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1149 Chapter 7:Worker guides • Section 7: OSIPM worker guides (07/2026) (4) of the rule says when an annuity is part of the CSRA, ODHS|OHA does not need to be named as a remainder beneficiary. Life expectancy table Follow this link to the “Period Life Table” published by the SSA. There are columns for males and columns for females. Use the “Life expectancy” column to determine if an annuity pays principal and interest out in equal monthly installments within the actuarial life expectancy of the annuitant. Use the age that the individual or community spouse was on the date that they purchased the annuity. Effect of purchasing annuities to spend down resources If a legally married couple effects a “spend down” by purchasing a Medicaid-compliant annuity, this will have an effect on the monthly maintenance needs allowance (the LDS) that the institutionalized spouse will be able to divert to the community spouse thereafter. This is because OAR 461-160-0620(3)(d)(B) says: “… The countable … income of the community spouse is subtracted from the maintenance needs allowance determined in step 1. The difference is the income allowance …” Therefore, when the spend down has occurred and an annuity has been purchased, enter the annuity as unearned income in for the annuitant. Also enter the annuity as a resource on the case. Be sure to answer questions correctly so the annuity is not counted both as a resource and as income. Run eligibility and review the Patient Liability Summary to see how this new information has affected the CSIA. Also review to see how it might have affected lower-priority deductions (461-160-0620[3]) from income, such as allowances to dependents and medical expenses. Note that it might very well increase the patient liability. Understanding trusts This guide is not meant to replace OAR 461-145-0540, Trusts, or OAR 461-140-0020(2)(e), Availability of Resources. Staff should always refer to the actual rules when making an eligibility determination. This is a guide to explain the more common trusts staff might encounter. This guide will discuss trusts containing resources and/or income of the financial group as well as trusts containing resources and/or income of a third party such as the applicant’s parent. In all cases, be sure to refer to the OAR for more detailed information. Terminology Grantor – A person who creates a trust. Beneficiary – A person who benefits from the trust (Usually, Grantor and Beneficiary is the same person for the purpose of an Income Cap Trust). Trustee – A person who holds a position of trust or responsibility for the benefit of another (generally, this is a individual’s representative, money manager, etc.). Successor trustee – A person who would step in or replace the original trustee.