By Ginger Applegarth
Ask any financial planner or insurance agent what risk could be called "the forgotten risk," and, chances are, the answer will be disability. Their clients often come in the door questioning whether they have too little, too much or the right kind of life insurance, but rarely have they thought about how they could survive financially with no earned income.
In reality, disability insurance is as important as (and in some cases, even more
important than) life insurance. At any given age, the odds of becoming disabled are much higher than the odds of dying. Every year, 12% of the adult U.S. population suffers a long-term disability. One out of every seven workers will suffer a five-year or longer period of disability before age 65, and if you're 35 now, your chances of experiencing a three-month or longer disability before you reach age 65 are 50%, according to the National Association of Insurance Commissioners (NAIC). If you're 45, the figure is 44%. These odds would not be a problem if people had substantial savings that could be drawn on in the event of a disability. But that's rarely the case, and any money that has been set aside has likely been earmarked for goals such as college or retirement. In a 2007 NAIC survey, 56% of adults said they would be unable to meet their expenses if they couldn't work for a year.
Disability is called a living death for good reason. First, suffering a disability would be a catastrophic event for you, your family, your friends and your co-workers. It would create enormous emotional pressures for the family because your role would change and you would have physical needs to be met. There would be enormous financial pressures that would exacerbate those emotional pressures. You would witness firsthand the impact that your disability planning -- good
or bad -- would have on you and your family.
To complicate matters, fewer employers offer disability insurance than life insurance, and it's much harder to qualify for individual disability coverage than for individual life insurance. The bottom line is that if you're working and you need your income to live, you need disability insurance.
When you apply for disability insurance, the insurance company will tell you if you
have too much money to qualify for coverage. That's because, unlike life insurance,
you can't buy all the disability insurance you may need. Usually, you can get a
maximum of 60% of your monthly earned income before taxes. (Unearned or
investment income does not qualify, because it presumably continues even if you are
disabled.) The limit is in place so as not to deter people from returning to work.
If you are working, you may already have some disability insurance, even if you
haven't thought of it that way. It's called Social Security. Social Security provides disability income as well as retirement income. However, it's very difficult to qualify for the benefits. More than 80% of the applicants fail the first time around. Some hire lawyers to help in the appeals process.
You can get an estimate of your Social Security disability benefits online. Just as with retirement benefits, your disability income is dependent upon your "covered
earnings," or the amount on which you are taxed for Social Security. Because they're
so hard to come by, don't count on the benefits when you evaluate your disability
income needs.
The second kind of disability insurance you may already have is workers'
compensation. Many employers are required to provide this coverage, although the
amount and duration of monthly benefits varies by state. This kicks in if your disability is job-related. Payments typically last for a few years and tend to be low. Just as with Social Security disability payments, it's wise to think of workers' compensation as a nice "extra" if you qualify, but don't count on it.
Insurance is always complicated, and disability is no exception. There are all kinds of disability policies and permutations. However, the basics are simple. The first variable is the amount of monthly benefit. Most disability policies have a fixed monthly benefit that does not increase with time. You can purchase extra coverage, or riders, that offer higher payment schedules.
The second variable is the definition of disability -- whether it is "own occupation" (the inability to perform the duties of your specific occupation) or "any occupation" (the inability to perform the duties of any job for which your education and training make you qualified).
The third variable is the waiting period, or the amount of time you must be disabled
before benefits kick in. These waiting periods can range from one week to two years.
The longer you wait, the less your disability policy will cost.
The fourth variable is the benefit period, or how long you will receive monthly benefits once your policy starts paying. The benefit period can range from six months to life, depending on what you choose and what your insurance company is willing to offer you.
In addition to these variables, there are other coverage options, as well as a variety of riders. The most important is a rider that pays if you can return to work only part time. The Social Security offset rider guarantees that if you qualify for disability payments under your insurance policy but not for Social Security (a frequent occurrence), your disability policy will pay what Social Security should have.
You may also want to consider the additional-purchase option, which guarantees you
the right to buy additional disability insurance in the future, regardless of your health at that time.
So, you've decided to evaluate your disability-insurance needs. The first place to check is with your employer. Just like other types of insurance, group coverage is much less expensive than individual policies. Your employer may pick up part or all of your disability premium.
When you check out your employer's coverage, keep these rules in mind: If it doesn't
cover at least 60% of your income, doesn't pay benefits to age 65 and has a waiting
period longer than your savings can last, you need to look into private insurance as
well. Individual disability policies are not cheap, but you can't afford not to have them if you need them.
Tuesday, October 12, 2010
Wednesday, October 6, 2010
What's most likely to bankrupt you?
Harvard researchers say 62% of all personal bankruptcies in the US in 2007 were caused by health problems -- and 78% of those filers had insurance.
[Related content: insurance, health insurance, bankruptcy, health care, bills]
By BusinessWeek
Medical problems caused 62% of all personal bankruptcies filed in the U.S. in 2007, according to a study by Harvard researchers. And in a finding that surprised even the researchers, 78% of those filers had medical insurance at the start of their illnesses, including 60.3% who had private coverage, not Medicare or Medicaid.
Medically related bankruptcies have been rising steadily for decades. In 1981, only 8% of families filing for bankruptcy cited a serious medical problem as the reason, while a 2001 study of bankruptcies in five states by the same researchers found that illness or medical bills contributed to 50% of all filings.
This newest, nationwide study, conducted before the start of the current recession by Drs. David Himmelstein and Steffie Woolhandler of Harvard Medical School, Elizabeth Warren of Harvard Law School and Deborah Thorne, a sociology professor at Ohio University, found that the filers were for the most part solidly middle class before medical disaster hit. Two-thirds owned their homes, and three-fifths had gone to college.
But medically bankrupt families with private insurance reported average out-of-pocket medical bills of $17,749, while the uninsured's bills averaged $26,971. Of the families that started out with insurance but lost it during the course of illnesses, medical bills averaged $22,658.
"For middle-class Americans, health insurance offers little protection. Most of us have policies with so many loopholes, co-payments and deductibles that illness can put you in the poorhouse," said lead author Himmelstein. "Unless you're Warren Buffett, your family is just one serious illness away from bankruptcy."
The study underscores President Barack Obama's arguments in calling for health care reform legislation this year. In a recent letter to Democratic Senate leaders, the president said: "Health care reform is not a luxury. It's a necessity we cannot defer. Soaring health care costs make our current course unsustainable. It is unsustainable for our families, whose spiraling premiums and out-of-pocket expenses are pushing them into bankruptcy and forcing them to go without the checkups and prescriptions they need."
The study was funded by the Robert Wood Johnson Foundation and published online by The American Journal of Medicine. It will appear in the Journal's August print edition. The researchers examined the court records of a random sample of 2,314 bankruptcy filings across the nation during early 2007 and contacted those filers for written explanations. The researchers then followed up with extensive phone interviews of 1,032 of those filers.
They found that a number of medical factors contributed to a family's financial disaster. More than 90% of medically related bankruptcies were caused by high medical bills directly or medical costs that were so high the family was forced to mortgage their home. The remaining 8% went bankrupt because a medical problem caused them to lose income.
The authors were not able to track credit card defaults caused by medical bills, but a 2007 study found that, of low- and middle-income households with credit card debt, 29% used their plastic to pay off medical expenses.
Individuals with diabetes, one of the most common chronic diseases in the U.S., and those with neurological illnesses such as multiple sclerosis had the highest costs, an average of $26,971 and $34,167, respectively. Hospital bills were the largest single expense for half of all medically bankrupt families.
Woolhandler, an advocate of a single-payer health care system, said lawmakers in Washington should reconsider health care reform in light of the study.
"Covering the uninsured isn't enough," she said. "Reform also needs to help families who already have insurance by upgrading their coverage and assuring that they never lose it."
This article was reported by Catherine Arnst for BusinessWeek.
Published July 15, 2009
[Related content: insurance, health insurance, bankruptcy, health care, bills]
By BusinessWeek
Medical problems caused 62% of all personal bankruptcies filed in the U.S. in 2007, according to a study by Harvard researchers. And in a finding that surprised even the researchers, 78% of those filers had medical insurance at the start of their illnesses, including 60.3% who had private coverage, not Medicare or Medicaid.
Medically related bankruptcies have been rising steadily for decades. In 1981, only 8% of families filing for bankruptcy cited a serious medical problem as the reason, while a 2001 study of bankruptcies in five states by the same researchers found that illness or medical bills contributed to 50% of all filings.
This newest, nationwide study, conducted before the start of the current recession by Drs. David Himmelstein and Steffie Woolhandler of Harvard Medical School, Elizabeth Warren of Harvard Law School and Deborah Thorne, a sociology professor at Ohio University, found that the filers were for the most part solidly middle class before medical disaster hit. Two-thirds owned their homes, and three-fifths had gone to college.
But medically bankrupt families with private insurance reported average out-of-pocket medical bills of $17,749, while the uninsured's bills averaged $26,971. Of the families that started out with insurance but lost it during the course of illnesses, medical bills averaged $22,658.
"For middle-class Americans, health insurance offers little protection. Most of us have policies with so many loopholes, co-payments and deductibles that illness can put you in the poorhouse," said lead author Himmelstein. "Unless you're Warren Buffett, your family is just one serious illness away from bankruptcy."
The study underscores President Barack Obama's arguments in calling for health care reform legislation this year. In a recent letter to Democratic Senate leaders, the president said: "Health care reform is not a luxury. It's a necessity we cannot defer. Soaring health care costs make our current course unsustainable. It is unsustainable for our families, whose spiraling premiums and out-of-pocket expenses are pushing them into bankruptcy and forcing them to go without the checkups and prescriptions they need."
The study was funded by the Robert Wood Johnson Foundation and published online by The American Journal of Medicine. It will appear in the Journal's August print edition. The researchers examined the court records of a random sample of 2,314 bankruptcy filings across the nation during early 2007 and contacted those filers for written explanations. The researchers then followed up with extensive phone interviews of 1,032 of those filers.
They found that a number of medical factors contributed to a family's financial disaster. More than 90% of medically related bankruptcies were caused by high medical bills directly or medical costs that were so high the family was forced to mortgage their home. The remaining 8% went bankrupt because a medical problem caused them to lose income.
The authors were not able to track credit card defaults caused by medical bills, but a 2007 study found that, of low- and middle-income households with credit card debt, 29% used their plastic to pay off medical expenses.
Individuals with diabetes, one of the most common chronic diseases in the U.S., and those with neurological illnesses such as multiple sclerosis had the highest costs, an average of $26,971 and $34,167, respectively. Hospital bills were the largest single expense for half of all medically bankrupt families.
Woolhandler, an advocate of a single-payer health care system, said lawmakers in Washington should reconsider health care reform in light of the study.
"Covering the uninsured isn't enough," she said. "Reform also needs to help families who already have insurance by upgrading their coverage and assuring that they never lose it."
This article was reported by Catherine Arnst for BusinessWeek.
Published July 15, 2009
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