Disability insurance is used to provide income protection in the form of an insurance benefit. If you have disability insurance then you can use it to pay your bills while you are unable to work due to an illness or disability that lasts for a prolonged period of time.
Many factors are used to determine the right type of insurance plan. A big component you’ll need to think through is short vs long term disability insurance, or if you may need both.
In this article we will discuss the differences between these two types of insurance.
Disability insurance can be provided by many employers, by the Federal government, and by purchasing a private policy directly through an insurance broker or carrier.
With both short-term and long-term disability insurance, the amount of disability insurance provided to workers will depend on certain factors such as company/government policies. While the government offers some disability benefits, it’s often hard to get your claim approved, and the amount of benefits is typically very low.
That’s why a private disability insurance policy is something important to consider purchasing.
If you are curious about short term and long term disability insurance differences, in this article you will find out everything you need to know.
So, what is the difference between short-term vs long-term disability insurance?
A General Outlook on Short and Long-Term Disability
A disability can be qualified as short-term if it prevents you from working and carrying out your job for a few weeks or months. However, the disability itself must be diagnosed by a medical or healthcare provider, and you need to show proof that you don’t have a pre-existing condition preventing you from working. A few conditions that can be classified as short-term disability are:
- Recovery from surgery
- Back disorders
- Joint disorders
- Non-work related injury
- Short-term illness
Depending on the policies of an insurance carrier, a few other conditions may also be included or excluded under the short-term disability category, such as drug addiction, and mental health-related conditions.
If a certain condition affects your mental, physical, or emotional health for more than a period of 12 months, it can be classified as a long-term disability.
When it comes to a long-term disability, there might be different classifications for it, all of which are determined by the type of work that an individual does. For instance, a major leg injury may be considered a long-term disability for a construction worker; however, it does not hinder an individual with a desk job from working, so depending on your occupation, you might be able to make legitimate claims on your policy benefits, while others may not.
A few conditions that can be classified as a long-term disability are:
- Chronic pain
- Back pain
- Heart Disease
- Anxiety and Depression
- Parkinson’s Disease
What Is Short-Term Disability Insurance?
Short-term disability insurance is a policy that provides workers with a specific percentage of their income for the time being they are unable to work due to an illness or ailment.
Who Is Eligible?
To be eligible for short-term disability insurance, a healthcare provider or a medical professional needs to determine that an employee is unable to carry out the tasks required in their job due to a disability. Instances where an employee may be pregnant, recovering from surgery, or dealing with chronic painwill allow them to be eligible for receiving benefit proceeds from short-term disability insurance.
Injuries as a result of workplace tasks, or injuries that occur on the job are different. In situations like this, an employee will not be compensated through short-term disability insurance that’s offered by their employer. In cases like this, most employers are required to provide their employees with workers’ compensation according to state laws and company policies. Pre-existing conditions, such as previously diagnosed mental health conditions might also be excluded when it comes to short-term disability insurance.
The Covering Period
The amount of time that employees are compensated through short-term disability insurance varies from company to company. Typically, a worker will be compensated for 3 to 6 months, or up to a year, depending on the policy.
As mentioned above, when it comes to disability insurance that’s offered by an employer as part of an employee’s benefits, there is no fixed amount of income that will be compensated to an employee under the short-term disability insurance program. Instead, a specific percentage of their income will be provided to them, for a specific amount of time (usually less than a year).
For short-term disability plans, there is usually a waiting period of up to 7 days, but typically no longer than 7 days, where during that time employees are educated on how to make the best use of these benefits, and of course they will be strongly advised against abusing these benefits. Usually, 60-70% of an employee’s income is provided to them under a short-term disability program. Various other benefits such as health benefits or sick leave may also be added to this percentage of income, all while making sure that the amount of benefits provided to the employee does not exceed their total income for a month. Again, the details of the specifics will vary among insurance carriers and plans.
There are some states where employers are required to offer short-term disability plans to their employees, namely: New York, California, Rhode Island, New Jersey, and Hawaii. However, some employer offered plans may not be enough coverage to offset your expenses in case you suffer a disability, so you should do some research and see if you need a private, individual policy. Employers in other states may offer short-term disability plans to their employees if they wish to.
Typically, a short-term disability plan includes the following features:
- The amount of benefit received: This is the amount that you receive, which won’t be your entire income, but a percentage of it (around 50-80%). Some short-term disability plans may have additional benefits, with the number of benefits being a higher percentage in the first few months (e.g. 80% in the first three months) and then slowly decreasing in the following months (e.g. 70% or 60% in the remaining months).
- Premium amount: This will be the amount you pay on a monthly basis to your insurance provider.
- Elimination period: The elimination period, usually between 7-14 days, is the amount of time you have to wait before you can start receiving benefits from their short-term Disability program.
- Benefit period: This is the period during which you will be receiving your benefits. Typically, a benefit period lasts no more than a year for short-term Disability Insurance.
What Is Long-Term Disability Insurance?
Long-term disability insurance is designed to offer benefits for a longer period, and benefit periods are normally the following timeframes in years: 5, 10, 20, and can also be up till the age at which you retire. The number of years you will receive long-term disability plans depends on your plan.
Who Is Eligible?
To be eligible to utilize the benefits associated with a long-term disability policy, you must be unable to fulfill the job requirements of your specific role where you work.
As examples, an injury that lasts for more than 26 weeks, cancer treatments, and chronic pain are a few conditions that may also qualify for benefits eligibility for long-term disability insurance.
The Coverage Period
The amount of time that employees are compensated through long-term disability insurance plans varies from company to company. Typically, a worker will be compensated for 5 to 10 years, or more. An employee can also be compensated up until their retirement age, depending on the insurance policy that they acquire.
Permanently disabled individuals may get long-term disability insurance until their typical retirement age or until they become eligible for Social Security disability benefits, while some programs offer greater restricted income replacement benefits, such as for up to 24 or 36 months. When available, paid LTD income benefits are combined with income from other sources.
Employees of companies that offer a long-term disability policy will be qualified for long-term disability insurance after a waiting period (usually of 3 to 6 months). It is also reported that a large number of employers pay the whole amount for LTD insurance coverage, with more than seven out of ten businesses (72%) saying they provide a group long-term disability plan to their workers. However, it’s important to understand what is covered and details of the terms, as it might still not be enough depending on your situation.
Just like with short-term disability, long-term disability also does not offer job protection to its employees. If an employee takes a leave of absences from work and needs to access disability benefits, then they may or may not be able to have their job back when they are able to work again.
Whether an employee can retain their job will be completely dependent upon the practices of their employer, and their company policies. So even if you have some form of disability insurance from your employer, you may eventually lose your job and then receive the associated disability benefits. That’s why it’s important to have a private disability insurance policy so you can make sure that even if you do lose your job you will have coverage if you are experiencing a disability.
Here are the key features of a long-term disability Insurance plan:
- The amount of benefit received: This will typically be 50-80% of your pre-disability earnings. There might be a few additional benefits that you can receive with long-term disability insurance, however, the amount of benefits received by an employee will not be more than 100% of their basic salary.
- Premium amount: The premium amount is the amount paid by either yourself or your employer to your insurance provider, depending on whether you have a private policy or one offered by your employer.
- Elimination period: The elimination period, usually 90-180 days, is the amount of time you have to wait before you can start receiving benefits from your long-term disability program.
- Benefit period: This is the period during which you will be receiving your benefits. Typically, a benefit period lasts for 2, 5, or 10 years. In the case of long-term disability insurance, you can also receive benefits up to the retirement age.
What Is the Difference Between Short-Term and Long-Term Disability Insurance?
The main factor that sets apart short-term and long-term disability insurance is the benefit period. However, there are a few other key differences between short vs long-term disability insurance differences.
Long-term, as well as short-term disability insurance both provide you some options in terms of the amount of coverage you can get, but short-term disability often covers a higher percentage of your income—up to 70% in some cases. Long-term disability gives benefits that are typically 50-80% of your income, but for a longer period.
The eligibility criteria for the two types of disability insurance differ as well. When it comes to short-term disability insurance, you are only qualified to receive it if you have an ailment that will prevent you from working for less than a year. Whereas for long-term disability insurance, you are required to have a condition that will prevent you from doing any type of work at all.
Short-term disability insurance pays benefits within a few weeks after qualifying for an illness or accident, whereas long-term disability insurance has a lengthier waiting time. Regardless of length of time to wait, this waiting period is known as an “elimination period,” before an employee receives compensation. The length of the elimination period varies depending on the policy, however, it is usually approximately 90-180 days.
Do I Need Both?
Short-term and long-term disability plans are meant to complement each other. Short-term disability insurance is supposed to accommodate you instantly after a major sickness or accident, while long-term disability insurance is designed to keep you covered past the end of your short-term disability benefit period, possibly even until retirement, based on your insurance plan. If you have both of these policies, short-term disability will reimburse your income while you wait for your long-term disability coverage to start, at which point you’ll switch from one policy to the other to get benefits. So, yes, its a good idea to have both.
How To Get Disability Insurance?
Some employees are often offered short-term disability insurance plans as a part of a group plan by many firms. Most employers cover the entire cost for their employees. Some employers are required to provide this insurance coverage by law in a few states.
If you are unable to acquire short-term disability coverage through your workplace or another group, you can purchase an individual short-term disability policy for yourself. You can get in touch with an insurance broker or carrier directly that provides this type of coverage.
Group insurance policies, which is what is typically associated with employer provided policies, are a guaranteed issue, which means you will be covered without having to go through underwriting. Individually offered short-term disability plans are occasionally guaranteed issuance as well.
Most short-term insurance policies offered directly to individuals, through private purchase, on the other hand, will ask applicants to answer a few health-related questions. These questions are to check whether you are presently being treated for any pre-existing ailments, or whether you have been treated for any such conditions in the past. If this is the case, you may be denied coverage or have your benefits curtailed.
In some form, all long-term disability insurance policies are backed by an insurance company. There are, however, a variety of approaches you can take.
Signing up for group coverage, for example, is a frequent method. The most typical way to do this is through an employer. Unions and industry organizations can also help you locate group coverage.
As a workplace benefit, several firms provide group disability insurance to their employees. Employers frequently pay a portion, if not all, of the premium cost. Another alternative is to purchase your insurance coverage.
Where Can I Find Out More and Get Advice on Short vs Long-Term Disability Insurance?
Before making a huge decision like buying disability insurance, it’s critical to do your homework and carry out some research so you can decide on the best possible policy that fits your specific needs. On the Internet, you may find a plethora of disability insurance advisors; nevertheless, selecting the proper one is yet another difficult task.
At Policy Solver we are in the business to help you find the best private disability insurance policy that suits your needs. We are licensed and shop the market for you, both saving you time and money.
Policy Solver’s Services
Policy solver has knowledgeable, licensed agents, and is here to help you navigate through your disability insurance journey. We are a team of professional insurance policy brokers and we can save you time and money, while finding the right policy for your specific needs.
Our experienced advisors will ask you a few questions to understand your unique situation and will come up with a comprehensive analysis of different insurance plans so they will be able to recommend the best policy at the best price for you.
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