The exclusions and limitations in an income protection insurance policy is a general list of high-risk conditions or activities an insurance carrier will not cover under a disability insurance policy. These conditions/activities are, generally, the same for every person who purchases that policy.
The conditions/activities listed are, generally, seen as either self-inflicted or dangerous enough that the insurer could not reasonably calculate the cost of the risk into the premium.
At LifePreserve, to be completely transparent about our policy, we have included our Exclusions and Limitations from our Income Protection Plan on our FAQ page. This way an applicant knows exactly what she is buying.
What is an elimination period? An elimination period (EP) is the amount of time between the time you stop working due to an injury or illness and when you are eligible to begin receiving benefits. During this time, you, as the policyholder, are responsible for paying any expenses or care incurred.
For example, let’s say you get sick with mono, and you have a short-term disability insurance policy with a 14-day EP, like ours, you could begin collecting benefits on the 15th day of missed work. But, if you purchase a policy with a 60-day EP and you miss only 30 days of work, then you will pay for your expenses during those 30 days.
Why would I choose a longer elimination period if it covers less? All things being equal:
A longer EP, generally, costs less than a policy with a shorter EP.
How Do I Choose If I Should Buy A Policy with a Longer or Shorter Elimination Period? You’ll have to consider what type of insurance policy fits your lifestyle best.
How long could you go without a paycheck? If you have some money saved or your employer provides you some sick leave, you may be able to cover a short-term disabling event. But if missing one paycheck would put a substantial strain on your finances, a shorter EP may be best.
How much can you afford to spend per month? If you have a limited budget, a more extended elimination period may better serve your purpose because some coverage is always better than no coverage.
A LifePreserve Short-Term Income Protection Insurance Policy covers both injuries and illnesses, but most people tend to focus on the injury portion of it, imaging something catastrophic. But, do not forget that several illnesses can keep you from working for multiple weeks.
Case and point, the New York Jets franchise QB, Sam Darnold, could miss his 3rd game due Mono. For Sam, it’s all good because his contract is guaranteed (to be fair he’s still suffering from Mono Sick Emoji, so it’s not ALL good). For someone without a guaranteed contract, missing four weeks of work (including the bye week in Sam’s case) accounts for:
Two paychecks if you’re a full-time employee or
Four weeks of pay if you’re a freelancer or work in the Gig-Economy
Hopefully, you’d have some paid sick time off or vacation time if you’re a fulltime employee, but there’s no guarantee on that and if you freelance then it’s all on you.
You might say, “Sure, but Darnold can’t return because of an enlarged spleen, I’d be able to go to work with that as long as I was feeling better” and to that, we say, correct! A lot of people could return to work when they aren’t feeling the effects of Mono, but the effects can last up to two months.
You may also say, “I’ve got money saved up, I’m good,” and to that, we say, awesome! If you can cover your expenses while you’re out and not getting paid, then it’s all good. But that’ll be money coming out of your savings which can leave a pretty nasty dent in your nest egg.
To go back to our post from earlier today, we’re not saying it’s GOING to happen to you, but it could, and that is the type of risk insurance covers, the risk of the unexpected. Income Protection Insurance helps protect you from not collecting an income when you’re sick or hurt and can’t work.
Now, let’s all hope that Sam is back on Sunday because the last couple of games have been BRUTAL! #longsufferingjetsfan
Want to learn more about our Short-Term Income Protection Insurance policy?
The question of “how much short-term income protection insurance do I need” may seem silly. I could imagine your response would be “the same amount as I earn every other week when my paycheck arrives.” But, when it comes to Income Protection Insurance, the answer isn’t as easy as it would seem.
Income Protection Insurance wasn’t created to protect your entire salary, it was created to protect a healthy portion so you can live your day-to-day life. We recommend having enough insurance to at least cover your fixed expenses each month, though you can insure up to 80% of your monthly pay.
In this article, we’re going to help you figure out the bare minimum amount of your income you should consider covering, those fixed expenses we mentioned above. The best part, if you haven’t had a clear understanding of what you spend your money each month, you should have a better understanding by the end of this article.
Let’s talk about need. Need is a word that seems relative. Hell, I feel like I need to binge Netflix every night, but when I drill down to the heart of the question, of how much money do I need to have come in every month to keep my life in order, that’s a whole different question. Let’s define need before we develop a plan for figuring out your need. According to the dictionary.com, the definition of need is “a requirement, necessary duty, or obligation.”
In our opinion, the best place to start is with the three necessities of life: food, water, and shelter. How much does it cost to have a roof over your head each month? Consider your rent or mortgage payment each month because you’ll want to make sure you have enough money to keep you in your living space. From there, you’ll have to drill down (this is where the water part comes in) how much do you spend on utilities monthly? We’re talking, electricity, water, heating, etc. Utilities may be included in your monthly rent, but if it’s not, make sure to calculate it in because if you’re disabled, the last thing you’re going to want is to have your water turned off.
Your next consideration, the amount you spend on food because we all need to eat right! Whether you spend it all on groceries or if you eat out a bunch, you’ll have to eat while you’re disabled so make sure this is a part of your calculation. Btw, if you pride yourself on cooking more than eating out, you should at least consider that you may order food more while you’re out on disability because, depending on the type of disability, you may not be able to cook or may not have the energy to cook.
After we’ve gotten the basics covered, it’s time to look at your debts. Do you have a credit card you pay monthly or are you one of the 44 million Americans that have student loans? Make sure you get every one of these monthly payments into your calculation. Your debt holder may be willing to work with you if you don’t have the money initially, but you won’t want to take that chance if you can help it because being late with your debt payments can be devastating in the long term.
Perfect! We’ve got food, water, shelter, and debt payments done, you’re crushing it! But, of course, there’s more you need to consider. If you’re disabled, how would you get around? Use your car (that you may have monthly payments on) then you’ll need to get gas and maintained. Using Uber, that costs money each trip. Either way, it all gets calculated into your monthly need.
Tack on any monthly insurance costs and (if you’re a parent) the cost you may incur in additional childcare and you’re still not done because there’s another, insidious, hidden cost to a disability: The medical expenses you’ll incur from your disability when your unable work.
We’ve found that this is usually an element of fixed monthly costs people do not take into account because they haven’t happened yet. But rest assured, they will come and when they do, if you’ve taken the right precautions, your insurance coverage should be able to help get you through until either you are better and back at work, able to tap into a Long-Term Disability Policy or apply for Social Security Disability Insurance.
Finally, take a moment to think about the things you can’t live without. I’m a huge fan of a morning coffee from my local coffee shop, but I could also do without Netflix for a bit. Either way, it’s good to consider all the little things in life that would help keep you a least a bit happier during a disability. If you need ideas on what these things may be, look over your monthly bank statement or credit card statement. You’ll see trends in spending that you may not think about on a day-to-day basis.
Once you’ve considered all your monthly, fixed expenses and the things you can’t live without adding them all together and you’ll get the amount of your income you need to insure to get by while you’re out of work on disability.
So that’s it. You have the total amount of monthly cash flow you need to insure to get through a short-term disability. Your next step is to take this information and find the insurance policy that fits your needs the best. You can learn a little more about what goes into the calculation of an Income Protection Insurance policy here, so you’re armed with a bit more information as you continue your research.
Let us know if you have any questions by leaving a comment here or email us at firstname.lastname@example.org.
Let’s say you are hurt or sick and you’ve been working long enough and you’ve decided to apply for Social Security Disability Insurance, this is where it gets frustrating. Just for your initial claim, it can take anywhere from 3-5 months to get an initial decision and 68% of people filing initial disability applications are denied.
Ok, so you were denied on your first attempt, the good news is that you can appeal the decision! The bad news is that the appeal could take up to 5 months. There is a 2nd appeal where you would have to go in front of an Administrative Law judge but even there, it can take up to 600 days to obtain a hearing. In all, it can take up to four years just to get a decision. Plus, benefits under SSDI are taxable since they are paid for with using the payroll tax. All that time, you’re not working, not earning an income. Now imagine you’re doing that all on your own. It stresses me out just writing it, let alone going through it.
The program was designed to provide subsistence level benefits in the event of a serious and long-term disability, not to insure your lifestyle or hard earned savings.
We’re not saying all is lost because we are lucky enough to potentially have access to this program if we are too sick or hurt to work, but we think it is important that you understand that if the worst case scenario does occur in your life, it may be some time before you are able to obtain these benefits.
That is why we included a Social Security Disability Insurance Assessment and Advocacy Benefit in our Income Protection Insurance Policy because as your benefits are coming to an end, we want to make sure our customers are in good hands with experts who can help advocate for them in the next stage of their lives.
If you have any questions regarding SSDI or Income Protection Insurance, in general, do not hesitate to contact our help desk.
“How much does Disability Insurance cost” is the second most asked question our customer service team receives and it’s met with the single most unsatisfying answer of all time. – It depends.
We know! And we told you it would be deeply unsatisfying. “It depends” is a horribly vague term for what’s going to be a long answer. We’ll try simplifying it by using the same format we used in our last post about “Insurance Coverage If You’re Already Sick or Hurt,” one short answer and one longer, more in-depth answer, to help give you all the knowledge necessary to make an informed buying decision.
Short Answer: The price of your monthly premium generally depends on your age, the amount of coverage you buy, the type of work you do, the amount of time you’re willing to wait for your cash benefits to kick in after filing a claim (elimination period) and the amount of time you want your benefits to last (benefit period.) Generally, individual buyers spend between 1-3% of your salary on income protection insurance.
Your monthly short-term disability insurance policy cost depends on how you turn a few specific dials. Let’s go through the list together:
Coverage Amount Consider this, how much money do you need each month to cover your fixed expenses like rent and groceries? The number you come up with should be your basis for the amount of coverage you need or the amount of income you need to insure in case of an unexpected illness or injury. The amount you pay for an income protection insurance policy can be higher or lower depending on the amount of your income you need and can afford to insure.
Elimination Period If you have health insurance, you have probably heard the term deductible which is the amount of money you need to pay before the insurance company will begin providing benefits. In Income Protection Insurance the Elimination Period is the amount of time, in days, you need to be disabled before the insurance company will begin providing benefits. The longer you’re willing to wait for your benefits to kick in, the lower your monthly premium will be. The decision on whether to buy a policy that has a shorter or longer elimination period all depends on your own unique financial situation and risk tolerance.
Benefit Period This is a fancy term for how long you would like your benefits to last in case you become hurt or sick and can’t work. Typically, a short-term income protection insurance policy provides you benefits for up to 6 months to 1 year which is perfect if you do not have the savings available to you to cover your expenses. The amount of time you want/need benefits to last depends on your unique situation. Make sure to consider the benefits you already get from your job and how much money you have in savings before committing to a policy. Place note, that individual policies that you pay for provide tax-free benefits. Benefits provided and paid for by your employer are typically subject to federal and state taxes.
Age Statistically, you’re more likely to lose income due to an unexpected illness or injury when you’re older, there’s no way around that. If you’re older and trying to buy income protection insurance, typically, you’re going to pay more, sad but true.
Your Job The work you do also plays a part in how much your monthly premium will cost. Typically, someone with a low-risk job, like an office worker who works behind a desk all day, has a lower monthly premium compared to someone of the same age who works on a crab fishing boat in the Bering Sea. The more risk associated with your job and the more physically demanding it is, the more you’ll typically pay on your monthly premium.
At the end of the day, there are other factors that can impact your overall monthly premium including your height and weight, your overall health and whether you smoke, but knowing and understanding these 5 factors can help when you are considering what kind of Income Protection Insurance is right for you and how much you buy.
It’s also good to note that most workers are eligible for a long-term disability Program call Social Security. We pay taxes out of each paycheck for this long-term disability program. It is called a long-term disability program because benefits could last until age 65. But (and we’ll get into this in our next blog post) it can also take a long time to actually be approved for benefits under the program. Social Security Disability Insurance is intended to cover serious disabilities resulting in permanent impairments to your ability to earn a living because of an illness or injury. It can take a year or more to get Social Security Disability Insurance benefits.
If you have any questions or comments drop us a line here or contact our help desk, we’d love to hear from you.
We’re going to shed some light on some of our most asked questions about our Income Protection Insurance Policy (disability insurance.) We want you to understand Income Protection Insurance so you can make the best buying decision for your situation. So, without further fanfare, the #1 most-asked question to our customer service team.
“I’m having surgery next week and will be out of work for 8-10 weeks. I would like to buy short-term disability to cover the time I’ll be out, what can you offer me?
A short-term disability insurance policy would not cover you for an injury or illness that you already know about or a doctor has diagnosed. Any immediate illness or injury you know about before you buy your policy is viewed as a pre-existing condition. A policy will only cover you for unexpected events after you buy a policy.
One of the topics we’re going to cover here is how an insurance product is priced. This is only part of the story and we’ll get into it a little more in-depth in another blog post, but for today, what we’re going to get in-depth on is why a disability insurance policy does not cover illness or injury you may be facing when you want to buy a policy.
As we highlighted in our last post about disability insurance and pregnancy, insurance products are created to help a person cover a risk she has in her life. A risk, as defined by the Merriam-Webster Dictionary is the “possibility of loss or injury”. The keyword in that definition is “possibility” or the chance something will happen in the future. If there is an illness or injury suffered in the past, even in the recent past, that leaves ongoing physical or mental effects is pre-existing and is no longer a possibility, but a certainty. Insurance products are created to spread the risk of something happening across a whole group of people that an event might happen to.
When a Disability Insurance Policy is created and priced, a team of actuaries scours through loads of data to try to figure out what someone’s percentage chance of getting hurt or injured in the future based on factors like age and the type of job she does, to name a few. Based on that data, a price is created that creates a delicate balance between making the product affordable for someone to have, allow the company to cover overhead expenses, and reserve money in case the policyholder must file a claim for benefits. The amount a company needs to cover a person’s claim is spread out over, potentially, years of premium payment, with the assumption that something bad won’t happen to you, but if it does, the money collected by all its customers will be more than enough to cover 1 person’s claim.
This isn’t unique to Disability Insurance; all insurance is meant to cover a future risk. For example, you can buy life insurance to offset the risk that you pass away early and leave your family in a financial bind. If a loved one tried to buy a life insurance policy shortly after a death in the family, it would not be covering a risk, but a definite event and there can be no price high enough to cover definite events.
That’s why, if you already have an illness or injury, buying a disability insurance policy can’t help with that situation. Disability Insurance policies are created to ease the risk of illnesses or injuries in the future, not definite events that are currently occurring.
Do you have any questions? We’d love to hear from you. Leave a comment below or contact our Help Desk and we’d be happy to talk.
We get a lot of questions about pregnancy coverage in our Income Protection Insurance Policy. We’re specifically asked about coverage for regular childbirth most often. We hope this post provides some transparency into how we built and priced our Income Protection Insurance policy and individual policies in general.
We’ll write more about the in’s and out’s of our policy in future posts to help you learn about our products and Income Protection Insurance (aka Disability Insurance, aka Paycheck Insurance) in general.
We built our Income Protection Insurance Policy to cover unexpected illness or injuries from the time you buy it. Pregnancy is generally a planned decision made by two people with childbirth being a cause of the pregnancy. Not everyone’s situation is the same, but the ability to cover regular childbirth in an individual disability insurance policy is almost impossible because someone could buy a policy right when they are planning on trying to get pregnant.
Unexpected issues stemming from pregnancy like doctor-ordered bed rest could qualify you under the LifePreserve Income Protection Insurance policy, but it all depends on the situation.
No matter who you buy your policy through, a disability claims expert should be there to help guide you through the process. We’ll get into the claims process a little more in depth in a later post.
Some short-term disability group plans may provide benefits for regular childbirth, but there are usually terms and conditions around it so make sure to consult your policy, and insurance professional provided by your employer for full details and limitations.
If you have any questions feel free to leave a comment below or message us at email@example.com