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Understanding HEMS: Examples of Health, Education, Maintenance, and Support in Trust Distributions

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September 18, 2025 •  Emily Hicks Law, PLLC
If you’re serving as a trustee, you may have seen language in the trust stating that you can distribute funds to beneficiaries for their “health, education, maintenance, and support.” Here's what it means...

If you’re serving as a trustee, you may have seen language in the trust stating that you can distribute funds to beneficiaries for their “health, education, maintenance, and support.” This is often referred to as the HEMS standard. It’s one of the most common distribution guidelines in trusts, but it can sometimes feel vague.

To help clarify, here are examples of what each category usually includes.


Health

Distributions for health generally cover medical and wellness expenses. Examples include:

  • Doctor visits, hospital stays, and surgeries
  • Prescription medications and medical equipment
  • Dental and vision care
  • Health insurance premiums
  • Mental health treatment or counseling
  • Long-term care or nursing home expenses

Education

Education distributions are designed to cover reasonable costs of schooling and related expenses. Examples include:

  • Tuition for private school, college, or graduate programs
  • Vocational or trade school costs
  • Room and board while attending school
  • Books, technology, and school supplies
  • Tutoring or specialized educational programs

Maintenance

Maintenance generally refers to keeping the beneficiary at their accustomed standard of living. Examples include:

  • Housing costs, such as rent, mortgage payments, or property taxes
  • Utilities, groceries, and everyday living expenses
  • Transportation, including car payments, insurance, and gas
  • Reasonable clothing and household needs

Support

Support is broad and often overlaps with maintenance, but it usually means providing for the beneficiary’s overall well-being. Examples include:

  • Childcare expenses
  • Costs associated with raising children
  • Basic recreation or hobbies consistent with the beneficiary’s lifestyle
  • Assistance during periods of unemployment or disability

Why the HEMS Standard Matters

The HEMS standard is commonly used because it gives trustees clear boundaries. It allows for flexibility to meet beneficiaries’ needs while also protecting trust assets from being used inappropriately. Importantly, limiting distributions to health, education, maintenance, and support can also help keep the trust from being considered part of the beneficiary’s taxable estate.


Final Thoughts

Serving as a trustee is an important responsibility. Understanding the HEMS standard—and what kinds of expenses fall under health, education, maintenance, and support—helps you make informed decisions that follow the trust’s instructions while also providing meaningful support to beneficiaries.

If you’re unsure about whether a particular expense qualifies, it’s always best to consult with an estate planning attorney for guidance.

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