Long Term Disability Insurance – A Complete Buyers Guide

DISABILITY INSURANCE

Get Answers to Your Disability Insurance Questions

Long-term disability insurance (LTDI) is a vital safety net for many individuals and families. It provides financial security in the event of an illness or injury that prevents the insured from being able to work. By ensuring a steady stream of income, LTDI can help prevent economic hardship due to medical issues. This article examines LTDI coverage and how it can protect you against future financial risks.

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For those who have suffered long-term disabilities, LTDI has been instrumental in helping them stay financially secure during difficult times. In cases where an individual’s ability to earn wages is suddenly impaired by a serious illness or condition, LTDI helps bridge the gap between lost wages and necessary expenses such as mortgage payments, car loans, rent, taxes, food costs, and more. Those who are covered under their employer’s plan may also be eligible for additional benefits, including coverage for retraining courses if needed. 

This article will explore the different types of LTDI policies available on the market today and discuss why they may be beneficial for individuals at risk of becoming disabled in the future. We’ll also look at some helpful tips on getting the most out of your policy when making claims and other important considerations before signing up for this type of protection. With this information at hand, readers should be better equipped to make informed decisions about which type of policy best suits their needs and budget.

DISABILITY IN THE U.S.

A disability is any condition, physical or mental, that significantly impacts a person’s life activities. The most common types of disability affect mobility, hearing, vision, and cognition. As of 2020, around 13.4 percent of the U.S. population had some type of disability. Disability is more common among older individuals, with almost half of those aged 75 years and older living with a disability. Statista.com

Definition Of Long Term Disability Insurance

Long-term disability insurance (LTDI) is a form of insurance that provides income replacement to individuals who become disabled and are unable to work. This type of policy typically covers from two years to age 65 or more, depending on the specific agreement between the insured individual and the insurer. The funds received from LTDI are typically used to continue one’s lifestyle.

LTDI policies vary in terms of coverage amounts, waiting periods before benefits kick in, exclusions related to pre-existing conditions, and other factors. Generally speaking, they provide a percentage of an individual’s income while they are out of work due to illness or injury. It is important for those considering long-term disability insurance to assess their needs carefully before purchasing a plan so that it meets all of their requirements.

The cost of LTDI should also be taken into consideration when making decisions about coverage. Premiums will vary based on age, health history, occupation, and other factors, which must be discussed with an experienced broker prior to purchase in order to make sure one gets the best value.

How Long-Term Disability Insurance Works

Knowing the definition of long-term disability insurance, it is now important to understand how it works. This section will address the details regarding this form of insurance and its benefits.

Long-term disability insurance provides financial support for individuals who become disabled due to an illness or injury that prevents them from working in their regular occupation. Benefits are generally paid out monthly to help cover lost income as a result of being unable to work.

When considering if you should purchase long-term disability insurance, there are several factors to consider, including age, health condition, occupation, income level, and current assets. Additionally, understanding what type of plan best fits your lifestyle and budget is critical when making such an important decision about providing future security for yourself and your family members.

Many employers offer employer-sponsored plans, which may not provide better coverage than those available privately. However, employer-sponsored plans also generally cover short-term disabilities.

In addition to helping protect against loss of income due to a disabling event, many policies also provide protection for medical treatments related specifically to the disabling event itself. For example, some policies may pay for physical therapy sessions or other necessary treatment associated with recovering from the disabling incident or illness, resulting in the need for extended leave from work.

The Benefits of Long-Term Disability Insurance

Long-term disability insurance provides financial security if an individual is unable to work due to a medical condition or injury. The benefits of this type of coverage are numerous, and it can be invaluable during times when the policyholder’s income has been interrupted.

One major benefit of long-term disability insurance is that it allows individuals who have lost their ability to generate an income through employment to maintain their lifestyle without fear of losing their lifestyle. This means they are able to continue paying for rent, food, utilities, and other basic expenses associated with daily life. In addition, policyholders may also be eligible for additional funds for specialized services such as in-home nursing care and assistive equipment.

Another important advantage of having long-term disability insurance is the peace of mind of knowing that one can be financially secure should any unexpected illness or injury occur. Since many people cannot afford to pay out large sums from savings or investments in order to cover living expenses while disabled, policies like this help bridge the gap between income earned before and after the period of unemployment caused by disability.

By providing long-term financial protection against the potential loss of income due to illness or injury, long-term disability insurance helps ensure individuals remain self-sufficient despite circumstances beyond their control. It also relieves some worry surrounding the future economic stability of those affected by disabling conditions

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The Need for Long-Term Disability Insurance

Having discussed the benefits of long-term disability, it is important to note that such a benefit does not come without cost. The need for coverage in the event of an extended period of time out of work due to illness or injury cannot be overstated. Long-term disability insurance helps provide financial security in times when you may be unable to earn an income due to an illness or injury that prevents you from earning income.

The cost associated with purchasing this type of protection varies depending on individual needs and desired levels of coverage. A variety of providers offer policies that can help protect against loss of income during periods of prolonged absence from work due to sickness or injury. It’s important to understand the terms and conditions outlined by each provider before making a decision, as some plans have limitations on the amount covered, length of term, or other restrictions that could affect your ability to receive compensation should you make a claim.

Additionally, there are certain eligibility criteria that must be met in order for someone to qualify for long-term disability insurance. These requirements include factors such as age, health status, occupation, and existing medical history. Understanding all these elements is key for those considering purchasing a policy so they can ensure they are adequately protected if faced with an unexpected circumstance resulting in lost wages.

Definition Of Disability

In order for an individual to qualify for LTD benefits, it must be determined that their disability meets certain criteria as defined in the terms and conditions of their policy. Generally speaking, a disability is defined as any physical or mental impairment preventing one from performing substantial gainful activity on a regular basis over an extended period of time. Additionally, many policies may require proof of medical treatment in order to receive benefits.

The duration and amount of LTD benefits vary depending on the terms specified in each policyholder’s contract. In many cases, payments will begin after the policyholder has exhausted all other sources such as short-term disability and sick leave, and has exhausted the elimination period (waiting period).

What are the Advantages of Purchasing LTD Insurance?

Long-term disability insurance offers a variety of advantages. This type of policy can provide financial security in the event that an individual is unable to work due to injury or illness.

One major advantage of purchasing a long-term disability insurance policy is the peace of mind it provides, knowing that incomes will be maintained if one becomes disabled and cannot work. The plan helps protect individuals and their families by providing them with income while they are not able to earn a living on their own.

 It is important to note, however, that there may be limitations on how much money an individual can receive through this type of coverage depending on the terms of their specific policy.

It’s clear why purchasing long-term disability insurance makes sense—it provides invaluable protection should one become incapacitated and unable to work over an extended period of time. With adequate coverage in place prior to any unforeseen circumstances arising, individuals are equipped with a strong safety net, helping ensure both current and future financial stability regardless of what life throws their way.

How Much Monthly Benefit Will I Receive?

The amount of money a disability insurance policy pays out will depend on the individual plan. Generally, policies are designed to replace between 50% and 70% of an insured person’s income if they become disabled due to injury or illness.

The exact percentage depends on factors such as age, occupation, salary, and other details related to their specific situation. It is also important to note that most plans do not cover all types of disabilities; some may only provide coverage for certain medical conditions, while others have more expansive definitions.

Tips For Choosing the Right Coverage

When selecting a long-term disability insurance policy, there are several important considerations to keep in mind. First and foremost, it’s important to ensure the coverage meets your current needs as well as any future needs that may arise. In addition, you should research different insurers to make sure they offer competitive rates and coverage options. Furthermore, you should take into account any additional benefits, such as access to medical professionals or assistance with job retraining if needed.

It can be beneficial to consult an independent insurance or financial advisor when choosing a long-term disability insurance policy. A professional who has experience with disability insurance will be able to provide unbiased advice on what type of plan is best suited for your situation and help evaluate various providers’ offerings. Additionally, reviewing reviews from other customers who have purchased similar policies can give valuable insight into their customer service standards and claims process.

To find the most suitable protection for yourself and your family members, it is critical to compare multiple plans before making a decision. Carefully weigh each option against the others so you can select the right level of coverage at an affordable price point that fits within your budget. This way, you can feel secure knowing that you are adequately covered in case of extended periods of illness or injury without overextending your finances.

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Employer-Sponsored Disability Insurance

Employer-sponsored group disability insurance is a form of long-term disability coverage that may be offered by an employer. This type of policy can provide employees with financial benefits if they become disabled and are unable to work for an extended period due to illness or injury. Disability insurance policies vary in terms of the amount of time covered, what types of disabilities are eligible for benefits, and other features such as cost sharing between employers and employees.

Employers typically offer two kinds of disability plans: short-term and long-term. Short-term disability pays out after only a few weeks, while long-term policies tend to cover up to age 65, depending on the plan design chosen by the employer.

Many employers require employees to pay a portion of their premiums through payroll deductions. The employer will often pick up some or all of the remaining balance when it comes to covering costs associated with the policy itself.

Long-term disability insurance helps protect workers’ incomes if they find themselves unable to work due to an accident or illness. It can help an injured or ill individual from being forced to liquidate assets or even filing for bankruptcy.

Short-Term Vs Long-Term Policies

In contrast to short-term disability insurance, long-term policies are designed to provide benefits for a much longer period of time. This type of coverage is typically used when an individual cannot work due to sickness or injury and needs financial assistance to cover living costs while they are unable to be employed. Long-term disability insurance will pay out a certain percentage of the covered person’s salary over the course of several years, depending on the policy’s terms and conditions.

Many employers offer some form of long-term disability insurance as part of their employee benefits packages. These plans often extend beyond what would be covered by Social Security Disability Insurance (SSDI) to help employees meet their basic needs during extended periods away from work due to illness or injury. The amount that these plans payout can vary significantly based on the employer’s policy, so it is important for individuals to understand their options before signing up for any plan offered by their company.

Long-term disability insurance has become increasingly popular with workers who want additional protection against income loss due to prolonged illnesses or injuries that prevent them from working. It provides peace of mind knowing that if something were to happen, there would be funds available to help you maintain your lifestyle while recovering without having to worry about how expenses will get paid. While this type of insurance may not replace all lost wages, it can certainly help cushion the blow until someone can return back into the workforce again after an extended absence.

Terms You Should Know

When considering long-term disability insurance, there are a few terms that you should understand before your decision to purchase.

Exclusion clause. This is a provision in the policy that excludes certain conditions from coverage. For example, some policies may exclude any pre-existing medical condition or illness not covered under the plan. Additionally, benefits are usually only payable if your injury occurs while you are actively employed and for as long as you remain employed.

Elimination period. This refers to the length of time between when the disability was incurred and when benefits start being paid out by the insurer. During this period, no payments will be made; however, depending on the policy one may be able to get financial assistance during this time through other sources such as private savings or government programs.

Own Occupation. Under this definition, total disability means the inability to work at your regular occupation – that is to perform the material and substantial duties of your occupation.

Any Occupation. Under this definition, total disability means the inability to work in any occupation. This definition is sometimes softened by the addition of the following words – the inability to perform the duties of any occupation by which the individual is suited by training, education, or experience.

Finally, premiums refer to the amount that must be paid regularly in order to maintain coverage with an insurer. Depending on the type of policy chosen, these payments can vary significantly and should be carefully considered before signing up for a plan. It is also important to keep in mind that premiums can increase over time due to inflation or changes in risk factors associated with providing coverage.

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Types of Long Term Disability (LTD) Coverage

The type of Long-Term Disability coverage that an individual is eligible for will vary depending on the particular policy they have chosen. The two most common forms are employer-sponsored plans are Individual (private) and Group coverage (Employer-sponsored LTD plans are typically provided through a group plan, meaning all employees participate in the same program with shared costs and benefits. Individual disability insurance can be purchased by an individual from any number of insurers or brokers (including the disability insurance experts at LifeInsure.com) who specialize in this field.

Employer-sponsored plans may offer more comprehensive protections than those found in individual policies, but there could also be restrictions in terms of how long a claim may last and what types of disabilities are covered. Additionally, premium rates tend to be lower (or at no cost to the employee) when participating in an employer’s plan since the cost is spread across multiple members as opposed to being carried by only one person in an individual policy setting.

On the other hand, purchasing an individual policy allows individuals greater flexibility when it comes to selecting their own limits and benefit duration periods – making them ideal choices for self-employed workers or those without access to an employer-provided option.

No matter which form of coverage is selected, understanding its provisions before signing up for protection is key to ensuring financial security during times of disability-caused illness or injury.

With this knowledge now established, we look further into obtaining disability income through means such as individual disability insurance policies.

Individual Disability Insurance

Individual disability insurance policies offer an additional layer of protection for those who are unable to work due to illness or injury. There are several key components that need to be considered when selecting this type of coverage, including:

  • The benefit period – the length of time during which benefits will continue if you become disabled.
  • The elimination period – any waiting periods before benefits begin.
  • The definition of “disability” used by the policy and how it is applied in making payments.
  • Additional riders or options are available, such as cost-of-living adjustments, residual benefits, and non-cancelable provisions.

It is important to understand these factors when comparing different individual disability insurance plans so that an informed decision can be made on which one best suits your needs. Furthermore, certain insurers may provide more appealing rates than others depending on age and health history, so shopping around is encouraged. In weighing up all these considerations, an appropriate level of coverage can be obtained while avoiding overpaying for unnecessary features. With this understanding now established, we move our focus to group disability insurance plans.

Group Disability Insurance

Group disability insurance plans offer a different approach to protecting against the financial risks of being unable to work due to illness or injury. As it is typically provided as part of employee benefits packages, this can be an attractive option for those looking to protect their income, as it tends to come with lower premiums compared to individual policies. It should be noted, however, that group coverage will usually not extend beyond the duration of employment, so care must be taken if seeking long-term protection.

When assessing such packages, several key criteria should be considered, including

  • Whether benefits are taxable
  • If there are any waiting periods before payment begins
  • How policy definitions and provisions may differ from individual coverages
  • Any options for portability in case of job changes? With these factors established along with contribution levels and other associated costs, one can then make a more informed decision on whether group disability insurance is suitable for them.

TIP: A good way to ensure your needs are met when choosing between individual and group disability insurance is to think about how much risk you want to be covered over the longer term, what type of plan fits into your budget, and which offers greater flexibility depending on future circumstances.

Tax Implications of LTDI Policies

If your employer pays your long-term disability premiums for you, the benefits from your disability policy will be taxable. If you pay the premium, the benfits are not taxable.

It is important to note that in order to qualify for tax-free income, an individual must meet specific criteria outlined by the IRS. Furthermore, depending upon each unique situation – such as which state you live in or what type of employment contract you have – different rules could apply when it comes to understanding how your particular long-term disability insurance policy is taxed

In light of this information, it becomes clear that carefully considering all aspects of taxation associated with long-term disability policies is essential for anyone looking into coverage options. It is imperative to understand these implications prior to purchasing any form of protection because failure to do so could lead to costly mistakes down the line when tax season arrives.

Riders And Other Customization Options

Long-term disability insurance (LTDI) plans are designed to provide financial protection in case of a long-term illness or injury. Many employers offer LTDI policies as part of their employee benefits packages, but individual plans can also be purchased from an insurer. Riders and other customization options allow policyholders to customize the coverage they receive to meet their specific needs.

  1. Cost of Living Adjustment (COLA) Rider: This rider adjusts the benefit amount periodically to account for inflation, ensuring that the policyholder’s purchasing power remains relatively constant over time.
  2. Future Increase Option (FIO) Rider: This rider allows the policyholder to increase their coverage at specified intervals without having to undergo additional medical underwriting. This can be particularly useful for people whose income or financial responsibilities increase over time.
  3. Own Occupation Rider: This rider provides coverage if the policyholder becomes disabled and is unable to perform the duties of their specific occupation, even if they can still work in another capacity. It offers a more comprehensive definition of disability compared to the standard “any occupation” definition.
  4. Partial Disability Rider: This rider provides benefits if the policyholder becomes partially disabled and can still work but has experienced a loss of income due to reduced hours or responsibilities. This helps bridge the gap between full-time work and complete disability.
  5. Catastrophic Disability Rider: This rider provides additional benefits if the policyholder suffers a severe disability, such as the loss of limbs or severe cognitive impairment. This is designed to help cover the increased costs associated with such catastrophic events.
  6. Return of Premium Rider: This rider refunds a portion of the premiums paid over the life of the policy if the policyholder never files a claim for disability benefits. This feature can make the policy more attractive for those who are concerned about “wasting” premium payments if they never need to use their disability coverage.
  7. Survivor Benefit Rider: This rider provides a lump sum or ongoing payments to the policyholder’s beneficiaries if the policyholder dies while receiving disability benefits. This can provide additional financial support for the family in the event of the policyholder’s death.
  8. Waiver of Premium Rider: This rider waives premium payments for the policy while the policyholder is receiving disability benefits. This can help reduce financial strain during a period of disability.

Please note that adding riders to a long-term disability insurance policy often results in higher premium payments. It’s essential to weigh the benefits of each rider against the additional cost to determine if it’s appropriate for your specific needs and circumstances.

An array of customization options exist beyond adding riders – such as adjusting waiting periods before receiving benefits, changing the definition of total disability used in the plan, choosing between different types of benefit calculations, and more – depending on what type of plan is chosen and who provides it. Customization allows individuals to tailor their coverage so they get exactly what they need without paying for extras they don’t want or need.

Qualifying for Benefits

In order to qualify for disability benefits under an LTDI policy, claimants must not be able to work, as per the definition of disability (own-occ or any-occ) on their policy. Furthermore, medical documents demonstrating the nature and severity of the condition that has caused them to become disabled must also be presented in order for benefits to be approved.

Additionally, many plans require that recipients remain under the care of qualified health professionals during the duration of their claim in order for benefits payments to continue uninterruptedly. With knowledge about how disability insurance works and its various options now firmly established, it’s time to examine another important form of protection: Social Security disability insurance (SSDI).

Pre-Existing Conditions

Long-term disability insurance is designed to provide financial support for those who experience a long-term illness or injury that prevents them from working. While most medical conditions are typically covered under this type of insurance, there may be some pre-existing conditions that are not included in the coverage.

It is important to understand what types of medical issues will and will not be covered by your policy before signing up for a plan.
When it comes to preexisting conditions, each insurer has its own set of rules and regulations regarding coverage eligibility. Any condition that existed prior to applying for the policy will likely not be eligible for benefits if it causes an inability to work.

This includes mental health illnesses such as depression and anxiety and physical ailments like arthritis or back pain. Additionally, certain treatments or services related to these conditions may also not be covered by long-term disability policies.


In order to get a full understanding of which pre-existing conditions may or may not be excluded from coverage, it is important to read through the fine print when reviewing different plans offered by insurers. You should also consult with your doctor about any potential limitations on treatment options due to existing medical concerns or diagnoses so you can make an informed decision about the best long-term disability policy for your needs.

What About Social Security Disability Insurance (SSDI)?

Social Security Disability Insurance is a federal program that provides income to individuals who are unable to work due to physical or mental disabilities. This form of protection can be an invaluable source of financial stability during times of difficulty and often helps those affected retain their independence.

To qualify for SSDI, applicants must meet certain criteria – including having enough Social Security credits from paying into the system through payroll taxes over the years and being approved by the Social Security Administration after submitting appropriate documentation.

Benefits will last up until retirement age unless recipients are able to find employment again or their condition improves significantly. Additionally, there may also be other forms of assistance available based on individual circumstances, such as Supplemental Security Income (SSI), which is meant for people with limited resources. It’s important that individuals interested in applying for either option consider all relevant information before making any decisions about pursuing this type of coverage.

Overall, understanding how Social Security disability insurance works and what it offers can help provide peace of mind when considering long-term disability plans – allowing those affected to make informed choices and feel more secure knowing they have a plan in place should something unexpected occur. With this knowledge now established, attention turns toward the tax implications associated with these types of policies.

How to File a Claim for Long-Term Disability?

Filing a claim for long-term disability can be a complex process, as there are many steps to take and several deadlines that must be adhered to. However, by taking the time to understand the eligibility requirements and being aware of potential pitfalls, claimants have an increased chance of successfully filing their claims.

When it comes to determining eligibility for long-term disability coverage, insurance companies often look at factors such as the type of job one has held in the past five years or how much income is earned each month. Some policies also require individuals to meet certain medical standards before they are eligible for benefits. Additionally, some employers may provide supplemental coverage, which could further increase an individual’s chances of receiving financial assistance if needed.

In order to file a claim for long-term disability, claimants should first contact their insurer directly or seek out legal advice from an experienced attorney who specializes in this area. When contacting insurers, individuals should keep records of all conversations and document any information received regarding their policy terms and conditions.

Claimants should also ensure they adhere to all applicable deadlines in order to avoid delays in processing their applications. Furthermore, collecting supporting evidence such as medical reports or other forms of documentation will help strengthen applicants’ cases when submitting their claims.

Resources for More Information about LTD Insurance

Having explored Riders and Other Customization Options for long-term disability insurance, it is now useful to consider resources for additional information. While there are several sources of guidance related to this type of coverage, the most reliable source is often a licensed insurance professional. These professionals can provide detailed information about policy language and pricing as well as advice on how best to customize the plan to meet individual needs.

Online resources can also be valuable when researching long-term disability insurance policies. There are many websites that offer comparison charts and other tools to help compare different plans side-by-side. Additionally, these sites may also provide educational articles with helpful tips on selecting an appropriate plan or dealing with claims processing issues. Finally, some online providers even offer free quotes so applicants can quickly obtain cost estimates from multiple insurers in order to make informed decisions about their coverage.

In summary, while making important decisions about purchasing long-term disability insurance, one should consult both a licensed professional as well as various online resources to gain insight into available options and determine which option provides the greatest value for their particular situation.

Frequently Asked Questions

What is the enrollment process for disability insurance?

The enrollment process for disability insurance typically involves filling out an application, providing necessary medical information, and selecting an insurance plan that meets your needs. It’s important to review the eligibility criteria to ensure you qualify.

Who is eligible for individual disability income insurance?

Eligibility for individual disability income insurance usually depends on factors such as age, occupation, health status, and income level. Most insurance companies will assess these factors during the enrollment process.

Does disability insurance cover pre-existing conditions?

Many disability insurance policies have exclusions for pre-existing conditions during the first few years of coverage. It’s essential to read the policy details or consult with your insurance company for specific terms related to coverage of pre-existing conditions.

What are the benefits of long-term disability insurance?

Long-term disability insurance can help replace a portion of your income if you are unable to work due to a qualifying injury or illness that is expected to last for an extended period. This type of insurance offers financial security during challenging times.

How do I submit a claim for disability benefits?

To submit a claim for disability benefits, you will need to complete a claims form provided by your insurance company and supply any required documentation, such as medical records. Make sure to submit a claim as soon as possible after your injury or sickness occurs.

What is the maximum benefit amount for disability insurance?

The maximum benefit amount for disability insurance varies by policy and insurance company. Typically, it is based on a percentage of your income, and some policies may have caps on the total amount payable. Be sure to check the specifics of your insurance plan.

Are disability benefits taxable?

Whether disability benefits are taxable depends on how you paid the premiums. If you paid for your disability insurance with after-tax dollars, your benefits are generally tax-free. However, if your employer paid the premiums, the benefits may be subject to taxes.

Can I receive both disability insurance benefits and social security disability benefits?

Yes, you can receive both disability insurance benefits and social security disability benefits. However, the total amount may be adjusted, as some insurance companies take into account any social security benefits you receive when calculating your disability benefits.

For more information about Long-Term Disability Insurance and to get a free and confidential quote, please call 866-868-0099 or contact us through our website. 

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Richard Reich

Author

Richard Reich

President at Intramark Insurance Services

In my 30+ years as an independent life and disability insurance broker, I have personally assisted thousands of clients with their life and disability insurance needs.

I believe that when people shop for insurance (or anything else, for that matter) on the Internet, they are looking for a simple, non-intrusive, non-pressure method of doing so.

I strive to treat my prospective clients with the utmost respect and I believe an educated prospect can make the right decision without sales pressure.

Being independent, I represent many highly-rated insurance companies and, because I am not beholden to any one insurance company, my focus is to find the right company and policy for each individual client.

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