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What you
  need to
know
   about
  disability
insurance
Insuring your Most
    Valuable Asset .. .You




    Your most important asset is not your home, your                           out of work for 90 days or longer at some point during their
                                                                               working years. For men, the odds are about one in four. One
    car, your jewelry or other possessions. It’s your
                                                                               worker in seven can expect to be disabled for five or more
    ability to earn a living. Think about it: All of your                      years before retirement.
    plans for the future —from buying a home to
    putting your kids through college to building a                            Your paycheck could stop arriving just as an illness or injury brings
                                                                               significant expenses for medical bills, physical rehabilitation or
    retirement nest egg — are based on the assumption
    you will continue to earn a paycheck until you                                       WHY DEVOTE A MONTH TO DISABILITY AWARENESS?
    retire. But what would happen if those paychecks                                THE CHANCES OF A DISABILITY OCCURING ARE
                                                                                         The chances of a disability occurring
    stopped? That's where disability insurance comes                               MUCH GREATER THAN MOST AMERICANS REALIZE
                                                                                                  are much greater
    in. It provides an income to you and your family                                                than most Americans realize.
    if you are unable to work because of illness                                                       3 months or more               1 in 3
    or injury.                                                                                         1 year or more                 1 in 5
                                                                                                       5 years or more                1 in 7
    Understanding the Risk of Disability
    Who needs disability insurance? Just about anyone who has a
    job. The possibility of a disabling illness or injury may seem              Sources: America’s Health Insurance Plans, National Association of Insurance
                                                                                Commissioners, U.S. Commerce Department
    remote but statistics paint a different picture. Nearly one in
    three women can expect to suffer a disability that keeps them




                                   The Life and Health Insurance Foundation for Education is a nonprofit organization dedicated to helping consumers make smart
                                                                                              8                                                         8
                                   insurance decisions to safeguard their families’ financial futures. © 2008 LIFE. All rights reserved.
2                                                                                         7           ANNUAL                                                   7      ANNUA
                                                                                                   PRE-DISABILITY                                                  PRE-DISAB
                                                                                                      INCOME                                                          INCOM
                                                                                          6                                                                    6
                                                                                                         $100,000                                                      $100
the cost of modifying your home to accommodate medical                Sources of Disability Income Protection
             equipment. Missed mortgage payments could put ownership               Workers’ Compensation If you're employed and suffer a
             of your home in jeopardy. Falling behind on credit card and           disabling illness or injury, you might be able to count on Workers’
             other bills could mean burdensome late fees and escalating            Compensation insurance to replace some of your salary. All
             finance charges. In fact, disabilities have caused nearly half        states require employers to provide Workers’ Compensation
             of all mortgage foreclosures and a significant number of              coverage. It typically pays about two-thirds of your pre-disability
             personal bankruptcies.                                                                                         90%
                                                                                   income. But it only pays in cases where your illness or injury is
                                                                                                                  DISABILITIES DUE
                                                                                   related to your work. The vast TO ILLNESS of long-term disabilities,
                                                                                                                     majority
             The financial consequences can be even more far reaching.             however, are not job-related (see chart below).
             A lengthy disability could literally cost you millions. A 25-year-
             old worker who makes $50,000 a year and suffers a permanent           State Disability Insurance Programs A handful of states          10%
                                                                                                                               DISABILITIES DUE
             disability could lose $3.8 million in future earnings.                provide short-term disability coverage—typically for up to six
                                                                                                                                  TO INJURY




                           ILLNESS CAUSES MOST DISABILITIES                            MOST LONG-TERM DISABILITIES ARE NOT COVERED
                                                                                               BY WORKERS’ COMPENSATION


                                       90%                                                                                10%
                                                                                                                         DISABILITIES
                                    DISABILITIES DUE                                                                      AT WORK
                                       TO ILLNESS
                                                                                    Workers’ Compensation is a
                                                                                    state-mandated disability insur-
                                                                                    ance program that covers lost in-
 A MONTH TO DISABILITY AWARENESS?
                                                               10%                  come and medical expenses when
                                                                                    injuries or illnesses happen at                              90%
                                                            DISABILITIES DUE                                                                 DISABILITIES OUTSIDE
nces of a disability occurring                                 TO INJURY
                                                                                    work. However, most disabilities
                                                                                    are not work-related.                                         OF WORK
  are much greater
n most Americans realize.
           Source: JHA 2002 U.S. Group Disability Rate and Risk Management Study    Source: National Safety Council, Injury Facts 2004 Ed.


months or more             1 in 3
 ear or more               1 in 5
 ears or more              10%
                 A New 7 DISABILITIES
                     1 in Home Saved from Disaster
                                      AT WORK
                                                                                   insurance agent, Gillian Lotz, who had helped the couple
                                                                                   purchase disability insurance policies.
                                                                                       Lotz pointed out to the lender that the short-term dis-
                                                            90%                    ability coverage provided by Cindy’s employer would cover
                                                       DISABILITIES OUTSIDE        60% of her salary over the first 90 days of the disability,
                                                            OF WORK
                                                                                   and the long-term benefits of her individual policy would
                                                                                   replace 70% of her salary after that if she was still unable
                                                                                   to return to work. With that, the loan was approved.
                                                                                       Cindy’s recovery was nothing short of miraculous. A
                                                     8
                                                                                   month after the stroke, Cindy was released from the hospital,
NUAL                                                 7             ANNUAL          and a few weeks later she moved into her new home
SABILITY                                                        PRE-DISABILITY
COME                                                               INCOME          in picturesque rural Maryland. Just three months later,
                                                     6
100,000                                                               $100,000     Cindy was able to return to her job part-time. The income
 50,000          Cindy and Matt Wrenn were days away from closing
                                               5            $50,000                Cindy earned allowed her to move from a full to a partial
 25,000
                 on their dream home when disaster struck. Cindy,
                                                            $25,000                disability claim.               ANNUAL
                                               4
                 28, suddenly fell ill while teaching a real estate class and                                   PRE-DISABILITY
                                                                                       Today, Cindy is no longer collecting disability benefits.
                                                                                                                   INCOME
                 was rushed to the hospital. 3 was stricken with a brain
                                               She                                 She's in good health and owns her own title company.
                 aneurysm, and during surgery she suffered a stroke. With                                           $100,000
                                                                                   Matt is a state fire marshal. They also are proud parents
                                               2
                 Cindy in critical condition and fighting for her life, the        of a year-and-a-half-old daughter, Sarah. Cindy still has
                                                                                                                    $50,000
                 house closing seemed out of the question. It was unclear
                                               1                                   disability insurance, so if disaster should ever strike again,
                 if Cindy would survive, let alone return to her job at a                                           $25,000
                                                                                   she's covered. In fact, she still pays the same premiums
                                               0
                 real estate title company. Matt’s teaching salary wasn't          that she paid before she became ill. “When you're in
35               enough, on its own, to qualify for the mortgage. Knowing45
            AGE 45         AGE 55                       AGE 35             AGE              AGE 55
                                                                                   your twenties, you don't think of such things as disability
                 how much the home meant to Cindy, Matt contacted his              insurance," says Cindy. "I'm so thankful that I had it.”


                                                                                                                                                                    3

                                      ANNUAL            8
AL                                  PRE-DISABILITY
BILITY                                                  7
months—that workers pay for through payroll deduction.
    A Plan with a Purpose                                         These states are California, Hawaii, New Jersey, New York
                                                                  and Rhode Island, as well as Puerto Rico. For those who live
                                                                  in these states, this can be an important source of short-term
                                                                  income replacement.

                                                                  Social Security The federal government administers a disability
                                                                  insurance program that covers most workers, but qualifying
                                                                  for benefits is far from a sure thing and the payment levels
                                                                  (determined by your salary and work history) are fairly modest.
                                                                  About 60% of applications for Social Security disability
                                                                  benefits are initially denied, and the average monthly payment
                                                                  for current beneficiaries, $1,004, is barely above the poverty line.

                                                                  Employer-Sponsored Coverage The main source of disability
                                                                  income protection in the United States is coverage provided
                                                                  or sponsored by employers. Many employers, especially larger
                                                                  ones, provide their employees with group insurance coverage.
                                                                  There are two forms: short-term disability (STD), which
                                                                  replaces a significant percentage of your income for about three
                                                                  months in most cases; and long-term disability (LTD), which
                                                                  typically pays 40% to 60% of your base salary (pre-tax) for
                                                                  longer periods.

                                                                  Often, employees are given the option to add to the baseline
                                                                  coverage that the employer provides. Some companies don’t
    Dr. Chia Chang, a pediatrician from Petersburg,               provide disability coverage but help their employees by giving
    Virginia, earned a comfortable living and was a
                                                                  them the opportunity to purchase coverage on a voluntary basis.
    picture of good health. Yet, with a wife and two boys,
    he knew he needed to make sure the family's finances
                                                                  With this type of program, employees, rather than the employ-
    would always be secure.                                       ers, pay the full cost of the coverage. A benefit of purchasing
        Working closely with Jimmy Jacobs, CLU, ChFC, his         disability coverage at the workplace is that it’s generally easier
    financial advisor, Dr. Chang put together a comprehensive     to qualify for than coverage purchased on your own. Check
    financial plan. It included life and health insurance, a      with your employer's human resources department or benefits
    Keogh retirement plan and annuities to provide for a com-     manager to see what coverage and purchase options your
    fortable lifestyle down the road. He also added disability    company’s plan provides.
    insurance to the package, though he didn't think he would
    ever need it.
        A few years later, at age 54, Dr. Chang was diagnosed
    with liver cancer. He immediately called Jimmy, who
                                                                               FEWER THAN 1 IN 3 U.S. WORKERS
    assured Dr. Chang that his wife, Shin, and his two college-
                                                                            IN PRIVATE INDUSTRY HAVE LONG-TERM
    age sons would be provided for financially. Though
                                                                            DISABILITY COVERAGE THROUGH WORK
    Dr. Chang was unable to work while being treated for
    cancer, his health insurance covered medical bills, and
                                                                                                   White Collar:
    his disability policy, combined with withdrawals from his                                       Professional,
                                                                                                                    Blue Collar:
                                                                         Type of                                    Clerical and     Service
    Keogh plan, replaced much of his previous income.                   Program
                                                                                     All Employees Technical, and
                                                                                                                       Sales        Employees
                                                                                                      Related
        One year later Dr. Chang died. When the disability                                           Employees
                                                                                                                     Employees
    payments kept arriving, Shin thought it was a mistake.
    But Jimmy informed her that the disability policy included         Short-term
                                                                        Disability      37%            41%            42%            21%
    a provision that would pay another six months of benefits.          Coverage
    With these payments and the life insurance proceeds,
    Shin was able to keep their home and invest in education           Long-term
    for herself and her boys. Today, one son is a psychiatrist
                                                                       Disability       29%            40%            22%            11%
                                                                       Coverage
    and another is a lawyer. Shin lives comfortably in a new
    home close to her eldest son, and she recently became
    a grandmother.                                                Source: U.S. Department of Labor, Bureau of Labor Statistics, Employee Benefits
                                                                  in Private Industry in the United States, 2003


4
10%
                                                                                                  DISABILITIES
                                                                                                   AT WORK




NESS?   Individual Disability Insurance The most flexible and reliable
        source of coverage is an individual disability insurance policy you                         KEY TERMS
                                                                                                                      90%
                                                                                                           DISABILITIES OUTSIDE
        purchase on your own. A privately owned policy is portable,                                                   OF WORK
        meaning you won’t have to worry about losing coverage if you                                When considering your disability insurance needs,
        change jobs. Generally, most individual policies pay between
                                                                                                    you should be familiar with the following:
        40% to 65% of your pre-disability gross salary. When paid with
        after-tax dollars, benefits are received income-tax free.
                                                                                                    Benefit level and period Disability policies usually pay
                                                                                                    from 40% to 65% of your pre-disability earnings at the
                                                                                                    time of purchase for a specified period of time. That
                                                                                                    period may run from one to five years, until age 65, or
                                                                                                    in some cases, for life.

                                                                                                    Elimination period There usually is a waiting period,
                                                                                                    known as an elimination period, before benefits kick in.
                                                                                                    It's typically 30 days, 90 days or six months after a disability
                                                                                                    occurs. You can select the waiting period when you buy
                                                                                                    your policy. Opting for a longer waiting period reduces
                                                                                                    the premium cost.

        8                                                                                           Definition of disability Some policies pay if you’re
                         ANNUAL                                                                     unable to perform the duties of your own occupation;
        7             PRE-DISABILITY
                         INCOME
                                                                                                    others pay only if you can't work at any occupation for
        6                                                                                           which you’re reasonably qualified. In addition, some
                            $100,000
                                                                                                    policies pay only for disabilities arising from an accident.
        5                    $50,000

                             $25,000                                                               ANNUAL
        4                                                                                            Extent of disability Some policies pay only if you are
                                                                                                 PRE-DISABILITY
                                                                                                    INCOME disabled. Others may cover partial disability for a
                                                                                                     totally
        3                                                                                           limited time, but only when it follows a period of total
                                                                                                    $100,000
        2                                                                                           disability for the same cause.
                                                                                                    $50,000
        1                                                                                           $25,000 benefits If you're unable to perform some
                                                                                                    Residual
                                                                                                    aspects of your job, residual benefits allow partial disability
        0
                                                                                                    payments based on the amount of your loss of income.
                        AGE 35 WILL NOT SEE MOST WORKERS
                        SAVINGS      AGE 45        AGE 55
                            THROUGH A DISABILITY FOR LONG                                           Guaranteed renewable One of two major types of
                                                                                                    disability policies. It means your policy can't be cancelled
                         Average Savings in Months of Pre-Disability Income                         as long as the premiums are paid. Premiums can be
                                                                                                    raised for an entire class of policyowners but not for
        8                                                                                           reasons related to your individual circumstances.
        7
                                                                                                    Non-cancelable The other major type of disability policy.
        6                                                                                           These policies can never be cancelled as long as premiums
                                                                                   ANNUAL
        5                                                                       PRE-DISABILITY      are paid, and premiums are guaranteed not to increase.
                                                                                   INCOME
        4
                                                                                     $100,000       Inflation protection You can typically add a cost-of-
        3
                                                                                     $50,000        living adjustment rider to an individual disability insurance
        2                                                                            $25,000        policy that increases benefits by a specified percentage
        1                                                                                           after each year of disability. Though expensive, this option
        0
                                                                                                    can be vital to maintaining your standard of living if you're
                       AGE 35              AGE 45               AGE 55
                                                                                                    out of work for an extended period of time.

                                            Age at Disability

            Source: U.S. Census Bureau Survey of Income Program and Participation



                                                                                                                                                                       5
How Much is Enough?
    Will you be able to maintain your current standard of                                • Employer-paid disability benefits are typically taxable.
    living if you become disabled? The easiest way to answer                               Estimate the after-tax amount of these benefits when
    this question is to add up your monthly living expenses and                            assessing your level of income.
    compare them with the income you could expect from your
    existing disability coverage, plus any income you count on from                      • Benefits from your employer's group plan or a personal
    other sources, such as personal savings. If your income from all                       disability policy may be reduced by the amount of Social
    sources won't be enough to support you and your family, consider                       Security or other government benefits you're receiving.
    buying additional disability insurance —either through work or
    on your own—to make up the difference.                                               • You may be eligible for disability payments from other
                                                                                           sources, such as Veterans Administration, civil service
    Use our Disability Insurance Needs Worksheet as a starting                             benefits or your union's group disability plan. In addition,
    point for your calculations. Some things to keep in mind when                          some auto insurance policies cover disability resulting from
    going through the numbers:                                                             an auto accident. Some lenders also offer insurance that
                                                                                           takes care of your loan payments if you become disabled.



    DISABILITY INSURANCE NEEDS WORKSHEET
    This simple worksheet lets you assess the income needed to sustain your current standard of living should you become
    too sick or hurt to work. This is not a comprehensive assessment. For more information, talk to your human resources
    administrator or a qualified insurance professional.

          Monthly Income Available
          Income from current group disability coverage                                                              $_________
          Income from current individual disability coverage                                                         $_________
          Income from spouse and/or other family members                                                             $_________
          Monthly investment income                                                                                  $_________
          TOTAL MONTHLY INCOME AVAILABLE1                                                                                          $__________

          Monthly Expenses
          Mortgage (including property tax) or rent                                                                  $_________
          Homeowner's or renter's insurance2                                                                         $_________
          Car payments and insurance                                                                                 $_________
          Utilities                                                                                                  $_________
          Food and clothing                                                                                          $_________
          Child care expenses                                                                                        $_________
          Bank loan and credit card payments                                                                         $_________
          Medical expenses                                                                                           $_________
          Health insurance premiums3                                                                                 $_________
          Insurance premiums (life, disability, dental, etc.)                                                        $_________
          Savings, investment and retirement contributions                                                           $_________
          Home maintenance costs                                                                                     $_________
          Other (education, entertainment, etc.)                                                                     $_________
          TOTAL MONTHLY EXPENSES4                                                                                                   $__________
          (INCOME - EXPENSES)                                                                                                       $__________
          Need for additional income replacement due to a disability
      1
        Does not include Social Security disability payments, as benefit amount varies by individual case
      2
        Don’t include if it’s part of your mortgage payment.
      3
        If you become disabled, you can generally maintain your group health insurance coverage, but your employer may no longer contribute toward the premium. Ask your human
      resources department what the full cost of your health insurance premium would be if you become disabled.
      4
        Does not include one-time expenses (e.g., modifying home or automobile to accommodate disability)
6
3 coverage        ways to get

If you don’t have any disability
insurance or need more coverage
                                                                      workers get coverage more easily than if they were to purchase
                                                                      an individual policy on their own outside of the workplace.
                                                                      Premiums are typically paid through an automatic payroll deduc-
than your employer’s plan offers,                                     tion and can be as much as 10% to 20% less because of efficiencies
                                                                      in enrollment and billing procedures. Additionally, you may be
there are three main ways to obtain                                   eligible for more coverage under a voluntary plan than is offered
additional coverage:                                                  by a traditional group plan.




1
       Through your employer. Your employer, particularly if
       1                                                              Your benefits manager or human resources administrator can help
       you work for a large company, may provide short- and/or        you sort through the options.
       long-term group disability coverage at no cost to you. One


                                                                      2
of the best features of employer-provided coverage is that there is        Through a professional organization. Many profes-
no underwriting, meaning you automatically qualify for coverage.           sional associations offer members the opportunity to purchase
You should be aware that if you start a new job and have a pre-            disability insurance through a group plan. Typically, little
existing medical condition, there may be short-term limits on         underwriting is involved and premiums are based primarily
your coverage, typically a waiting period of 12 months. Another       on your age and income. This type of coverage is generally less
valuable benefit of employer-provided coverage is that you often      expensive than an individual policy purchased on your own
have the option to increase your coverage from, say, half to          through a qualified insurance professional.
two-thirds of your base salary. To qualify for additional coverage,
you may have to answer a few basic questions about your health.       If your need for coverage is great and your budget is limited,
It’s important to keep in mind that if you have group coverage        this is definitely an option you’ll want to explore. However,
and you leave your job, you generally are not able to take the        there are drawbacks. If you change professions, the coverage
 coverage with you.                                                   may not follow you. There's always the chance your professional
                                                                      organization could decide to drop its disability coverage. That
If your employer does not provide group disability insurance          can't happen with most types of privately purchased disability
coverage, it may make a disability benefit available to you on a      insurance, which are guaranteed renewable as long as you pay
voluntary, employee-paid basis. While you pay the full cost of the    the premiums.
benefits under a voluntary arrangement, there are several advan-


                                                                      3
tages to buying disability insurance this way. Voluntary plans help          Buy it on your own. Another good alternative is an
                                                                            individual disability insurance policy you purchase on
                                                                            your own through a qualified insurance professional. You
                                                                      never need to worry about losing coverage if you change jobs.
                                                                      An individual policy also gives you the opportunity to consider
                                                                      policies from a multitude of carriers. If you buy through work,
                                                                      you're usually limited to buying (or increasing) coverage from
                                                                      the one carrier with which your employer is contracted.

                                                                      One downside to individual coverage is that it can get pricey
                                                                      depending on the policy’s features and benefits. Your budget, the
                                                                      benefits you desire and your health status help determine whether
                                                                      you obtain coverage on your own, or through your employer or a
                                                                      professional association. What’s most important is knowing that
                                                                      you’ll have the wherewithal to make ends meet in the event you
                                                                      suffer an unexpected injury or illness, and are unable to work and
                                                                      earn an income.

                                                                                                                                           7
1655 North Fort Myer Drive, Suite 610
       Arlington, VA 22209

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Guide To Disability Insurance

  • 1. What you need to know about disability insurance
  • 2. Insuring your Most Valuable Asset .. .You Your most important asset is not your home, your out of work for 90 days or longer at some point during their working years. For men, the odds are about one in four. One car, your jewelry or other possessions. It’s your worker in seven can expect to be disabled for five or more ability to earn a living. Think about it: All of your years before retirement. plans for the future —from buying a home to putting your kids through college to building a Your paycheck could stop arriving just as an illness or injury brings significant expenses for medical bills, physical rehabilitation or retirement nest egg — are based on the assumption you will continue to earn a paycheck until you WHY DEVOTE A MONTH TO DISABILITY AWARENESS? retire. But what would happen if those paychecks THE CHANCES OF A DISABILITY OCCURING ARE The chances of a disability occurring stopped? That's where disability insurance comes MUCH GREATER THAN MOST AMERICANS REALIZE are much greater in. It provides an income to you and your family than most Americans realize. if you are unable to work because of illness 3 months or more 1 in 3 or injury. 1 year or more 1 in 5 5 years or more 1 in 7 Understanding the Risk of Disability Who needs disability insurance? Just about anyone who has a job. The possibility of a disabling illness or injury may seem Sources: America’s Health Insurance Plans, National Association of Insurance Commissioners, U.S. Commerce Department remote but statistics paint a different picture. Nearly one in three women can expect to suffer a disability that keeps them The Life and Health Insurance Foundation for Education is a nonprofit organization dedicated to helping consumers make smart 8 8 insurance decisions to safeguard their families’ financial futures. © 2008 LIFE. All rights reserved. 2 7 ANNUAL 7 ANNUA PRE-DISABILITY PRE-DISAB INCOME INCOM 6 6 $100,000 $100
  • 3. the cost of modifying your home to accommodate medical Sources of Disability Income Protection equipment. Missed mortgage payments could put ownership Workers’ Compensation If you're employed and suffer a of your home in jeopardy. Falling behind on credit card and disabling illness or injury, you might be able to count on Workers’ other bills could mean burdensome late fees and escalating Compensation insurance to replace some of your salary. All finance charges. In fact, disabilities have caused nearly half states require employers to provide Workers’ Compensation of all mortgage foreclosures and a significant number of coverage. It typically pays about two-thirds of your pre-disability personal bankruptcies. 90% income. But it only pays in cases where your illness or injury is DISABILITIES DUE related to your work. The vast TO ILLNESS of long-term disabilities, majority The financial consequences can be even more far reaching. however, are not job-related (see chart below). A lengthy disability could literally cost you millions. A 25-year- old worker who makes $50,000 a year and suffers a permanent State Disability Insurance Programs A handful of states 10% DISABILITIES DUE disability could lose $3.8 million in future earnings. provide short-term disability coverage—typically for up to six TO INJURY ILLNESS CAUSES MOST DISABILITIES MOST LONG-TERM DISABILITIES ARE NOT COVERED BY WORKERS’ COMPENSATION 90% 10% DISABILITIES DISABILITIES DUE AT WORK TO ILLNESS Workers’ Compensation is a state-mandated disability insur- ance program that covers lost in- A MONTH TO DISABILITY AWARENESS? 10% come and medical expenses when injuries or illnesses happen at 90% DISABILITIES DUE DISABILITIES OUTSIDE nces of a disability occurring TO INJURY work. However, most disabilities are not work-related. OF WORK are much greater n most Americans realize. Source: JHA 2002 U.S. Group Disability Rate and Risk Management Study Source: National Safety Council, Injury Facts 2004 Ed. months or more 1 in 3 ear or more 1 in 5 ears or more 10% A New 7 DISABILITIES 1 in Home Saved from Disaster AT WORK insurance agent, Gillian Lotz, who had helped the couple purchase disability insurance policies. Lotz pointed out to the lender that the short-term dis- 90% ability coverage provided by Cindy’s employer would cover DISABILITIES OUTSIDE 60% of her salary over the first 90 days of the disability, OF WORK and the long-term benefits of her individual policy would replace 70% of her salary after that if she was still unable to return to work. With that, the loan was approved. Cindy’s recovery was nothing short of miraculous. A 8 month after the stroke, Cindy was released from the hospital, NUAL 7 ANNUAL and a few weeks later she moved into her new home SABILITY PRE-DISABILITY COME INCOME in picturesque rural Maryland. Just three months later, 6 100,000 $100,000 Cindy was able to return to her job part-time. The income 50,000 Cindy and Matt Wrenn were days away from closing 5 $50,000 Cindy earned allowed her to move from a full to a partial 25,000 on their dream home when disaster struck. Cindy, $25,000 disability claim. ANNUAL 4 28, suddenly fell ill while teaching a real estate class and PRE-DISABILITY Today, Cindy is no longer collecting disability benefits. INCOME was rushed to the hospital. 3 was stricken with a brain She She's in good health and owns her own title company. aneurysm, and during surgery she suffered a stroke. With $100,000 Matt is a state fire marshal. They also are proud parents 2 Cindy in critical condition and fighting for her life, the of a year-and-a-half-old daughter, Sarah. Cindy still has $50,000 house closing seemed out of the question. It was unclear 1 disability insurance, so if disaster should ever strike again, if Cindy would survive, let alone return to her job at a $25,000 she's covered. In fact, she still pays the same premiums 0 real estate title company. Matt’s teaching salary wasn't that she paid before she became ill. “When you're in 35 enough, on its own, to qualify for the mortgage. Knowing45 AGE 45 AGE 55 AGE 35 AGE AGE 55 your twenties, you don't think of such things as disability how much the home meant to Cindy, Matt contacted his insurance," says Cindy. "I'm so thankful that I had it.” 3 ANNUAL 8 AL PRE-DISABILITY BILITY 7
  • 4. months—that workers pay for through payroll deduction. A Plan with a Purpose These states are California, Hawaii, New Jersey, New York and Rhode Island, as well as Puerto Rico. For those who live in these states, this can be an important source of short-term income replacement. Social Security The federal government administers a disability insurance program that covers most workers, but qualifying for benefits is far from a sure thing and the payment levels (determined by your salary and work history) are fairly modest. About 60% of applications for Social Security disability benefits are initially denied, and the average monthly payment for current beneficiaries, $1,004, is barely above the poverty line. Employer-Sponsored Coverage The main source of disability income protection in the United States is coverage provided or sponsored by employers. Many employers, especially larger ones, provide their employees with group insurance coverage. There are two forms: short-term disability (STD), which replaces a significant percentage of your income for about three months in most cases; and long-term disability (LTD), which typically pays 40% to 60% of your base salary (pre-tax) for longer periods. Often, employees are given the option to add to the baseline coverage that the employer provides. Some companies don’t Dr. Chia Chang, a pediatrician from Petersburg, provide disability coverage but help their employees by giving Virginia, earned a comfortable living and was a them the opportunity to purchase coverage on a voluntary basis. picture of good health. Yet, with a wife and two boys, he knew he needed to make sure the family's finances With this type of program, employees, rather than the employ- would always be secure. ers, pay the full cost of the coverage. A benefit of purchasing Working closely with Jimmy Jacobs, CLU, ChFC, his disability coverage at the workplace is that it’s generally easier financial advisor, Dr. Chang put together a comprehensive to qualify for than coverage purchased on your own. Check financial plan. It included life and health insurance, a with your employer's human resources department or benefits Keogh retirement plan and annuities to provide for a com- manager to see what coverage and purchase options your fortable lifestyle down the road. He also added disability company’s plan provides. insurance to the package, though he didn't think he would ever need it. A few years later, at age 54, Dr. Chang was diagnosed with liver cancer. He immediately called Jimmy, who FEWER THAN 1 IN 3 U.S. WORKERS assured Dr. Chang that his wife, Shin, and his two college- IN PRIVATE INDUSTRY HAVE LONG-TERM age sons would be provided for financially. Though DISABILITY COVERAGE THROUGH WORK Dr. Chang was unable to work while being treated for cancer, his health insurance covered medical bills, and White Collar: his disability policy, combined with withdrawals from his Professional, Blue Collar: Type of Clerical and Service Keogh plan, replaced much of his previous income. Program All Employees Technical, and Sales Employees Related One year later Dr. Chang died. When the disability Employees Employees payments kept arriving, Shin thought it was a mistake. But Jimmy informed her that the disability policy included Short-term Disability 37% 41% 42% 21% a provision that would pay another six months of benefits. Coverage With these payments and the life insurance proceeds, Shin was able to keep their home and invest in education Long-term for herself and her boys. Today, one son is a psychiatrist Disability 29% 40% 22% 11% Coverage and another is a lawyer. Shin lives comfortably in a new home close to her eldest son, and she recently became a grandmother. Source: U.S. Department of Labor, Bureau of Labor Statistics, Employee Benefits in Private Industry in the United States, 2003 4
  • 5. 10% DISABILITIES AT WORK NESS? Individual Disability Insurance The most flexible and reliable source of coverage is an individual disability insurance policy you KEY TERMS 90% DISABILITIES OUTSIDE purchase on your own. A privately owned policy is portable, OF WORK meaning you won’t have to worry about losing coverage if you When considering your disability insurance needs, change jobs. Generally, most individual policies pay between you should be familiar with the following: 40% to 65% of your pre-disability gross salary. When paid with after-tax dollars, benefits are received income-tax free. Benefit level and period Disability policies usually pay from 40% to 65% of your pre-disability earnings at the time of purchase for a specified period of time. That period may run from one to five years, until age 65, or in some cases, for life. Elimination period There usually is a waiting period, known as an elimination period, before benefits kick in. It's typically 30 days, 90 days or six months after a disability occurs. You can select the waiting period when you buy your policy. Opting for a longer waiting period reduces the premium cost. 8 Definition of disability Some policies pay if you’re ANNUAL unable to perform the duties of your own occupation; 7 PRE-DISABILITY INCOME others pay only if you can't work at any occupation for 6 which you’re reasonably qualified. In addition, some $100,000 policies pay only for disabilities arising from an accident. 5 $50,000 $25,000 ANNUAL 4 Extent of disability Some policies pay only if you are PRE-DISABILITY INCOME disabled. Others may cover partial disability for a totally 3 limited time, but only when it follows a period of total $100,000 2 disability for the same cause. $50,000 1 $25,000 benefits If you're unable to perform some Residual aspects of your job, residual benefits allow partial disability 0 payments based on the amount of your loss of income. AGE 35 WILL NOT SEE MOST WORKERS SAVINGS AGE 45 AGE 55 THROUGH A DISABILITY FOR LONG Guaranteed renewable One of two major types of disability policies. It means your policy can't be cancelled Average Savings in Months of Pre-Disability Income as long as the premiums are paid. Premiums can be raised for an entire class of policyowners but not for 8 reasons related to your individual circumstances. 7 Non-cancelable The other major type of disability policy. 6 These policies can never be cancelled as long as premiums ANNUAL 5 PRE-DISABILITY are paid, and premiums are guaranteed not to increase. INCOME 4 $100,000 Inflation protection You can typically add a cost-of- 3 $50,000 living adjustment rider to an individual disability insurance 2 $25,000 policy that increases benefits by a specified percentage 1 after each year of disability. Though expensive, this option 0 can be vital to maintaining your standard of living if you're AGE 35 AGE 45 AGE 55 out of work for an extended period of time. Age at Disability Source: U.S. Census Bureau Survey of Income Program and Participation 5
  • 6. How Much is Enough? Will you be able to maintain your current standard of • Employer-paid disability benefits are typically taxable. living if you become disabled? The easiest way to answer Estimate the after-tax amount of these benefits when this question is to add up your monthly living expenses and assessing your level of income. compare them with the income you could expect from your existing disability coverage, plus any income you count on from • Benefits from your employer's group plan or a personal other sources, such as personal savings. If your income from all disability policy may be reduced by the amount of Social sources won't be enough to support you and your family, consider Security or other government benefits you're receiving. buying additional disability insurance —either through work or on your own—to make up the difference. • You may be eligible for disability payments from other sources, such as Veterans Administration, civil service Use our Disability Insurance Needs Worksheet as a starting benefits or your union's group disability plan. In addition, point for your calculations. Some things to keep in mind when some auto insurance policies cover disability resulting from going through the numbers: an auto accident. Some lenders also offer insurance that takes care of your loan payments if you become disabled. DISABILITY INSURANCE NEEDS WORKSHEET This simple worksheet lets you assess the income needed to sustain your current standard of living should you become too sick or hurt to work. This is not a comprehensive assessment. For more information, talk to your human resources administrator or a qualified insurance professional. Monthly Income Available Income from current group disability coverage $_________ Income from current individual disability coverage $_________ Income from spouse and/or other family members $_________ Monthly investment income $_________ TOTAL MONTHLY INCOME AVAILABLE1 $__________ Monthly Expenses Mortgage (including property tax) or rent $_________ Homeowner's or renter's insurance2 $_________ Car payments and insurance $_________ Utilities $_________ Food and clothing $_________ Child care expenses $_________ Bank loan and credit card payments $_________ Medical expenses $_________ Health insurance premiums3 $_________ Insurance premiums (life, disability, dental, etc.) $_________ Savings, investment and retirement contributions $_________ Home maintenance costs $_________ Other (education, entertainment, etc.) $_________ TOTAL MONTHLY EXPENSES4 $__________ (INCOME - EXPENSES) $__________ Need for additional income replacement due to a disability 1 Does not include Social Security disability payments, as benefit amount varies by individual case 2 Don’t include if it’s part of your mortgage payment. 3 If you become disabled, you can generally maintain your group health insurance coverage, but your employer may no longer contribute toward the premium. Ask your human resources department what the full cost of your health insurance premium would be if you become disabled. 4 Does not include one-time expenses (e.g., modifying home or automobile to accommodate disability) 6
  • 7. 3 coverage ways to get If you don’t have any disability insurance or need more coverage workers get coverage more easily than if they were to purchase an individual policy on their own outside of the workplace. Premiums are typically paid through an automatic payroll deduc- than your employer’s plan offers, tion and can be as much as 10% to 20% less because of efficiencies in enrollment and billing procedures. Additionally, you may be there are three main ways to obtain eligible for more coverage under a voluntary plan than is offered additional coverage: by a traditional group plan. 1 Through your employer. Your employer, particularly if 1 Your benefits manager or human resources administrator can help you work for a large company, may provide short- and/or you sort through the options. long-term group disability coverage at no cost to you. One 2 of the best features of employer-provided coverage is that there is Through a professional organization. Many profes- no underwriting, meaning you automatically qualify for coverage. sional associations offer members the opportunity to purchase You should be aware that if you start a new job and have a pre- disability insurance through a group plan. Typically, little existing medical condition, there may be short-term limits on underwriting is involved and premiums are based primarily your coverage, typically a waiting period of 12 months. Another on your age and income. This type of coverage is generally less valuable benefit of employer-provided coverage is that you often expensive than an individual policy purchased on your own have the option to increase your coverage from, say, half to through a qualified insurance professional. two-thirds of your base salary. To qualify for additional coverage, you may have to answer a few basic questions about your health. If your need for coverage is great and your budget is limited, It’s important to keep in mind that if you have group coverage this is definitely an option you’ll want to explore. However, and you leave your job, you generally are not able to take the there are drawbacks. If you change professions, the coverage coverage with you. may not follow you. There's always the chance your professional organization could decide to drop its disability coverage. That If your employer does not provide group disability insurance can't happen with most types of privately purchased disability coverage, it may make a disability benefit available to you on a insurance, which are guaranteed renewable as long as you pay voluntary, employee-paid basis. While you pay the full cost of the the premiums. benefits under a voluntary arrangement, there are several advan- 3 tages to buying disability insurance this way. Voluntary plans help Buy it on your own. Another good alternative is an individual disability insurance policy you purchase on your own through a qualified insurance professional. You never need to worry about losing coverage if you change jobs. An individual policy also gives you the opportunity to consider policies from a multitude of carriers. If you buy through work, you're usually limited to buying (or increasing) coverage from the one carrier with which your employer is contracted. One downside to individual coverage is that it can get pricey depending on the policy’s features and benefits. Your budget, the benefits you desire and your health status help determine whether you obtain coverage on your own, or through your employer or a professional association. What’s most important is knowing that you’ll have the wherewithal to make ends meet in the event you suffer an unexpected injury or illness, and are unable to work and earn an income. 7
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