How long will you need to bridge the gap?© Volodymyr Shevchuk/stock.adobe.com, © Nomad_Soul/stock.adobe.com, © olyasolodenko/stock.adobe.com, © primestockphotograpy/stock.adobe.com; Photo illustration Encyclopædia Britannica, IncAn injury or illness can upend your life in an instant. If it keeps you from working, your bills, rent, and everyday expenses still need to be paid. Disability insurance helps fill that gap by replacing some of your income when you can’t work. But not all coverage works the same way. Understanding disability insurance types and their differences can help you figure out what kind of protection you need and whether it’s enough.
Types of disability insurance, explainedDisability insurance varies by how long benefits last, how much of your income is replaced, and whether the coverage comes from your employer, the government, or a private policy. Knowing the differences between short-term and long-term as well as group and individual disability policies can help you make better choices to protect your income if you can’t work.
Beyond private coverage, Social Security Disability Insurance (SSDI) is a government-run option with limited benefits and strict requirements, while workers’ compensation, funded by employers, covers only job-related injuries or illnesses.
Short-term vs. long-term disability insuranceShort-term and long-term disability insurance are designed to replace income during a period when you can’t work, but they differ in how long benefits last.
Short-term disability typically pays benefits for three to six months, although some policies extend up to a year. The waiting period before benefits begin is usually 14 to 30 days, but some policies offer shorter delays.Long-term disability can provide benefits for several years or until retirement age, depending on the policy. To continue receiving payments, you’ll usually need to submit ongoing medical documentation showing you’re unable to work.Both short-term and long-term disability insurance are designed to replace income if you’re too injured or ill to work. In some cases—especially with short-term disability—you might be able to self-insure by relying on personal savings, such as an emergency fund, instead of an insurance policy. But a policy is one way to preserve your rainy-day funds.
Group vs. individual disability insuranceDisability insurance is offered through both group policies and individual policies. Group policies are typically available through your employer and may offer lower premiums, especially if your company covers a portion of the cost. Group policies usually cost less, but they may also cap benefits at a percentage of your salary or a set dollar amount, potentially leaving you underinsured.
If the coverage you get through work isn’t enough, you can supplement it with an individual policy. For example, suppose you earn $85,000 a year and your employer’s long-term disability plan pays 60% of your salary—that’s $4,250 a month. If your monthly expenses total $6,000, you’d be left with a significant gap. An individual policy could help make up the difference.
Individual policies are also portable—meaning they stay with you if you change jobs—unlike most group plans, which typically end when your employment does.
What to know about Social Security Disability Insurance (SSDI)The federal government provides disability insurance through the Social Security program. If you’re eligible for long-term disability, you might qualify for SSDI, but unlike other types of disability insurance, you can’t choose your level of benefits. A monthly cap of $967 for individuals and $1,450 for couples applies.
To qualify, your disability must be expected to last at least 12 months or result in death. Approval can take up to six months, and benefits don’t begin until five months after you’ve been approved.
Private disability insurance, whether from a group policy through your employer or your own individual policy, typically has fewer restrictions and can provide higher benefits tailored to your needs.
How workers’ comp differs from disability insuranceWorkers’ compensation is insurance that employers pay for to cover job-related injuries and illnesses, and it’s required in most states. If you’re hurt or become ill on the job, workers’ comp covers your medical care, and in many cases, part of your lost wages. To qualify, the injury or illness must be directly related to your employment, and treatment may be limited to approved providers.
In most states, payments are equal to about two-thirds of your salary and aren’t taxed. But benefits may last only for a set time. For example, some states stop payments after 400 weeks—about 7½ years—even if you’re still unable to work. If your disability is long-lasting or permanent, applying for SSDI may be your next step.
Just as with employer-sponsored coverage or SSDI, a personal long-term disability policy can help fill the gap if your workers’ comp benefits aren’t enough.
The bottom lineAn injury or illness can keep you from working for weeks, months, years, or even permanently. Disability insurance replaces a portion of your income so you can continue to pay bills and afford other essential expenses. And you have options. It’s possible to have multiple policies, including short-term and long-term disability, or to supplement an employer’s group plan with an individual policy. To determine what’s best for your financial situation, think about how long you could manage your expenses without a paycheck, what coverage you already have, and whether it would be enough if you couldn’t work.
ReferencesSocial Security Disability Insurance | ssa.govLong-Term Disability Insurance Benefits | patientadvocate.orgShort-Term Disability Insurance Benefits | patientadvocate.org