What You Need to Know About Group Disability Insurance

What You Need to Know About Group Disability Insurance

While employer provided disability insurance is a great first layer of income protection, there are some important drawbacks to be aware of.

Here is an overview of the pros and cons of group disability insurance:

Benefits of group disability insurance:

1. It’s easy to get – All you have to do to qualify for a plan is fill out a form and check a few boxes. That’s it. No underwriting. No medical exam.
2. It’s cheap – Many employers pick up the cost for group coverage, but even if you have to pay for it yourself, the premiums are a fraction of what an individual policy would cost.
3. You can’t be turned down because of your health – You don’t have to qualify medically to get it. They offer the coverage to everyone in the group without a medical exam and regardless of your medical condition.

Drawbacks to group disability insurance:

1. Group disability plans usually payout a fraction of your actual income – Group benefits are reduced by “offsets”: An offset is any income you receive from another source while on claim (Social Security, Workers Comp, income from a new job, etc.). Offsets reduce the monthly benefit the insurance company pays to you. It is not uncommon for group disability benefits to be reduced by more than 50%.
2. Group disability plans often have a restrictive definition of disability – To qualify as disabled, you may have to be unable to do ANY job to receive benefits. This means that even though you trained your entire life to become a doctor, the insurance company may determine that you can teach or do consults (or anything else) and deny your disability benefits altogether.
3. Group disability plans are not portable – This could pose a problem if at some point in the future you choose to work for a different company that doesn’t offer group coverage. If you’ve had a health change you might be unable to qualify for another disability plan. Owning your benefits through individual disability insurance provides you with more flexibility and security.
4.  Your employer or the insurance company can change or cancel your coverage at anytime – Nothing is guaranteed with group disability insurance. Your employer or the insurance company can change the benefits, policy definitions, or cancel the coverage altogether. You have no control with group disability insurance. 
5. Group disability plans limit your legal rights –Group carriers are protected by an employment law called ERISA (employee retirement income security act) that shields them from most lawsuits. The downside is that if your claim is unfairly denied, you have little recourse to contest the decision.

For more on group disability, check out this video by Ben Glass. He is an attorney specializing in helping disabled people collect on their employer’s group disability plans. It’s called “Robbery Without a Gun”