Affiance Partners, LLC. is a partnership that includes the industry leader in Medicare Set-Asides, a legal firm with in-depth custodial administration experience and a financial institution with managed assets of 117 billion dollars. This partnership offers properly managed, legally sound and financially secure custodial account services to the MSA marketplace.

Finally, an extra layer of protection for your settlements.
Every Medicare Set-Aside submitted to CMS for approval must specify if the funds will be self-administered by the claimant, or set up in a custodial account. Affiance has solutions for both options, allowing the claimant's best interests to be fully realized.

In order to provide extra protection against Professional Liability exposure, Affiance is the only company to offer a First Year Self-Administration Account program. Complete with compliance submission to CMS.

Affiance Partners serves the settlement community by providing a secure, formalized approaches to managing funds for defined medical purposes. Affiance partners is the result of two of the most experienced firms working in the workers compensation and liability settlement communities combining forces to provide a solution to an increasing need. For the first time, properly managed, legally sound and financially secure custodial account services are available to the MSA marketplace. A Medicare Set-Aside Custodial Account is an account to administer the Medicare Set-Aside Allocation. This account is funded by cash and / or an annuity and is used to pay for your medical expenses that would normally be covered by Medicare and which are related to the injury(s) for which you received settlement proceeds. This MSA approved custodial account facilitates the management of the CMS approved Medicare Set Aside. Upon receipt of Medicare's approval of the MSA, the custodial account is funded. Funding options include 1) Full cash value of the MSA 2) Approved seed money of MSA complimented by a fixed stream of income funded via a structured settlement annuity.

The need for this mechanism creates instant value for all parties:

1. Plaintiff:
   1. Does not jeopardize benefit eligibility,
   2. Provides guidance for use of MSA, and
   3. Removes the burden of reporting
2. Insurer and Attorneys:
   1. Provides peace of mind because the plaintiff is provided a trusted resource to manage future care and avoid post settlement liability
3. Medicare:
   1. Insures the approved allocated funds are used for their intended purpose; and
   2. Provides a uniform way of complaint disbursement and reporting

By taking over the time consuming task of validating and paying the correct expenses as well as handling all reporting and compliance with CMS (Center for Medicare and Medicaid) standards, our professionally managed custodial account protects settling parties(via a assurance of reliable long-term protection of msa funds) in addition to the beneficiaries future coverage and benefits. This built in quality control is attractive to both parties (you and Medicare) as our custodial accounts are managed to ensure funds are utilized only for the intended purposes (again, minimizing exposure for both parties). Affiance further drives the security by having all funds custodianed in an RBC Dain account.

Affiance Partners will only utilize the funds for injured related expenses that Medicare would otherwise cover. The custodian generates and submits annual accounting of the MSA to the Center for Medicare and Medicaid Services. Additional responsibilities include coordination of funding, immediate correspondence to CMS upon the account being exhausted in a temporary or permanent basis, and management of the fund distribution upon beneficiary's death.