Pikula v. Dept. of Social Services

CourtSupreme Court of Connecticut
DecidedMay 10, 2016
DocketSC19533
StatusPublished

This text of Pikula v. Dept. of Social Services (Pikula v. Dept. of Social Services) is published on Counsel Stack Legal Research, covering Supreme Court of Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pikula v. Dept. of Social Services, (Colo. 2016).

Opinion

****************************************************** The ‘‘officially released’’ date that appears near the beginning of each opinion is the date the opinion will be published in the Connecticut Law Journal or the date it was released as a slip opinion. The operative date for the beginning of all time periods for filing postopinion motions and petitions for certification is the ‘‘officially released’’ date appearing in the opinion. In no event will any such motions be accepted before the ‘‘officially released’’ date. All opinions are subject to modification and technical correction prior to official publication in the Connecti- cut Reports and Connecticut Appellate Reports. In the event of discrepancies between the electronic version of an opinion and the print version appearing in the Connecticut Law Journal and subsequently in the Con- necticut Reports or Connecticut Appellate Reports, the latest print version is to be considered authoritative. The syllabus and procedural history accompanying the opinion as it appears on the Commission on Official Legal Publications Electronic Bulletin Board Service and in the Connecticut Law Journal and bound volumes of official reports are copyrighted by the Secretary of the State, State of Connecticut, and may not be repro- duced and distributed without the express written per- mission of the Commission on Official Legal Publications, Judicial Branch, State of Connecticut. ****************************************************** MARIAN PIKULA v. DEPARTMENT OF SOCIAL SERVICES (SC 19533) Rogers, C. J., and Palmer, Zarella, Eveleigh, McDonald, Espinosa and Robinson, Js. Argued January 25—officially released May 10, 2016

J. Colin Heffernan, with whom, on the brief, was John C. Heffernan, for the appellant (plaintiff). Patrick B. Kwanashie, assistant attorney general, with whom, on the brief, was George Jepsen, attorney general, for the appellee (defendant). Opinion

EVELEIGH, J. The plaintiff, Marian Pikula, appeals from the judgment of the trial court dismissing her appeal from the decision of an administrative hearing officer for the defendant, the Department of Social Ser- vices (department),1 denying her application for bene- fits under the state administered Medicaid program (Medicaid)2 because her assets, in the form of a testa- mentary trust, exceeded prescribed Medicaid limits. We conclude that the trial court should not have dismissed the appeal on the ground that the hearing officer cor- rectly determined that the trust was an asset available to the plaintiff. Accordingly, we reverse the judgment of the trial court. The following undisputed facts, as found by the trial court, are relevant to this appeal. ‘‘In 1989, John Pikula, the plaintiff’s father, executed a will containing a testa- mentary trust for his two daughters: Dorothy McKee and the plaintiff. When John Pikula died in 1991, the trust became effective and the Probate Court appointed a trustee.’’ The testamentary language creating the trust pro- vided as follows: ‘‘A. Until [the plaintiff] shall die, the [t]rustee shall pay to or spend on behalf of [the plaintiff] as much of the net income derived from this trust fund as the [t]rustee may deem advisable to provide properly for [her] maintenance and support and may incorporate any income not so distributed into the principal of the fund at the option of the [t]rustee. ‘‘B. I hereby authorize and empower the [t]rustee in his sole and absolute discretion at any time and from time to time to disburse from the principal for any of the trust estates created under this [will], even to the point of completely exhausting the same, such amount as he may deem advisable to provide adequately and properly for the support and maintenance of the current income beneficiaries thereof, any expenses incurred by reason of illness and disability. In determining the amount of principal to be so disbursed, the [t]rustee shall take into consideration any other income or prop- erty which such income beneficiary may have from any other source, and the [t]rustee’s discretion shall be conclusive as to the advisability of any such disburse- ment and the same shall not be questioned by anyone. For all sums so distributed, the [t]rustee shall have full acquittance.’’ In March, 2012, the plaintiff entered a long-term care facility. At that time, she applied for financial and medi- cal assistance under Medicaid. At the time she applied for Medicaid benefits, the trust value was approxi- mately $169,745.91. In May, 2013, the department denied the plaintiff’s application for Medicaid benefits on the ground that her assets, including the trust, exceeded the relevant asset limits. The plaintiff then requested a hearing to contest the department’s decision. The hearing occurred in Octo- ber, 2013. Thereafter, on December 20, 2013, the hearing officer issued a decision upholding the department’s denial of the plaintiff’s Medicaid benefits because the trust was an asset that was available to her and, there- fore, her assets exceeded the regulatory limits. The plaintiff subsequently requested reconsideration of the decision pursuant to General Statutes § 4-181a (a) (1) (A). Her motion was denied. Pursuant to General Statutes §§ 17b-61 and 4-183, the plaintiff appealed from the hearing officer’s decision to the Superior Court. In her complaint, the plaintiff alleged, inter alia, that, under the terms of the department’s policy manual and applicable case law, the trust assets are not available to the plaintiff. Specifically, the plaintiff asserted that, under the terms of the trust, the assets of the trust are not available to her because she is not entitled to receive trust principal and the trustee has sole and absolute discretion regarding trust expenditures and his deci- sions cannot be challenged by anyone.3 The trial court rendered judgment dismissing the plaintiff’s appeal, concluding that the hearing officer properly determined that the trust in this case was an available asset and that, therefore, the plaintiff’s assets disqualified her from Medicaid eligibility. The plaintiff appealed from the trial court’s judgment of dismissal to the Appellate Court. Thereafter, we transferred the appeal to this court pursuant to General Statutes § 51-199 (c) and Practice Book § 65-1. On appeal to this court, the plaintiff claims that the trial court improperly upheld the hearing officer’s con- clusion that the trust was an asset available to the plaintiff as defined by relevant Medicaid regulations. Specifically, the plaintiff claims that the testator intended to create a discretionary, supplemental needs trust, the assets of which should not be considered available for Medicaid purposes. The department, how- ever, contends that the testamentary language indicates that the testator intended the trust to provide for the plaintiff’s general support, in which case it would con- stitute an asset available to the plaintiff. We agree with the plaintiff that the testator intended to create a discre- tionary, supplemental needs trust and, therefore, we further agree that the trust corpus and income may not be considered to be available to the plaintiff for the purpose of determining eligibility for Medicaid benefits. We begin by setting forth our applicable standard of review. Resolution of this issue requires us to determine whether the hearing officer properly construed the terms of the trust instrument. ‘‘The construction of a will presents a question of law . . . . Canaan National Bank v. Peters, 217 Conn. 330, 335, 586 A.2d 562 (1991). As we previously have stated . . . [c]onclusions of law reached by the administrative agency must stand if the court determines that they resulted from a correct appli- cation of the law to the facts found and could reasonably and logically follow from such facts. . . . Board of Education v.

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Pikula v. Dept. of Social Services, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pikula-v-dept-of-social-services-conn-2016.