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MEDICAID RULES AND ELIGIBILITY RULES ON BURIAL INSURANCE

FuneralTrusts.com, a division of Union Information Services, Inc. (UIS) disclaims any implied or actual warranties as to the accuracy of this material or any liability with respect to it. These are complex Tax, Medicaid, and legal implications associated with final expense planning (BURIAL INSURANCE) with the Funeral Trust Final Expense plans.

In addition, Medicaid (Title 19) rules and laws governing these issues change abruptly and without notice. Medicaid eligibility rules can differ from state to state and before taking any action, you should consult with an elder law attorney or professional in your particular state for advice on each particular situation.

Burial Insurance funding should be reasonable and within the limits of actual funeral costs. According to most states the excess proceeds not spent on the funeral must go back to the state. The Funeral Trust Burial Insurance plans marketed should be used to fund funerals and not to be used to promote asset protection to pass additional money to heirs.

Example of Wisconsin Rules

– Some States may vary on these rules. Again seek advice from your particular state.

If the product being sold in Wisconsin is burial insurance, which the state says cannot name a secondary beneficiary. Therefore if there are excess proceeds after the funeral has been paid, these funds must be paid to the Estate of the Insured for ESTATE RECOVERY PURPOSES.

GENERAL RULE

– BURIAL INSURANCE CONTRACTS DO NOT PERMIT NAMING A SECONDARY BENEFICIARY. ANY PROCEEDS NOT CONSUMED BY FUNERAL AND BURIAL EXPENSES ARE RETURNED TO THE ESTATE OF THE DECEASED. The States in most cases must have the ability to recover any remaining assets of a Medicaid patient. This refers to ESTATE RECOVERY LAWS that each state has. Some recovery laws may vary from state to state.

Do not encourage clients to over fund burial insurance with the idea of passing additional funds to heirs.

Wisconsin Reference; MA Handbook 11.5.2

This memo clarifies Medicaid burial Insurance.

Operations Memo:  #04-28    Date:  June 1, 2004

A burial insurance policy is a contract whose terms preclude the use of its proceeds for anything other than payment of the insured’s burial expenses. It is an insurance product sold by a state licensed insurance company, and is typically funded with a life insurance policy.

The ownership of the life insurance policy is irrevocably assigned by the policyholder to a funeral expense trust established by the insurance company. The trustee or trust administrator is required to pay all trust proceeds toward the policyholder’s funeral expenses at the time of the policyholder’s death. If a Trust’s proceeds exceed burial costs, the excess must revert back to the deceased person’s estate.

A burial insurance policy is exempt if:

1.) It includes language that says it is irrevocable, and

2.) it states that all proceeds must be used for burial expenses.

The purchase of burial insurance policy that meets the above conditions is NOT a divestment because the purchaser is presumed to receive fair market value.

The above is a reference from the State of Wisconsin. You should check the rules in your state on burial insurance.





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