| When a person
becomes disabled and unable to work, at some point their income will
stop. It might be sooner or later, but unfortunately, life
goes on and daily living expenses continue to mount.
Disability
income insurance is available to continue at least a portion of ones
income while unable to work. It’s sad, but most
people give more attention to life insurance than they do about income
replacement should they become disabled.
Disability
income insurance is available individually or sometimes as a portion of
a group benefit provided by an employer in their group package.
Individual
policies are most often sold to self-employed and professional
people. The amount of the benefit relates to earnings and is
matched as close to after tax income as possible. Generally
it is up to 60% of monthly net income and there is usually a cap on the
amount.
When included
as part of a employee group benefit package, disability income policies
are usually more liberal than individual plans as far as limitations
and exclusions. It is also much easier to acquire
coverage. As a general rule, group plans are much less costly
to all parties.
Disability
income protection should be an element of your entire financial
planning. The importance cannot be overestimated because it
relates to your overall family finances. Whatever you
situation may be, disability is one of the most important factors when
you consider you inability to work and produce income.
Some things
to consider when determining disability income needs are:
-
Establish the bare minimum required if income stops.
- Determine
your retirement needs if work ceases and the ability to pay into the
retirement ends.
- Allow for
any benefit that might be offset by social security and workers
compensation.
Some thought
needs to be afforded to the possibility of “total
disability.” That definition is important as it is
always defined in a policy and different companies may use different
definitions.
Interpretation
is important as it pertains to the insured’s own occupation
and any occupation the insured may be qualified to perform.
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The first
method used to determine total disability concerns the occupation that
the insured is normally engaged in. In
this case total disability might be defined as “the
insured’s inability to perform any or all of the duties or
his or her own occupation.” This
is determined by the insured’s occupation at the time that
disability begins.
The second
method is more restrictive defined as “the
insured’s inability to perform the duties of any occupation
for which he or she is reasonably qualified by education, training or
experience.”
In other
words, while you may no longer be able to conduct the duties of your
current occupation you may be able to perform activities in a related
field.
There are
some disability income policies that use another criterion to classify
total disability.
This is called presumptive disability and
automatically qualifies the insured for total disability classification. These
conditions are:
- Loss of use
of any two limbs
- Total and
permanent blindness
- Loss of
speech and hearing
Presumptive
disability may also be decided by using a loss of income test. If
the earnings after disability significantly drop below pre-disability
earnings by a given percentage the insured may be considered totally
disabled.
Usually
short-term policies cover non-occupational disability but most
long-term policies cover both occupational and non-occupational
sickness and accidents. Bear
in mind, however, that occupational benefits are usually reduced by
benefits received form workers compensation and social security.
Other
considerations are the probationary period, elimination period and the
benefit period.
Some
disability policies use a probationary period that begins when a policy
goes into effect and no benefits are paid during this period. It
varies but is often 15 or 30 days and sometimes up to 60 days for
long-term policies.
In addition
to the probationary period some policies also include an elimination
period.
It begins when the policy goes into effect and
can last for any length of time even up to a full year. This
is usually left to the insured to decide as it is based on how long the
insured can go without income after becoming disabled.
The primary
advantage to a long probationary period is a low premium and allows the
insured to use premium dollars to purchase a benefit that best suits
their needs.
The benefit
period, which is the length of time, can vary depending on the needs of
the insured.
They can be as short-term as 13 weeks up to
long-term as long as age 65.
As a general
rule the longer the benefit period, the higher the premium. Same
as everything in life, we get what we pay for.
Benefit
amounts for both short-term and long-term policies range from 50% to 66
2/3% of earnings with a cap on the maximum amount to be paid.
Other
disability categories are confining vs. non-confining, partial,
residual, recurrent, delayed, combined accident and sickness and
non-disabling.
We
won’t cover definitions of each category here, but do be
aware of their existence and check your policy for a definition of
coverage for these types of disability.
Most
companies offer optional short-term benefits for an additional cost. A
typical disability income policy might include all, some or none of the
items below so it is important to discuss these with your agent. These
options are:
Supplemental
income – sometimes called an additional monthly benefit
rider, provides additional income during the first several months of a
long-term disability.
Hospital
income – pays a stipulated amount per day when hospitalized
extending for a certain period and can be up to 12 months.
Elective
benefits or indemnities – provides lump-sum payments for
certain injuries like fractures, dislocations, sprains or amputations
of toes or fingers and is elected by the insured in lieu of weekly or
monthly benefits stated in a contract.
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