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Article #98: Why an Individual Disability Insurance Policy Is Better Than Group LTD

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Millions of people are insured by group Certain occupations can be covered
long term disability plans. However, forever by individual policies. For
there are drawbacks to this coverage and example, if a urologist becomes disabled
situations where the policies will not to the extent he or she cannot practice
pay. Unfortunately, many group plans do the specialty of urology, but could teach
not pay for the type of disability that urology at a medical school, the
is most likely to occur. Theoretically, individual policy would continue to pay
you are covered. But are you? the disability benefits. Moreover, the
Let's contrast some of the more important doctor would receive both the individual
contract provisions in a group LTD plan policy disability benefits and the
and an individual policy. You can come to medical school teaching salary.
your own conclusion. Presumptive Disability
Can the Coverage Be Cancelled? Disabilities that are "presumptive" are
Group LTD plans can be cancelled in two those where the insurance company will
ways. First, the insurance company can pay the full benefit even if the person
cancel the plan if their claim experience is fully employed. Examples are the loss
is bad. Second, your employer could of use of two limbs, loss of sight,
decide to terminate the plan at any time. hearing or speech. A person who is in a
If a company can downsize, it certainly wheel chair because they lost the use of
can curtail benefits. their legs in a car accident is a typical
When you buy an individual disability example. This is a benefit provided by
insurance policy, the insurance company individual policies, but not by group LTD
can never cancel the policy. You alone plans.
decide when you want to coverage to stop. Partial Disability
Can Premiums Be Increased? This is the most important distinction
If the insurer sees an increase in because over 70% of the claims filed at
claims, it will raise the premium on a insurance company home offices are for
group LTD plan. Individual policy partial disability. The person is not
premiums are frozen for the duration. completely unable to work. Their
Portability disability may only allow them to work a
What if you change employers? You cannot certain number of hours per day and their
take your group plan with you. By salary is adjusted downward accordingly.
contrast, your individual disability An individual plan pays a percentage of
income plan is completely portable since the total benefit that represents the
it is not tied to any company employer. percentage of income lost. For example,
Today, the average person will change if a person making $5,000 a month with a
jobs 7 times during their career. There $3,000 a month individual policy benefit
is no assurance that each employer will loses 60% of their income due to a
offer a long term disability plan. disability, the policy would pay 60% of
Taxation $3,000 or $1,800. Most group plans do not
Group long term disability benefits are pay for a partial disability.
taxable just like income. Individual Conclusion
policy benefits are 100% tax-free. You have seen that group long term
Offsets disability income plans can be cancelled,
Group LTD benefits are reduced by the premiums waived and lack portability.
amount of benefits received from Social Benefits are taxable and are offset by
Security, Workers Compensation, state other plans. They posses no ability to
cash sickness program, etc. Individual protect an occupation and, most
policies have no offsets. important, most do not pay for the type
Own Occupation of claim most likely to occur: partial
Individual policies have the ability to disability.
protect the individual in his or her "own Individual disability insurance plans do
occupation." Typical wording for the not have these limitations. They cost
definition of disability for group LTD, more, but when it comes to disability
as it pertains to occupation, goes coverage, you get what you pay for. If
something like this: "For the first two you get in an accident or develop a
years, the inability to perform each and sickness that inhibits your ability to
every duty of your occupation; after two put food on the table, your thoughts are
years, the inability to engage in any not focused on what the premium is for
gainful occupation." your disability income insurance
This means you are covered in your coverage. You simply want to know when
occupation for two years. After that, if your disability check will arrive in the
you can sell pencils on the street, the mail.
insurance company will not pay.






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