Settlement FAQs

can ssi seize personal injury settlement funds

by Bernadette Hane DDS Published 3 years ago Updated 2 years ago
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The short answer is “Yes, a personal injury settlement will likely affect your 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 …

benefits.” Let’s take a look at why this is the case and what you can do to protect your benefits. Defining SSI

One question that we are asked quite often from our clients and their families is how a personal injury settlement will affect their Supplemental Security Income (SSI) benefits. The short answer is “Yes, a personal injury settlement will likely affect your SSI benefits.”

Full Answer

Will a personal injury settlement affect my SSI benefits?

Personal Injury Settlement and Your Benefits When you get into a car accident and end up getting into a personal injury settlement, this can affect your SSI and Medicaid eligibility. SSI has income and resource limits and a settlement can be an income. According to the SSI program, the more you earn, the less SSI benefits you receive.

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“.

How do pi settlements affect SSI and SSDI?

The reason PI settlements affect the two SSA programs differently is that each program has very different eligibility requirements to fit different purposes. SSDI is an “earned benefit” program, while SSI is a “needs-based” program for people whose assets and income fall within a certain poverty range.

Will SSDI affect my settlement for a motorcycle accident?

For example, SSDI for COPD would not reasonably affect your settlement for back injuries suffered in a motorcycle wreck. However, the SSDI benefits you’re receiving for severe back problems very possibly could. You and your lawyer would need to demonstrate the differences between your ongoing disabling condition and the personal injury.

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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 are the ramifications when a Social Security payee receives an accident settlement?

A settlement in a personal injury case will have no impact on your SSDI benefit — you do not need to take any additional steps to continue receiving your full SSDI monthly payments solely because you obtained a PI settlement.

Will a lawsuit settlement affect my SSDI?

A large personal injury settlement generally does not affect Social Security Disability Insurance (SSDI) benefits but can directly affect Supplemental Security Income (SSI) benefits. It can cause a reduction or loss of the SSI benefits. A lump sum workers' compensation settlement can reduce one's disability benefits.

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.

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 often does SSI monitor your bank account?

As we explain in this blog post, SSI can check your bank accounts anywhere from every one year to six years, or when you experience certain life-changing experiences. The 2022 maximum amount of available financial resources for SSI eligibility remains at $2,000 for individuals and $3,000 for couples.

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 SSI look at your bank account?

We'll tell you when it's time for your review. Your review can take place by mail, phone, or in person at a Social Security office. We'll ask you the same kind of questions you answered when you applied for SSI. We'll need information about your income, your resources, your living arrangements, and your bank accounts.

How much money can you be gifted on SSI?

Under current law, individuals receiving SSI should not be given more than $20 per month in cash gifts from any source, as this may reduce the beneficiary's SSI benefit for that particular month.

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 types of income do you have to report to Social Security disability?

Income You Are Required to ReportEarned income is any money you receive in exchange for work you performed, whether you work for an employer or you are self-employed. The income must be reported each month, even if there are no changes.Unearned income is money you receive that is not in exchange for work.

What happens if you become disabled while on Social Security?

your disability benefits automatically convert to retirement benefits, but the amount remains the same. If you also receive a reduced widow(er)'s benefit, be sure to contact Social Security when you reach full retirement age, so that we can make any necessary adjustment in your benefits.

Does Accident Compensation affect benefits?

If a compensation settlement takes you above a certain threshold, it may have a bearing on the amount of benefits you can claim. The main means-tested benefits that are affected by both income and savings include: Universal Credit.

Will a settlement affect my Medicare?

Since Medicare is an entitlement benefit and not a needs-based program, a client who receives legal settlement won't lose their Medicare benefits. It will not be impacted when a client receives a settlement.

Does SSI look at your bank account?

We'll tell you when it's time for your review. Your review can take place by mail, phone, or in person at a Social Security office. We'll ask you the same kind of questions you answered when you applied for SSI. We'll need information about your income, your resources, your living arrangements, and your bank accounts.

What types of income do you have to report to Social Security disability?

Income You Are Required to ReportEarned income is any money you receive in exchange for work you performed, whether you work for an employer or you are self-employed. The income must be reported each month, even if there are no changes.Unearned income is money you receive that is not in exchange for work.

How Does a Personal Injury Settlement Affect SSI Benefits?

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

How does PI settlement affect SSDI?

The reason PI settlements affect the two SSA programs differently is that each program has very different eligibility requirements to fit different purposes. SSDI is an “earned benefit” program, while SSI is a “needs-based” program for people whose assets and income fall within a certain poverty range. This also means each benefit is paid from different federal coffers.

What is disability lawyer?

Our disability lawyers understand both sides of these issues and the laws that govern them. We have designed our practice specifically to empower and support disabled individuals and can analyze all legal options for your unique situation. Our representation ensures that your eligibility for benefits remains protected and maximum benefits are preserved throughout the life of your disability claim.

Why would I no longer be eligible for SSI?

You would no longer be eligible for SSI because there is no longer a financial hardship. Likewise, because Medicaid benefits are based on financial need, your Medicaid benefits will also be at risk of reduction or loss.

What does it mean if you are not working and you are on disability?

Therefore, any PI settlement would be less than if you were working. The settlement would not include compensation for lost wages and lost future earning capacity. This often results in a significantly lower personal injury settlement or award.

Can you get SSDI for COPD?

For example, SSDI for COPD would not reasonably affect your settlement for back injuries suffered in a motorcycle wreck. However, the SSDI benefits you’re receiving for severe back problems very possibly could. You and your lawyer would need to demonstrate the differences between your ongoing disabling condition and the personal injury.

Can I qualify for SSDI after a personal injury?

You may quality for SSDI benefits after a personal injury event if you meet Social Security’s definition of “disability” as follows:

What is a special trust?

A second option is the creation of a particular type of trust, known as a “special means trust”, which will allow for the injured party to retain the settlement proceeds and keep their SSI benefits .

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 to do with a settlement from SSI?

A special needs trust will set the funds aside to cover expenses not addressed by SSI and Medicaid, such as legal services and nursing home care while keeping SSI eligibility.

What to worry about when you get involved in a personal injury?

When you are involved in a personal injury accident, the last thing you want to worry about is how the settlement you need to pay your medical bills will affect the income you need to pay for daily life. However, it is a very real concern.

How long does it take to get Medicare for SSDI?

Individuals with SSDI qualify to receive Medicare benefits after two years of SSDI eligibility. Medicare does not provide the comprehensive coverage of Medicaid and the financial payout is often much larger. SSDI depends on the earnings record of the individual, so although the average monthly payment for 2019 is $1,234, ...

What is a special needs trust?

A special needs trust will set the funds aside to cover expenses not addressed by SSI and Medicaid, such as legal services and nursing home care while keeping SSI eligibility. Setting up a special needs trust can be a complicated process, so speaking with an attorney is a good first step.

How long does a person have to be on Social Security to get SSDI?

Instead, it is an entitlement available to any qualified person who is disabled and has paid into the Social Security system for at least ten years regardless of current income or assets.

Does a settlement on behalf of your spouse affect your SSDI?

Even a large settlement or a settlement on behalf of your partner will not affect SSDI payments. Likewise, your eligibility for Medicare remains unchanged. However, settlements hold the potential to drastically affect SSI payments.

Does a settlement affect Medicare?

Settlements will not affect SSDI payments or your eligibility for Medicare. As stated, you earned SSDI benefits throughout your working life as a sort of insurance against disability. When you became eligible for SSDI, you began to receive back Social Security taxes you paid via income taxes. Even a large settlement or a settlement on behalf ...

What happens if you get a settlement over $2,000?

Hiring a qualified SSI attorney is the best way to ensure you don’t have to choose between a settlement for damages from a car accident and your SSI benefits.

How to contact SSI lawyer?

If you need immediate assistance concerning the loss of your SSI or Medicaid benefits, contact the experienced SSI lawyers at Thurswell Law at (248) 354-2222 for a free consultation to discuss the details of your case. Continue reading for an in-depth understanding of why your SSI and Medicaid benefits can be affected by a car accident settlement.

How Can I Protect My SSI and Medicaid Benefits?

An individual’s financial situation and the amount of a settlement will determine the best way to protect SSI and Medicaid eligibility. Two popular options include spending down settlement proceeds and creating a special needs trust. Spending settlement money to keep SSI and Medicaid benefits is typically associated with small settlement amounts. Yet, many rules are associated with spending down settlement money. For example, you must spend your settlement money the same month as you receive it. In addition, you can only spend money on things which the SSA will not count as resources to push you above the threshold.

What Is SSI?

The federal Supplemental Security Income (SSI) program pays monthly benefits to disabled adults and those over age 65 with limited income, as well as children. Those who apply cannot have more than $2000 in resources ($3,000 for a couple). The Social Security Administration (SSA) does not count your house, the land it’s on, your personal effects, and household items as resources. You can see a full list here. When you receive a settlement or verdict in your favor which pushes you over the maximum of $2,000 or $3,000, your SSI benefits might be terminated. Hiring a qualified SSI attorney is the best way to ensure you don’t have to choose between a settlement for damages from a car accident and your SSI benefits.

What is SSDI in car accident?

Social Security Disability Income (SSDI) is provided to those who have a severe permanent disability preventing work. The SSA does not view SSDI as earned income, so if you are receiving these payments, a car accident settlement should not impact them.

Does a car accident settlement affect your SSI?

Receiving a car accident settlement can alleviate some or all financial burden and reduce stress, allowing injured victims to focus on recovery and rehabilitation. Yet, accepting a settlement after a car accident can also affect your supplemental security income (SSI) and Medicaid benefits. Learning how a settlement will impact your benefits ...

Can you keep your SSI after a car accident?

After a severe car accident, you shouldn’t have to choose between accepting a settlement for damage s or keeping your SSI and Medicaid benefits. In most cases, you can keep your eligibility for these need-based assistance programs as long as you plan ahead.

How to protect your SSI and Medicaid?

There are two things that you can do to protect your SSI and Medicaid benefits: Spend the settlement money in the same month on something that will not count as resources. It’s okay if you receive only a reasonable amount.

How much does SSI decrease?

According to the SSI program, the more you earn, the less SSI benefits you receive. For every extra dollar you earn, your SSI benefit decreases by 50 cents. It may not seem much, but you have to remember that under the SSI, you must report every income and every expense.

What is the difference between SSI and SSDI?

SSI is different from social security disability insurance (SSDI). While SSDI also provides monthly payments to those disabled, it distinctly gives them to those who previously worked or those who have parents who work.

What is a special needs trust?

Special needs trust is a trust that contains the assets of a disabled person under the age of 65. It is established to benefit the individual, his parent, grandparent, legal guardian, or even the state should he no longer have any living beneficiary upon his death.

Can you claim on your insurance if you get into an accident?

Getting into an accident is terrifying. It carries not only financial burdens but also physical trauma and injuries. You could miss days of work, and you might need special medical treatments or medications. For any person, the situation is easy to resolve. You can seek out a settlement between you and the other car owner, or you can claim from your insurance. However, it’s not the same for everyone. For people who receive Supplemental Security Income, it may be a lot more complicated than that.

Is it okay to receive only a reasonable amount of money?

It’s okay if you receive only a reasonable amount. According to the SSA, the following are excluded in calculating your resource limit:

Can you get SSI if you get into a car accident?

When you get into a car accident and end up getting into a personal injury settlement, this can affect your SSI and Medicaid eligibility. SSI has income and resource limits and a settlement can be an income. According to the SSI program, the more you earn, the less SSI benefits you receive.

What is Medicare set aside?

Medicare set-asides (MSAs) are funds that have been earmarked to pay for future medical care that Medicare would otherwise be expected to cover that are related to the individual’s injuries. Although there are currently no formal guidelines, many attorneys and settlement planners create such set-asides if:

What is a third party special needs trust?

A third party special needs trust is created with assets provided by anyone other than the beneficiary, such as parents, other relatives or friends of the beneficiary. Such a trust can be created and funded during the life of the originator (“inter vivos”) or as part of a last will and testament (“testamentary”).

What is a special needs trust?

A special needs trust (SNT), sometimes referred to as a supplemental needs trust, is a legal vehicle enabling assets to be held on behalf of someone with disabilities without affecting their eligibility for means-tested public benefits such as Medicaid or Supplemental Security Income. While assets held by the trust are not “countable” for ...

Is a structured settlement annuity tax free?

The fact that structured settlement annuity payments are tax-free should also be considered in the analysis. If structured settlement annuity payments are utilized where a special needs trust is involved, the payee of the structured settlement annuity payments must be the special needs trust.

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 happens if you receive a sum in excess of the resource limit?

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.”.

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.”

Who must be on the title to any real property or vehicle purchased with the lump sum?

The beneficiary must be on the title to any real property or vehicle purchased with the lump sum.

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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