I recently met with a couple from Brooklyn who have spent two decades building a life for their son, who has a developmental disability. They’ve saved, invested, and planned for his future. But they came to my office with a critical question: what happens when we’re gone? They were worried that the inheritance they worked so hard to provide would disqualify him from the Medicaid and Supplemental Security Income (SSI) benefits he relies on for his daily care.
Their concern is one I hear often. It’s a paradox of planning—a gift meant to provide security can unintentionally dismantle the very support system it was meant to enhance. This is the central challenge of special needs planning.
The Inheritance Problem for Government Benefits
To qualify for means-tested government benefits like SSI and Medicaid, an individual’s personal assets must remain below a strict threshold. For SSI, that limit is currently $2,000. A direct inheritance—whether through a will or by default under New York law—is counted as a personal asset. A sudden influx of $50,000 or $100,000 would immediately push your loved one over that limit, triggering a loss of benefits.
The result is that the inheritance must be spent down on medical care and living expenses until the assets are once again below the threshold. Only then can the individual reapply for benefits. The family’s life savings end up replacing public funds, rather than enhancing the individual’s quality of life. It’s an outcome no parent wants, but one that occurs without deliberate, forward-looking legal planning.
How a Special Needs Trust Works
The tool we use to address this is the Special Needs Trust (SNT), sometimes called a Supplemental Needs Trust. This is not a standard trust; it is a specific legal instrument designed to hold assets for the benefit of a person with a disability without those assets being counted as theirs for government aid qualification.
The funds in the trust are managed by a person or institution you appoint, known as the trustee. The trustee has a fiduciary duty to manage and distribute the funds according to the terms you set. The key is that the trust supplements government benefits, it does not replace them. For example, the trust can pay for things that benefits do not cover:
- Specialized medical equipment or therapies
- Educational programs
- Travel and recreation
- A vehicle or home modifications
- Personal care attendants or advocates
The legal foundation for these trusts in our state is New York’s Estates, Powers and Trusts Law. Specifically, EPTL § 7-1.12 authorizes the creation of supplemental needs trusts that preserve a beneficiary’s eligibility for government assistance. This statute is the cornerstone that allows families to provide for their loved ones without fear of disqualification.
Choosing a Trustee: The Most Important Decision
Creating the trust document is only the first step. The most consequential decision you will make is who to name as trustee. This person or entity will be the custodian of your child’s financial future. The role requires more than just financial acumen—it demands integrity, an understanding of your child’s personal needs, and a firm grasp of the rules governing trust distributions.
A trustee must know what expenses are permissible and which could jeopardize benefits. Distributing cash directly to the beneficiary is almost always a mistake. Paying a landlord directly for rent can also reduce SSI payments. The role requires diligence and a commitment to acting in your child’s best interest. You can name a family member, a professional fiduciary like a bank’s trust department, or a combination of the two as co-trustees. The choice must be deliberate and based on who is best equipped for this long-term stewardship.
The Letter of Intent
Alongside the legal documents, I always advise clients to write a Letter of Intent. This is not a legally binding document, but it is invaluable for the future trustee and caregivers. It’s your chance to communicate your hopes and wishes for your child’s life. You can describe their daily routines, their likes and dislikes, their medical history, and the people and activities that bring them joy.
This letter translates your love and knowledge into a practical guide for those who will step into your shoes. It ensures that the human element of your child’s care is never lost in the legal and financial administration of the trust.
Planning for a child with special needs is about creating a structure that can last a lifetime. It’s about building a framework of legal and financial protection so that the support and care you provide today will continue long after you are gone. The law gives us the tools to do this effectively.
If you are thinking about how to structure your estate for a loved one with special needs, a productive first step is to create a list of the assets you intend to leave behind and a summary of your child’s anticipated needs. With that information, we can have a focused conversation about designing a trust that honors your intentions and protects their future.





