The Plus Group

An employer paid Group Long Term Disability plan is a great benefit for the employees. However, a recent disability claim situation revealed that an individual disability policy was required to provide an adequate level of income and prevent a financial disaster.

A producer called to make sure that he did not have the same problem as of his brother. The producer's brother was totally disabled as a result of cancer. He qualified for his group long term disability benefit, but the dollar amount was lower than anticipated. He was expecting 60% of total compensation benefit, but received a lower benefit. His bonus income was not covered under the definition of covered earnings. Panic started to sink in when he also learned he was going to lose an estimated amount of 25% of his benefit to taxes. His treatment required that he and his wife travel to his treatment center. These travel and related expenses were expensive and totally unexpected. The end result was financial disaster. Just as importantly, instead of focusing on getting better, his focus was on money problems.

Both the producer and his brother thought that a Group LTD plan was sufficient, but they quickly learned that a Group LTD plan is only a start to fully protecting the risk of a disability. The producer's agency had an employer paid Group LTD plan. After reviewing his benefit booklet, he learned that his full income was not covered under the Group LTD plan. His $50,000 salary was covered, but his $50,000 commission income, was not covered by the Group LTD plan. His taxable Group LTD monthly benefit was $2,500. After taxes, he estimated his actual benefit would be $1,875 or 22.5% of his income.

The producer could purchase a supplemental individual disability policy with a tax free monthly benefit of $3,737. When combined with his Group LTD benefit, his gross monthly benefit is $6,237 or 75% of income, with an estimated after tax benefit of $5,612 or 67% of income.

The producer was relieved that he now could secure and maintain his lifestyle in case of a disability. He was still concerned that he was not prepared financially should he have a similar condition as his brother. The Critical Illness product could offer the solution for this specific need. A $50,000 policy would pay upon the diagnosis of a covered condition. This amount, representing 6 months income, would be used to fill the gap before his disability benefits would be payable and provide the needed cash for travel and other related expenses.