Settlement FAQs

can i lose my ssi payments due to vcf settlement

by Alison Homenick Published 2 years ago Updated 1 year ago
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If an SSI

Social Security Administration

The United States Social Security Administration is an independent agency of the U.S. federal government that administers Social Security, a social insurance program consisting of retirement, disability, and survivors' benefits. To qualify for most of these benefits, most workers pay Social …

recipient sees an influx of income due to a personal injury settlement or award, he or she may see a reduction in SSI benefits or even lose SSI eligibility altogether, because there is no longer financial hardship. However, there may be a way to avoid losing your SSI benefits: setting up a Special Needs Trust.

Unfortunately, a settlement amount in a personal injury case will reduce or terminate Supplemental Security Income (SSI) once you received the settlement payout.Jun 18, 2021

Full Answer

What happens to my Social Security benefits if I settle?

Supplemental Security Income (SSI) Benefits – Social Security. Generally the only benefits which are impacted as a result of such settlements are SSI benefits. Social Security Income benefits are “resource based” or “need based“.

What is the value of lost employment-related benefits (VCF)?

The VCF award will include the value of lost employment-related benefits. Employment- related benefits include pension programs, retirement contribution programs, and health benefits.

How does a disability determination affect a VCF claim?

If the governmental agency determines that the cause of disability is a condition that the VCF has found eligible, then the disability determination will provide a basis for a determination of future loss of earnings/benefits.

How does the VCF estimate your retirement benefits?

In some cases, the VCF may estimate your benefits using presumptive values. Presumptive defined benefit pension values assume a five-year vesting requirement, normal retirement age of 65, and a benefit factor of 1% of average salary for the final five years of employment. 4.

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Will a settlement affect my SSI benefits?

Because SSI is a needs-based program, any settlement funds could affect your SSI benefits. You must report all income, assets, and other aid, including money recovered from a personal injury lawsuit.

What can cause you to lose your SSI?

What Can Cause SSI Benefits to Stop?Increase in income. If you begin receiving an income from any source (for example, a private pension or alimony payments) that puts you over the income limit, your SSI benefits could stop. ... Free food or shelter. ... Spousal income. ... Parental income. ... Increase in assets.

How do I hide my settlement money from Social Security?

One of the best options is to set up a special needs trust. This trust allows injured parties to keep settlement proceeds and keep their SSI benefits. The special needs trust can be used to cover services that are not covered by SSI programs such as transportation, nursing care, or therapies.

How does a lump sum settlement affect Social Security disability?

If you receive a lump-sum payment in settlement of your workers' compensation case, Social Security divides the amount of the settlement by your monthly SSD benefits. For example, if you get a lump-sum payment of $20,000 and divide it by the $2,000 monthly SSDI benefit, the result is 10.

Will SSI terminate my SSI over credit card resources?

The short answer to this question is “yes.” Strictly speaking, there are no restrictions that keep someone on SSI from getting and using a credit card.

Why would Social Security disability benefits be suspended?

If you realize that you've been overpaid or that you're at risk of being overpaid by Social Security due to your substantial work activity and wages, you may be able to request that your SSDI payments be suspended.

Do I have to pay back SSI if I get an inheritance?

An Inheritance Can Impact SSI Benefits You may face financial penalties if you fail to report an inheritance and you may also have your SSI payments halted for at least six months and up to three years. Even if you don't accept the inheritance, you may have to pay $25 to $100 for each failure to report or late report.

What income is not countable for SSI?

A couple can get SSI if they have unearned income of less than $1,281 a month in 2022. Because a larger portion of earned income isn't counted, a person who gets SSI can earn up to $1,767 a month ($2,607 for a couple) and still get SSI.

Can my Social Security disability be taken away?

Recipients of SSDI and SSI can have their disability benefits taken away for many reasons. The most common reasons relate to an increase in income or payment-in-kind. Individuals can also have their benefits terminated if they are suspected of fraud or convicted of a serious crime.

Does injury compensation affect benefits?

If someone else's negligence causes you to experience a physical or psychological injury, you are also perfectly entitled to seek legal redress and compensation for your suffering. However, the amount of compensation you receive could affect the state benefits you're entitled to claim.

Does Social Security Disability monitor your bank account?

If you receive benefits through the federal Supplemental Security Income (SSI) program, the Social Security Administration (SSA) can check your bank account. They do this to verify that you still meet the program requirements.

Can my Social Security disability be taken away?

Recipients of SSDI and SSI can have their disability benefits taken away for many reasons. The most common reasons relate to an increase in income or payment-in-kind. Individuals can also have their benefits terminated if they are suspected of fraud or convicted of a serious crime.

What happens when SSI is suspended?

The suspension means that the person is not eligible for SSI in the moment, but the benefits will start again when the person again meets the requirements to get SSI. As with the initial application, this includes showing that the person is blind, disabled or has reached the necessary age.

What disqualifies Social Security?

If you have not reported income and evaded taxes for a lifetime, then you have no right to Social Security benefits.

Can a person lose their disability benefits?

Exceeding income or asset limits: By far the most common reason individuals lose their benefits is by having too much income. SSDI beneficiaries may lose their benefits if they experience an increase in income from any source that pushes them over the individual income or asset limit.

Why does the VCF take so long to process a claim?

Because claims for reimbursement of out-of-pocket medical expenses require the submission and review of significant documentation establishing that the claimed medical expense was related to your eligible condition and that you personally paid for the expense out of pocket, processing these claims takes time and can delay your award. As a result, the VCF has established specific criteria about when and how you should submit your claim for medical expenses.

How to expedite a VCF claim?

Yes. In cases involving terminal illness or significant financial hardship, you can request that the VCF expedite the processing of your claim. The VCF considers “significant financial hardship” to include an imminent or pending foreclosure or eviction proceeding, utility cut off, or other similar circumstances, as demonstrated by appropriate documentation. If you want to seek expedited processing of your claim based on a terminal diagnosis or financial hardship, you or your attorney (if you are working with one for your VCF claim) must contact the VCF Helpline at 1-855-885-1555 and upload any appropriate documentation to your claim. You also must submit a complete claim form and all required supporting documents so the VCF has the information needed to process your claim. If you are represented by an attorney for your VCF claim, you should seek your attorney’s assistance. The VCF will review the request and notify you as to whether the request is granted or denied, typically within 48 hours. In claims that are approved for expedited processing, assuming all required documents have been submitted, the VCF can often process the claim, issue the award, and process the payment in as little as 3-4 weeks. In these instances, payment on the claim is issued as soon as the award letter is sent, but you retain your right to appeal within the 30-day appeal period.

How to contact the VCF?

If you are not sure whether you are registered with the VCF, or if you have questions related to Registration Deadlines, please call the VCF Helpline at 1-855-885-1555 for assistance.

What information does the VCF need to review?

In addition to information from third parties that includes details of pensions, life insurance, and Social Security Survivors Benefits (as examples), the VCF must also review information on dependents, employer benefits, and confirm the legal authority of the Personal Representative who filed the claim.

What is the first step in a VCF claim?

Once you file your claim, the first step the VCF takes is to do a preliminary review to confirm that all of the “minimally required” documents have been submitted. In addition to a complete Claim Form, we require the following documents before your claim can move forward for a more substantive review:

When does the VCF stop processing claims?

Effective Date: December 26, 2019. When a claimant who has filed a personal injury claim dies, the VCF will stop processing the claim and/or payment of that claim until a Personal Representative of the deceased claimant (“decedent”) is appointed and validated by the VCF.

What is the Helpline for a claim?

The Helpline can answer questions about the claims process, help you fill out the claim form, and explain the supporting documents you must submit with your claim. You can call for general information, or you can make an appointment to work with a Helpline representative to complete and submit your claim.

What happens if you don't have enough work credits to qualify for SSDI?

If you become disabled but do not have enough work credits you will not qualify for SSDI and will have to apply for SSI.

What is Supplemental Security Income (SSI)?

Supplemental Security Income or SSI is offered to the blind, disabled or age (65 years or older) who are unable to work for at least 12 continuous. What some SSI applicants do not realize is although you do not have to have work credits or a work history to qualify for SSI, unlike Social Security Disability Insurance (SSDI), SSI is only offered to claimants who have VERY limited income and resources. What does this mean for you? There are several things such as work or other types of income which may lower or eliminate your SSI payment.

What to report to SSA if you get SSI?

Because there are several things that affect your SSI benefits the Social Security Administration requests that claimants notify them if they go through a life event such as divorce, separation, marriage, birth of a child or spousal death.

What to do if you want to work part time and are receiving SSI?

So what do you do if you want to work part-time and you are currently receiving SSI payments? First, talk to the SSA. They have several publications which outline the work process. In general, if you return to work the SSA will evaluate what they call your “countable income”. Countable income is the gross amount of your earnings (after any expenses) necessary to keep you working and less any subsidized earnings provided by your employer.

Does the SSA consider spouse's income?

If you apply for SSI, the SSA will consider your spouse’s income to determine if your family’s resource and income level is too high to qualify for SSI. The SSA will not consider your spouse’s income if you qualify for SSDI benefits.

Can I lose my SSI if I get married?

Many SSI recipients who receive SSI payments are shocked to find that if they get married or return to work they may lose their SSI payments. So let’s talk about what types of actions may reduce or completely eliminate your SSI benefits.

Can I work too much to get SSI?

Yes, although the amount you can work and the amount of the SSI payment you can keep will depend on the amount of SSI you are receiving, if you work too much you may lose your SSI benefit.

What is SSI cash?

SSI is cash assistance program for claimants who have limited resources. What are resources? Resources, as defined by the SSA, can be anything a claimant owns such as land, vehicles, personal property, bank accounts, United States’ Savings Bonds, life insurance, and cash. The current limit for 2011 is $2000 per individual and $3000 per couple.

Why did Social Security stop?

Yes, the Social Security Administration does terminate benefits for a variety of reasons, and many claimants have their SSI benefits stopped simply because they did not understand SSI and the requirements of the program.

How often does the SSA review Social Security?

The SSA determines the SSI claimant is not disabled after a Continuing Disability Review (CDR) claimants may expect a review of their Social Security Disability benefits at least every 3 years.

How long can you get life insurance after receiving Social Security?

Grants, fellowships, or gifts which are set aside to pay for educational costs within 9 months after their receipt. Retroactive SSI or Social Security benefits for up to nine months after the claimant received them.

Can I work part time on my SSI?

The Supplemental Security Income claimant returns to work. SSI claimants may be allowed to work part-time but working too much or making too much money can either lower or eliminate benefits.

Does the SSA allow the current exemptions?

The SSA does allow the current exemptions. These resources will not count toward the claimant’s resource limit.

Can SSI be terminated?

Following the Continuing Disability Review, if the SSA determines the claimant is not disabled and their condition has improved to such an extent they can return to work, SSI benefits can be terminated. The Supplemental Security Income claimant returns to work.

What is resource based Social Security?

These terms mean that they are based on your current needs or resources, and such resources exceed the limits set by the social security office then your SSI benefits can be terminated.

Is SSI a low cost benefit?

SSI benefits can be critical for many recipients providing low to no cost healthcare at most hospitals in California. Recipients receive low cost healthcare, pharmaceuticals and life saving operations at little to no cost, so it is important for such benefits to remain intact.

Can you keep your SSI, Social Security Benefits if you receive a Settlement of a Personal Injury Lawsuit?

If you receive any of the above mentioned benefits it is important to consider whether such benefits would be affected by the receipt of such a settlement. Generally, when you receive any type of settlement it will be conditioned on certain terms and conditions. Thus, it is important for your attorney to make sure that the terms of the settlement provide for the proper petitions which will allow you to receive the settlement without terminating your current benefits.

What is an overpayment?

An overpayment is when you receive more money for a month than the amount you should have been paid. The amount of your overpayment is the difference between the amount you received and the amount due.

Can you pay back an overpayment?

You cannot pay back the overpayment because you need the money to meet your ordinary living expenses. You may have to submit proof of your income, as well as bills to show that all of your income is used for your monthly expenses and that it would be a hardship for you to repay.

Can you ask for a waiver at any time?

You can ask for a waiver at any time.

Can I change my SSA 634 payment rate?

You can submit form SSA-634 Request for Change in Repayment Rate to ask us to withhold less than the proposed amount each month, or you can arrange to make monthly payments if you no longer receive Supplemental Security Income (SSI) benefits.

How long after SSI change can I report?

Report any changes that may affect your SSI as soon as possible and no later than 10 days after the end of the month in which the change occurred.

Can you be underpaid and not receive benefits?

You may be underpaid and not receive the benefits due to you, as quickly as you otherwise could, if you do not report changes on time.

How to avoid being cut off from SSI?

How to Avoid Being Cut Off SSI Benefits When You Get a Sum of Money. Sometimes a supplemental security income (SSI) recipient will become eligible to receive a moderate or large sum of money that could make them ineligible for SSI. This can happen for any number of reasons, but we often see this happening if a person receives an inheritance ...

What to do if you have a large SSI fund?

There are two ways to handle the situation. For a large sum, a special needs trust should be considered. If it’s a smaller sum, then “spending down” the money to below the SSI resource limit— another way of saying “Go spend it!”—may be the right solution.

How long does it take to spend down SSI?

1) Timing: In order to minimize the loss of SSI and Medicaid, goods and services must be purchased in the same calendar month in which the lump sum is received. See SI 01110.600. Note that the individual does not have a period of a month or 30 days to complete the spend down. If a lump sum is received on the 20th of August for example, the spend down should be completed in 11 days to bring resources below the applicable limit before September 1.

When do you report spend down on Social Security?

4) Reporting: The spend down must be reported to Social Security by the 10th day of the month following the month in which the lump sum was received. Here are some guidelines to follow in order to properly prepare for the reporting:

Can I buy a home with SSI?

Buying a home or paying off a mortgage, if the SSI recipient is on the title or has a lifetime agreement to be a tenant of the home. Additionally, home repairs, maintenance, remodeling or adding accessibility features could all be approved expenses.

Do I need to report Medicaid spend down?

Your spend down may also need to be reported to the local state Medicaid office, depending on whether your state is a 1634, 209 (b), or SSI criteria state. You can find out which policy your state uses here, in SI 01715.010. Generally, if you receive both SSI and Medicaid, you may need to notify both your local SSA office and your local state Medicaid office—but if you receive just SSI or just Medicaid, you may only need to notify one office or the other. It is important to research the proper procedure for residents of your state to ensure your benefits are not interrupted.

When to spend down SSI?

It is wise to have a spending plan in place prior to receipt of the lump sum. In order to minimize the loss of SSI and Medicaid, goods and services must be purchased in the same calendar month in which the lump sum is received. Note that the individual does not have a period of a month or 30 days to complete the spend down. If a lump sum is received on the 20th of August for example, the spend down must be completed in 11 days to bring resources below the applicable limit before September 1.

How to maintain public benefit eligibility after lump sum?

There are legal strategies that can help an individual maintain public benefit eligibility after receiving a lump sum. Transferring excess funds to a properly drafted and administered special needs trust is a common strategy. In several instances, however, a spend down might be a better choice. If the amount of the excess resources is relatively small, it might make more sense to spend the money rather than to incur the set-up and ongoing administration costs associated with a special needs trust. A spend down could also be a strong option is in the situation where the beneficiary has current need for high-ticket items such as a home, a handicap-modified vehicle, or even to pay off debt. Spending for these items would not be possible if the beneficiary were to rely solely on public benefits.

When do you report spend down to Social Security?

The spend down must be reported to Social Security by the 10th day of the month following the month in which the lump sum was received. State Medicaid agencies have similar or even earlier reporting requirements. Here are some guidelines to follow in order to properly prepare for the reporting:

What to do if a check does not clear in the month?

If there is any question that a check may not clear the account in the month, payment should be made by certified check or a cashier’s check. Have the bank provide documentation of the bank balance on the first day of the next month to verify the spend down was successfully completed.

Can you disqualify someone from Medicaid?

Because the resource limits for SSI and Medicaid are so low, the receipt of a lump sum, including an inheritance or a settlement, can easily disqualify the individual. Upon the receipt of sums in excess of the resource limits, the individual can opt to discontinue benefits, shelter the excess amounts in certain types of special needs trusts, or attempt to re-qualify for benefits through a process known as a “spend down.”

Is there a low income ceiling for SSI?

For SSI, there also is a very low income ceiling. Because the resource limits for SSI and Medicaid are so low, the receipt of a lump sum, including an inheritance or a settlement, can easily disqualify the individual. Upon the receipt of sums in excess of the resource limits, the individual can opt to discontinue benefits, ...

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