How does disability insurance work?
No matter how careful you are, things happen. If you’re sick or injured and can’t work, disability insurance helps replace a portion of your income while you get back on your feet.
No matter how careful you are, things happen. The Social Security Administration estimates that more than a quarter of today’s 20-year-olds will be unable to work because of a disability for a year or more before they retire. That’s what disability income insurance is for. If you’re sick or injured and can’t work, disability insurance helps replace a portion of your lost income while you get back on your feet.
Disability insurance can be divided into two main types: short term and long term. They work in similar ways, but last for different amounts of time. Which type of disability policy you should choose depends on your situation, and you may find that having both short and long term disability insurance makes sense.
In this article:
Types of disability insurance
Short term disability insurance
Short term disability insurance, such as Haven Disability, protects you in the near-term if you suffer a disability and need time to recover. The amount you’ll receive each month from a short term disability insurance plan is most often based on a percentage of your salary (typically between 40-60% of your income).
Short term disability insurance benefits can begin in as little as two weeks, and last for up to one year. Think about the hair stylist who throws out her back and can’t stand for long periods of time. Or the accountant who’s had complications from COVID-19 and is bedridden for weeks or months.
Long term disability insurance
Long term disability benefits pick up where short term disability benefits leave off. It’s designed to protect you in case of an illness or injury that can keep you from working for years or more. Consider the employee who works in a call center and can no longer type because of severe arthritis. Or the programmer who’s suffered a traumatic brain injury. The truck driver with impaired vision. Long term disability insurance is sometimes offered by employers, but it is more often purchased by individuals.
What does disability insurance cover?
The exact list of covered illnesses and injuries can vary depending on the insurer and options you choose, but generally speaking, disability insurance covers illnesses and injuries that prevent you from doing the important tasks at your job. That includes contagious diseases like COVID, conditions like cancer or complications from pregnancy, and injuries like a broken bone.
With Haven Disability, a disability occurs when…
- You have a condition caused by sickness or injury that prevents you from doing the important tasks, functions and operations generally required for your occupation that can’t be reasonably omitted or modified
- You’re under a doctor’s care
- The disability begins while the policy is in force
We consider your occupation to be your regular profession(s) or business(es) at the start of a disability for which you receive or can receive remuneration. (Sorry for the legalese. It’s an important term, so we have to be extra specific.)
Which injuries and illnesses aren’t covered by disability insurance?
With Haven Disability, conditions that aren’t typically covered include:
- Normal pregnancy and childbirth
- Substance abuse
- Most cosmetic surgery
- Self-inflicted injuries
Exactly which conditions are covered or excluded can also vary by state. If you have a question about a specific condition or want to learn more about Haven Disability coverage, you can contact our support team by email at firstname.lastname@example.org, or give us a call at 1 (855) 950-1395 weekdays from 8:30am to 4:30pm Eastern.
Choosing the right disability coverage options for you
When you purchase a disability insurance policy, you’ll have three main choices to make: benefit amount, benefit period, and elimination period.
Your benefit amount, or monthly benefit, determines how much income you’ll receive per month if your disability claim is approved. Haven Disability lets you choose any amount you want from $500 to $5,000, with a cap of 60% of your income. With employer-provided short term disability policies, the benefit amount is almost always a percentage of your salary – usually in the neighborhood of 60%.
The higher the benefit amount, the more you’ll pay for coverage, so choosing the right amount can be a balancing act. At minimum, you should consider having enough to pay your most important monthly expenses, such as your rent or mortgage, car payment, food, and utilities. That’s especially true if you’re a single parent, or don’t have a partner whose income could help cover expenses.
The next thing you need to determine is your benefit period, or how long you’ll receive benefits if you can’t work. The longer the benefit period, the higher the cost. For short term disability policies, the benefit period typically ranges from three months to a year. (Haven Disability offers benefit periods of 3, 6, and 12 months.)
Long term disability insurance is measured in years, rather than months, with benefit periods of two or five years being common. Some policies even include coverage that extends until retirement age. Expect to pay more for that level of protection, though.
Now you know how much you’ll get, and for how long. The last thing to choose is how soon you’ll receive benefits. Obviously you can’t file a claim if you’re sick for a day. The elimination period, or waiting period, determines the amount of time you’ll need to be disabled before your benefits kick in.
With short term disability policies, the elimination period can be as short as two weeks, or as long as a few months. (Haven Disability offers a choice of 14, 30, or 60 days.) With long term disability policies, the elimination period can range from 30 days to two years, with 90 days being a common option.
The more you have saved for a rainy day, the longer you can afford to wait for your benefits to kick in. Choosing a short elimination period will increase the cost some, but could be worth it if you don’t have enough emergency savings to weather months without an income.
Comparing individual vs. group policies
If you receive short term disability insurance through your employer, great. Some states, such as New York, California, and Rhode Island, even require in-state employers to offer disability insurance to the employees who live and work within state lines. It’s a nice perk. Group disability insurance policies are typically a little less expensive than individual disability insurance, and in many cases the employer pays for it entirely. But there are some differences between employer-provided and individual disability income insurance to note.
If your disability policy is provided by your employer, the benefits you’ll receive will be subject to taxes, so you may not have quite as much coverage as you think. Individual policies are purchased with after-tax income, so the benefits won’t be taxed further. That means 60% of your salary may actually come closer to replacing your take-home pay.
If you leave the organization, the group disability insurance policy will likely end with it. You may receive coverage at your next job, but you may not. Individual policies work differently. If you purchase your disability policy directly from the carrier, you “own” that policy, and can take the coverage with you if you switch companies.
That portability is especially important if your health situation changes over time in a way that could make getting a new policy expensive, or even impossible. If your individual policy is “guaranteed renewable,” you’ll have the option to renew the coverage for a set amount of time, regardless of changes to your health. With Haven Disability, you’ll have the option to renew until age 65.
How much does disability insurance cost?
As a rule of thumb, disability insurance usually costs between 1-3% of your salary. How much you’ll pay for individual disability insurance depends mostly on the benefit amount, benefit period, and elimination period you choose, along with the insurer. Other factors include:
- Health conditions
The fastest way to find out how much a short term policy will cost you is to get a 30-second disability insurance estimate. But if you’d rather see numbers first, our article on how much disability insurance costs will give you a good idea.
How to apply for disability insurance
Group plans offered by employers are typically guaranteed acceptance, so the application process can be as simple as opting in when enrolling for benefits. If you’re buying an individual disability income insurance policy, things are a little different, since you’ll need to go through an underwriting process. How time-consuming that process is varies widely, though.
Many disability policies will require a phone interview and a trip to the doctor. Others, like Haven Disability, can be applied for entirely online in minutes, without calls, appointments, or fluids. You’ll need to answer some basic questions about your health and the activities your job requires.
How to file a disability insurance claim
If you’re sick or injured and can’t work, you can start a Haven Disability claim online anytime by logging into your account. To start the claim, you’ll need…
- Personal information (like your name, date of birth, etc.) and policy number
- A brief description of the diagnosis or medical condition causing your disability
- The last date you were able to work normally
- We may also request additional information, depending on the circumstances of your claim.
Although disability benefits don’t begin to accrue until your elimination period has passed, that doesn’t mean you need to wait to file your claim. If your illness or injury will likely keep you out of work for an extended period, it’s best to file as soon as possible so we can get started processing your claim.
Things to remember
- Your monthly benefit determines how much you’ll receive each month if your disability claim is approved. Benefits received through your employer will be subject to taxes, but individual coverage purchase with after-tax money won’t.
- Your benefit period determines how long you’ll receive benefits from each claim. With short term disability coverage, you can typically choose a benefit period of 3, 6, or 12 months.
- Your elimination period determines how soon you’ll receive disability benefits if you can’t work. With short term policies, you can typically choose an elimination period of as little as 14 days, although 30 and 60 days are also common options if you’re looking to save on premiums.
About Jeff HamptonRead more by Jeff Hampton
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Haven Life is a customer-centric life insurance agency that’s backed and wholly owned by Massachusetts Mutual Life Insurance Company (MassMutual). We believe navigating decisions about life insurance, your personal finances and overall wellness can be refreshingly simple.
Our editorial policy
Haven Life is a customer centric life insurance agency that’s backed and wholly owned by Massachusetts Mutual Life Insurance Company (MassMutual). We believe navigating decisions about life insurance, your personal finances and overall wellness can be refreshingly simple.
Our content is created for educational purposes only. Haven Life does not endorse the companies, products, services or strategies discussed here, but we hope they can make your life a little less hard if they are a fit for your situation.
Haven Life is not authorized to give tax, legal or investment advice. This material is not intended to provide, and should not be relied on for tax, legal, or investment advice. Individuals are encouraged to seed advice from their own tax or legal counsel.
Haven Term is a Term Life Insurance Policy (DTC and ICC17DTC in certain states, including NC) issued by Massachusetts Mutual Life Insurance Company (MassMutual), Springfield, MA 01111-0001 and offered exclusively through Haven Life Insurance Agency, LLC. In NY, Haven Term is DTC-NY 1017. In CA, Haven Term is DTC-CA 042017. Haven Term Simplified is a Simplified Issue Term Life Insurance Policy (ICC19PCM-SI 0819 in certain states, including NC) issued by the C.M. Life Insurance Company, Enfield, CT 06082. Policy and rider form numbers and features may vary by state and may not be available in all states. Our Agency license number in California is OK71922 and in Arkansas 100139527.
MassMutual is rated by A.M. Best Company as A++ (Superior; Top category of 15). The rating is as of Aril 1, 2020 and is subject to change. MassMutual has received different ratings from other rating agencies.
Haven Life Plus (Plus) is the marketing name for the Plus rider, which is included as part of the Haven Term policy and offers access to additional services and benefits at no cost or at a discount. The rider is not available in every state and is subject to change at any time. Neither Haven Life nor MassMutual are responsible for the provision of the benefits and services made accessible under the Plus Rider, which are provided by third party vendors (partners). For more information about Haven Life Plus, please visit: https://havenlife.com/plus.html
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