Generally, a structured settlement agreement results from the resolution of a tort
                  claim, and arranges periodic payment of damages. See N.Y. Gen. Oblig. Law §§ 5-1701(l), (m). In some cases, individual payees may try
                  to circumvent the agreement by transferring their rights to future payments in exchange
                  for an immediate lump sum. However, such transfers may leave the payees vulnerable
                  to businesses that demand unfair concessions, leaving payees with a substantially
                  discounted lump sum and depriving them of long-term financial security. See 27 A.L.R.6th 323; In re Settlement Capital Corp., 1 Misc. 3d 446, 448 n.1 (N.Y. Sup. 2003). Many state legislatures, concerned about
                  the hazards posed by such transfers, have enacted legislation to limit their use by
                  requiring court approval. See, e.g., Fla. Stat. Ann. § 626.99296; Mass. Gen. Laws Ann. ch. 231C, § 2; Tex. Civ. Prac.
                  & Rem. Code Ann. § 141.004.
               
               In 2002, New York enacted the SSPA due to concern that structured settlement payees
                  were prone to being victimized.  See 73 N.Y. Jur. 2d Judgments § 34; see also In re Petition of Settlement Funding of New York, LLC, 195 Misc. 2d 721, 722 (N.Y. Sup. 2003). The SSPA requires judicial approval for
                  all proposed transfers The statute defines a transfer as “any sale, assignment, pledge,
                  hypothecation, or other alienation or encumbrance of structured settlement payment
                  rights made by a payee for consideration[.]” N.Y. Gen. Oblig. Law § 5-1701(q). of
                  structured settlement payment rights. N.Y. Gen. Oblig. Law § 5-1706. In addition to
                  meeting certain procedural requirements, the transfer must be in the best interest
                  of the payee, and its terms, including the discount rate, must be fair and reasonable.
                  N.Y. Gen. Oblig. Law § 5-1706(b).
               
               3. Resources
               An individual’s assets and property are evaluated under § 1613(a) of the Act to determine
                  whether they may be counted as resources for the purposes of SSI eligibility.  See § 1613(a); 42 U.S.C. § 1382b. Not all of an individual’s assets are resources. See POMS SI 01110.100. The Social Security regulations define a resource as “cash or other liquid assets
                  or any real or personal property that an individual . . . owns and could convert to
                  cash to be used for his or her support and maintenance.” 20 C.F.R. § 416.1201(a);
                  see also POMS SI 01110.100(B)(1).
               
               When determining whether an asset may be counted as a resource in a month for purposes
                  of SSI eligibility, POMS SI 01120.010 outlines three criteria that must be satisfied as of the first moment of that month.
                  First, the individual must have some form of ownership interest in the property. Second,
                  he or she must have the legal right to access the property, which refers to the ability
                  to spend or convert the property to cash. Third, the individual must have the legal
                  ability to use the property for his or her own support and maintenance. See POMS SI 01120.010(B)(1)-(3). An asset that fails to satisfy any one of these criteria may not be counted
                  as a resource.
               
               Although the POMS requires a legal right to access in order to count property as a
                  resource, it also recognizes the significance of certain impediments to access. In
                  particular, an individual need not undertake litigation to gain access where there
                  is a legal bar to the sale of property. In such circumstances, the property will not
                  be a resource. POMS SI 01120.010(C)(2).
               
               Legal Analysis
               New York’s SSPA, N.Y. Gen. Oblig. Law §§ 5-1701 et seq., would allow transfer agreements
                  in which the payee obtains an immediate lump sum payment in exchange for the rights
                  to future guaranteed settlement payments. However, the need for judicial approval
                  of the transfer restricts the payee’s legal right to access under POMS SI 01120.010. Therefore, a settlement agreement that permits such transfers would not be counted
                  as a resource.
               
               As discussed above, property cannot be a resource in a month unless, as of the first
                  moment of that month, the individual claimant has an ownership interest, a legal right
                  to access (spend or convert) the property, and the legal ability to use the property
                  for his or her personal support and maintenance. POMS SI 01120.010(B). Concerning the future structured settlement payments, S~ has an ownership interest
                  in these funds. Under the various state structured settlement protection laws, the
                  payee transfers that ownership interest in future payments in exchange for an immediate
                  discounted lump sum. See N.Y. Gen. Oblig. Law § 5-1701(q). Similarly, as far as we are aware, there are no
                  restrictions on her use of the funds for her own support and maintenance. In one POMS
                  example, subtitled “Insurance Settlement Restricts Use,” an SSI recipient is injured
                  in an accident and awarded damages by a court to be used solely for medical expenses
                  relating to the accident. There, the award of damages is not a resource since the
                  SSI recipient is not free to use them for her own support and maintenance. POMS SI 01120.010(D)(5). There is no indication that any such limitation exists here. However, the
                  requirement of access poses more difficult questions.
               
               Access refers to the ability to spend or convert the property to cash. POMS SI 01120.010(B)(2). Accordingly, it does not matter that S~ has not yet received the future structured
                  settlement payments. If she has the ability to spend or convert the property to cash
                  as of the first moment of the month, the requirement of access is satisfied and the
                  future payment rights may be counted as a resource for that month. Such a conversion
                  may be possible under the Allstate Advanced Funding Exchange.
               
               As a preliminary matter, we must first determine whether Advanced Funding would be
                  an available option for a payee like S~, whose structured settlement agreement is
                  governed by New York law. The Allstate structured settlement agreement indicates that
                  such a transfer “is only an option in states that have a structured settlement transfer
                  act.” New York’s SSPA qualifies as such a statute because it mandates court approval
                  for any proposed transfer of structured settlement rights. See N.Y. Gen. Oblig. Law § 5-1706. Further, Allstate has submitted similar transfers for
                  judicial approval pursuant to the statute, confirming that the Advanced Funding option
                  is viable under New York law. See, e.g., In re L~, 28 Misc. 3d 1203(A) (N.Y. Sup. Ct. 2010).
               
               Some businesses, known as “factoring companies,” may offer to purchase structured
                  settlement payment rights in exchange for discounted lump sums. Such a transfer would
                  allow the payee to circumvent Allstate’s veto power, even if the structured settlement
                  agreement prohibits assignment, so long as the requirements of the SSPA are satisfied.
                  See In re Settlement Funding of New York, LLC, 2 Misc. 3d 872, 877 (Sup. Ct. 2003). Therefore, Allstate’s ability to decline a
                  requested transfer under the Advanced Funding Exchange does not restrict the payee’s
                  access to future settlement payments, and would not prevent SSA from counting those
                  payment rights as a resource for purposes of SSI eligibility.
               
               However, as noted above, an individual need not undertake litigation to gain access
                  where there is a legal bar to the sale of property. In such circumstances, the property
                  will not be a resource. POMS SI 01120.010(C)(2). Both Allstate’s policy and the SSPA require judicial approval for the transfer
                  of settlement payment rights to be effective.  See N.Y. Gen. Oblig. Law § 5-1706. The SSPA specifies, “[a]n action for approval of a
                  transfer of a structured settlement shall be by a special proceeding brought on only
                  by order to show cause.” N.Y. Gen. Oblig. Law § 5-1705(a). Such an action may constitute
                  “litigation” under the POMS, even though it differs from the divorce proceedings given
                  as an illustrative example. See POMS SI 01120.010(D)(7). The proceedings are not necessarily adversarial in either case; an uncontested
                  divorce might operate in much the same way, with the parties agreeing to a set of
                  terms and submitting them to the court. An SSPA action arguably has an even greater
                  impact on an individual’s ability to access property because it requires a showing
                  of best interest as well as fairness and reasonableness. See N.Y. Gen. Oblig. Law § 5-1706(b). Judicial approval is by no means automatic. See Petition of 321 Henderson Receivables L.P. v. Martinez, 11 Misc. 3d 892, 895 (Sup. Ct. 2006) (noting that courts are not intended to be
                  “mere rubber stamps” and should analyze whether the proposed transfer agreement is
                  truly in the best interests of the payee). Although the POMS offers no definition
                  of “litigation,” at least one court has declined to construe the term narrowly. See Kubetin v. Astrue, 637 F. Supp. 2d 59, 65 (D. Mass. 2009) (“[T]he text of the POMS instruction makes
                  no such distinction between types of “litigation” and the court declines to read that
                  limitation into an otherwise clear policy statement.”). Accordingly, we believe that
                  an SSPA action is “litigation” within the meaning of POMS SI 01120.010, and the requirement of court approval constitutes a legal bar to access. Therefore,
                  the future structured settlement payments are not a resource.
               
               Conclusion
               New York’s SSPA, N.Y. Gen. Oblig. Law §§ 5-1701 et seq., would allow transfer agreements
                  in which the payee obtains an immediate lump sum payment in exchange for the rights
                  to future guaranteed settlement payments. However, the need for judicial approval
                  of the transfer restricts the payee’s legal right to access under POMS SI 01120.010. Therefore, a settlement agreement that permits such transfers would not be counted
                  as a resource.
               
               Stephen P. Conte
Regional Chief Counsel, Region II
               
               By: Peter Jewett
               Assistant Regional Counsel