Most Americans need to prepare for financial impact of
disability
Most Americans are
not prepared to deal with the possibility of becoming disabled due to sickness or injury
and leaving the workforce for an extended period of time.
In fact, more than half of U.S. adults said they would be unable to pay
their bills or meet expenses if they became disabled and could not work for a year or
longer, according to a recent National Association of Insurance Commissioners (NAIC)
study.
And the
possibility of becoming disabled and unable to return to work is quite high for many
Americans. One-fifth of this nation's
population will actually become disabled for a year or more before reaching age 65,
according to the Social Security Administration (SSA).
The most common causes of long-term disability are heart disease, back
injuries and cancer, followed by stress, anxiety and depression according to the U.S.
Department of Education and the National Institute on Disability and Rehabilitation. By contrast, slightly more than one in 10 Americans
surveyed by NAIC say that it is somewhat or very likely they would become disabled and
unable to work.
These
findings, according to the NAIC and financial planners, underscore the need for long-term
disability insurance. Nearly half of Americans
do have long-term disability insurance, but much of it is employer provided rather than
individually purchased. And that means,
according to the NAIC, that a significant number of people could lose their coverage in
the event of a change in employment status.
So what then
is disability insurance? Disability insurance
is insurance designed to protect people financially by replacing some of their lost
income. The two main types of disability
insurance are short-term and long-term. Short-term
disability insurance, which some states require employers to carry for their employees,
replaces a portion of the policyholder's salary for a short-period - typically from three
to six months following a disability, according to NAIC.
Long-term
disability insurance coverage typically begins after the policyholder is disabled and
unable to work for at least six months, according to NAIC.
The coverage period can extend for a specific number of years or until the
policyholder retires or turns 65, depending on the policy selected and the type of
disability.
For insurance
purposes, disability is typically defined as the inability to work due to an illness or
injury, according to the NAIC. Of note, the
insurers definition of disability is a key factor in how one should shop for a
policy.
So what should
Americans consider when evaluating disability insurance?
Below are tips from the NAIC and financial planners:
First,
determine how much money you'll need to cover all of your critical expenses (such as
housing, food, utilities and transportation) should you become disabled. Generally, you should consider buying long-term
disability insurance that covers about 60 percent of your annual income.
Those who have
a pre-existing health condition, such as a back problem or heart ailment, may have to
purchase a policy with an exclusion rider.
If the disabled person can provide documentation that the pre-existing
condition has improved, the insurer may remove the rider after a specified time period.
Your
occupation is crucial in obtaining coverage. If
possible, depending on your occupation, you want to get an own occupation
definition.
Typically,
younger, healthier individuals pay lower disability premiums. If you purchase disability insurance at a young age
and can get a "non-cancelable" policy, your coverage can't be cancelled and the
premiums can't be raised once your medical exam has been approved and your policy issued,
assuming your premiums are paid on time. Also,
consider buying an option to increase your coverage without additional medical
underwriting if youre young or if you expect your earning power to increase.
While a
"guaranteed renewable" policy can't be cancelled, its premiums may be increased
on the anniversary of the policy or when stated in the policy.
Most long-term
disability insurance stipulates a waiting period, such as 90 days (the most comment), 180
days or one year before benefits are paid. Disability
insurance also stipulates a benefit period; for example, one year, two years, five years
or until age 65.
Most companies
offer policies that are offset by any benefits paid from Social Security. While receiving a benefit from Social Security is
not likely, this is a way to reduce the cost of the disability policy.
The federal
government does offer long-term disability benefits through the Social Security
Administration under the following specific circumstances: "
if you cannot do
work that you did before and we decide that you cannot adjust to other work because of
your medical condition(s). Your disability
must also last or be expected to last for at least one year or to result in death." And you must be disabled for at least 5 months. SSA disability is an any occupation
definition of disability.
Before
purchasing any disability policy, consumers should check with their state insurance
department to make sure the company offering the coverage is legitimate, solvent and
authorized to do business in their state. They
should also evaluate the financial strength of the company and whether there are any
complaints filed about their claims-handling experience.
-30-
This column is produced by the Financial Planning
Association, the membership organization for the financial planning community, and is
provided by Charles Lewandowski, a local member of FPA |