Disability Flashcards
How do qualify for disability generally?
You have to meet the definition of the contract specifically - diff contracts use diff definitions
Any-Occupation
very restrictive - same as SS definition - only if you’re disabled severely enough that you cannot work “any occupation”
Any Occupation example
if a surgeon owns an 80% any occupation policy, injures his finger - he can still work as a consultant etc. so he wouldn’t qualify for “any occupation” coverage
Own Occupation
allows payment if you’re unable to do your own occupation
Own Occupation Example
Surgeon has 80% own occupation policy - injured finger. Say salary is 1 mil a year - can receive 800k as long as he is unable to perform his occupation
What happens after Own Occupation stops paying?
Benefits would only continue if you’re also unable to do a job you have the training/education/experience for
Presumptive Disability
presumes total disability even if you’re able to return to work a new job - these are major injuries - blindness, deaf, loss of hearing, loss of hands, feet or both
How do you qualify for presumptive disability?
You have to have a major injury like go blind, deaf, can’t hear, loss of hand/foot or both
Partial Disability
unable to do part of your job or do the job extremely slow - more severe the limitations the higher the $
Short Term Disability Insurance Policy
-usually 6 months or less
-most short term plans have no probationary period or if they do its 3 months or less
Long Term Disability Policy
-extended benefits, possibly lifetime
-usually disabled for longer than 6 months
-probationary period of 3 months to 1 year
Sick Leave Policy
-100% of pay - rarely exceeds 6 months
-say workers comp covers 60% - sick leave policy would cover the other 40%
Elimination period for short term plan
-typically 1-7 days
-benefits usually max 2 years
Elimination for long term plan
-typically 3-6 months
-benefits 2 years or longer, possibly lifetime
Can you get disability if you’re retired or unemployed?
No