Individual and Group Disability Insurance Cincinnati
Most people buy insurance to protect their individual assets such as a car, a house or jewelry, but many people stop short of insuring their most valuable asset – their ability to earn an income. Disability insurance helps replace a portion of a person’s income in the event he or she becomes disabled. If you depend on your income to meet your everyday expenses and the expenses of your family, you should have disability income insurance.
Are you protected in the event of a disability?
- Studies show that a 20-year-old worker has a 3-in-10 chance of becoming disabled before reaching retirement age. (SSA Publication No. 05-10029: www.ssa.gov/dibplan/index.htm)
- The average disability lasts for over two and a half years. (Commissioners Individual Disability Table A.)
- Roughly 80% of working Americans either do not have disability insurance, or do not have enough disability insurance. (National Underwriter Magazine, 2001.)
- Disabled or not, every day bills like groceries, utilities, rent, mortgage, etc. still keep coming.
Health insurance helps pay medical bills but does not replace lost income. Disability insurance helps replace a portion of a person’s income if he or she is unable to work due to sickness or injury. Disability insurance can help keep a person from becoming a heavy burden on others in the event of a serious long-term illness or debilitating injury.
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Disability Insurance Basics – Learn More!
Disability insurance pays benefits to an insured individual who becomes sick or injured. Benefits begin after a waiting period that starts from the first day of disability. For example, an individual disability insurance policy with a “90 day waiting period,” begins crediting benefits once the insured has been disabled for 90 days. Benefit payments typically begin 30 days after the end of the waiting period. So, an individual with a 90 day waiting period would receive his or her first benefit check 120 days from the first day of disability. Choosing the options you select in a disability insurance policy should take into account how long you think you could live without your income. The shorter the waiting period, however, the higher the premium.
Length of Disability Benefits
Disability insurance policies can be designed to replace anywhere from 50 to 70% of a person’s income up to a certain “cap” or maximum benefit. Disability insurance policies will pay benefits for a variety of time frames or “benefit periods” depending on the policy you select. A benefit period is the time during which benefits from the policy will be paid. Some sample benefit periods are:
- For a set time period such as 5 years, 10 years, etc.
- Until age 65.
- For the lifetime of the insured.
Short Term Disability Insurance
Short term disability policies pay benefits soon after a disability begins. A short term disability policy may have a waiting period expressed as, “one day, eight day.” In this example, “one day” refers to the waiting period for benefits to begin after the result of an accident or injury. “Eight day,” here, refers to the date benefits begin after the onset of a disabling sickness. Such waiting periods are usually characteristic of short term disability insurance plans. Short term disability insurance plans are usually a type of group insurance and are only available through employer groups.
Premiums for short term policies that are paid by employers generally result in taxable benefits. Short term disability policies frequently have a condensed benefit period such as 90 or 180 days. Short term disability insurance policies also commonly specify a cap for monthly benefits. For example, a policy might pay 66% of an employee’s income up to a cap of $2500 per month until the benefit period runs out. Premiums for short term disability insurance policies are generally much lower than longer term disability policies due to caps and limited benefit periods.
Taxation of Disability Insurance Benefits
In general, when an individual pays his or her own disability insurance premiums with after tax dollars, benefits are not subject to taxes. However, if an employer pays disability premiums on behalf of an employee using pre-tax dollars, generally benefits are taxable. Tax law is always changing, so you should consult your tax advisor for timely information regarding the tax consequences of disability insurance benefit payments.
If an employer pays the premium for an employee’s disability insurance and taxes are due on benefits received, the result will be a reduced benefit amount. To protect against this shortfall, individuals covered under employer groups may wish to purchase a supplemental individual disability insurance policy to make up for any potential shortfall in benefits.
Non-Cancelable and Guaranteed Renewable Disability Insurance Policies
One important provision of disability insurance policies is that they can be “non-cancelable” or “guaranteed renewable.”
When a disability insurance policy is non-cancelable, as long as premium payments are paid on time, it means that,
- The policy’s future premiums can never be raised above the amounts stated in policy.
- The policy’s benefit amounts can never be reduced below the amounts stated in the policy.
When a disability insurance policy is “guaranteed renewable,” as long as premium payments are paid on time, it means that,
- A person has the right to renew his or her policy without the benefits changing.
- However, the insurer has the right to increase policy premiums as long as the insurer increases the premiums for all other policyholders in the same policy class.
Premiums for guaranteed renewable policies may be lower initially than premiums for non-cancellable policies, but the premiums have the possibility of increasing over time! The least expensive disability insurance policies are neither non-cancelable nor guaranteed renewable.
Disability Insurance Riders
Disability insurance policies are frequently available with a variety of riders or supplemental policy enhancements. These riders are available for an additional premium and cover a variety of options.
Some examples are:
COLA Rider. COLA stands for “Cost Of Living Adjustment.” This rider adds a benefit to a disability insurance policy that increases the benefit amount of the policy in order to compensate for future increases in the cost of living. With some riders, once a person is disabled, benefits increase as measured against the CPI or Consumer Price Index. Other riders specify a fixed increase in benefit amounts annually.
SSI Rider. This rider pays additional benefit amounts in the event a disabled person is unable to qualify for Social Security Disability Insurance benefits.
Partial or Residual Benefit Rider: This rider pays a partial disability payment after the waiting period. If an individual loses a percentage of their income (for example, 20-30%) due to disability, this rider begins to pay a partial disability payment to the insured. Each policy specifies the required loss in income before payments are eligible.
Guaranteed Insurability or Future Purchase Benefit Rider. This rider guarantees the ability of the insured to purchase more monthly disability insurance benefit in the future regardless of his or her future insurability. If a person expects his or her income to increase substantially over time, this can be a very inexpensive and worthwhile rider to purchase at a young age. This rider allows the purchase of specified amounts (i.e. $1000/month additional benefit, or $2000/month additional benefit, etc.) in the future. Some policies specify when future increases may be purchased (i.e. once every two years for the next ten years). New premiums for any future purchases generally reflect the age of the insured at the time of election. Income eligibility guidelines apply.
Income Guidelines for Disability Insurance
Disability insurance policies generally allow no more than about 70% of an individual’s income to be replaced by a disability insurance policy. When applying for disability insurance, an individual will need to provide income information so that the maximum benefit amount can be established by underwriting guidelines. In some cases, benefit amounts may also be capped based on the occupation of the insured.
Employer Based Long Term Disability Insurance
Employers may wish to provide a group based long term disability insurance program for their employees. Like individual policies, these programs are flexible in terms of specified benefit periods. A common benefit period in a group long term disability insurance program is a five year benefit period, though longer benefit periods are available. Here again, if the employer pays the premium, generally, benefits paid to the employee will be taxable. Waiting periods for group long term disability policies are typically from 90 to 180 days, though other waiting period options are available.
Combining Disability Policies and Salary Continuation Agreements
Some employers purchase both short term and long-term disability insurance plans and have the policies work in conjunction to cover employees in the event of disability. In such case, most of the risk the employer has to continue the salary of a disabled employee is transferred to the disability insurance company. Some employers may wish to have an attorney draft what is called a “salary continuation agreement” in order to self-insure a portion of disability liability. With a salary continuation agreement, an employer specifies how much the company will pay an employee and for how long in the event of a disability.
In general, it is less expensive to transfer the risk of salary continuation to an outside insurer. However, there are many circumstances to consider including the age, health status, and income levels of the insured employees. Regardless of the degree an employer chooses to insure disability payments, salary continuation agreements are a good idea. One significant benefit to a salary continuation agreement is that it can help manage the tax consequences of paying salary to a disabled employee or business owner. Please contact our office at 513-891-9888 for more information on salary continuation agreements.
Social Security Disability
Relying on Social Security Disability alone may leave you much less than you need in the event that you become disabled. Social Security Disability requires,
- That an individual is expected to be disabled for at least 12 months.
- Expects that the disability is permanent.
- A five month waiting period for benefits.
- Benefits may be subject to federal tax.
- Defines disability as the inability to work in any occupation.
The Social Security Administration has very strict guidelines defining who qualifies for disability payments and when. Benefits may be reduced if income is received from other sources such as a reduced retirement benefit or other disability benefit.
Defining Disability
The definition of disability in disability insurance policies varies depending on the particular policy. Some definitions of disability are based on “own occupation.” This means that a person is disabled if he or she is unable to perform the principal duties of his or her actual occupation (i.e. say a singer loses his or her vocal ability and can no longer sing). Other definitions of disability are based on the ability to earn an income based on an individual’s “background, education and experience” (i.e. the singer can no longer sing, but can still make money writing and producing music). Still other definitions may stipulate an individual is disabled only if he or she is unable to be gainfully employed in any type of work.
Plans with a definition of disability based on “own occupation” are the most comprehensive. Individuals in specialized fields such as medicine, dentistry, or highly skilled technical professions will be suited toward “own occupation” policies. Some policies take a hybrid approach to defining disability by specifying different definitions over different time periods. For example, a policy might have an “own occupation” definition for the first two years. After that, the definition may revert to work that is in line with an individual’s “background, education and experience.”
Disability Overhead Expense Policies
A disability overhead expense policy is a disability insurance policy that insures a business owner or key employee. Rather than pay income to the individual insured, the policy is designed to pay the overhead expenses of the insured’s business in the event the insured becomes disabled. Disability overhead policies require underwriting to determine appropriate benefit amounts relating to the actual overhead expenses of the business involved. Disability overhead policies tend to have limited benefit periods such as 12 or 24 months.
To request information on individual disability insurance, use the submittal form above.