SELF SETTLED POOLED PAYBACK TRUST JOINDER AGREEMENTSelf Settled Pooled Payback Trust Joinder Agreement • May 26th, 2020
PURPOSE. The Trust is formed for the benefit of the Grantor (hereinafter referred to as “Grantor” or “Beneficiary”) to supplement and not to replace earnings and governmental benefits, if any, and not to pay for food, lodging, medical, dental and hospital expenses which can otherwise be claimed from other sources including governmental agencies, pursuant to the life care plan of the Beneficiary. The transfer in this Trust is made in order to ensure that the services provided to the Beneficiary will be of assistance and benefit to him/her in the development of his/her maximum potential and in helping him/her achieve a reasonable degree of normality and happiness in relation to his/her condition. This Trust is established pursuant to 42 U.S.C. 1396p, (d)(4)(c) amended August 10, 1993, by the Omnibus Budget Reconciliation Act of 1993, 305 ILCS 5/5-2/1a (new) 89 Ill. Admin. Code Medicaid Qualifying Trust Chapter I Sec 120.347 (b) (1995) 760 ILCS 5/15.1 (new).
