Olmsted County Community Services Department Policy Statement



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TITLE: Olmsted County Community Services Department Policy Statement County Burial Policy Code: 4.601 PURPOSE: REFERENCE: PERSONNEL RESPONSIBLE: The purpose of this policy is to establish burial costs paid by the County under the Minnesota Family Investment Program and Minnesota Poor Relief Law. Minnesota Statutes 261.035; Minnesota Statutes 149A.80; and Minnesota Statutes 256.935 (Minnesota Family Investment Program) County Burial Assistance Coordinator/Financial Assistance Supervisor(s) EFFECTIVE: January 1, 1990. Revised: Dec-94; Sept-98; Feb-03; Jul-03; Mar-06; Jan-08; Apr-09; Aug-14 POLICY: Under Minnesota Statutes, the County is required to provide for the final disposition of indigent persons. Policies pertaining to burials are at the discretion of the County Board to the extent that they do not conflict with special provisions in state law or regulations for MFIP burials. A burial is considered a MFIP burial if the deceased was a recipient of MFIP at the time of death. Otherwise, the burial is a County Poor Relief burial. If the County assumes financial responsibility for the final disposition, the burial cannot exceed the County limits and there cannot be any enhancements. The method of disposition will be direct cremation, or immediate burial if cremation is contrary to the beliefs or expressed wishes of the deceased, or those of the deceased s spouse or next of kin. Resources of the deceased and responsible relatives will be considered in determining eligibility for county burial. Assets available and/or third party reimbursement will be applied to the county burial costs. Authorization and approval of a county burial must be received prior to making funeral plans. The family/funeral home will be expected to work closely with county staff to ensure fair but cost-effective arrangements. If a resident of another Minnesota county dies in Olmsted County, the burial costs must be approved and paid for by the County of Financial Responsibility. PROCEDURES: Applications for a county burial will be available at the Olmsted County Public Assistance Office(s) and through Funeral Directors. An "Application for Olmsted County Burial" must be 4-601 County Burial Policy.docx Page 1 of 7

completed and returned to the County Burial Coordinator prior to finalizing funeral/burial arrangements. If the deceased is a current public assistance recipient, eligibility may be determined using current case information, but responsible relatives/next of kin may be required to complete an application. Assets available and/or third-party reimbursement will be applied to the county burial costs. 1. County payment must be accepted as payment in full for items included in the county burial policy. If family and/or friends choose to enhance the funeral or make substitutions, such as a casket of their choice, they will be obligated to pay for the entire cost of the funeral/burial. 2. Eligibility is limited to available resources minusthe cost of a county burial. All resources available to the decedent or responsible spouse/parents of minor child will be reviewed and considered in determining eligibility for county burial, including but not limited to bank accounts, life insurance benefits, vehicles, real estate, and any death benefits to which the deceased and/or a responsible relative are entitled. Certain assets (e.g., real estate, vehicle) may be excluded if there is a surviving spouse and/or minor children. Assets available and/or third-party reimbursement will be applied to the county burial costs. ALLOWANCES: 1. Direct Cremation. Maximum $1,858. This includes local removal, care of remains, transportation to crematory, basic services of staff, authorization, crematory charge, and a nondecorative remains container, including a short time of remembrance/memorial. The County will not pay for accessory services or items such as, but not limited to, flowers, honorariums, music, processions, clothes, printed material, food, or other related items. (Note: Regional Medical Examiner s Office will waive the cremation fee for county burials within Olmsted County s jurisdiction 2. Immediate Burial. Maximum $2,100. This includes local removal, care of remains, basic services of staff, authorization, casket, and casket coach to local area cemetery. Excludes ceremony, visitation, and cemetery charges, but includes a short time of remembrance/memorial. The County will not pay for accessory services or items such as, but not limited to, flowers, honorariums, music, processions, clothes, printed material, food, or other related items. 3. Other burial costs. The County will cover certain other costs as needed and at most reasonable price, as 4-601 County Burial Policy.docx Page 2 of 7

follows. a) Vault/grave box. The payment will be at invoice cost. The County does not pay for interment of ashes. b) Grave opening and closing. This is limited to Monday-Friday with adjustments permitted for winter months. Opening/closing costs are limited to 75% of the current cemetery rate. When a casket, grave box, or polyguard vault is supplied solely by the cemetery, the total interment charges cannot exceed $925 (originally approved 7/03). c) Cemetery lot. The lot must be purchased by County for immediate burials under this policy. i. The County does not pay for cemetery markers/headstone. ii. The County does not pay for decorative cremation containers. iii. The County does not pay to transport bodies outside of Olmsted County (for burial in another cemetery plot) unless it would be less expensive than burial within Olmsted County. Attachment: Application for County Burial Form Approved by Last review/approval date Authors OCCS Senior Management Team 11/08/2005; C.Hoglund, B.Arendt, M.Brown, M.Wilson, B.Schmidt Human Service Committee 3/24/2009 County Board OCCS Senior Management Team 2/28/2006; 4/14/2009 7/2014 [minor administrative edits only] H. Welsch; M. Brown; B. Schmidt; P. Jacobson 4-601 County Burial Policy.docx Page 3 of 7

APPLICATION FOR OLMSTED COUNTY BURIAL Eligibility and approval for County burial must be preauthorized. All resources of the Deceased will be reviewed and applied toward the county burial including resources owned jointly or available through inheritance by a responsible relative There cannot be any enhancements. When the County assumes financial responsibility for final disposition, the cost of the burial cannot exceed the county limits, and there cannot be any enhancements to the services/items allowed in the County's burial policy. The County will not pay for accessory services or items such as flowers, honorariums, music, processions, clothes, printed material, food, or other such items. The family and funeral home must work closely with the County Burial Assistance Coordinator. This form is available at the Public Assistance Office, 2117 Campus Drive SE, Rochester, MN. or through the Funeral Director. Completed forms may be faxed to 507-328-6339, Attention: County Burial Coordinator. Questions? 507-328-6500 Authorization and approval of County Burial must be received prior to making funeral plans. Name of Deceased Address Date of death Name of Funeral Home Name of living spouse or parents (if minor) DOB SSN Address BURIAL BENEFITS & RESOURCES Does the Deceased have a pre-paid burial fund or other burial benefit plan? Yes/No If "yes," where and in what amount? Is the Deceased eligible for Veteran's burial benefits? Yes/No If "yes," what amount? Does the Deceased have a burial plot? Yes/No If "yes," where?

ASSETS OF DECEASED MONTHLY INCOME Employment $ Retirement, Pension $ Social Security $ Other earned/unearned $ LIFE INSURANCE Name of Company/Fund Amount Beneficiary SAVINGS Name of Bank, Address Account Number Account Balance CHECKING Name of Bank, Address Account Number Account Balance OTHER ASSETS (STOCKS, BONDS, CDS, ETC) Type of Asset Amount REAL ESTATE/PROPERTY Type of Property Address/Location Value Home/homestead $ Rental Property $ Other non-homestead property $ Vehicles $

ASSETS OF NEXT OF KIN Name of Next of Kin Relationship to Deceased Are any of the next of kin named beneficiary on any of the Deceased insurance policies? Yes/No Are any of the next of kin a joint owner or "payee on death" of any of the Deceased assets? Yes/No If "yes," specify what assets and the estimated value $ $ $ 4 Why is a county burial needed? Why can t the family provide for the Deceased s final disposition/burial Any information supplied on this application can be verified. False reporting of assets or financial responsibility can be prosecuted as fraud. To the best of my knowledge all the above statements are true and correct. I agree that the available assets determined by the County Burial Coordinator which reduce the County's payment for funeral/burial costs will be paid promptly to the Funeral Director. Signed Date Relationship to the Deceased County Use ONLY Approved for County Burial Assistance: ( ) Yes ( ) No $ is determined as the amount of obligation. The county payment will be $. Approved by (county staff) Date Revision: Feb 2009

Olmsted County Community Services Department Family Support & Assistance Division County Burial Fact Sheet When a person dies without the means to provide for his/her burial, and the next of kin have no ability to pay for the burial, an indigent burial may be provided by the County. Eligibility and approval for a County burial must be preauthorized An application for County Burial must be completed. Applications are available through the Funeral Home or the County Public Assistance Office (507-328-6500). All resources of the Deceased will be reviewed and applied toward the cost of a county burial including resources owned jointly or available through inheritance by a responsible relative. No enhancements If the County assumes financial responsibility for final disposition, there cannot be any enhancements. If family and/or friends choose to enhance the funeral or make substitutions, such as a casket of their choice, they will be obligated to pay for the entire cost. The County provides for Direct Cremation; or Immediate Burial if cremation is contrary to the beliefs or expressed wishes of the deceased. The County will not pay for accessory services or items such as flowers, honorariums, music, processions, clothes, printed material, food or other such items. The County does not pay for cemetery markers/headstone. The County does not pay for decorative cremation containers, nor bury ashes.