Is the cost of disability insurance tax-deductible?
Are you taxed on disability insurance at time of claim?
Consider this flow chart:
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Premium Cost
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| Plan Type |
Employer |
Employee |
Benefits During Disability |
| Wage Continuation Plan |
Pays premium and deducts as business expense |
Not taxable |
Taxable income |
| Bonus Plan |
Bonuses premium to employee and deducts as business expense |
Taxable income to employee |
Tax free |
| Personal |
- |
Employee pays with after-tax dollars |
Tax free |
  
Have you considered the difference between group and individually owned disability coverage?
Group Coverage or Trade Association Coverage
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Individually Owned Coverage
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- Can be cancelled anytime by the employer or the insurance company.
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- Guaranteed renewable to age 65, conditionally renewable for lifetime.
- Noncancelable by the insurance company as long as premiums are paid on time within the grace period.
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- Terminates when you change jobs.
- Terminates when you reduce hours to work part-time.
- Terminates when you are no longer a member.
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- Remains in force when you change jobs or occupations.
- Remains in force regardless of the hours you work.
- Does not require membership.
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- You do not own the policy.
- Policy is owned by the employer or trade association.
- You do not choose the policy provisions or quality.
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- You own the policy.
- You choose the policy provisions and quality level.
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Definition of disability; (most common):
- During the first 24 months injury or sickness prevents you from performing the duties of your own occupation.
- After 24 months injury or sickness prevents you from performing the duties of any gainful occupation.
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Definition of disability:
- Injury or sickness prevents you from performing the duties of your own occupation.
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- Benefits stop if you are able to earn income from some other occupation.
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- Benefits continue if you are able to earn income from some other occupation.
- Benefits continue if you do earn income from some other occupation.
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Benefits automatically reduced if you collect from:
- Workers compensation
- Social security disability
- State disability benefits
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Benefits not automatically reduced by other sources;
- You choose whether or not to integrate with these sources at the time you purchase your policy.
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| Benefits received during disability are taxable to you. |
Benefits received during disability are tax-free. |
  
What happens when you are only partially disabled?
In other words, you can work in your job, but at a reduced capacity.
Generally, companies offer two provisions to choose from:
Partial Disability
This provision commonly pays benefits:
- “after” you have been “totally disabled”; and
- collected total disability benefits; and
- Returned to work on a partial basis.
Partial benefits typically pay “half” of the total disability benefit amount for up to 6 months. These benefits are commonly paid when you return to work but continue to suffer a loss of time or duties. This provision is considered some what restrictive because your Waiting Period must be satisfied with days of Total Disability Only. This provision is usually the only one available when we underwrite blue-collar type occupational risks. |
Residual Disability
This provision is much more favorable:
- Total disability is never required to collect Residual disability benefits
- Days of both total and/or residual disability will satisfy the Waiting Period
- The amount of the benefit payable is based upon your percentage of lost earnings.
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What about the effects of inflation?
Impact on a $7,000 monthly disability benefit:
| |
No Inflation Rider
|
3% Simple Increases
|
|
Year
|
Monthly
|
Cumulative
|
Monthly
|
Cumulative
|
|
1
|
7,000
|
84,000
|
7,000
|
84,000
|
|
2
|
7,000
|
168,000
|
7,210
|
170,520
|
|
3
|
7,000
|
252,000
|
7,420
|
259,560
|
|
4
|
7,000
|
336,000
|
7,630
|
351,120
|
|
5
|
7,000
|
420,000
|
7,840
|
445,200
|
|
6
|
7,000
|
504,000
|
8,050
|
541,800
|
|
7
|
7,000
|
588,000
|
8,260
|
640,920
|
|
8
|
7,000
|
672,000
|
8,470
|
742,560
|
|
9
|
7,000
|
756,000
|
8,680
|
846,720
|
|
10
|
7,000
|
840,000
|
8,890
|
953,400
|
|
11
|
7,000
|
924,000
|
9,100
|
1,062,600
|
|
12
|
7,000
|
1,008,000
|
9,310
|
1,174,320
|
|
13
|
7,000
|
1,092,000
|
9,520
|
1,288,560
|
|
14
|
7,000
|
1,176,000
|
9,730
|
1,405,320
|
|
15
|
7,000
|
1,260,000
|
9,940
|
1,524,600
|
|
16
|
7,000
|
1,344,000
|
10,150
|
1,646,400
|
|
17
|
7,000
|
1,428,000
|
10,360
|
1,770,720
|
|
18
|
7,000
|
1,512,000
|
10,570
|
1,897,560
|
|
19
|
7,000
|
1,596,000
|
10,780
|
2,026,920
|
|
20
|
7,000
|
1,680,000
|
10,990
|
2,158,800
|
|
21
|
7,000
|
1,764,000
|
11,200
|
2,293,200
|
|
22
|
7,000
|
1,848,000
|
11,410
|
2,430,120
|
|
23
|
7,000
|
1,932,000
|
11,620
|
2,569,560
|
|
24
|
7,000
|
2,016,000
|
11,830
|
2,711,520
|
|
25
|
7,000
|
2,100,000
|
12,040
|
2,856,000
|
|
26
|
7,000
|
2,184,400
|
12,250
|
3,003,000
|
|
27
|
7,000
|
2,268,000
|
12,460
|
3,152,520
|
|
28
|
7,000
|
2,352,000
|
12,670
|
3,304,560
|
|
29
|
7,000
|
2,436,000
|
12,880
|
3,459,120
|
|
30
|
7,000
|
2,520,000
|
13,090
|
3,616,200
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Consider the advantage of Compound vs. Simple increases:
| |
3% Compound Increases
|
6% Compound Increases
|
|
Year
|
Monthly
|
Cumulative
|
Monthly
|
Cumulative
|
|
1
|
7,000
|
84,000
|
7,000
|
84,000
|
|
2
|
7,210
|
170,520
|
7,420
|
173,040
|
|
3
|
7,426
|
259,636
|
7,865
|
267,422
|
|
4
|
7,649
|
351,425
|
8,337
|
367,468
|
|
5
|
7,879
|
445,967
|
8,837
|
473,516
|
|
6
|
8,115
|
543,346
|
9,368
|
585,927
|
|
7
|
8,358
|
643,647
|
9,930
|
705,082
|
|
8
|
8,609
|
746,956
|
10,525
|
831,387
|
|
9
|
8,867
|
853,365
|
11,157
|
965,271
|
|
10
|
9,133
|
962,966
|
11.826
|
1,107,187
|
|
11
|
9,407
|
1,075,855
|
12,536
|
1,257,618
|
|
12
|
9,690
|
1,192,130
|
13,288
|
1,417,075
|
|
13
|
9,980
|
1,311,894
|
14,085
|
1,586,100
|
|
14
|
10,280
|
1,435,251
|
14,930
|
1,765,266
|
|
15
|
10,588
|
1,562,309
|
15,826
|
1,955,181
|
|
16
|
10,906
|
1,693,178
|
16,776
|
2,156,492
|
|
17
|
11,233
|
1,827,973
|
17,782
|
2,369,882
|
|
18
|
11,570
|
1,966,813
|
18,849
|
2,596,075
|
|
19
|
11,917
|
2,109,817
|
19,980
|
2,835,839
|
|
20
|
12,275
|
2,257,111
|
21,179
|
3,089,990
|
|
21
|
12,643
|
2,408,825
|
22,450
|
3,359,389
|
|
22
|
13,022
|
2,565,090
|
23,797
|
3,644,952
|
|
23
|
13,413
|
2,726,042
|
25,225
|
3,947,650
|
|
24
|
13,815
|
2,891,823
|
26,738
|
4,268,508
|
|
25
|
14,230
|
3,062,578
|
28,343
|
4,608,619
|
|
26
|
14,656
|
3,238,456
|
30,043
|
4,969,136
|
|
27
|
15,096
|
3,419,609
|
31,846
|
5,351,284
|
|
28
|
15,549
|
3,606,197
|
33,756
|
5,756,361
|
|
29
|
16,015
|
3,798,383
|
35,782
|
6,185,743
|
|
30
|
16,796
|
3,996,335
|
37,929
|
6,640,888
|
  
Important Terms used in Disability Insurance Policies
Here are some common terms and their definitions:
Injury:
Any accidental bodily injury which occurs while this policy is in force.
Sickness:
Any illness or disease first manifested while this policy is in force. It includes complications due to pregnancy or childbirth. It includes normal pregnancy or childbirth after you have been disabled for 90 days.
Waiting Period:
The number of days you must be disabled before your policy will pay you any benefits.
Benefit Period:
The maximum period of time you receive income benefits during a disability claim.
Noncancelable And Guaranteed Renewable to Age 65:
You have the right to continue this policy to age 65 by paying the premium as due.
Until age 65, we shall not:
- Cancel this policy except for nonpayment of premium; nor
- Increase the premium; nor
- Add any restrictions
Conditionally Renewable for Life; Subject to Premium Change:
You may renew this policy on each policy anniversary from age 65 for life, if:
- You are actively working at least 30 hours each week at your usual place of employment; and
- You pay the premium in effect at renewal time for your age at that time; and
- You furnish proof at renewal time of your current income
However, after age 65 you may not renew any riders attached to this policy.
Your Responsibility:
It is your responsibility, at your expense, to submit to us records and statements needed to establish a claim of benefits. These include but are not limited to Internal Revenue records, attending physician’s statements, employment records, etc.
  
Medical Examinations:
We have the right, at our expense, to obtain another medical opinion. We may have you examined by a physician of our choice as often as is reasonably necessary.
Fraud:
In the event this policy is procured by fraud or a claim is made with intent to defraud, this policy will be void. This provision shall control over all other policy provisions.
Incontestability:
After two years from the issue date of this policy, only fraudulent misstatements in the application for this policy may be used to void the policy for loss incurred or disability that starts after the two year period. However, prior to the two year period, we may void your policy if you made material misrepresentations in your application (period varies by state).
Grace Period:
A 31 day Grace Period is allowed for premiums not paid on or before due dates. Coverage will continue in force during the Grace Period.
Pre-Existing Conditions:
No claim for loss incurred or disability that starts after two years from the issue date will be reduced or denied because a disease or physical condition not excluded by name or specific description effective on the date of loss had existed prior to the issue date. As long as pre-existing conditions have been fully disclosed on the application and they are not specifically excluded by amendment, they will be covered.
Activities of Daily Living Rider:
Provides additional benefits if the insured is unable to perform two or more Activities of Daily Living (ADL) without standby assistance or if cognitively impaired. Activities of Daily Living are: dressing, toileting, transferring, continence and eating. If the ADL Benefit Period is to age 65 and the insured becomes ADL disabled prior to age 50, the benefit can pay for life. (Varies by company)
  
Common Exclusions
War
Benefits are not payable for a sickness, injury or disability caused or contributed to by war, declared or undeclared, or any act or incident of war, or as a result of military service when scheduled active duty is more than three months.
Self-Inflicted Injury
Benefits are not payable for sickness, injury or disability resulting from an intentionally self-inflicted injury.
Incarceration
Benefits are not payable during any period you are incarcerated for any reason.
Loss or Suspension of License
Except as a direct result of a sickness or injury, if you are prevented from engaging in your occupation as the result of suspension, revocation, or surrender of your professional or occupational license or certification, benefits are not payable.
  
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Residence (living outside of the United States while disabled)
While you reside outside of the United States or Canada, we will not pay benefits for more than twelve months during the lifetime of this policy.
Note about policies when you are living outside of the United States: Some policies do not specifically state a limit on the benefit period for claims when you reside outside of the United States. All policies do however require that you are under the regular care and treatment of a physician appropriate for the condition causing disability. They also reserve the right to have you examined by a physician of their choice. As such, you would be required to be in the United States to periodically update the claim file and continue to be considered eligible to collect disability benefits during an approved claim. This is the case regardless of the insurance company you choose to purchase a policy from. Some exceptions may be considered on a case by case basis. Managing a disability claim here in the United States while you live abroad is understandably difficult and the accepted medical standards in the United States may be significantly different in other countries.
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