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Forming a Pooled Trust Provider is a Valuable Opportunity for New York Nonprofits

For nonprofits seeking to expand their community impact while developing sustainable revenue streams, establishing a pooled trust represents a compelling opportunity. This service aligns perfectly with missions focused on supporting vulnerable populations, particularly organizations already serving seniors or people with disabilities.

The dual benefit of pooled trusts makes them particularly attractive for mission-driven organizations. Your nonprofit provides an essential service that significantly improves quality of life for beneficiaries who might otherwise face difficult financial choices between necessary benefits and maintaining assets. At the same time, the trust operation generates reliable, ongoing revenue that supports your broader organizational goals and programs.

Many nonprofits find that pooled trusts complement their existing services, creating natural referral pathways and expanding their community presence. For organizations with established constituencies in the disability or senior communities, a pooled trust offers an additional service that strengthens relationships with clients and referral sources.

As government benefits become increasingly complex to navigate, the demand for pooled trusts continues to grow. This presents an opportunity for forward-thinking nonprofits to fill a critical gap in the social services landscape while building financial sustainability.

Due to the complex legal and regulatory requirements, working with a qualified attorney experienced in pooled trusts is essential for navigating this process successfully

What is a Pooled Trust?

A pooled trust serves as a critical financial tool for people with disabilities and seniors who need to maintain eligibility for government benefits while preserving assets for supplemental needs. Rather than forcing individuals to spend down their assets to qualify for benefits like Medicaid and SSI, pooled trusts offer a compliant alternative that enhances quality of life.

These specialized trusts are called "pooled" because they combine the resources of many beneficiaries for investment purposes, creating economies of scale and professional management, while maintaining separate sub-accounts for each individual's use. This structure allows for more efficient administration while ensuring funds are available for each beneficiary's unique needs.

When properly established, pooled trusts provide significant benefits to their users. Beneficiaries maintain crucial government benefits that cover basic healthcare and living expenses. They preserve assets that would otherwise be spent down to qualify for these benefits. The preserved funds can then pay for supplemental needs beyond what government programs cover, such as additional therapies, personal items, entertainment, education, and quality-of-life enhancements. This comprehensive approach allows individuals to receive necessary care while maintaining dignity and financial resources.

The Process of Forming a Pooled Trust in New York

Establishing a pooled trust in New York involves navigating a complex regulatory environment. The process begins with an initial evaluation to determine if a pooled trust aligns with your nonprofit's mission and capabilities. This crucial first step helps identify potential challenges and resource requirements before committing to the process.

Creating the master trust document forms the foundation of your pooled trust. This comprehensive legal document establishes the trust's structure, purpose, and operating parameters. It must comply with specific requirements under Section 1917(d)(4)(C) of the Social Security Act and New York EPTL §7-1.12 to ensure beneficiaries maintain their government benefits eligibility.

Next comes developing joinder agreements, which are the legal documents that individual beneficiaries use to join the pooled trust. These must be carefully crafted to protect both the beneficiary and the nonprofit while ensuring compliance with relevant regulations.

Setting up proper trust administration systems is essential for long-term success. This includes establishing account management protocols, disbursement procedures, and reporting systems that satisfy both operational needs and regulatory requirements.

Finally, obtaining necessary regulatory approvals requires coordination with multiple government agencies. The New York regulatory environment is particularly complex, involving agencies such as:

  • New York State Department of Health
  • Office for People with Developmental Disabilities
  • New York State Department of Social Services
  • New York City's Human Resources Administration
  • Centers for Medicare and Medicaid Services

This multi-agency involvement often necessitates numerous document revisions and careful coordination throughout the approval process.

Typical Fee Structure

Pooled trusts typically generate revenue through a straightforward fee structure that balances accessibility for beneficiaries with sustainable operations for the nonprofit. While specific arrangements vary, most pooled trusts utilize several common fee components.

The initial enrollment fee represents a one-time charge when a beneficiary joins the trust. This fee, typically around $250, helps cover the administrative costs of establishing the account and processing initial paperwork. This enrollment fee is generally non-refundable and paid at the time of application.

Monthly administrative fees constitute the primary ongoing revenue source. These fees are commonly calculated as a percentage of the required monthly deposit (as determined by Medicaid), typically around 10%. Most trusts establish both minimum and maximum thresholds - often $30 minimum and $250 maximum - to ensure appropriate compensation regardless of account size. This structure ensures the trust receives fair compensation for administrative services while remaining affordable for beneficiaries.

Many pooled trusts offer payment options to accommodate different beneficiary preferences. Monthly deductions from deposits provide convenience, while annual lump-sum payments (often with a small discount of around 10%) reduce processing overhead. This flexibility helps maximize participation while streamlining administration.

Potential Revenue for a Nonprofit Pooled Trust

The financial benefits of operating a pooled trust can be substantial, though actual results will vary based on your specific circumstances. Pooled trusts generate revenue through several streams that grow as your beneficiary base expands.

Initial enrollment fees provide one-time income when new beneficiaries join, typically around $250 per account. For a trust with 100 active beneficiaries that adds approximately 25 new accounts yearly, this generates about $6,250 annually in enrollment fees.

The primary revenue source comes from monthly administrative fees. Using an average fee of $100 per beneficiary per month (though this can range from $30 to $250), a 100-beneficiary trust would generate approximately $120,000 in annual administrative fees. These fees are typically calculated as a percentage of the required monthly deposit determined by Medicaid, usually with minimum and maximum amounts established.

Additionally, pooled trusts retain assets remaining in accounts after beneficiaries pass away. While impossible to predict precisely, these retained assets can add substantial value to your nonprofit's balance sheet over time, often reaching hundreds of thousands or even millions of dollars for established trusts.

Revenue Growth as Your Trust Expands

As your pooled trust matures and expands its reach, the revenue potential increases significantly. The table below provides approximate annual revenue projections at different trust sizes, assuming average monthly fees of $100 per beneficiary and continued growth in new accounts. These figures are estimates and should be used for general planning purposes only.

Trust Size Approximate New Accounts Per Year Estimated Annual Enrollment Fees Estimated Total Annual Revenue
100 Beneficiaries 25 $6,250 $120,000
500 Beneficiaries 125 $31,250 $600,000
1,000 Beneficiaries 250 $62,500 $1,200,000

Many successful pooled trusts across the country have grown to serve thousands of beneficiaries over time. With proper management and strategic growth, a well-established pooled trust can generate substantial revenue to support both trust operations and your nonprofit's broader charitable mission. The actual growth rate and revenue will depend on various factors including your marketing efforts, community needs, and operational efficiency.

Beyond the Legal Formation

While legal formation is essential, successful pooled trusts also require:

  • Trust administration systems
  • Financial management protocols
  • Marketing strategies to reach potential beneficiaries
  • Staff training for day-to-day operations
  • Disbursement request procedures

With proper legal guidance and operational planning, your nonprofit can establish a pooled trust that serves your community while supporting your organization's financial health. If you would like more information about forming a pooled trust in New York, you call us at 212-233-1233.

This article provides general information and is not legal advice. Each nonprofit's circumstances require individual assessment and guidance.

Attorney Albert Goodwin

About the Author

Albert Goodwin Esq. is a licenced New York attorney with over 17 years of courtroom experience. His extensive knowledge and expertise make him well-qualified to write authoritative articles on a wide range of legal topics. He can be reached at 212-233-1233 or [email protected].

Albert Goodwin gave interviews to and appeared on the following media outlets:

ProPublica Forbes ABC CNBC CBS NBC News Discovery Wall Street Journal NPR

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