Disability Insurance: Important Facts and Information

| Monday, April 25, 2011
By Aaron Flores


The Supplemental Security Income program is funded by the general revenues of the Federal Treasury and is intended to provide a minimum level of income to persons who are aged, disabled, or blind and demonstrate economic need. The SSI program is meant to supplement any income an individual might already have to ensure a certain level of income to meet basic living expenses. The dollar amount received in SSI on a monthly basis varies from person to person and is computed each month, taking into account an individual's current financial situation.

Many people mistakenly believe that the government or Worker's Compensation will pay them an income if they become disabled. Actually, more than 80% of the people who apply for Social Security disability benefits are rejected. Social Security does not pay benefits for partial or short-term disability. Your disability has to either last a year or be expected to last a year before you can collect Social Security. Worker's Compensation pays only if you were injured on the job and benefits are often limited to a few years.

Your health insurance will cover your hospital, doctor and other medical bills, but you will still not have a salary. Long-term care insurance only covers bills from nursing homes or assisted care center. Disability insurance, however, does not pay bills. Instead the insurance company gives you money on a regular basis. It is designed to replace your salary so that you and your family will not experience financial hardship during any period when you are too sick or injured to work.

Many people miss that pregnancy complications, normal labor and delivery, and postpartum disorders are considered a covered sickness. Pregnancy is subject to the same benefit amount, elimination period, and benefit period as would a bout with cancer, or other illness. Coverage must begin before getting pregnant, and most policies contain a nine-month exclusion for normal delivery.

Twenty five percent of pregnancies will encounter one or more complications. Many women are ordered by their doctor to stop working in advance of their delivery date to ensure their health and the health of their baby. Short term disability will replace your income during this time.

Key issues to research in your LTD disability insurance plan include, but are not limited to: pre-existing conditions; "own occupation" vs "any occupation" timeframes; whether or not the monthly benefit payment is taxable or tax free; etc. (Normally, the rule of thumb is that if the company pays for the LTD plan premiums, the benefit is taxable upon receipt; if the covered person pays for the plan premiums, the benefit is tax free.) Again, for specifics about your LTD plan, check out your Summary Plan Description.




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