Disability
Insurance
Throughout much of a business operator's life, the chances
that he or she will become disabled are greater than the
likelihood of death. However, many more people have life
insurance policies than have disability policies.
Unlike a life insurance policy, which is primarily designed
to provide a lump sum payment in the even of death, a disability
policy provides income to an individual who becomes disabled
because of an accident or illness. There are many kinds of
disability policies, which differ on how liberally or
restrictively they define disability, how much periodic income
they pay, how long you have to wait (called the
"elimination period") for payments to begin, and how
long payments will go on.
How you should plan to meet the threat of disability depends
on how you answer the following question: If you become
disabled (whether permanently or not), could family members or
others keep the business running (even at reduced profits) until
you return?
If the answer is yes. Since you believe that your
business can be continued by others after your disability,
chances are that the business does not require your constant
personal supervision or specialized skills or knowledge that
only you possess. However, it's unlikely that whoever runs it
for you in the interim will be able to turn the same profit you
did. Income from a disability policy could help make up the
difference for you.
Because you foresee the business continuing during your
disability, another type of disability policy could be a good
idea — disability overhead insurance. Upon the owner's
disability, such a policy pays out a portion of the business's
fixed (overhead) expenses. In this way, the business may have a
better chance to survive a period of decreased profits until the
owner returns.
If the answer is no. If you believe that your business
can't be operated by family members or others while you are
disabled, it's probably true that your business depends on your
constant supervision, or specialized skills or knowledge that
only you have. Because this is true, there's no need for
disability overhead insurance, which upon the owner's
disability, pays out a portion of the business's fixed
(overhead) expenses. But the fact that you don't expect your
business to survive the period of your disability means that you
probably have a greater need for disability insurance than if
the business continued.
Disability policy provisions. If you are considering
the purchase of a disability policy, you should note that such
policies may differ in several different ways:
- When do the benefits start? Do benefits begin at the onset
of disability or is there a waiting period? Common
elimination periods include 30, 90, or 180 days. A lengthy
waiting period gives no protection for short-term
disability.
- How is disability defined? Older policies paid full
benefits for the inability to perform the exact duties
performed before the disability, but no benefits if the
disability permitted some gainful employment. Newer policies
may grade benefits with the job function permitted by the
disability.
- Is there a monetary limitation on payments? State law may
impose such a limit. No matter what the owner earns or how
the policy is phrased, an insurance company may not pay out
more than the maximum permitted by law. For example, a
business owner who earns $150,000 per year has a policy that
promises to pay 80 percent of the pre-disability salary in
the event of permanent and total disability. If state law
sets a $100,000 limit on such payments, that is all that
will be paid to the owner, even though it appears that the
policy will pay $120,000 ($150,000 x 80 percent). In such
instances, the owner has "overpaid" premiums,
since he or she did not receive the full amount contracted
for under the policy. (A good insurance agent will alert you
to this possibility regarding your own state, but if you
move to a new state, check with a local agent to see whether
your existing policy will conflict with your new state's
laws.)
- Will multiple policies generate multiple benefits? State
law may also affect whether benefits are cumulative. If they
are, there's no use in carrying multiple policies. For
instance, an owner has three separate disability policies,
each one providing a benefit of $100,000. If state law
requires that benefits be cumulative and if there is a
$100,000 limit, each insurer will contribute 1/3 of the
$100,000. Thus, even though the owner paid for three
separate $100,000 policies, he or she actually gets the
benefits as if only one of these policies was purchased.
For more information, see our discussion of disability
insurance in the context of employee benefits.
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