Download Brochure The Theresa Foundation Pooled Asset Trust of New York is a special type of trust that allows individuals to become financially eligible for public assistance benefits while preserving their resources in trust for supplemental needs. While not necessary for everyone, the end result of joining a Pooled Trust is that trust beneficiaries can receive the public benefits that meet their essential needs while maintaining a supplemental fund that is available to meet their special or supplemental needs that are not provided by public benefits.

Upon the beneficiary’s death, any remaining assets in the pooled trust must either be retained in the Trust or used to reimburse the state of New York for all medical benefits provided by the beneficiary. As part of their charitable mission, the Theresa Foundation and the Center have partnered to provide comprehensive services to the entire community of people with disabilities in New York. The Center for Special Needs Trust Administration, Inc. (The Center) is the trustee that administers The Theresa Pooled Trust (Trust).

For more information on Pooled Trusts please visit The Pooled Trust FAQ Page

To access the necessary documents for joining The Theresa Pooled Asset Trust, use the following links:

Joinder Agreement
Fee Schedule
Exhibits (additional information)
Master Declaration of Trust

Disability Determination

As part of the Trust approval process, the Department of Social Services (DSS) will require proof of the Trust Beneficiary’s disability. If the Social Security Administration (SSA) has already awarded either Social Security Disability Income (SSDI) or Supplemental Security Income (SSI) to the Trust Beneficiary, then the SSA Award Letter should be sufficient to prove disability.

If the Trust Beneficiary does not have an Award Letter from the SSA for either SSDI or SSI benefits, it will be necessary to use forms DSS-486T and DSS-1151 and ask DSS for a disability determination.

PLEASE NOTE: DSS-486T and DSS-1151 are both available for download from the links below. However, these forms are provided for convenience only and it is the sole responsibility of the Beneficiary or the Beneficiary’s agent to make sure the forms are completed properly and submitted to DSS in those circumstances when it is necessary for DSS to determine disability.

DSS-486T – Medical Report for Determination of Disability

This form needs to be filled out by the Trust Beneficiary’s doctor or doctors. The first two pages must be completed in full together with whatever following pages are related to the Beneficiary’s medical condition.

DSS-1151 – Disability Interview

This form should be completed and signed by the Trust Beneficiary, family member, or other advocate and describes the Beneficiary’s education, work history and functional abilities.

For more information on The Center for Special Needs Trust Administration, Inc. go to: www.centersweb.com