Legal Question in Real Estate Law in Connecticut
I have owned a home in Wallingford, CT and a beach cottage in Westbrook, CT with 2 others for 15 + years. It was sold to us legally by my mother, and she continues to pay taxes on both places, but only lives in the year-round home. She is 90 yrs old, continues to live in the house (which was originally hers), and spends very little time in the cottage (which also was hers). If she should ever need support from the state under Title 19, will the fact that she has paid taxes on a place (beach cottage) that she doesn't own or live in, allow the state to take it from her on the basis that she treats it as if she owns it by covering all expenses, especially the taxes?
Janet
2 Answers from Attorneys
No. It will be treated as though she was paying the taxes as a form of rent. Because this was done 15 or more years ago (I gather), you should be safe from Title XIX.
It's more about a person's assets under Title 19. Below is the applicable law.
Sec. 1940. [42 U.S.C. 1396w] (a) Authority or Requirements to Cover Additional Individuals.�For provisions of law which make additional individuals eligible for medical assistance under this title, see the following:
(1) In general.�Subject to the provisions of this section, each State shall implement an asset verification program described in subsection (b), for purposes of determining or redetermining the eligibility of an individual for medical assistance under the State plan under this title[...]
[then] (B) uses the authorization provided under subparagraph (A) to verify the financial resources of such applicant or recipient (and such other person, as applicable), in order to determine or redetermine the eligibility of such applicant or recipient for medical assistance under the State plan.
ELIGIBILITY FOR TITLE 19
Asset Limits
The law requires an asset assessment or "snapshot" as of the day an individual enters a medical institution. For a single person, the asset limit is $2,000 in "countable" assets. Spousal impoverishment allows a couple to keep part of their countable assets and still be eligible for Title 19. For 2009, the Title 19 asset limit for a couple will be $2,000 plus one-half of the "snapshot" assets, but no less than $50,000 and no more than $109,560. A married person with "snapshot" assets between $0 and $52,000 when he or she enters an institution will be Title 19 eligible immediately. A married person with "snapshot" assets between $52,000 and $100,000 will be Title 19 eligible when countable assets are at $52,000. A married person with "snapshot" assets between $100,000 and $219,120 will be eligible when countable assets are below one-half the value of the "snapshot" assets plus $2,000. A married person with "snapshot" assets of $219,120 and higher will be Title 19 eligible when countable assets are below $109,560.
Exempt Assets
Certain assets are exempt, or not treated as "countable" assets. The most common are:
1.Homestead: A homestead of any value, if a spouse, minor children or "dependent relative" lives in it, or if the individual entering the nursing home intends to return home. The home equity exemption is limited, however, to $750,000. The limitation does not apply if the community spouse, a minor child or a blind or disabled adult child is "lawfully residing" in the home.
2.Car: There is a maximum equity value of $4,500 for a single person with some exceptions. However, there is no limit on value for a married person.
3.Household and personal possessions: Reasonable value for single person; no limit on value for married person.
4.Burial arrangements: Irrevocable burial trust (up to $3,000) plus prepayment of casket, vault, opening and closing of grave, etc., up to any value, or an insurance-funded burial contract up to any value. If married, both spouses may own burial arrangements.
5.Life Insurance: $1,500 face value policy. If married, each spouse may own $1,500 face value life insurance. If face value is above $1,500, cash value is treated as a countable asset.
* Certain other assets are not counted either temporarily or permanently, because they are "unavailable", i.e., can't be converted into cash.
Income Limits
For a single person on Title 19, all of his or her income, except a $45 per month "personal allowance" and enough money to pay for private health insurance will usually be paid to the nursing home for care. An exception is if a doctor certifies that the person is likely to return home; in this case, a limited amount of income may be kept to maintain the home.
A married person may allocate income to the spouse still residing in the community to bring his or her income up to the lesser of $2,739.00 or $2,333.33 plus "excess shelter allowance." "Excess shelter allowance" means shelter expenses (rent, mortgage principal and interest, taxes and insurance for residence, maintenance fee and food stamp standard utility allowance) over $700.00 per month.
A married person may allocate income to a dependent child (i.e., a child under 18 or claimed as a dependent on taxes) or other dependent family member to bring his or her income up to $583.33 per month.
For married people, a hearing officer may increase the amount of assets the community spouse may have if those assets are necessary to generate income to bring the community spouse's income up to the income allocation limit.
After the institutionalized spouse is on Title 19, the community spouse may accumulate assets above the asset limit. He or she may save, sell exempt assets, inherit money, etc. without affecting the institutionalized spouse's eligibility.
Planning Options
Long-term care insurance is appropriate advance planning for some, as is "advance benefit" life insurance. A thorough General Durable Power of Attorney is essential. This should be prepared by an attorney.
Some gifts may be made. If gifts are made within 36 months (or 60 months under the new laws when implemented) of application for Title 19, they must be disclosed. A formula is used to determine if gifts cause Title 19 ineligibility and, if so, for how long.
Some transfers cause no Title 19 ineligibility because they are specifically allowed under Title 19 rules. These include:
1.All transfers to or for the sole benefit of a spouse.
2.All transfers to or for the sole benefit of a disabled child.
3.Transfer of a home to:
�a child under 21.
�a child of any age who has lived there for two years and has provided care which delayed institutionalization.
�a sibling who has lived there for one year and has an equity interest.
There are risks in all planning for Title 19. It is important to get personal, professional advice before any gifts or transfers are made, and to review all of the above options.
Liens and Claims Against Estates
The state may put a lien on the homestead property of a nursing home Title 19 recipient, but only if it is not occupied by a spouse, disabled child or child under 21 years of age, or sibling with an ownership interest who has lived there for 12 months.
The state may make a claim against the probate estate of a nursing home Title 19 recipient.