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Disability insurance protects your
most valuable assets and your ability to earn an income.
Each year 12% of the adult population suffer a long
term disability.
- 1 out of every 7 workers will suffer a five-year
or longer disability before reaching age 65.
- At age 32 your chances of suffering a three-month
or longer disability is 6 times more likely than death.
- At age 35 your chances of suffering a three-month
or longer disability is 50%.
- At age 45 your chances of suffering a three-month
or longer disability is 44%.
- On average 7 out of 10 claims for Social Security
disability benefits are refused the first time requested.
Statistics were obtained from Commissioner's Disability
Tables and the Senate Finance Committee. Disability
insurance pays cash benefits to the policyholder in
the event the insured is unable to work due to sickness
or injury. That cash benefit ranges from 50% to 70%
of income. The insurance company will not pay more than
70% of income because there must be an incentive to
return to work.
- If you pay the premium the benefits are normally
received free from income tax, if the premiums are
paid by an employer, the benefits are taxable as ordinary
income.
A disability policy is composed of
various elements:
- Elimination Period - It is the
period of time the insured must wait after becoming
disabled to receive benefits. Typical waiting periods
are 30, 60, 90,120,180, and 360 days. The longer the
elimination period the less expensive the policy.
- Benefit Period - It is the period
of time the benefits will be paid following the elimination
period. The benefit period could be from 2 years to
age 65 to lifetime. The longer the benefit period
the more expensive the policy.
- The Amount of Benefit - The larger
the pay-out the more expensive the policy. The benefit
will not normally exceed 70% of income.
- Residual Benefit - Percentage
of benefit paid if you return to work and are still
partially disabled and cannot return to work full
time or cannot earn your full income.
- Own-Occupation - Pays a benefit
if you are unable to return to your present occupation
but can work doing something else. For example, a
doctor who is a surgeon, cannot return to surgery
but can teach. This is the most expensive type of
disability policy.
- Reasonable or Any Occupation -
Pays a benefit while disabled, but stops when you
are able to return to work at a job that matches your
education and experience. This policy is less expensive
than an Own-Occupation policy.
- Occupation - Occupation is a factor
used in determining rates. For example, a doctor's
rate would be much lower than a blue-collar worker.
- Guaranteed Renewable - Guaranteed
Renewable policies cannot be cancelled by the insurance
company even if a change in the insured's circumstances
would make him or her a greater risk. Plus, the insurance
company cannot make any changes to the provisions
of the policy, or add restrictions. When purchasing
an individual disability policy it should be Guaranteed
Renewable.
- Non-Cancelable - Guarantees future
premiums will not be increased. When purchasing an
individual policy it should be Non-Cancelable.
- Presumptive Disability - Presumptive
disability means that you are considered total disabled
and eligible for benefits for the loss of sight in
both eyes or the loss of two limbs. The better contracts
also presume total disability for the loss of hearing
in both ears, loss of the power of speech, or the
loss of the use of two limbs.
Other benefits that can be added to
an individual disability policy, but could also increase
the cost:
- Protection Against Inflation -
A benefit that can be added that offers a cost-of-living
adjustment for inflation during a long-term claim.
- Automatic Increase Rider - Automatically
increases monthly benefits for a specified period
of time. A typical increase is 5% compound.
- Future Increase Options - Allows
the insured to purchase additional benefit amounts
without proof of insurability.
- Capital Sum Benefit - Pays the
insured a lump sum benefit up to 12 times the monthly
benefit if the insured loses the sight of one eye
with no possibility of recovery or has a hand or foot
severed. This benefit is paid in addition to the other
benefits.
- Rehabilitation Benefit - To help
a disabled insured return to work, this benefit will
pay some of the expenses incurred when the insured
enrolls in an approved rehabilitation center. This
benefit is paid in addition to the other benefits.
- Transplant & Cosmetic Surgery Benefit
- Under this benefit, any disability arising from
donating a transplant organ, improving your appearance
or correcting a disfigurement will be covered by the
policy.
Types
of Coverage:
Social Security
- Social Security does not just provide for retirement
income but disability income as well. However, more
than 70% of the applicants who apply, fail to get
coverage the first time they apply. You can get an
estimate of what your benefit might be by going to
the Social
Security web site.
- In 1992, the average monthly payment for a disabled
worker was $642; the average monthly payment for a
family of a disabled worker was $1093.
- Eligibility is based on being unable to perform
any gainful employment.
- You are eligible for benefits after you have been
disabled for 5 months and if the disability is expected
to last 12 months.
- 85% of Social Security disability payments are
subject to federal income tax if your income exceeds
$34,000 individually or $44,000 jointly.
Workers Compensation
Most employers are required to provide this coverage.
The amount and duration varies by state. Workers Compensation
only pays if the disability occurs on the job, and usually
lasts for only a few years and the payments are low.
Individual Policies
For individual policies, the applicant needs to qualify
and go through an underwriting process, similar to the
process required for life insurance. The applicant could
be subject to a higher premium or even be declined based
on his or her occupation, medical history, or lifestyle.
Individual policies are usually purchased by high income
professionals because of the cost.
Group Policies
Some states require employers to carry group disability
insurance anywhere from 26 to 52 weeks.
Group Long Term Disability
(LTD)
Group LTD is carried by almost half of mid-size to
large employers and provides long term benefits for
at least 5 years covering about 60% of salary. The premium
is usually very low, does not require proof of insurability,
and often is fully paid by the employer. If you would
like to get a Disability Insurance Quote, Call or email
us today!
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