QUESTION. I kept hearing that I should buy some disability insurance, so I got a quote on a policy that will cost $500 per month for a $10,000 per month benefit. That seems really expensive. My employer offers a group policy, and it is a lot cheaper. Is this disability insurance policy too expensive? I want the coverage, but I don’t want to be ripped off.
Explore This IssueACEP Now: Vol 33 – No 11 – November 2014
ANSWER. Unlike term life insurance, which can be ridiculously simple to evaluate and purchase, disability insurance is a very complex financial product. This is primarily because deciding if someone is dead is a rather black-and-white process compared to evaluating a disability, where there are at least 50 shades of gray. The contracts are necessarily complex because disabilities are complex and often temporary. Disability policies also tend to be more expensive than a term life policy primarily because a young, working physician is far more likely to become disabled than to die. Term life insurance is only necessary if you have someone else depending on your income, but nearly every physician who is not yet financially independent should have disability coverage.
I hear variants on this question frequently from physicians. This is not only a result of the sticker shock most doctors get when they first obtain a quote on a solid individual disability policy but also because these physicians have not followed the appropriate process in purchasing their policy. It is impossible for me to say if this particular policy is too expensive for you, but I can describe the process to follow so you can find out for yourself if you’re paying too much. There are five steps involved in this process.
You should purchase an amount that will provide for your expenses, not necessarily replace any particular percentage of your income.
Figure out how much income you want in the event of disability, realizing that it will cost real money to protect this income (about 2–5 percent for docs in their early 30s, or up to $500 a month to provide a $10,000 a month benefit). You are usually limited to a maximum of 60–70 percent of your current gross income. However, because this benefit, at least for non-employer-provided policies, is tax-free [unless you write off the premium cost as an expense, making the proceeds taxable], that is usually plenty of coverage and sometimes far more than is needed. You should purchase an amount that will provide for your expenses, not necessarily replace any particular percentage of your income.
A disability policy cannot be legally purchased without the assistance of an agent (and indirectly paying a commission for that assistance), so you might as well get the maximum value out of that commission. Use an independent disability insurance expert who can sell policies from any of the “Big Six” companies: Berkshire, The Standard, Principal, Ameritas, MassMutual, and MetLife. You also want an experienced full-time agent. This means someone with years of experience who has sold at least 30 policies to physicians in the last year. Another benefit of that experience is that these agents are aware of and have access to significant “multi-life” discounts that a less experienced agent may not.
Find out if you are eligible for any group policies through your employer or specialty society. Get copies of sample contracts and quotes, and take them with you to your meeting with the independent agent.
Have the independent agent pull the best policies for your specialty, state, and gender, including any possible association, hospital, or multi-life discounts available for you. Now, ask about the differences between each of these policies, including the group policies, and the price for them. This is where the agent earns a substantial commission. Have the agent explain why one policy costs more than the others and whether the extra cost is worth it. Every line and term in the multi-page contract is important; be sure you understand what they all mean. Ask the agent for recommendations.