Disability and Chronic Illness as Eligible Designated Beneficiaries

Hello

To qualify as an Eligible Designated Beneficiary for purposes of applying the stretch provision to a non-spouse inherited IRA I’m familiar with Sec. 72(m)(7) dealing with disability definition, that says:

“For purposes of this section, an individual shall be considered to be disabled if he is unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or to be of long-continued and indefinite duration. An individual shall not be considered to be disabled unless he furnishes proof of the existence thereof in such form and manner as the Secretary may require.”

But I can’t seem to find the corresponding definition of ‘Chronically Ill’…at least in the IRC. I did find this in IRS Pub 502

“Chronically ill individual.

An individual is chronically ill if, within the previous 12 months, a licensed health care practitioner has certified that the individual meets either of the following descriptions.
1.He or she is unable to perform at least two activities of daily living without substantial assistance from an-other individual for at least 90 days, due to a loss of functional capacity. Activities of daily living are eating, toileting, transferring, bathing, dressing, and conti-nence.
2.He or she requires substantial supervision to be protected from threats to health and safety due to severe cognitive impairment.”

Would this then be the applicable definition of ‘chronically ill’? I ask because my cousin is an only child, age 61 and her widowed mother has a fairly large TIRA she is not drawing from and at age 87 has been put in the Medicare hospice care. My cousin has been diagnosed with chronic lupus which is controlled with medication but it is indeed a chronic disease. So is there another definition of ‘chronic disease’ or is the Pub 502 the definition the IRS will require to be an EDB?

Thanks

BruceM



  • Bruce, the Secure Act definition is from Sec 7702B(c)(2) copied below. Looks about the same unless you detect some fine point of difference or something regarding the certification date. Note that there is also a qualification require in the Secure Act itself for eligible DB (IV).
  • (2) Chronically ill individual(A) In generalThe term “chronically ill individual” means any individual who has been certified by a licensed health care practitioner as—(i)being unable to perform (without substantial assistance from another individual) at least 2 activities of daily living for a period of at least 90 days due to a loss of functional capacity,(ii)having a level of disability similar (as determined under regulations prescribed by the Secretary in consultation with the Secretary of Health and Human Services) to the level of disability described in clause (i), or(iii)requiring substantial supervision to protect such individual from threats to health and safety due to severe cognitive impairment.Such term shall not include any individual otherwise meeting the requirements of the preceding sentence unless within the preceding 12-month period a licensed health care practitioner has certified that such individual meets such requirements.(B) Activities of daily livingFor purposes of subparagraph (A), each of the following is an activity of daily living:(i)Eating.(ii)Toileting.(iii)Transferring.(iv)Bathing.(v)Dressing.(vi)Continence.A contract shall not be treated as a qualified long-term care insurance contract unless the determination of whether an individual is a chronically ill individual described in subparagraph (A)(i) takes into account at least 5 of such activities. 


Thanks Alan. Looks like she’ll be a NDEB. Its simply too late to begin Roth conversions of her mother’s TIRA…and that’s a shame because the mother had room in the 12% bracket to do several $Thousand a year for doing low cost conversions. Of course, its tough to plan for something you don’t know or have any idea is coming.BruceM



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