Page 9

UNOFFICIAL 1725.1-9 (18) Equity value of any assets not exempt under section 17-1725.1-26 verified by an appropriate entity; (19) Federal tax refunds unless otherwise exempted by the Federal government; (20) Cash dividends from stocks, life insurance,

or other sources; (21) Refunds of utility and rental deposits not paid by the department; (22) Funds used to purchase an annuity that: (A) Is revocable and allows the annuitant access to the cash value of the annuity less early withdrawals and surrender fees; (B) Is assignable to allow the sale of the annuity on the open market; or (C) Does not address issues of revocability or assignability; (23) Value of the outstanding balance owed on a promissory note or a property agreement to the individual (creditor) who holds the promissory note or agreement of sale; (24) Entrance fees of an individual residing in a continuing care retirement community or life care community under the following conditions: (A) The entrance fee may be used to pay for care if the individual’s other resources or income is insufficient to pay for the care; (B) The entrance fee or any remaining portion is refundable when the individual dies or terminates the contract and leaves the continuing care retirement community or life care community; and (C) The entrance fee does not assign an ownership interest in the continuing care retirement community or life care community. [Eff 09/30/13] (Auth: HRS §§346-53, 346-71; 20 C.F.R. §416.1201, 42 C.F.R §§431.10, 435.601;