Introduction
to Social Security Work Incentives which Apply
to Students and
Young Adults in Transition by Ellen Condon
Work incentives are programs developed by Social Security to entice Social
Security beneficiaries and recipients to return to work or begin working.
The incentives are intended to reduce the negative impacts of wages on
individuals’ benefits.
What is a PASS plan?
PASS is a work incentive program for SSI (Supplemental Security Income)
recipients. PASS stands for Plan for Achieving Self Support. In a PASS
plan, a person with a disability is allowed to set aside resources or
income for a specified length of time, thereby accumulating monies to
purchase goods or services which allow the person to become more self-sufficient.
Students or adults may be eligible for a PASS plan. PASS plans can fund
equipment; services such as job development, job coaching, personal care,
or transportation; and school or training. Basically anything a person
needs to become employed, advance their employment or maintain their employment
are justifiable expenses in a PASS plan.
PASS plans must:
Increase an individual’s self-sufficiency and decrease their
reliance on the Social Security system,
Be in writing,
Include a vocational goal which will be achieved through the plan,
Have a set amount of time within which the plan will be achieved,
Be approved by SSA,
Include milestones or steps which will allow a person to reach their
goal,
Have a budget for expenses to be paid for through the plan, and
Provide documentation of where the money will be set aside and how
it will be kept separate from other funds.
Who is Eligible for a PASS plan?
To be eligible for a PASS plan a person must be eligible for SSI, or receive
SSDI (Social Security Disability Insurance) and be medically eligible
for SSI. In addition, the person must have resources or income which are
reducing the SSI benefit below the Federal Benefit Rate of $552.00 per
month for the year 2003. In some cases a PASS plan can make people eligible
for SSI by reducing their countable income. More than one PASS plan can
be written for a person as long as the vocational goal changes.
What is Supplemental Security Income or SSI?
SSI is a needs-based program which offers a financial benefit to people
with low income levels who have a disability, or to people age 65 and
older. Eligibility for SSI is income and resource based and SSI usually
comes with Medicaid insurance. The amount of SSI an individual receives
monthly fluctuates based upon their countable income. There is a maximum
amount which individuals can receive monthly. This amount increases each
January. For example, the Federal Benefit rate or maximum amount a person
could receive for 2003 was $552.00 a month.
Income:
Children under the age of 18 qualify for SSI based upon their parents’
income combined with their own income which could include: wages, child
support, or survivors benefits. In 2003 an only child, below age 18, who
has a disability living in an one-parent household having a gross monthly
income below $2333.00 would qualify for at least some SSI. (If a household
has more than one child with a disability or the income is a combination
of earnings and another type of income, the local SSA office determines
the amount per household allowed to be earned and how much SSI would be
received). In 2003 an only child, below age 18, who has a disability living
in a two-parent household having a gross income under $2887.00 a month
would qualify for some SSI. Again, the amount of SSI depends on the exact
amount of wages. Families with additional children with or without disabilities
should ask SSA for assistance with the calculations to determine if they
are eligible.
Keep in mind that students under the age of 18 qualify
for SSI based upon their parents’ income and resources while students
18 and over qualify on their own accord.
Resources:
The SSI program has specific limitations governing allowable resources
which include property, personal items and cash. These resources must
not exceed the specified amount at the beginning of each month. The current
limit is $2,000 for individuals and $3,000 for couples. An additional
$2,000 is allowed for each child with a disability. This means that to
be within the resource limits, an individual must have less than $2,000
in liquid assets (or $3,000 for a couple). Liquid assets are defined as
cash, items which could be liquidated, such as: retirement accounts, life
insurance policies, etc. Each person is allowed to own the residence in
which they live and one car, which are not counted as liquid assets. If
a person owns a second vehicle, it is considered a liquid asset and is
valued at whatever amount of cash for which it could be sold.
Allowable Resources Under the SSI program include:
House or property that the individual lives in,
Life insurance policies not exceeding $1,500 combined cash value/person,
Household goods and personal property that do not exceed $2,000,
Property Essential to Self Support (PESS),
Burial accounts/spaces for the person and their immediate family
not over $1,500 in value,
Retroactive Title XVI (SSI payments) or Title II checks (SSDI), within
the first 6 months of receipt,
Property in trust or inaccessible to the person with a disability,
Income sheltered in a PASS plan, and
One automobile regardless of value, if it is necessary for work and/or
medical treatment.
Income and resources which reduce monthly SSI checks
below the Federal Benefit Rate can make one eligible for a PASS plan.
Examples include:
An adoption subsidy,
Parent’s SSDI (a disabled or retired parent), or an individuals
SSDI,
Parent’s Veteran’s or Railroad Retirement benefits,
Survivor’s benefits (if a parent is deceased),
Wages (parents wages for children and their own wages at age 18),
and
Child support.
Adults with disabilities may continue to receive SSDI, Railroad benefits,
Veteran’s benefits and Survivor’s benefits through their parents’
accounts as long as they continue to meet each program’s eligibility
requirements. At age 18 students must reapply for SSI even if they were
receiving SSI as a child. The medical definitions of disability are slightly
different for children than they are for adults. SSA’s Blue Book
lists all of the medical definitions and qualifications.
Reporting Wages to Social Security By the 10th of each month, SSI recipients are
required to report their income earned from the previous month by sending
an original pay stub. Keep copies of all information sent to SSA.
Student Earned Income Exclusion
In 2001, SSA substantially increased the amount that students are allowed
to earn before their earnings reduce their SSI benefits. In a sense this
is quite positive; students can earn wages without fear of reducing their
SSI benefits, however as a result they typically are not eligible for
PASS plans until they are no longer considered students. Again, students
are not eligible for a PASS plan until income or resources reduce their
monthly SSI check below the Federal Benefit Rate.
In 2003, students can earn up to $5,410.00 a year or $1,340.00 a month
before their wages impact their SSI checks. Students still need to report
all their wages to the local SSA office and may be required to prove that
they are a full time student. Full time students are defined as individuals:
up to age 22 attending college classes at least 8 hours per week, who
are in high school at least 12 hours per week, or who are enrolled in
a work preparation program or course at least 12 hours per week.
Impact of Wages on SSI
For non-students, Social Security will count one-half of a person’s
earnings, over the first $85.00 gross each month. For every $2.00 earned
over the first $85.00, Social Security will reduce the individual’s
SSI check by $1.00. If the individual’s income fluctuates month
to month so will the SSI check.
Example:
Maclaen began working his senior year in high school. He was receiving
SSI and continued to receive the full amount as he didn’t surpass
the Student Earned Income Exclusion amount. The day after graduation
Maclaen he was no longer considered a student and he was working 20
hours a week earning $480.00 a month.
Typically his earnings would reduce his SSI check by at least $197.50
a month. However as part of his transition planning his IEP team developed
a PASS plan for Maclean, and sheltered $197.50 a month. Therefore, Maclaen
earns $480.00 a month but puts $197.50 from his wages into his PASS
account each month leaving $282.50 for spending or saving. He then receives
the full amount of SSI, $552.00 a month (see calculations below). This
money was budgeted to pay for his transportation to and from work and
for follow-along support on his job.
Maclaen is on the waiting list for supported employment services through
the state Developmental Disabilities agency. Without follow-along support
he could lose his job and not have the supports necessary to find and
learn a new job. Rather than waiting for state funding, Maclaen uses
the money sheltered through his PASS plan to pay his family to drive
him to work and he has hired his teacher from school to provide follow-along
support. With a PASS plan, a student can choose the services they want
to purchase and from whom they would like to purchase them. The rates
of pay are negotiated between the person with a disability and the provider.
The rates must be justified in the PASS plan when it is submitted, but
the consumer has more control and latitude over their funds than if
they were using state funds.
Calculating Maclaen’s
Income on SSI Without a
PASS Plan: Monthly Gross Wages $480.00
Less Earned Income Exclusion -$85.00
$395.00
395.00 ÷
2
Amount of countable earned income $197.50
2003 Monthly Federal Benefit Rate $552.00
Amount of Countable Earned Income -197.50
Amount of SSI Check with $480/mon. $354.50
Wages and Without a PASS
Total Monthly income:
$354.50 SSI +$480.00
wages $834.50
Calculating Maclaen’s Income on
SSI With
a PASS Plan Monthly Gross Wages $480.00
Less Amount Sheltered in PASS -$197.50
$282.50
Wages
**plus Maclaen still has the $197.50 he sheltered in
his PASS account to use to support his employment.
Other Work Incentives which can be utilized
in Transition Planning: Impairment Related
Work Expense (IRWE)
This work incentive program allows an SSI recipient to retrieve a portion
of the amount of money the individual spends out-of-pocket monthly to pay
for a work expense that is impairment related. IRWE is much quicker to be
approved and far less formal than a PASS plan. A PASS plan is more financially
beneficial to the SSI recipient and allows the person to save money towards
expenses. IRWE reimburses the individual for out-of-pocket expenses. IRWE
is only for impairment related work expenses, while the PASS can fund anything
related to work (as long as it is pre-approved in the written PASS plan).
The amount of IRWE is deducted from an individual’s countable income
thereby increasing their SSI check monthly.
Blind Work Expense: (BWE)
People who are blind can deduct any expense from their countable income
that is related to work. Expenses include all taxes (local, state and
federal), lunches bought at work, transportation, medical services, prescriptions,
attendant care and work equipment. BWEs are also easier to apply for and
less formal than PASS plans, but reimburse the person for expenses already
incurred. They do not allow the individual to set aside money for a future
expense.