The amount he needs to pay for PASS expenses is $332.50
per month. He is hoping to continue his education so he can get a higher
paying job and make wages of over $1,500.00 in the future. His PASS
is now approved by SSA.
| Without
a PASS |
| STEP ONE |
$ 0.00
-20.00
$ 0.00 |
unearned income (SSDI)
minus general income exclusion
equals countable unearned income |
| STEP TWO |
$ 750.00 -
20.00
$ 730.00 - 65.00
$ 665.00 |
gross monthly
earnings
minus unearned income exclusion
minus earned income exclusion
equals earned income, which is then divided by two to get countable
earned income |
| STEP THREE |
$ 665.00 ÷
2
$ 332.50 |
earned income
divided by two
countable earned income (reduces his SSI)
|
John’s
SSI is now $246.50 instead of the $579. ($579.00 - $332.50 = $246.50)
With a PASS
With a PASS, John could use half of his wages from step three
to cover expenses needed to pursue his job goal, keep half of
those wages for himself and still get his full SSI check. (Follow
steps one-three; continue with steps four and five.) |
| STEP FOUR |
$ 332.50 -
332.50
$ 0.00 |
total countable income
minus countable income set aside (for PASS)
equals revised total countable income |
| STEP FIVE |
$ 579.00 -
0.00
$ 579.00 |
Federal Benefit Rate (FBR)
minus revised total countable income
equals SSI check with a PASS |
| |
|
|
WITHOUT
PASS |
WITH PASS |
| SSI
$246.50 |
SSI $579.00 |
| WAGES $750.00 |
WAGES $750.00 |
| TOTAL INCOME $996.50 |
TOTAL INCOME $1,329.00 |
| |
(Total he must use in PASS)
$ 332.50 |
| |
With the PASS, John receives his full SSI check, he uses
$332.50 to pay for his PASS, and he keeps the rest to live
on. |
|
|
2. Example of a person who
uses some of her SSDI to pay for PASS expenses so that she now
qualifies for SSI:
(Note: If a person’s 2005 SSDI benefit
is $599 or more per month they do not qualify for SSI. However,
if they use enough of their SSDI to pay for PASS expenses, they
can become eligible for SSI (and Medicaid) during the life of
their PASS.) Cindy receives SSDI
of 620.00 a month. This is her total income. She said she
just starting working with Vocational Rehabilitation (VR) to pursue
an occupational goal and they will be helping her obtain an education
so she can go to work. They will pay for her tuition, books and
fees.
She could use help in purchasing reliable transportation
in order to go to school and later to work. VR cannot pay for
her to get a car. (Remember: PASS cannot be used to pay for expenses
that another third party can pay for.) But VR helps her write
a PASS that says she will use $600 per month of her SSDI check
to save up for and buy a reliable car. If she did not have a PASS
she would not qualify for SSI at all.
Without a Pass |
| STEP ONE |
$ 620.00
- 20.00
$ 600.00 |
unearned income (SSDI)
minus general income exclusion
equals countable unearned income |
| STEP TWO |
$ 0.00
- 65.00
$ 0.00 |
gross monthly earnings
minus unearned income exclusion
equals earned income, which is then divided by two to get countable
earned income |
| STEP THREE |
$ 600.00 + 0.00
$ 600.00 |
countable unearned income
countable earned income
equals total countable income |
$600.00 exceeds SSI limit
of $579.00, so Cindy is not eligible for SSI & Medicaid.
With a PASS
With a PASS, Cindy could set aside the full amount of her countable
income (if that’s what she needed) from step three to cover
expenses needed to pursue her job goal. (Follow steps one-three,
but continue with steps four and five.) |
| STEP FOUR |
$ 600.00 - 600.00
$ 0.00 |
total countable income
minus countable income set aside (for PASS)
equals revised total countable income |
| STEP FIVE |
$ 579.00 - 0.00
$ 579.00 |
Federal Benefit Rate (FBR)
minus revised total countable income
equals her SSI check with a PASS and she
now gets Medicaid during the PASS period. |
WITHOUT
PASS |
WITH PASS |
| SSI
$0.00 |
SSI $579.00 |
| SSDI $620.00 |
SSDI $620.00 |
| WAGES $0.00 |
WAGES $0.00 |
| TOTAL INCOME $620.00 |
TOTAL INCOME $1,199.00 |
| |
(Total to live on)
$ 599.00
$579 SSI + $20 unearned income exclusion plus she will have
Medicaid |
| |
(Total she must use in PASS) $
600.00
$ 600.00 countable SSDI |
|
Important
note: If she did not need to use ALL of her SSDI benefit to pay
for PASS expenses, Cindy still may still be eligible for a PASS
and Medicaid.
Same example (steps one-three are the same), but Cindy only needs
$400 per month to pay for PASS expenses: |
| STEP FOUR |
$ 600.00 - 400.00
$ 200.00 |
total countable income
minus countable income set aside (for PASS)
equals revised total countable income |
| STEP FIVE |
$ 579.00 - 200.00
$ 379.00 |
Federal Benefit Rate (FBR)
minus revised total countable income
equals SSI check with a PASS and she now gets Medicaid during the
PASS period |
|
Cindy would have her $620 in SSDI, $379.00 in SSI
(and Medicaid), and must use $400 per month to pay for her PASS
expenses.
3. Example of someone who receives both
SSI and SSDI, then works – which reduces his SSI cash to
zero:
Brett begins to earn $495 a month and still receives an SSDI check
of $400. His SSI check drops to zero but because he still
is medically disabled his Medicaid continues under section 1619b.
Brett plans to continue his education so he can get a higher paying
job and eventually eliminate his dependency on SSDI and SSI. He
is working with Vocational Rehabilitation Services now and they
develop a PASS which will need $595 per month to pay for expenses.
Without a PASS |
| STEP ONE |
$ 400.00 - 20.00
$ 380.00 |
unearned income (SSDI)
minus general income exclusion
equals countable unearned income |
| STEP TWO |
$ 495.00 - 65.00
$ 430.00 |
gross monthly earnings
minus earned income exclusion
equals earned income which is then divided by two to get countable
earned income |
| STEP THREE |
$ 430.00 ÷2
$ 215.00 |
earned income
divided by two
equals countable earned income |
| STEP FOUR |
$ 380.00 + 215.00
$ 595.00
$ 0.00 |
countable unearned income
plus countable earned income
equals total countable income (lowers SSI)
amount of SSI check |
|
$595.00 exceeds the SSI limit of $579.00, so Brett’s
SSI is reduced to zero. As long as he’s otherwise eligible
for SSI, his Medicaid will continue until he earns over the state’s
Medicaid threshold (this is called section 1619b).
With a PASS
With a PASS, Brett could set aside the full amount of his countable
income from step four to cover expenses needed to pursue his job
goal. (Follow steps one-four, and then continue with steps five
and six.) |
| STEP FIVE |
$ 595.00 - 595.00
$ 0.00 |
total countable income
minus countable income set aside (for PASS)
equals revised total countable income |
| STEP SIX |
$ 579.00 - 0.00
$ 579.00 |
Federal Benefit Rate (FBR) (full SSI check)
minus revised total countable income
equals SSI check |
WITHOUT
PASS |
WITH PASS |
| SSI
$0.00 |
SSI $579.00 |
| SSDI $400.00 |
SSDI $400.00 |
| WAGES $495.00 |
WAGES $4950.00 |
| TOTAL INCOME $845.00 |
TOTAL INCOME $1,474.00 |
| |
Brett must use $595 just for PASS expenses.
He has $879 left for living expenses. |
|
|
4. Example of a child, under age 18, whose
parent’s income is too high for him to qualify for SSI (but
he will qualify, with a PASS!):
James is 17 and will be starting a vocational school in
one year, once he graduates from high school, to pursue an occupational
goal. He works with VR and they develop a PASS plan that will
require James to save $1200 per month until he’s age 18
to use for vocational school costs.
Without a PASS |
| STEP ONE |
$ 0.00 - 20.00
$ 0.00 |
unearned income (SSDI)
minus general income exclusion
child’s countable unearned income |
| STEP TWO |
$ 0.00 - 65.00
$ 0.00 |
gross monthly earnings
minus earned income exclusion
child’s earned income |
| STEP THREE |
$1, 200.00 |
Parent’s
“Deemed” Income - this is only the amount of
the parent’s income that we must count towards the child until
he is age 18. The parent’s income is actually higher. The
parent’s assets count towards the child as well. Once child
is 18 or older, we no longer count parental income or assets. |
| STEP FOUR |
$ 0.00
+ 0.00 +1,200.00
$1,200.00 |
child’s unearned income
child’s earned income
parent’s deemed income
countable income |
|
$ 1,200.00 exceeds the
SSI limit of $579.00, so James is not eligible for SSI as long
as he’s under age 18. Once he’s 18, only his own income
and assets count.
With a PASS
With a PASS, James could set aside the full amount of his parent’s
countable income from step four to cover expenses needed to pursue
his occupational goal. He could save the funds until he begins
school and needs money. (Follow steps one-four and continue with
steps five and six). He also gets Medicaid during the life of
the PASS. Once James is 18, only his own income/assets count. |
| STEP FIVE |
$1,200.00 - 1,200.00
$ 0.00 |
total countable income
minus countable income set aside (for PASS)
equals revised total countable income |
| STEP SIX |
$ 579.00 - 0.00
$ 579.00 |
Federal Benefit Rate (FBR)
minus revised total countable income
$ equals SSI check |
WITHOUT
PASS |
WITH PASS |
| SSI
$0.00 |
SSI $579.00 |
| WAGES $0.00 |
WAGES $0.00 |
| PARENT'S COUNTABLE INCOME $1,200.00 |
PARENT'S COUNTABLE INCOME $1,200.00 |
| TOTAL INCOME $1,200.00 |
TOTAL INCOME $1,779.00 |
Parents also have the non-countable income
to live on also.
No Medicaid. |
Parents also have the non-countable income
to live on also. The $1,200.00 countable parental income must
be used for the PASS.
Child gets Medicaid during PASS period. |
|
|
5. Example of a student using the “Student
Earned Income Exclusion” and the PASS:
A non-married (nor head-of-household) student under age 22 who
is regularly attending school is allowed to earn some wages that
will not count against her SSI. This is called the Student
Earned Income Exclusion. We will not
count up to $1,410 per month – with a limit on the year
of $5670. They also get the regular $65 per month in exclusions
from earned income.
Using the PASS when
the Student Exclusion runs out and to save for college or another
large purchase…
Joe, age16, is a high school student who wants to go to college.
He needs to save money. In January, he gets a job delivering pizza
and earns $1000 gross per month. Under the Student Earned Income
Exclusion, we will not count his wages for January through June
and some of July. Starting with July his SSI would have been reduced
because the yearly limit ($5670.00) for the exclusion would have
been used.
However, he has a PASS that details that he is going
to save $457.50 per month for future college needs. If he had
not had the PASS his SSI would have been lowered by $457.50. He
also would have become ineligible for SSI and Medicaid once he
had saved over $2000 in resources.
Without Student Earned Income
Exclusion or PASS |
| STEP ONE |
$ 0.00 - 20.00
$ 0.00 |
unearned income
minus general income exclusion
child’s countable unearned income |
| STEP TWO |
$1000.00 - 85.00
$ 915.00 |
gross monthly earnings
minus earned income exclusion
child’s earned income |
| STEP THREE |
$ 915.00 ÷2 $
457.50 $457.50 |
earned income
divided by two
SSI lower by $457.50 each month |
Also, once Joe saved over
$2000, he’d be ineligible for cash and Medicaid.
With Student
Earned Income Exclusion and PASS
January through June: |
| STEP FOUR |
$ 915.00 - 915.00
0.00 |
child’s earned income
student earned income exclusion used
zero countable income (does not affect SSI) |
| |
915 x 6mths = $ 5,490.00
amount used for Jan.-June
$5,670.00 - $5,490.00 = 180.00 left to exclude for July |
| July: |
$ 915.00 - 180.00
$ 735.00 |
child’s earned income
Student Earned Income Exclusion left to use
countable income |
| |
$735.00 divided by 2 = $367.50 countable in July
If PASS began in July to set aside $367.50, his SSI would
not be lowered at all.
|
Aug– Dec:
STEP FIVE |
$1000.00 - 85.00
915.00 ÷ 2
$ 457.50 |
gross monthly earnings
minus general income exclusion
earned income
divided by two
countable income |
| STEP SIX |
$ 457.50 - 457.50
$ 0.00 |
countable income
minus amount set aside into PASS fund
revised total countable income |
| STEP SEVEN |
$ 579.00 - 0.00
$ 579.00 |
Federal Benefit Rate (FBR) (full SSI check)
minus revised total countable income
equals SSI check |
|
Also, Joe can save over $2000 and still be eligible
for cash and Medicaid!
With Student
Earned Income Exclusion but with no PASS
The Student Exclusion was exhausted in July. Here’s the
payment from August forward: |
| STEP FIVE |
$ 1000.00 - 85.00
915.00 ÷ 2
$ 457.50 |
gross monthly earnings
minus general income exclusion
earned income
divided by two |
|
SSI lowers by $457.50
starting with August.
6. Example of a PASS when
someone receives assets such as an inheritance or settlement:
Charlotte is on SSI and received a $6000
insurance settlement which caused her SSI to be suspended
due to excess resources. (For SSI, your resources cannot be over
$2,000 for an individual or $3,000 for a couple.) She wants to
use the money to return to school so she can pursue an occupational
goal. She works with a rehabilitation professional and they develop
a PASS to achieve this goal. Her PASS requires that she save everything
over $2000 to use in her PASS. Her only income is SSI.
Without a PASS |
| STEP ONE |
$ 0.00 - 20.00
$ 0.00 |
unearned income (SSDI)
minus general income exclusion
equals countable unearned income |
| STEP TWO |
$ 0.00 - 65.00
$ 0.00 |
gross monthly earnings
minus earned income exclusion
equals earned income |
| STEP THREE |
$ 0.00 + 0.00
$ 0.00 |
countable unearned income
countable earned income
equals total countable income |
| STEP FOUR |
$6,000.00
- 2,000.00
$ 4,000.00 |
countable resource (asset)
resource exclusion
countable resource, which is over the limit of $2,000 |
Because she is over the SSI resource
limit, no SSI benefit is payable and she loses Medicaid.
With a PASS
Charlotte could set aside the amount of her assets that are over
$2000 into a PASS to be used to pay expenses needed to pursue her
occupational goal. (Follow the steps above but continue with step
five.) |
| STEP FIVE |
$ 4,000.00 - 4,000.00
$ 0.00
|
countable resource
minus resource set aside in PASS
equals revised countable resource
|
WITHOUT
PASS |
WITH PASS |
| SSI
$0.00 |
SSI $579.00 |
| RESOURCES $6,000.00 |
RESOURCES $6,000.00 |
| TOTAL INCOME $0.00 |
TOTAL INCOME $579.00
TOTAL RESOURCES
$ 6,000.00 |
| |
Charlotte must set aside $4,000 of her assets into the PASS.
Charlotte can have $2,000 in assets and still be eligible. |
|