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On vacation, you meet a guy on the golf course looking to make a foursome.
He’s not too old, and he doesn’t look too wealthy. As the
round progresses, you find out he’s on permanent disability. The
hard-working part of your makeup is skeptical. “How can he be
disabled and play golf? It sure looks like he scammed his way into permanent
vacation.”
This is an understandable reaction. Because, unlike
death, disability is a condition that leaves room for interpretation.
And because there’s a grey area, some people have abused the idea.
But don’t let the cheaters get in the way of
understanding the reality of what a disability is and what impact it
could have on your financial future. Setting aside the specifics that
define a disability, the question is: What would happen if you suffered
an injury or illness that prevented you from working for an extended
period of time? How would you pay your bills if there were no earnings
for a month, or two months or even a year? For most individuals, the
ability to continue earning an income is vital to their financial success.
And disability is a major threat, arguably the one event most likely
to wreak havoc on your financial plans. According to Insurance.com,
the following events occur with the following frequency:
•Home fire— one out of every 88 homes.
•Serious auto accident— one out of every
70 autos.
•Death— one out of every 106 people.
•Disability— one out of every eight people.
Here are some additional statistics:
•A 30-year-old woman has a one in three chance
of suffering a long-term disability before her planned retirement.
•One in seven employees will be disabled for
five years or more before retirement.
Those numbers, while sobering, can be misleading.
The chances of being disabled can decrease significantly for those that
are healthy and work in low-risk occupations. In addition, some government
programs, such as Social Security and worker’s compensation (which
only applies to job-related disabilities), are already in place to automatically
provide some disability benefits. About 40 percent of employers nationwide
provide some form of disability income insurance.
If you are healthy, and working in a low-risk occupation,
it’s tempting to think: “I can do without personal disability
income insurance. All I would end up doing is subsidizing those people
who are cheating the system.
You can continue to ignore the facts and hope you
stay lucky, or you can make a rational assessment of your need to protect
your income by getting some coverage. Here’s a brief overview
of some specific issues in disability coverage:
•Short-term vs. long-term disability policies.
Short-term disability policies cover temporary disabilities (a broken
leg, an illness, etc.) for a limited period of time. The benefit period
for short-term coverage can last anywhere from a few months to a year.
This type of coverage is often offered by employers.
Long-term coverage is tailored to respond to greater
disabilities, the types that may cause someone to be unable to work
for longer periods, usually more than six months. Benefit periods usually
range from two years to age 65, and some policies will even guarantee
lifetime payments for disability. Long-term coverage may be on an individual
or group basis.
•Individual vs. group coverage. Individual disability
income insurance applies to one person. Based on application information,
including occupation and medical history, the insurance company evaluates
the proposed insured, and decides whether or not to offer coverage,
or perhaps to offer restricted coverage (i.e. no benefits paid for back
injuries, etc.) The individual owns the policy, usually pays the premium
and deals directly with the insurance company in the event of a claim.
Generally, as long as premiums are paid, the coverage is maintained.
The coverage is portable— that is, the individual can keep the
coverage regardless of changes in employment.
Group coverage is usually obtained through an employer
or professional association. Premiums may be paid by the employer, the
employee or shared. A change in employment, a management decision or
an insurer’s refusal to continue coverage for the entire group
may terminate the insurance.
•Amount of monthly benefit. Most disability
coverage is designed to replace a percentage of your monthly earning,
usually between 50 and 70 percent. This limitation of benefits helps
provide incentive for recovery.
•Benefit period. As mentioned earlier, some
long-term coverage pays benefits for only two years, while others guarantee
disability payments for a lifetime. Other typical benefits periods are
five years and “to age 65.” The cost of coverage will be
directly related to the benefit period. The longer the benefit period,
the higher the premiums.
•The elimination period. This is the length
of time you must be disabled before benefits are paid. Elimination periods
can be as short as 30 days or as long as two years (720 days). The most
common elimination periods affect the cost of coverage; premiums decrease
as the elimination period increases.
•Definition of disability. Different policies
have different definitions of disability. For some, disability means
you are unable to perform the material and substantial duties of your
occupation or profession. This “own occupation” definition
could be the explanation for the guy you meet on the golf course—
he might be able to play golf, but can’t install telephone cables.
For some policies, disability means you are unable
to work at all (any occupation). In addition, other definitions of disability
vary by company and contract. In general, the more liberal the definition
of disability, the higher the premiums. Comparatively, group coverage
usually has tighter definitions of disability than personal contracts,
making it harder to collect benefits.
•Tax issues. Depending on who pays the premium,
the disability benefits can be either taxable as income, or exempt from
taxation. If the insured pays (with after-tax dollars), benefits are
received income tax-free.
Often disability income insurance is a reluctant purchase,
especially if the premiums come out of your pocket. You are paying for
protection against something you would naturally avoid. But if you have
people who depend on your income for food and shelter, the premiums
do buy them a little security, which they deserve.
Joshua Fox is a personal financial engineering
associate at Strategies For Wealth Creation and Protection. For more
information or to set up an appointment, call (212)701-7929 or e-mail
Jfox@strat4wealth.com.
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