Appendix B: Revocable Burial Reserve Computation

Use this computation sheet to calculate the countable portion of a Revocable Reserve

$1,500 is the maximum exclusion for each individual

If the individual has life insurance with a total face value of $1,500 or less and a RBR

Table 1

1

Maximum RBR exclusion

$1,500

2

Less the face value of the individual’s life insurance

3

The amount of the RBR

4

Balance of the RBR exclusion (line 1 minus line 2)

5

Countable resource (line 3 minus line 4)

If the individual has life insurance with a total face value in excess of $1,500 and a RBR

Table 2

1

Maximum RBR exclusion

$1,500

2

Less the cash value of the individual’s life insurance up to $1,000

3

The amount of the RBR

4

Balance of the RBR exclusion (line 1 minus line 2)

5

Countable resource (line 3 minus line 4)

If the individual has life insurance with a total face value over $1,500, a RBR, and an Irrevocable Burial Reserve (IBR)

1

Maximum RBR exclusion

$1,500

2

Cash value of the individual’s life insurance

3

The amount of the IBR

4

Add line 2 and 3

5

Amount of the RBR

6

Balance of the RBR exclusion (Subtract line 4 from line 1)

7

Countable resource (Subtract line 6 from line 5)

If the individual has life insurance with a total face value of $1,500 or less, a RBR, and an IBR, use Table 1 and exclude the IBR.