| 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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