This too shall pass.© thongchuea/stock.adobe.com, © Prostock-studio/stock.adobe.com; Photo illustration Encyclopædia Britannica, IncIf you can’t work, you aren’t bringing in the income you need to pay your bills and buy groceries. For many workers, even a short period without a paycheck can be financially devastating. Short-term disability insurance helps bridge that gap by replacing a portion of your earnings when you can’t work but expect to return to your job within a few weeks or months.
Whether you’re recovering from surgery, dealing with a temporary illness, or taking time off for pregnancy, short-term disability benefits can provide financial support. Although many policies are offered through employers, you can purchase coverage on your own. Understanding how these policies work, what they cover, and how much they pay can help you decide if a policy is right for you.
What is short-term disability insurance?Short-term disability insurance provides income replacement when you can’t work because of an illness or injury. Short-term disability usually pays weekly benefits of up to 70% of your income for three to six months, although some policies extend payments for up to a year. Before receiving benefits, an “elimination” (waiting) period is often required; this typically lasts 14 days, although it can vary by policy.
Generally, when you have a short-term disability, you aren’t eligible for Social Security disability benefits. Short-term disability also differs from workers’ compensation, which covers work-related illnesses and injuries. If your impairment or sickness lasts beyond a few months, long-term disability insurance may provide extended coverage once short-term benefits run out.
Short-term disability also differs from the Family and Medical Leave Act (FMLA), which allows eligible workers to take unpaid leave for their own serious health condition or to care for a child or other family member. Although the FMLA protects your job when you’re unable to work, it doesn’t guarantee income replacement.
What conditions qualify for short-term disability?Most short-term disability policies cover medical conditions that temporarily prevent you from doing your job. Injuries from an accident, recovery from surgery, and contagious illnesses—the flu, for example—that require time off are typically covered.
Pregnancy. If you need to go on bed rest or have a pregnancy-related medical condition, you may be eligible for benefits. Policies vary, though. Pregnancy is sometimes considered a preexisting condition if you weren’t enrolled before becoming pregnant, which could affect your claim.Mental health conditions. Depending on the nature of the mental health issue, short-term disability may cover time off for issues such as depression and anxiety. These claims typically require more documentation than other medical conditions.Not all situations qualify for short-term disability benefits, even if you have a medical condition or injury. Claims are often denied in cases involving:
Intentional self-inflicted injuries (also known as self-harm)Injuries caused by illegal substance use, criminal activity, or participation in a protestTime off for a cosmetic procedure that isn’t medically necessaryA medical professional typically needs to verify your condition and confirm that you’ll be able to return to work after recovery to qualify for benefits.
Cost of short-term disability insuranceSeveral factors influence the cost of your short-term disability insurance premiums. As a general rule, premiums range from 1% to 3% of your annual salary.
Personal factors. Your age, gender, and health all affect your premium cost. Your occupation also plays a role. High-risk jobs, such as construction work, often come with higher costs than low-risk office jobs.Income level. If you earn a higher salary, your premiums may be higher, since benefit payouts are based on income.Benefits percentage. Choosing a policy that replaces 70% of your income costs more than one that replaces 50%.Elimination period. The standard waiting time for benefits to begin is 14 days. Choosing a shorter waiting period, such as 7 days, increases premiums, while opting for a long period like 21 or 30 days results in lower costs.Benefit period. A policy that only pays out for three months costs less than one that provides benefits for six months or up to a year.Are short-term disability benefits taxable? The Internal Revenue Service (IRS) determines whether short-term disability benefits are taxable based on how the premiums are paid:
Employer-paid premiums. Benefits are fully taxable, whether premiums are paid directly by the employer or through a cafeteria plan with pre-tax dollars, since the IRS considers those to be employer paid.Individually paid premiums (after-tax dollars). Benefits are nontaxable.Shared employer/employee contributions. A portion of the benefits is taxable.How to apply for short-term disability insuranceDepending on where you live, you may have access to a state-mandated short-term disability program. California, Hawaii, Rhode Island, New Jersey, New York, and Puerto Rico require employer participation or contributions to provide partial wage replacement for qualifying medical conditions. Benefit amounts, eligibility rules, and durations vary. If you live in one of these locations, review program details to see how you qualify and what benefits you could receive.
Even if your state doesn’t offer a disability program, your employer may provide short-term disability coverage as part of its benefits package. Review the details, including the elimination period and coverage limits, to see if it meets your needs.
If your employer’s plan doesn’t provide enough coverage, an individual policy can be purchased separately. Numerous insurers offer short-term disability policies, including Aflac, Mutual of Omaha, and The Hartford. Compare quotes from multiple insurers—at least three—to find a policy that fits your budget and coverage needs.
The bottom lineShort-term disability insurance can be a financial safety net when you’re unable to work because of an injury, illness, or pregnancy. By paying a relatively modest monthly premium, you can replace a portion of your income and avoid depleting your emergency fund.
Whether short-term disability insurance is worth the cost depends on your financial situation. If you have at least six months’ worth of savings, you might not need additional coverage. But if losing even a few weeks of pay would put you in a difficult financial position, having a policy can provide crucial support while you recover.
Specific companies and services mentioned in this article are for educational purposes only and do not constitute an endorsement.