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Insiders Guide to Disability Insurance

If you are supporting yourself and/or a family, disability insurance is a crucial part of your financial planning. Disability insurance also called "income replacement insurance."

Disability insurance pays the insured person an income when that person is unable to work due to an accident or illness.

On the job, you may be covered for short-term disability due to illness, injury or family medical or maternity leave*, but there are only a few states where short-term disability insurance is guaranteed - California, Hawaii, New Jersey, New York and Rhode Island. However, the benefits available and the type of illnesses covered vary from state to state.

Long-term disability insurance usually kicks in after short-term disability coverage ends - typically after six months.

But what if you're not covered for a long-term disability? You might be eligible for Social Security disability benefits, or covered under workers compensation or a pension plan, however long-term disability insurance gives you added protection with income replacement in the event that you can no longer work for months, or even years. This translates to very valuable protection over the long haul.

Currently, the odds of suffering a long-term disability before retirement are 1 in 8. Due to the unpredictability of becoming disabled, many people consider purchasing a long-term disability insurance policy not only for their family's financial security, but also for their own peace of mind.

When are you Considered Disabled?

The definition of disability can vary depending on the policy you have. For example, some plans pay when you’re unable to engage in your own occupation, on the other hand other plans pay only when you’re unable to engage in any gainful employment for which you’re reasonably suited based on your training or experience. It is common for insurers to use an own-occupation definition for two years, three years or even longer, with an any-occupation definition thereafter. Most disability plans require that you not be gainfully employed while you’re collecting benefits. In addition, some policies will pay you a portion of your monthly benefit if you have lost a part of your income due to a disability. (This is referred to as a residual or loss of earnings benefit.) Certain policies include a rehabilitation benefit that pays some or all of the cost of occupational rehabilitation approved by the insurer. Keep in mind that many policies will not cover disabilities caused by suicide attempts, drug abuse, war, or attempts to commit a crime. Pre-existing conditions are also frequently excluded.

How do you file a claim?

You will need written proof of your disability to file a claim. Your insurer usually requires a letter from your doctor documenting the details of your impairment as well as prognosis for recovery. Your insurer may also require that you be examined, (at their cost), by a physician of their choice.

When Will Benefits Start Accumulating?

Most long-term disability plans have a waiting period before benefits begin accumulating. The most common waiting period is 90 days. However, you usually can get as low as a 60-day waiting period, as well as 180-, 365- and 730-day waiting periods. The best method of determining the length of your waiting period is to ask yourself, "How long can I go without a paycheck?" As for premiums, the longer the waiting period the lower the premium. Premiums are generally waived during your disability.

When one is disabled they need to concentrate all their energy on getting better. Disability insurance allows you do that by alleviating any financial worries so you can focus on your health and your future.

Tips for Obtaining Coverage?

Compare policies from at least three different insurers. Compare the price, the definition of disability and whether the policy is non-cancelable or guaranteed renewable.
Buy young. As a rule insurance gets more expensive as you age. Also there is a higher chance that you may develop health problems as you age that may preclude coverage.
Buy a non-cancelable policy. With this type of policy, the company cannot change your premiums or cancel your coverage as long as you pay your premiums on time. Also, if you purchase your policy at a younger age, you’ll be able to lock in a lower premium.
Increase the waiting period. Waiting periods of three months, six months or a year will reduce your premiums. First, make sure you have enough savings to cover the waiting period and/or will receive extended sick pay through your employer. However given the choice, having benefits payable through age 65 is generally more important than a short waiting period.
Choose a financially strong insurer. Independent agencies such as Standard & Poor’s and Moody’s rate the financial health of insurance companies.
Look for a company with a good claims-paying history and high customer satisfaction. Check with the local Better Business Bureau to find out if the insurer has a complaint history.

*With both heads of the household increasingly saddled with full-time jobs also came the need for the U.S. Family Medical Leave Act - providing some protection for working couples to devote time away from work for such reasons as maternity, adoption, sick leave and death in the family. Learn more about the rules and regulations governed by both the federal government and your local state legislature with online FAQ's, factsheets and concise explanations of the Family Medical Leave Act...

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