“Own
Occupation”
Dental Specialty Coverage
For The Full Benefit Period
“The heart
of any disability policy is the definition of Total Disability.”
Ron Cohen, RHU, RR
All dental
specialties now have a true own-occupation definition of total disability
to age 65, or for lifetime.
If you are like the majority of dentists, you probably own disability
insurance. Most dentists we’ve worked with have had some form of
disability insurance. If you have been in practice for a while, you will
understand why the major features that we offer make it the most
attractive to a dentist in the market for an individual long term
disability insurance policy.
- Own-occupation definition of total disability that
recognizes any specialty recognized by the ADA, your specialty is deemed your regular occupation.
- A residual disability rider that does
not require a loss of time or duties...
- A 5-year waiver of elimination
period...
- Non-Cancelable and Guaranteed
Renewable Contract to age 65
Own-Occupation for Dentists
As a dentist, you have received extensive education and training to
perform the material and substantial duties of your specialty. Imagine
having a disability insurance product that did not protect that specialty,
and forced you to work in some other occupation if you couldn't perform
your medical specialty. We offer a disability insurance policy that has an
own-occupation definition of total
disability. If because
of sickness or injury you are unable to perform the material and
substantial duties of your regular occupation, regular occupation defined
as the occupation in which you are engaged at the time you become
disabled, you will be deemed to be totally disabled even if you are
engaged in some other capacity.
If your occupation
limed a recognized Dental Specialty by the ADA, that specialty will be
your occupation.
Residual Disability Rider - No Loss of
Time or Duties Required
Many competitors have a residual rider, or
loss of income definition of total disability that requires a loss of time
and duties along with a loss of income in order to pay partial disability
benefits. Our contract does not require: The loss of time
or duties.
They
only require a loss of 20% or more in income as a result of a sickness or
injury in order to pay claims under the residual disability rider. This
allows the Residual Rider: To act an unlimited recovery benefit, one of
the most important features of a disability policy, is recovery.
Uniqueness in Features:
5-Year Waiver of Elimination Period
Another strong feature:
The
5-year waiver of elimination period. The only contract in the disability
Insurance industry to offer such a benefit. If you are disabled under the
terms of our contract for at least 6 months, and for which one day of
benefits have been paid, if you recover from that disability the contract
would waive the elimination period on any new disabilities within the next
5 years. This results in a first day benefit disability insurance policy
from that point from ANY cause for the next five years.
X 45 Lifetime Benefit
Period
Another strong feature that is available to dentists under our disability
insurance contract is the X45
lifetime benefit period. So few companies offer any type
of benefit period beyond age 65. This is one of very few to offer it to
dentists. There is a common misconception that this benefit period is much
more expensive than an "age 65" benefit period, in many cases it is just a
few hundred dollars a year more or less.
Non-Cancelable and Guaranteed Renewable
There are a lot of reasons to make sure
that your disability insurance policy is Non-Cancelable and Guaranteed
Renewable.
The important factor for
you to understand is that when your policy is Non-Cancelable and
Guaranteed Renewable we cannot change the rates once the policy is
in-force, they will remain level until the age of 65. This is a dramatic
difference from many association sponsored plans. Also you cannot be
dropped
for any reason so long as you maintain prompt premium payments.
Interrupted Elimination Period
All disability income policies have an elimination period - that is, the
period of time that must elapse before monthly benefits begin.
We will allow different periods of disability, from the
same or a different cause, to count towards the elimination period (EP),
which must be satisfied within the accumulation period specified on the
policy schedule page. The days on which you are disabled need not be
consecutive, and if your policy has a three-month elimination period, for
instance, the accumulation period (during which you need to accumulate
those three months of disability) would be seven months.
Waiver of Premium
During disability:
- Premium is waived after three months
or the elimination period, if that's shorter;
- Premium is refunded if it was due and
paid during the elimination period
- Premium may be waived for 12 months
if you are disabled on a policy anniversary; and
- Premium is waived for three months
after recovery.
The Provider Plus
Waiver of Premium benefit is important because it waives premiums that
fall due during a disability and refunds premiums that were due and paid
during the elimination period. If you select the Residual Disability
Rider, you may be either totally or residually disabled to qualify for
Waiver of Premium. To become eligible you must be disabled for three
months or the elimination period, if that's shorter.
Your premium will
continue to be waived for three months after you recover. If you are
disabled and eligible for premium waiver on a policy anniversary, we will
waive an annual premium even if you paid your premiums more frequently.
The waiver continues until the next policy anniversary, even if you
recover sooner.
The waiver of premium
benefit will also apply if monthly benefits are payable because you have
met the requirements of any of the provisions called Waiver of Elimination
Period, Recurrent Periods of Disability or Presumptive Total Disability
Benefit.
Waiver of Elimination Period
Under a unique feature
of the Provider Plus policy, there is no new elimination period for
subsequent disabilities from any cause, if your original disability lasted
at least six months and you received any benefits from us. (The second
period of disability must occur within five years of the first.)
This means that
benefits would be paid from the first day of the second period of
disability, even if the subsequent disability were for a minimal period of
time or was caused by an accident or illness not related to the first
period of disability.
Presumptive Total Disability Benefit
The policy also
includes a benefit designed to give you extra protection in the case of
certain catastrophic disabilities: the Presumptive Total Disability
Benefit.
Because of this
benefit, we will consider you totally disabled if sickness or injury
results in the total and complete loss of: the sight of both eyes; the
hearing of both ears; the power of speech; the use of two arms, two legs,
or one arm and one leg, in their entirety. We will also waive any
unexpired part of the elimination period from the date of such a loss.
Suppose you suffered
compound fractures of both legs in an auto accident. Since you have
experienced the total and complete loss of their use, we will waive the
elimination period and you would receive benefits from the date of that
loss. Most other companies would not consider this a presumptive
disability and therefore would not pay until after the elimination period
if you were still disabled and you met the definition of disability. Even
if you continued to work full time with compound fractures of both legs,
we would presume you to be disabled and would pay your monthly benefit
until your recovery.
Capital Sum Benefit
The policy also
includes a lump sum benefit for other specific losses: the Capital Sum
Benefit.
This benefit is paid in
addition to any other benefits payable if, because of a sickness or
injury, you lose the entire sight of one eye with no possibility of
recovery; or suffer the complete loss of a hand or foot severed through or
above the wrist or ankle; and you survive it for 30 days. The Capital Sum
equals 12 times your monthly benefit, so on a policy with a $5,000 monthly
benefit, we would pay $60,000 for such a loss. No more than two such
losses are payable during your lifetime. |