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MEDICAL SERVICES – APPENDIX A Burial Fund Guide Life Ins. with No CSV is Not Resource or Burial Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Case 7 1a. Ins. Face $1500 or Less Disregard CSV $250 Face ($200 CSV) $1500 Face ($3000 CSV) $1400 Face ($500 CSV) 1b. Ins. Face More than $1500 CSV=Res. ($2000 Face) $500 CSV ($5000 Face) $3000 CSV ($3000 Face) $3000 CSV ($2000 Face) $500 CSV 2. Irrevocable Contracts (Burial Assn., Some Prepaid incl. Those funded with annuities and insurance) $500 $2000 OK to here $5000 $6000 3. Revocable Contracts A. Prepaid B. Insured Bur. Contracts A. $500 B. $500 CSV (Resource) A. $3200 4. Cash—Includes CSV from 1b $250 $2000 (Resource) $500 (CSV from above) $3000 (CSV from above) $3000 (CSV from above) $1600 $500 (CSV from above) Treatment $1500 Burial OK $3500 Burial OK $2500 Resource $5000 Burial OK $500 Resource $1500 Burial $1500 Resource (OK If $3000 Split) $6000 Burial OK $3000 Resource $1500 Burial $1500 Resource (OK If $1600 Split) $1500 Burial $2200 Resource (If $3200 Split)