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Disability Insurance Causes Pain

Disability Insurance Causes Pain

By EDUARDO PORTER

Published: New York Times

April 24, 2012

Every year, when the trustees of Social Security and Medicare publish their report on the programs’ finances they set off a round of partisan bickering about the solvency of the twin programs covering pensions and health care for retired Americans.

Every year, a vitally important issue gets lost in the din: disability insurance payments, which account for almost $1 out of every $5 spent by Social Security, are growing out of control.

Disability insurance takes too many workers out of the job market prematurely. It reduces their lifetime income and, to top it off, slows economic growth. Yet in contrast to the heated arguments about Social Security and Medicare, fixing the disability problem inspires hardly any discussion. (more…)

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Should graduating medical residents purchase disability insurance prior to graduation?

Should graduating medical residents purchase disability insurance prior to graduation?

Graduating medical residents may purchase up to $5000/month of individual disability insurance regardless of income or group disability insurance in force. Some companies allow surgical specialists including anesthesiologists to purchase up to $7500/month benefit.

Medical residents within 180 days of graduation are eligible to purchase up to $5000/month benefit without income verification. Surgical specialists may purchase up to $7500/month regardless of income or group disability benefits in force. (more…)

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How Much Should I Spend on Disability Insurance?

Unfortunately, there is no specific answer. The rule of thumb is that men spend 1-3% and women 2-4% to cover up to approximately 70% of their pretax income.

There are several factors that determine how much you will spend on your disability insurance premiums:

1)      Group insurance? If you have group benefits in force, you will only need to supplement your group benefits which will save you money. If you do not have any group disability insurance in force, you will pay more to insure your income.

2)      Benefit amount. The larger the benefit amount, the greater the premium. Determine how much after tax monthly income you need. If you do not live off of your whole take home paycheck, you do not need to insure the full amount, saving you money.

 

Disability Insurance can be very expensive. Rates are based on several factors:

  • Gender. Women pay approximately 40% more in premiums than men.
  • Occupation.  Higher risk occupations will pay more in premiums. For instance, a surgeon, CRNA, physical therapist, dentist or physician is considered higher risk than a pediatrician, physician assistant or internist. The most favorable occupations (paying the least in premiums)are occupations such as attorneys, CPAs, architects and engineers.
  • Benefit amount. The higher the monthly benefit amount, the higher the premium.
  • Age. The older you are when you purchase your policy, the more expensive your policy.
  • Health. Disability insurance underwriters look at your overall health and risk factors. Some conditions may increase your premiums.
  • Riders and benefit period. Your policy is composed of riders and each carries a price. This includes the residual rider (partial disability rider), cost of living rider and increase options.

With all of the variations in mind, disability insurance can carry a hefty price tag. As a result, if available, look for disability insurance discounts. These discounts can save you anywhere from 15-55%. The discounts tend to be steeper for women as their rates are more expensive to begin with.

Be sure these discounts are permanent. Some companies offer discounts on the original policy and subsequent increases are at a non-discounted rate which can be shocking when you decide to increase your coverage.

For more information about individual disability insurance and available discounts, contact Set for Life Insurance today. If you are interested in discounts, please mention if you are a member of an association and/or you employer’s name and we can determine if we have available discounts for you.

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Disability Insurance vs. Long Term Care Insurance

Tax qualified Indemnity Long Term Care Compared to Individual Disability Insurance

Benefit

LTCI

             You select the benefit from $1500 per month to $12,000

Disability Insurance

The benefit is tied to your income and other coverage one may have in force.  Typically the company can offer 55% of gross income.

 

How to qualify for a claim

LTCI

            The insured has the  inability to perform two of six activities of daily living or have a severe cognitive impairment-severe memory loss, Alzheimer’s disease.  This is expected to last 90 days or longer. 

Disability Insurance

            The insured has a sickness or accident and is unable to perform the duties of his/her regular occupation.

 

How are benefits paid

LTCI

            Benefits are paid in cash to the insured regardless of whether care is received for the condition.

Disability Insurance

            Benefits are paid in cash to the insured

 

Elimination period

LTCI

            Can be from 90 days to one year. This is satisfied once per lifetime

Disability Insurance

            Can be from 30 days to one year.  This is satisfied every claim

 

Maximum Benefit

LTCI

            Expressed in years from as short as one year to unlimited.  The maximum benefit, if less than unlimited, is per lifetime not per claim. 

Disability Insurance

            Expressed in years from as short as one year to as long as a lifetime.  The maximum benefit depends on the age of the insured at the time of claim.  The maximum benefit is per claim without limitation to number of claims during the insured’s lifetime. 

 

Can the policy be canceled

LTCI

            Can be canceled for non payment of premiums only.

 

 

 

Disability Insurance.

            At older ages there is a requirement that the insured be working on a full time basis to maintain the coverage.  If not working on a full time basis, the coverage will be cancelled. 

 

Are premiums deductible

LTCI

            Premiums may be deducted with the benefits coming in on a tax free basis.  The amount of deductibility increases with age and is indexed annually

Disability Insurance

            Depending on the business structure of the insured, they may be deducted.

 

How are benefit taxed.

LTCI

            Benefit are tax free for the first $113,000 (2012) regardless of whether the premiums are deducted.

Disability Insurance

            If premiums are deducted, the benefits are taxable.  If no deducted the proceeds are income tax free with no limitation.

 For more information about disability insurance or long term care insurance, contact Set for Life Insurance today!

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Is Disability Insurance for a CRNA Nurse Anesthetist the same as for an anesthesiologist?

As a CRNA, you are in the operating room administrating anesthesia on patients. Therefore, when it comes to disability insurance, are you considered in the same category as an anesthesiologist?

 The answer is: It depends.

 When it comes to disability insurance, companies will classify the risk and categorize occupations in an occupational class. Riskier occupations will pay more premiums than their less risky counterparts.

 For CRNA Nurse anesthetists, some companies classify CRNAs the same as an anesthesiologist. Other companies put CRNAs in a higher risk class, thereby increasing premiums and reducing the period of own occupation. Therefore, it is critical to work with an experienced broker who is familiar with the companies and can help you determine what will be best in your situation.

CRNA Nurse Anesthetists are familiar with the risks involved when working.  A simple injury or a sickness could prevent a nurse anesthetist to perform their job duties.

What CRNAs should look for in an individual disability insurance policy:

 

  • ·         Own Occupation Definition of Disability. This definition states that if due to sickness or injury you can’t work in your occupation, you will receive your benefits. Additionally, there is no reduction in benefits if you decide to work in another occupation.
  • ·         Increase options. This allows you to increase benefits in the future without going through any further medical underwriting.
  • ·         Residual Rider. This pays a partial benefit if you have a partial loss of income.
  • ·         Discounts. Set for Life Insurance has discounts available nationally for CRNA Nurse Anesthetists. These discounts range from 15-40% depending on your location and gender. If discounts are not yet available at your hospital, we can help you implement them to take advantage of this opportunity.

 For more information about disability insurance for CRNA Nurse Anesthetists, please contact the Set for Life Insurance office today to request a comprehensive quote comparison personalized just for you.

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