Special Needs Trusts Lawyer in Winchester

Comprehensive Guide to Special Needs Trusts in Winchester

Planning for the long-term care and financial security of a loved one with disabilities requires careful, thoughtful steps. This guide introduces Special Needs Trusts and explains how they help preserve eligibility for public benefits while providing for a beneficiary’s quality of life. Whether you are just beginning to explore options or reviewing an existing plan, understanding the fundamentals will help you make decisions that protect assets, maintain benefits, and address daily needs without jeopardizing government assistance programs.

Families in Winchester and surrounding Tennessee communities often face complex choices when arranging care and financial support for a family member with a disability. A properly drafted Special Needs Trust can balance private funding for supplemental care with continued eligibility for Medicaid and SSI. This guide covers common scenarios, terminology, and the steps involved so you can approach planning with confidence and clarity, ensuring that practical needs are met and future risks are minimized for the person you care about.

Why Special Needs Trusts Matter for Families in Winchester

Special Needs Trusts provide a legal structure that allows funds to be used for a beneficiary’s extra needs without disqualifying them from means-tested public programs. By placing assets into a trust, families can fund therapies, transportation, education, personal items, and other supports that enhance quality of life. These trusts can reduce financial worry, coordinate benefits, and provide a clear plan for long-term care. For many households, the trust becomes an essential component of a broader estate plan focused on preserving benefits and safeguarding the individual’s future.

About Jay Johnson Law Firm and Our Approach to Special Needs Planning

Jay Johnson Law Firm serves Tennessee families with estate planning and probate services, including Special Needs Trusts tailored to individual circumstances. Our team works to understand each family’s goals, coordinate with financial advisors and care providers, and prepare documents that reflect the beneficiary’s needs. The firm emphasizes clear communication, practical solutions, and steady support through decision points. Clients in Winchester and Hendersonville rely on the firm for careful drafting, benefit-aware planning, and ongoing guidance as needs and laws evolve over time.

Understanding Special Needs Trusts: Key Concepts for Families

A Special Needs Trust is a legal arrangement designed to hold assets for the benefit of an individual with disabilities without counting those assets for means-tested programs. These trusts are often used when families want to supplement but not replace public benefits, providing amenities and supports that government programs may not cover. Effective planning considers the type of trust, funding sources, trustee selection, and language that protects benefits eligibility. Understanding how the trust interacts with Medicaid, SSI, and other assistance programs is essential to avoid unintended consequences.

Different kinds of Special Needs Trusts exist to meet varying circumstances, including trusts funded by family members, third-party trusts created through estate plans, and court-ordered or settlement-funded trusts. Each option carries specific rules about distributions, creditor protection, and possible estate recovery by state programs. Families should evaluate which trust type fits their situation, how distributions will be handled, and how long-term care needs will be met. A careful plan accounts for possible changes in benefits rules and ensures the beneficiary’s needs remain a priority over time.

What a Special Needs Trust Is and How It Works

At its core, a Special Needs Trust is a fiduciary arrangement where a trustee manages assets for a beneficiary who has a qualifying disability. The trust document specifies permissible uses of trust funds, focusing on supplemental needs that do not replace government benefits. Trustees have a duty to follow the trust terms and make distributions that support quality of life, such as paying for medical expenses not covered by public benefits, transportation, education, and recreational activities. Proper drafting clarifies the trustee’s powers, distribution standards, and coordination with public benefits.

Key Elements and Steps in Setting Up a Special Needs Trust

Establishing a reliable Special Needs Trust involves several important steps: identifying the beneficiary’s current and anticipated needs, choosing an appropriate trust structure, naming a trustee and successor trustees, and specifying distribution rules that preserve benefit eligibility. Additional tasks include funding the trust through gifts, inheritance planning, or settlements, and preparing required notices or court filings if applicable. Regular review ensures the trust terms remain aligned with benefit rule changes, family circumstances, and the beneficiary’s evolving care needs.

Key Terms and Glossary for Special Needs Trust Planning

Understanding common terms helps families navigate trust planning and communicate effectively with advisors. This glossary covers essential concepts related to Special Needs Trusts, benefits programs, trustee roles, and distribution mechanisms. Familiarity with these terms reduces confusion and supports better decision-making when assembling an estate plan or updating existing documents. Use this section to build a working vocabulary that will clarify discussions about eligibility, funding, and long-term care planning for a loved one with disabilities.

Supplemental Needs

Supplemental needs are goods and services that improve the beneficiary’s quality of life but are not essential items covered by public benefits. Examples include educational programs, outings, adaptive equipment, private therapies, transportation, and nonmedical comforts. Trust distributions for supplemental needs must be carefully documented and made in a way that does not substitute for benefits like Medicaid or SSI income, which are intended to cover basic support and medical care. Clear guidelines in the trust help trustees make appropriate decisions.

Third-Party Trust

A third-party trust is funded by someone other than the beneficiary, such as parents, grandparents, or other family members, often through lifetime gifts or as part of an estate plan. Because the assets are not owned by the beneficiary, these trusts can provide supplemental support without imposing repayment obligations to state agencies after the beneficiary’s death. Third-party trusts can be flexible tools for transferring wealth in a way that enhances a loved one’s life while preserving public benefits during their lifetime.

First-Party Trust (Payback Trust)

A first-party trust, sometimes called a payback trust, is funded with assets that belong to the beneficiary, such as an inheritance or settlement proceeds. These trusts are typically structured to meet Medicaid rules and include a provision requiring repayment to the state for medical benefits paid on the beneficiary’s behalf after the beneficiary dies. While they preserve benefit eligibility during life, families should consider the payback provision and how it affects long-term planning and the distribution of remaining assets.

Trustee Duties

Trustees manage the trust’s assets, make distributions in accordance with the trust terms, maintain accurate records, and act in the beneficiary’s best interest. Duty responsibilities include investing prudently, preparing accountings as required, coordinating with benefit administrators, and ensuring distributions do not jeopardize means-tested benefits. Trustees should understand the beneficiary’s needs and the interaction of trust payments with public programs to carry out their role responsibly and transparently.

Comparing Legal Options for Providing for a Loved One with Disabilities

Families can choose among several approaches to protect a loved one’s financial future, including Special Needs Trusts, outright gifting, guardianships, and beneficiary designations. Each option affects benefits eligibility, control over assets, and long-term management differently. Special Needs Trusts often strike a balance between preserving public benefits and providing supplemental care, while outright transfers may put eligibility at risk. Understanding pros and cons, potential administrative requirements, and interactions with other planning tools helps families select the most appropriate course for their priorities and resources.

When a Limited Planning Approach May Be Appropriate:

Short-Term Needs or Small Resources

A limited approach can make sense when the beneficiary has modest supplemental needs or the assets involved are small relative to overall household resources. In such cases, short-term solutions or simple beneficiary designations may provide immediate assistance without the complexity of a trust. Families should still consider how any transfers affect benefits and keep documentation of intentions and distributions. Periodic reassessment is important to ensure that the chosen approach continues to meet the beneficiary’s changing needs over time.

Temporary or Transitional Circumstances

Limited planning may be adequate during temporary or transitional periods, such as while exploring long-term care solutions or waiting for benefits determinations. For a short window, informal supports or modest gifts can address immediate needs, provided they do not jeopardize eligibility. Families should document transactions and intentions and work toward a more durable plan if long-term support is necessary. Monitoring benefits rules and consulting with a planner can prevent unintended impacts on public assistance during these transitions.

Why a Comprehensive Trust Plan Often Makes Sense:

Long-Term Financial Security and Benefits Protection

A comprehensive Special Needs Trust plan helps ensure that both benefits eligibility and supplemental resources are preserved over the long term. For families expecting ongoing care needs, multiple funding sources, or significant assets, a full plan coordinates estate documents, trustee instructions, and funding strategies to reduce future uncertainty. This integrated approach minimizes risks of disqualification from means-tested programs and provides a reliable mechanism to address changing needs while keeping oversight and flexibility in the hands of trusted fiduciaries.

Complex Family or Asset Situations

When family dynamics, blended estates, creditor concerns, or lawsuit settlements are involved, a comprehensive plan helps clarify expectations and protect the beneficiary’s interests. Properly coordinated documents can address contingencies, set clear trustee powers, and specify successor arrangements. A thorough approach also anticipates interactions with public programs and includes provisions that guide trustees through delicate distribution decisions, ensuring that assets are used as intended without inadvertently creating eligibility problems or disputes among heirs.

Benefits of a Comprehensive Special Needs Trust Strategy

A comprehensive strategy offers clarity, continuity, and protection for the beneficiary’s future. It can integrate estate planning tools such as wills, powers of attorney, healthcare directives, and funding plans to create a cohesive roadmap for care. This coordination reduces the chance of legal gaps, simplifies trustee duties, and promotes consistent decision-making across financial and healthcare matters. Families benefit from having a documented plan that addresses present needs and anticipates future changes, so required supports remain in place when they are most needed.

Comprehensive planning also helps manage risk by establishing oversight and safeguards for trust assets. Thoughtful trustee selection, spending standards, and review mechanisms provide checks that align distributions with the beneficiary’s best interests. The approach can minimize disputes, protect assets from inappropriate claims, and ensure that legacy intentions are carried out responsibly. For many families, the peace of mind that comes from an organized plan outweighs the effort of setting one up and maintaining it over time.

Protecting Benefits While Enhancing Quality of Life

One primary advantage of a comprehensive trust is the ability to provide discretionary support that complements government programs. Trust funds can pay for therapies, equipment, travel, enrichment activities, and other items that improve daily living, while public benefits continue to cover core needs like medical care and basic living expenses. This balanced approach helps beneficiaries access a fuller range of services without sacrificing essential benefits, allowing families to supplement care in meaningful, flexible ways over the long term.

Confidence Through Clear Governance and Ongoing Review

Comprehensive plans lay out governance structures that define trustee responsibilities, distribution discretion, and processes for review. Regular check-ins and updates ensure the trust adapts to legal changes, care needs, and family circumstances. Clear documentation and trustee guidance reduce ambiguity and help prevent conflicts among family members. With these mechanisms in place, families can feel more confident that the beneficiary’s financial and personal needs will be addressed consistently and respectfully, even as situations evolve over time.

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Practical Tips for Special Needs Trust Planning

Start with a Benefits Review

Before funding a trust or making transfers, review the beneficiary’s current benefit status to understand how different actions may affect eligibility. A benefits review looks at Medicaid, SSI, housing supports, and other programs that provide critical services. This assessment helps families avoid inadvertent disqualifications and identifies the most appropriate trust type and distribution rules. Keeping documentation of benefits and eligibility considerations also helps trustees make informed decisions when administering the trust over time.

Choose Trustees Thoughtfully

Selecting the right trustee is one of the most important decisions in trust planning. Consider the candidate’s ability to manage finances responsibly, willingness to advocate for the beneficiary, and capacity to coordinate with care providers and benefit administrators. Successor trustee provisions and co-trustee options can add redundancy and oversight. Clear written guidance in the trust document about permissible distributions and reporting expectations helps trustees carry out their duties effectively and reduces the likelihood of disputes among family members.

Plan for Funding and Contingencies

Determine how the trust will be funded over time and include contingencies for unexpected events. Funding sources may include lifetime gifts, proceeds from life insurance, retirement planning, or provisions in a will. Consider including flexible distribution language to address changing needs, and outline what should happen if a trustee cannot serve or if circumstances change dramatically. Regularly revisit funding plans and update documents to keep pace with life events, legislative shifts, and evolving care priorities for the beneficiary.

Reasons Winchester Families Choose Special Needs Trust Planning

Many families turn to Special Needs Trust planning to preserve public benefit eligibility while providing additional resources that improve daily living. The trust structure helps manage assets for discretionary use, protects benefits like Medicaid and SSI, and provides a clear path for long-term care funding. Families also seek planning to reduce future stress, formalize intentions, and arrange for capable trustees to manage money in a way that honors the beneficiary’s preferences and needs. Thoughtful planning addresses both present and future concerns.

Another compelling reason to consider a Special Needs Trust is the ability to coordinate estate planning goals with the beneficiary’s care requirements. Including trust provisions in wills or beneficiary designations ensures that inheritances or settlements will be handled in a benefits-friendly manner. This prevents assets from unintentionally disqualifying the beneficiary from essential programs. For families with evolving needs, a trust offers flexibility and guidance for trusted individuals who will oversee the beneficiary’s financial supports down the road.

Common Situations Where a Special Needs Trust Is Recommended

Special Needs Trusts are frequently used when a family member with disabilities receives an inheritance, settlement proceeds, or a significant gift, or when parents want to designate resources for care after they are gone. They are also appropriate when the beneficiary relies on means-tested benefits and the family seeks ways to enhance available supports. Other common circumstances include planning for long-term care costs, protecting assets from creditors, and formalizing spending guidelines to ensure funds are used in the beneficiary’s best interest.

Inheritance or Settlement Funds

When a beneficiary stands to receive an inheritance or legal settlement, placing those funds into a properly designed trust can prevent the loss of public benefits. First-party and third-party trust structures address different funding sources and repayment rules, so selecting the correct form is important. Trust language should provide clear instructions for allowable expenditures and name trustees who will steward the funds while coordinating with benefits administrators to avoid eligibility issues.

Planning for Parents’ Incapacity or Death

Parents often establish Special Needs Trusts as part of a broader estate plan to ensure that a child with disabilities will have managed financial support after the parents are gone or unable to serve. Including funding directives in wills, life insurance beneficiary designations, or living trusts helps maintain continuity of care. Clear successor trustee appointments and distribution standards reduce uncertainty and help ensure the beneficiary’s quality of life remains a priority when family circumstances change.

Coordinating Benefits and Services

Families also use trusts to coordinate various support sources, including public benefits, private insurance, and community resources. Trust funds can fill gaps that public programs do not cover, such as transportation, recreational therapies, and home modifications. By carefully planning distributions and documenting decisions, trustees can supplement services in a way that complements existing programs and enhances overall care, rather than duplicating or replacing benefits that secure basic needs.

Jay Johnson

Winchester Special Needs Trust Attorney — Local Planning and Support

Jay Johnson Law Firm provides planning and document preparation for families in Winchester and throughout Tennessee. The firm assists with drafting Special Needs Trusts, coordinating funding, and advising on how trust provisions interact with public benefits. Attorneys and staff work to explain options in straightforward terms, develop practical distribution standards, and prepare documents that reflect your family’s values and goals. Local knowledge of Tennessee rules helps ensure trusts are created with state program considerations in mind.

Why Families in Winchester Choose Jay Johnson Law Firm for Special Needs Trusts

Clients choose Jay Johnson Law Firm because of the firm’s focus on estate planning and a commitment to clear communication and practical solutions. The firm listens to family priorities, evaluates benefits interactions, and creates documents that reflect individual circumstances. Emphasis is placed on long-term planning, trustee guidance, and ensuring that the trust functions effectively alongside public programs. This thorough approach aims to reduce uncertainty and provide families with a dependable framework for care and financial support.

The firm’s process includes a detailed intake to understand the beneficiary’s needs, discussions about funding options and trustee selection, and careful drafting of trust language to protect eligibility for government programs. Jay Johnson Law Firm also coordinates with other advisors, such as financial planners or life insurance professionals, to integrate the trust into an overall estate plan. Ongoing review options are available so the plan adapts to changing circumstances or legal developments that affect benefits or trust administration.

For families in Winchester and nearby Tennessee communities, the firm offers practical guidance, accessible communication, and a focus on durable, benefit-aware planning. Whether you are creating a trust funded during life or arranging to fund a trust through a will, the firm works to produce clear documents with distribution standards that reflect your family’s intentions. The result is a plan designed to protect benefits and provide supplemental support that enhances the beneficiary’s quality of life.

Contact Jay Johnson Law Firm to Discuss Special Needs Trust Options

How the Special Needs Trust Process Works at Our Firm

Our process begins with a detailed consultation to gather information about the beneficiary’s needs, current benefits, assets, and family goals. From there, the team recommends an appropriate trust type, drafts tailored documents, and outlines funding options and trustee responsibilities. We explain how the trust interacts with Medicaid and SSI and provide guidance for managing distributions. After documents are executed, we offer follow-up support to address administration questions and to review the plan as circumstances change over time.

Step One: Initial Consultation and Benefits Assessment

The first step is a focused meeting to collect details about the beneficiary’s medical needs, current benefits, financial resources, and family objectives. This benefits assessment identifies risks that could affect eligibility and helps determine the best trust structure and funding method. Clear communication during this stage ensures the recommended plan aligns with the beneficiary’s care priorities and family preferences, forming the foundation for trust drafting and long-term planning.

Gathering Personal and Benefits Information

We collect relevant documents, including benefit award letters, Social Security records, Medicaid enrollment information, and details about assets or expected funds. This information allows us to analyze how different funding sources will affect eligibility and to recommend strategies that preserve benefits. Accurate records and a comprehensive picture of the beneficiary’s situation help create a durable plan that addresses both immediate and future needs.

Identifying Funding Sources and Priorities

During intake, we review potential funding sources such as inheritances, gifts, life insurance, or settlement proceeds and discuss how they should be directed to avoid benefit impacts. We also explore family priorities for distributions and trustee selection. This stage results in a clear outline of how the trust will be funded and what governance provisions are necessary to align distributions with the beneficiary’s best interests while maintaining program eligibility.

Step Two: Drafting Documents and Selecting Trustees

After the initial assessment, we draft the trust agreement and related estate documents, incorporating detailed distribution standards and trustee powers tailored to the beneficiary’s needs. We help clients name primary and successor trustees, prepare funding instructions, and coordinate any required filings. The drafting stage focuses on clarity and benefit-preserving language so the trust functions smoothly in daily administration and in response to future circumstances.

Preparing Trust Language and Distribution Standards

Drafting includes establishing permissible uses of trust funds, defining trustee discretion, and incorporating reporting or accounting requirements as desired. Clear distribution standards provide guidance for payments that enhance the beneficiary’s life without displacing essential public program benefits. Thoughtful language helps trustees make prudent decisions and reduces ambiguity that can cause disputes or administrative delays.

Naming Trustees and Document Execution

We assist in choosing suitable trustees, preparing successor arrangements, and executing documents with proper formalities. Execution often includes signing, notarization, and witness requirements to ensure legal validity. We provide clients with copies of executed documents and instructions for funding the trust, including beneficiary designations, transfer processes, and coordination with other advisors to finalize the plan.

Step Three: Funding the Trust and Ongoing Administration

Once documents are executed, funding the trust completes the legal structure and allows distributions to begin under the agreed terms. We provide guidance on transferring assets, setting up accounts, and documenting transactions. Ongoing administration requires trustees to keep records, coordinate with benefit agencies, and make distributions consistent with trust purposes. Periodic reviews help ensure the trust adapts to changes in law, care needs, or family circumstances.

Funding Methods and Documentation

Funding may involve retitling bank or investment accounts, updating beneficiary designations, purchasing life insurance, or directing inheritance provisions in wills. Proper documentation of transfers and third-party communications with benefits administrators helps avoid misunderstandings. Clear funding steps ensure the trust is operational and that funds are available for the beneficiary when needed.

Trustee Support and Periodic Reviews

We offer guidance to trustees on recordkeeping, acceptable distributions, and interactions with benefit programs. Periodic reviews of the trust and related estate documents help accommodate legal changes, shifts in care needs, and evolving family goals. Ongoing support provides trustees with a roadmap for responsible administration and helps maintain alignment between the trust’s purpose and the beneficiary’s well-being.

Frequently Asked Questions About Special Needs Trusts

What is a Special Needs Trust and who benefits from it?

A Special Needs Trust is a legal arrangement that holds assets for a person with disabilities while preserving eligibility for means-tested public benefits. The trust allows a trustee to make discretionary distributions for supplemental needs that public programs may not cover, such as therapy, transportation, education, or recreational activities. Proper drafting ensures trust funds support quality of life without substituting for essential government-provided services.Individuals who rely on Medicaid, SSI, or other income-based benefits commonly benefit from a Special Needs Trust. The trust can be funded by family members, inheritances, or settlement proceeds, with different structures available depending on the source of funds and the desired provisions for repayment or transfer after the beneficiary’s death.

Special Needs Trusts are designed to preserve eligibility for Medicaid and SSI by ensuring that trust assets are not considered countable resources for these programs. The trust must be drafted with benefit-preserving language and administered in a way that distinguishes supplemental spending from income meant to replace benefits. Different trust types follow different rules, so accuracy in drafting is important to maintain eligibility.Trustees must be careful about the timing and nature of distributions since some payments can be treated as income or resources under program rules. Coordination with benefits administrators and careful documentation help prevent inadvertent disqualifications and ensure distributions are made in a manner consistent with preserving public assistance.

First-party and third-party Special Needs Trusts differ mainly in who funds the trust and how the trust addresses repayment to government agencies. A first-party trust is funded with the beneficiary’s own assets, such as an inheritance or settlement, and typically includes a provision to repay Medicaid from remaining funds after the beneficiary’s death. This structure helps maintain benefit eligibility while accounting for state recovery rules.A third-party trust is funded by someone other than the beneficiary, like parents or relatives, and generally avoids Medicaid payback provisions. Third-party trusts offer more flexibility for distributing leftover assets to other family members after the beneficiary’s death. Choosing between these options depends on the source of funds and long-term goals for the assets.

Choosing a trustee requires balancing trustworthiness, financial responsibility, and an understanding of the beneficiary’s needs. Many families name a trusted relative or friend as the primary trustee and designate successor trustees or corporate trustees when professional management or continuity is desired. Consider the trustee’s ability to collaborate with care providers, follow trust guidelines, and maintain accurate records.Trustee duties include managing investments, making distributions consistent with trust terms, coordinating with benefits administrators, and providing accountings if required. Clear instructions within the trust document regarding permissible distributions and reporting expectations can help trustees perform their role effectively and reduce the risk of family disputes over trust administration.

Yes, a Special Needs Trust can be funded through a will as a testamentary trust that takes effect after the testator’s death. This approach is often used by parents who want to leave assets to a child with disabilities without compromising the child’s public benefit eligibility. The will should clearly direct assets into the trust, specify trustee appointments, and include language that aligns with benefit-preserving rules.Funding via a will requires that the probate process be completed to transfer assets to the trust, which can introduce delays. Families may also choose to fund a trust during life to provide immediate supplemental support. Discussing funding timing and methods helps determine the best combination of planning tools for each family’s circumstances.

What happens to trust assets at the beneficiary’s death depends on the trust’s terms. Third-party trusts typically include directions for distributing remaining assets to other family members or charitable causes, while first-party trusts often contain payback clauses that require repayment to state Medicaid programs for benefits paid on the beneficiary’s behalf. Clear provisions in the trust should outline the intended final disposition of assets.Families should consider how end-of-life provisions align with estate planning goals and communicate intentions with successor trustees. Properly drafted remainder provisions avoid surprises and ensure that the trust’s final distributions match the grantor’s wishes while complying with applicable repayment rules when required.

It is advisable to review a Special Needs Trust periodically and after major life events such as changes in benefits, family structure, or funding sources. Regular review ensures trust provisions remain consistent with current laws, the beneficiary’s needs, and your family’s goals. Annual check-ins or reviews when relevant changes occur help keep the plan up to date and effective.Updating involves evaluating trustee performance, confirming funding arrangements, and adjusting distribution standards if the beneficiary’s needs shift. Staying proactive reduces the likelihood of unintended consequences and helps trustees make decisions that reflect the most current circumstances.

Trustees may have reporting requirements depending on the trust terms and applicable law, including providing accountings to beneficiaries or courts if requested. Some benefit programs or state agencies may also request information about distributions when determining eligibility or conducting reviews. Maintaining clear, contemporaneous records of all transactions, invoices, and communications is essential to demonstrate that trust funds were used appropriately.Including accounting and reporting standards in the trust document can set expectations and reduce disputes. Trustees who follow best practices for documentation and transparency make administration smoother and provide greater assurance that distributions align with trust purposes and benefits preservation.

Using trust funds for housing or rent requires attention to how such payments interact with benefit rules. In some situations, direct payments for housing-related needs can affect eligibility for income-based programs. Trust distributions that cover supplemental housing expenses, such as accessibility modifications or additional services not covered by benefits, may be permissible without disqualifying the beneficiary.Trustees should consult benefit guidelines and document the purpose of housing-related distributions carefully. When in doubt, coordinating with benefits administrators or legal counsel helps ensure payments support the beneficiary’s quality of life without unintentionally jeopardizing public assistance.

The cost to create a Special Needs Trust varies depending on the trust type, complexity of family and asset issues, and whether related estate documents are needed. Simple, third-party trusts may involve lower fees, while first-party trusts, coordinated estate plans, or situations requiring tailored funding strategies can be more involved. The firm typically provides a transparent fee discussion during the initial consultation to outline expected costs and the services included.While upfront costs exist, many families view professional planning as an investment in protecting benefits and avoiding future complications. Comparing potential long-term benefits and the risks of improperly handled funds helps families decide on appropriate levels of planning and support.

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